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This richly illustrated book, with accompanying DVD and website, presents Dr Guimberteau’s groundbreaking work, and explains its significance for manual therapists and movement teachers, and its implications for what they do with patients and clients.

Dr Guimberteau is the first person to film living human tissue through an endoscope in an attempt to understand the organisation of living matter. He has developed his own concept of the multifibrillar structural organisation of the body, of which the microvacuole is the basic functional unit. He has also developed a concept of global dynamics and continuous matter.

His films confirm the continuity of fibres throughout the body and show how adjacent structures can move independently in different directions and at different speeds while maintaining the stability of the surrounding tissues. This role is carried out by what he calls the “Microvacuolar Collagenic Absorbing System”

He has opened a window into a strange world of fibrillar chaos and unpredictable behaviour, and has revealed the morphodynamic nature of the fibrils that constitute the connective tissue, as well as the fractal, non-linear behaviour of these fibrils.

His work ties in with that of Donald Ingber on tensegrity within the cytoskeleton, and the links between the cytoskeleton and the Extracellular Matrix as described by James Oschman.


Additional information

ISBN 978-1-909141-11-7
Edition No 1
Pages 232
Illustrations 400 4-colour photographs and diagrams, and 90 video clips
Binding Paperback
Dimensions 280 x 230 mm
Status Published
Publication Date 8 September 2015

Author biography

Dr Jean-Claude Guimberteau is co-founder and scientific director of the Institut Aquitain de la Main, and past-President 2011-2012 of the French Society for Plastic and Reconstructive Surgery (SOFCPRE). Dr Guimberteau trained in hand and plastic surgery at the University of Bordeaux, under Professors Goumain and Baudet. He worked in microsurgery and transplantation, extending his surgical experience through working in the USA with Dr J M Converse and Dr Ralph Millard. With Professor Claude Verdan in Switzerland and Dr Harold Kleinert in the USA he wrote a book: New ideas in hand surgery He has developed our knowledge of the structure and function of tendon physiology, and pioneered techniques for secondary flexor tendon repair. Perhaps his most significant contribution to our understanding of human biology has come about through his innovative use of video-endoscopy to investigate the structure of the fascia in vivo, resulting in what is essentially a new concept of living tissue and a new ontology for human body architecture. Through the company endovivo.com he has published many videos on living matter: Strolling under the skin, 2005; Skin excursion, 2008; Muscle Attitude, 2009; Interior Architectures, 2011; Skin, Scars and Stiffness, 2012; and Destination Tendon, 2012 Dr Guimberteau is also a member of the French Hand Society (GEM), and of the French Academy of Surgery. He has been a member of the (French) Health Service High Authority 2007-2010.

Colin Armstrong DO is a British trained Osteopath. He spent the first five years of his career in Zimbabwe and is now based in France. He has over 30 years of clinical experience and has undertaken extensive postgraduate training in France and Britain. The study of osteopathy from different cultural perspectives has given him a unique insight into the way people experience pain and illness, and the impact this has on the therapeutic encounter. His areas of special interest include paediatric osteopathy and osteopathic care during pregnancy. He feels immensely privileged to be able to treat people of all ages, from the newborn to the elderly, and from all walks of life. He is a founder member of the French Academy of Osteopaths.

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