Scarr Graham
60 Edward Street Stapleford, Nottingham NG9 8FJ, UK.
J Bodyw Mov Ther. 2016 Jul;20(3):629-38. doi: 10.1016/j.jbmt.2015.10.008. Epub 2015 Nov 6.
Periodic changes in arterial pressure and volume have long been related to respiratory and sympathetic nerve activity (Traube-Hering-Mayer waves) but their origins and nomenclature have caused considerable confusion since they were first discovered in the eighteenth century. However, although they remain poorly understood and the underlying details of their control are complicated, these waves do provide valuable clinical information on the state of blood pressure regulation in both normal and pathological conditions; and a correlation with oscillatory motions observed by certain practitioners suggests that they may also have some physiological value that relates to changes in the volume of fascial 'tubes'. Part I of this paper (Scarr, 2016) described a complex fascial network of collagen-reinforced tubular sheaths that are an integral part of muscle structure and function, and continuous with 'higher-level' fascial tubes surrounding groups of muscles, the limbs and entire body. The anisotropic arrangements of collagen fibres within the walls of these tubes reflect the most efficient distribution of mechanical stresses and have been considered to coordinate changes in shape, and a proposed link between cyclic variations in arterial pressure and volume, and the behaviour of these fascial compartments is now described.
动脉血压和容量的周期性变化长期以来一直与呼吸和交感神经活动相关（特劳贝－黑林－迈尔波），但自18世纪首次发现以来，它们的起源和命名一直令人相当困惑。然而，尽管人们对它们的了解仍然很少，其控制的潜在细节也很复杂，但这些波动确实为正常和病理状态下的血压调节状况提供了有价值的临床信息；并且与某些从业者观察到的振荡运动之间的相关性表明，它们可能还具有一些与筋膜“管”体积变化相关的生理价值。本文的第一部分（斯卡尔，2016年）描述了一个由胶原增强管状鞘组成的复杂筋膜网络，这些鞘是肌肉结构和功能的一个组成部分，并与围绕肌肉群、四肢和整个身体的“高级”筋膜管相连。这些管管壁内胶原纤维的各向异性排列反映了机械应力的最有效分布，并被认为可协调形状变化，本文现在描述了动脉血压和容量的周期性变化与这些筋膜腔行为之间的一种假定联系。
