J Bodyw Mov Ther. 2020 Jan;24(1):138-146. doi: 10.1016/j.jbmt.2019.11.005. Epub 2019 Nov 20.
This article presents an overview of research conducted by Dr Jean-Claude Guimberteau into the architecture and spatial organization of living matter and the relationship between the cells and the extracellular matrix. His research is discussed in the context of previous and current research into fascial anatomy. Andrew Taylor Still, the founder of Osteopathy, did not have access to modern research and yet his observations are proving to be surprisingly accurate in the light of recent findings. This article sets out to highlight the relevance of his insights from a purely anatomical perspective, and to draw parallels with a new way of thinking about the architecture of the living human body that is slowly emerging. Dr Guimberteau's research shows that a force applied to the surface of the skin is transmitted deep into living tissue via a continuous bodywide multifibrillar network. It also confirms the concept of the body as a dynamic functional unit, as proposed by A.T. Still. Still also proposed that structure and function are interrelated at all levels within the living human body. There is a growing body of research to support this. Intratissular endoscopy has highlighted the importance of the quality of the mobility and adaptability of the network of collagen and elastin fibers that structures the ECM in healthy living tissue. Factors such as abnormal stiffness of collagen fibers in the ECM are thought to have adverse effects on local tissue health.
本文概述了让-克洛德·吉芒特（Jean-Claude Guimberteau）博士对生命物质的结构和空间组织以及细胞与细胞外基质之间关系的研究。他的研究是在筋膜解剖学的既往和当前研究背景下进行讨论的。整骨疗法的创始人安德鲁·泰勒·斯蒂尔（Andrew Taylor Still）无法获得现代研究成果，但他的观察结果却出人意料地在最近的发现中得到了证实。本文旨在从纯粹的解剖学角度突出他的见解的相关性，并与一种关于活体建筑的新思维方式进行类比，这种新思维方式正在缓慢出现。吉芒特博士的研究表明，施加在皮肤表面的力通过全身多纤维网络深入到活体组织中。它还证实了 A.T.斯蒂尔提出的身体是一个动态功能单元的概念。斯蒂尔还提出，结构和功能在活体人体的所有层次上都是相互关联的。越来越多的研究支持这一观点。组织内内窥镜检查突出了在健康活体组织中构成 ECM 的胶原蛋白和弹性蛋白纤维网络的流动性和适应性的质量的重要性。人们认为，细胞外基质中胶原蛋白纤维的异常僵硬等因素会对局部组织健康产生不利影响。
