Bordoni Bruno, Simonelli Marta, Morabito Bruno
Cardiology, Foundation Don Carlo Gnocchi, Milan, ITA.
Osteopathy, French-Italian School of Osteopathy, Pisa, ITA.
Cureus. 2019 Jul 23;11(7):e5208. doi: 10.7759/cureus.5208.
The word diaphragm comes from the Greek (διάϕραγμα), which meant something that divides, but also expressed a concept related to emotions and intellect. Breath is part of a concept of symmorphosis, that is the maximum ability to adapt to multiple functional questions in a defined biological context. The act of breathing determines and defines our holobiont: how we react and who we are. The article reviews the fascial structure that involves and forms the diaphragm muscle with the aim of changing the vision of this complex muscle: from an anatomical and mechanistic form to a fractal and asynchronous form. Another step forward for understanding the diaphragm muscle is that it is not only covered, penetrated and made up of connective tissue, but the contractile tissue itself is a fascial tissue with the same embryological derivation. All the diaphragm muscle is fascia.
“膈肌”一词源于希腊语(διάϕραγμα),原意为分隔之物,但也表达了与情感和智力相关的概念。呼吸是同形适应概念的一部分,即生物体在特定生物环境中适应多种功能问题的最大能力。呼吸行为决定并定义了我们的共生生物:我们如何反应以及我们是谁。本文回顾了涉及并构成膈肌的筋膜结构,旨在改变对这一复杂肌肉的认识:从解剖学和机械学形式转变为分形和异步形式。理解膈肌的又一进展是,它不仅被结缔组织覆盖、贯穿并由其构成,而且收缩组织本身就是具有相同胚胎学起源的筋膜组织。整个膈肌都是筋膜。