Importance of Considering Myofascial Force Transmission in Musculoskeletal Surgeries

Abstract

Research related to the human fascia recently started to pay attention on the contribution of myofascial force transmission to the biomechanics of human movements followed by surgical conditions (1,2). Human fascia, and its effects on the myofascial force transmission have major implications on remedial surgeries for musculoskeletal disorders (2). The myofascial force transmission from the myofascial-skeletal system regulates the biomechanics of the human movement via the deep and superficial muscular fascia which serves as the element of connection between the different muscle groups in the body. In this context, when the contractile harmony in the myofascial continuity is disrupted as a result of surgical separation of muscles, movement compensations and altered motor patterns affect the normal biomechanics of the joint, ligaments and other soft tissue structures. In the long run, any such altered myofascial force distribution may lead to a pathological stress or overload to the joints and possibly may cause recurrence of joint pathologies or even affect the outcomes of the musculoskeletal surgeries. In this editorial, myofascial force transmission and its mechanical effects are presented with regard to the implications of musculoskeletal surgeries. Two schools of thoughts on the myofacial continuity such as ‘anatomy train’ and ‘integrated Myofascial-skeletal model’ is presented to relate the myofascial force transmission and its impact on surgical science and vice versa.