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打哈欠伸懒腰:维持肌筋膜系统功能完整性的自然方式?

Pandiculation: nature's way of maintaining the functional integrity of the myofascial system?

作者信息

Bertolucci Luiz Fernando

机构信息

Associação Brasileira de Rolfing, Av. Dr. Arnaldo, 1644, CEP 01255-000, São Paulo, Brazil.

出版信息

J Bodyw Mov Ther. 2011 Jul;15(3):268-80. doi: 10.1016/j.jbmt.2010.12.006. Epub 2011 Jan 14.

DOI:10.1016/j.jbmt.2010.12.006
PMID:21665102
Abstract

Pandiculation is the involuntary stretching of the soft tissues, which occurs in most animal species and is associated with transitions between cyclic biological behaviors, especially the sleep-wake rhythm (Walusinski, 2006). Yawning is considered a special case of pandiculation that affects the musculature of the mouth, respiratory system and upper spine (Baenninger, 1997). When, as often happens, yawning occurs simultaneously with pandiculation in other body regions (Bertolini and Gessa, 1981; Lehmann, 1979; Urba-Holmgren et al., 1977) the combined behavior is referred to as the stretch-yawning syndrome (SYS). SYS has been associated with the arousal function, as it seems to reset the central nervous system to the waking state after a period of sleep and prepare the animal to respond to environmental stimuli (Walusinski, 2006). This paper explores the hypothesis that the SYS might also have an auto-regulatory role regarding the locomotor system: to maintain the animal's ability to express coordinated and integrated movement by regularly restoring and resetting the structural and functional equilibrium of the myofascial system. It is now recognized that the myofascial system is integrative, linking body parts, as the force of a muscle is transmitted via the fascial structures well beyond the tendonous attachments of the muscle itself (Huijing and Jaspers, 2005). It is argued here that pandiculation might preserve the integrative role of the myofascial system by (a) developing and maintaining appropriate physiological fascial interconnections and (b) modulating the pre-stress state of the myofascial system by regularly activating the tonic musculature. The ideas presented here initially arose from clinical observations during the practice of a manual therapy called Muscular Repositioning (MR) (Bertolucci, 2008; Bertolucci and Kozasa, 2010a; Bertolucci, 2010b). These observations were supplemented by a review of the literature on the subject. A possible link between MR and SYS is presented: The neural reflexes characteristically evoked through MR are reminiscent of SYS, which both suggests that MR might stimulate parts of the SYS reaction, and also points to one of MR's possible mechanisms of action.

摘要

打哈欠是软组织的一种不自主伸展,在大多数动物物种中都会发生,并且与周期性生物行为之间的转换有关,尤其是睡眠 - 觉醒节律(瓦卢辛斯基,2006年)。打哈欠被认为是打哈欠伸展的一种特殊情况,它会影响口腔、呼吸系统和上脊柱的肌肉组织(贝宁格,1997年)。当打哈欠像经常发生的那样,与身体其他部位的打哈欠伸展同时出现时(贝托利尼和杰萨,1981年;莱曼,1979年;乌尔巴 - 霍尔姆格伦等人,1977年),这种联合行为被称为伸展 - 打哈欠综合征(SYS)。SYS与唤醒功能有关,因为它似乎在一段时间的睡眠后将中枢神经系统重置为清醒状态,并使动物做好应对环境刺激的准备(瓦卢辛斯基,2006年)。本文探讨了这样一种假设,即SYS可能对运动系统也具有一种自我调节作用:通过定期恢复和重置肌筋膜系统的结构和功能平衡,来维持动物表达协调和整合运动的能力。现在人们认识到肌筋膜系统是整体性的,连接身体各部分,因为肌肉的力量通过筋膜结构传递,远远超出了肌肉本身的肌腱附着点(惠京和雅斯珀斯,2005年)。这里认为,打哈欠伸展可能通过以下方式保持肌筋膜系统的整合作用:(a)发展和维持适当的生理性筋膜连接,以及(b)通过定期激活紧张性肌肉组织来调节肌筋膜系统的预应力状态。这里提出的观点最初源于一种名为肌肉复位(MR)的手动疗法实践过程中的临床观察(贝托卢奇,2008年;贝托卢奇和科扎萨,2010年a;贝托卢奇,2010年b)。这些观察通过对该主题的文献综述得到了补充。本文提出了MR与SYS之间的一种可能联系:通过MR典型地引发的神经反射让人联想到SYS,这既表明MR可能刺激了SYS反应的某些部分,也指出了MR可能的作用机制之一。

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