Winter school

Fascial Anatomy

Information about the School
WHERE: Institute of Human Anatomy, Department of Neuroscience
WHEN: 1 - 5 February 2021
WHO MIGHT PARTICIPATE: medical doctors, physiotherapists, motor scientists, osteopaths and chiropractors

Organized by Prof. Carla Stecco, University of Padova, Dep. Neuroscience, Institute of Human Anatomy in collaboration with prof. Nathaly Gaudreault from University of Sherbrooke, Canada, Chenglei Fan, MD, PhD, from China; Dr. Vadimir Chereminskiy, from Fascial Net Plastination Project, in Guben-Germany, and Jan Wilke, PhD, from Goethe-Universität Frankfurt am Main, Germany.

Hosts: Dr. Robert Schleip, Prof. Winfried Neuhuber, Dr. Antonio Stecco

AIMS of the school
Recent research highlights the important role of fasciae in myofascial pains and overuse syndromes. The aim of the course regards the achievement of knowledge about fascial anatomy and physiology for a better understanding of musculoskeletal pain.

Skills: the participants will touch different fasciae and muscles of human body in order to understand their thickness, density, mechanical features. The achievement of this skill will permit a better adaption of various manual techniques during the treatment of patients.

Competences: The frontal lectures and dissections will suggest to the clinicians a new point of view of musculoskeletal system, focusing the attention into the superficial and deep fasciae. The different aspects of the human fasciae will be shown and discussed, with particular attention to their function.

Contents: hands-on fascia explorations on human cadavers; exploration of fasciae in living human with high resolution ultrasound; scientific lectures.

· frontal lessons
· dissection of fresh cadavers
· evaluation of embalmed cadavers
· exploration of fasciae in living human bodies with high resolution ultrasound
· session about fascia and movements
· histology lab and visualization of plastined fasciae

Structure of the course
in progress

Description of the School
This course of muscle-fascial dissection has been designed specifically to learn how to analyze and better understand the fasciae of the human body. Fasciae have been rediscovered in recent years because they seem to play a fundamental role in proprioception, in peripheral motor coordination and in the etiology of chronic muscular pain, but little is known about their anatomical, microscopic and biomechanical characteristics. The Institute of Anatomy of Padua University is internationally recognized as a reference center for the study of fascia and Prof. Carla Stecco is the author of the first photographic atlas on the fasciae (Functional atlas of the human fascial system, Elsevier, 2015), as well as coauthor of some books on the fascial manipulation and on the anatomy of fasciae.
This school will allow the trainees to deepen their knowledge of the fascia through theoretical lessons on the anatomy and physiology of the fascia, its interaction with the nervous system, with the underlying vessels and muscles. Ample space will be devoted to the dissection of the various districts, in order to understand which are actually the relationships and the dimensions of the anatomical structures, sometimes different from what is drawn in the atlases.
In addition, it will be investigated how the fascial dysfunctions can contribute to the development of conditions such as myofascial pain or movement disorders. These dysfunctions can be assessed using the principles of tissue biomechanics and ultrasound imaging. In fact, an alteration of the quantity or quality of the components of the loose connective tissue that is located between the layers of the dense connective tissue of the deep fascia can change the viscosity and, therefore, the viscoelastic properties of the fascial tissue. The viscoelasticity of the fascia includes various properties such as tone, elasticity and rigidity. The tone of the fascia represents the state of tension of the tissue at rest. The elasticity (coefficient of the speed of change) is a characteristic that is defined by the ability of the fascia to regain its original length when it undergoes a deformation following the application of an external force. Finally, the stiffness is represented by the ability of the fascia to resist an external force. Quantitative measurements of these properties may support the diagnosis of fascial dysfunction and help monitor patient status. Ultrasound imaging is a "cross-sectional imaging" method based on sound waves reflected from the tissue interface. It is considered a non-invasive, safe and economical medical imaging method. It allows to analyze the fascia at high resolution and to measure the thickness of its various layers. This is the only imaging tool that allows the visualization of the fascial gliding with respect to another structure or between adjacent fascial layers. In this school we will deepen this imaging technique, with the ultimate goal to more accurately analyze the fascia dysfunctions to better apply every type of exercise and manual therapy. The microscopic components of the fascia will also be explained: in fact, the fascia must be considered as a complex structure and an understanding of the microscopic aspects of the fascia and how the various elements that compose it respond to different mechanical, biochemical and physiological stimuli, allows us to better understand the role of the fascia in myofascial pain and therefore also to best apply exercises and manual and clinical therapy.

Evaluation of participants
test multiple choice

we’ll send by mail to the participants a selection of papers about the fascial anatomy and imaging.

We suggest: Functional Atlas of the human body. Stecco C. Elsevier ed. 2015.