Abstract

The evolution of the foot and the attainment of the bipedia represent a distinctive characteristic of the human species. The force of gravity is dissipated through the tibial astragalic joints, and the movement of the ankle is manifested on a sagittal plane. However, this is in contrast with other studies that analyze the straight station in bipodalic support of the body. According to these studies, the oscillations of the body dissipated by the articulation of the ankle are greater on a frontal plane than on a sagittal plane. Probably, this can be deduced by analyzing the concept of “cone of economy (COE) and equilibrium;” a cone that has its base with the oscillations described by the 360° movement performed by the head and has its apex that supports polygon defined by the tibio-astragalic articulation. The purpose of this study was to evaluate a kind of communication between the oscillations of the COE and equilibrium and the main sphere of somatic dysfunction (structural, visceral, or cranial sacral), assessing the reliability of the “fascial compression test.” The implications of this connection have been considered, while grounding the hypothesis in the ability of the human body to maintain its center of mass (COM) with minimum energy expenditure and with minimum postural influence. At the same time, the fascial compression test provides a dominant direction of fascial compartments in restriction of mobility.

Highlights

  • In the osteopathic medicine field, therapeutics and clinical goals are focused on findings and treatments of somatic dysfunctions, which is described as an impaired or altered function of related components of the somatic system, caused or expressed by any change of biological tissue structures in size, texture, structure, and position

  • In order to assess the influence of the somatic dysfunction inside the cone of economy (COE), it is essential to know the relationship between the main fascial systems and their anatomical disposition around the human body framework

  • We were able to build a diagnostic model by determining dysfunctional oscillations patterns, using clinical and the histological evidence behind the Pressure and Oscillation Test (POT)

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Summary

Introduction

In the osteopathic medicine field, therapeutics and clinical goals are focused on findings and treatments of somatic dysfunctions, which is described as an impaired or altered function of related components of the somatic (body framework) system, caused or expressed by any change of biological tissue structures in size, texture, structure, and position. Until recently, the uncertainty linked to the pathophysiological processes leading to the onset of dysfunction and the lack of diagnostic reliability, based on tissue indicators, such as abnormalities in the cellular texture, asymmetries, restrictions of mobility, and greater tenderness or sensitivity, Body Communication and Upright Posture make the concept of “osteopathic lesion” a subject of debate and further research (Liem, 2016). This study aimed to propose and develop a method for assessing the dysfunctional sphere, using knowledge of the communication points between the fascial system and the oscillatory adaptive capacity of the body in space to maintain an upright posture. The physiology behind the upright posture in the human could appear as a static, stable, and imperturbable condition. There is not yet a standard and universal model capable of correctly understanding and recognizing all the variables behind the physiology of postural control in humans

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