Effectiveness of fascial manipulation on pain and disability in musculoskeletal conditions. A systematic review

Karthik, A.; Harikesavan, Karvannan

doi:10.1016/j.jbmt.2020.11.005

Cited by 12 publications

(8 citation statements)

References 23 publications

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“…Postural control and perception of the body’s orientation and objects’ location in extra-personal space require the integration of proprioceptive, visual, and vestibular signals [ 18 , 54 ]. Other studies have shown that the restoration of fascial mobility using the FM ® method has resulted in a significant gain in those with low back pain [ 40 ], and a recent systematic review concluded FM ® decreased pain and disability [ 55 ]. Furthermore, restoring the fascia’s ability to glide and slide using the FM ® method appears to result in improved integration of the postural control system to improve balance [ 56 , 57 ] and enhance motor performance, including reaction time [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

Short-Term Benefits from Manual Therapy as an Adjunct Treatment for Persistent Postural-Perceptual Dizziness Symptoms: A Preliminary Prospective Case Series

Harper,

Steinbeck

2024

JFMK

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Persistent dizziness and balance deficits are common, often with unknown etiology. Persistent Postural-Perceptual Dizziness (3PD) is a relatively new diagnosis with symptoms that may include dizziness, unsteadiness, or non-vertiginous dizziness and be persistent the majority of time over a minimum of 90 days. The purpose of this case series was to investigate short-term outcomes of reducing dizziness symptoms using a manual therapy intervention focused on restoring mobility in the fascia using a pragmatically applied biomechanical approach, the Fascial Manipulation® method (FM®), in patients with 3PD. The preliminary prospective case series consisted of twelve (n = 12) patients with persistent complaints of dizziness who received systematic application of manual therapy to improve fascial mobility after previously receiving vestibular rehabilitation. The manual therapy consisted of strategic assessment and palpation based on the model proposed in the FM® Stecco Method. This model utilizes tangential oscillations directed toward the deep fascia at strategic points. Six males (n = 6) and females (n = 6) were included with a mean age of 68.3 ± 19.3 years. The average number of interventions was 4.5 ± 0.5. Nonparametric paired sample t-tests were performed. Significant improvements were observed toward the resolution of symptoms and improved outcomes. The metrics included the Dizziness Handicap Inventory and static and dynamic balance measures. The Dizziness Handicap Inventory scores decreased (i.e., improved) by 43.6 points (z = −3.1 and p = 0.002). The timed up and go scores decreased (i.e., improved) by 3.2 s (z = −2.8 and p = 0.005). The tandem left increased (i.e., improved) by 8.7 s (z = 2.8 and p = 0.005) and the tandem right increased (i.e., improved) by 7.5 s (z = 2.8 and p = 0.005). Four to five manual therapy treatment sessions appear to be effective for short-term improvements in dizziness complaints and balance in those with 3PD. These results should be interpreted with caution as future research using rigorous methods and a control group must be conducted.

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Section: Discussionmentioning

confidence: 99%

Short-Term Benefits from Manual Therapy as an Adjunct Treatment for Persistent Postural-Perceptual Dizziness Symptoms: A Preliminary Prospective Case Series

Harper,

Steinbeck

2024

JFMK

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“…As muscle fibers become thinner after atrophy, the fascia becomes taut and stiff to maintain the stability of the muscle structure, which reduces its ability to perceive mechanical signals. [63,64] The injection of 0.3 PMN/C+Ag into the muscle fascia generates a squeezing force on the surrounding tissue due to its own volume and swelling (as shown in Figure S4, Supporting Information). This force replaces the tension of the fascia itself to maintain the stability of the muscle structure and relieves the tautness of the muscle fascia.…”

Section: Discussionmentioning

confidence: 99%

Interstitial Injection of Hydrogels with High‐Mechanical Conductivity Relieves Muscle Atrophy Induced by Nerve Injury

Li,

Zhu,

Zhang

et al. 2023

Adv Healthcare Materials

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Injectable hydrogels have been extensively used in tissue engineering where high mechanical properties are key for their functionality at sites of high physiological stress. In this study, an injectable, conductive hydrogel is developed exhibiting remarkable mechanical strength that can withstand a pressure of 500 kPa (85% deformation rate) and display good fatigue resistance, electrical conductivity, and tissue adhesion. A stable covalent cross‐linked network with a slip‐ring structure by threading amino β‐cyclodextrin is formed onto the chain of a four‐armed (polyethylene glycol) amino group, and then reacted with the four‐armed (polyethylene glycol) maleimide under physiological conditions. The addition of silver nanowires enhances the hydrogel's electrical conductivity, enabling it to act as a good conductor in vivo. The hydrogel is injected into the fascial space, and the results show that the weight and muscle tone of the atrophied gastrocnemius muscle improve, subsequently alleviating muscle atrophy. Overall, this study provides a simple method for the preparation of a conductive hydrogel with high mechanical properties. In addition, the interstitial injection provides a strategy for the use of hydrogels in vivo.

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“…In particular, the effectiveness of the Fascial Manipulation (FM) method has already been described in other specific musculoskeletal conditions, such as non-specific low back pain [34][35][36], carpal tunnel syndrome [37] and chronic shoulder pain [38], demonstrating encouraging results in the management of those pathologies due to connective tissue dysfunctions. A recent systematic review supports the achievement of these positive clinical outcomes on patients' pain and disability in different musculoskeletal conditions by applying this method [39]. Hence, for these reasons, the FM technique was adopted for the conservative treatment of MS.…”

Section: Introductionmentioning

confidence: 90%

Fascial Manipulation Technique in the Conservative Management of Morton’s Syndrome: A Pilot Study

Biz

Stecco

Fantoni

et al. 2021

IJERPH

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Background and Objective: Morton’s syndrome (MS) is a common cause of neuropathic chronic forefoot pain, characterised by the development of a swelling of the common digital plantar nerve, whose aetiology is not fully known. There is currently no gold standard of treatment; nonoperative management commonly involves manual therapies, orthoses therapy and infiltrative techniques, while surgery is indicated after failure of conservative measures. The present preliminary study prospectively evaluates patients affected by MS treated by Fascial Manipulation technique (FM), a noninvasive manual therapy, focused on the release of the deep fascia, reducing its stiffness. Materials and Methods: Patients with clinical and sonographic diagnosis of MS with at least a 4-month history of neuropathic symptoms underwent a cycle of three weekly FM sessions. Clinical follow-up, including VAS and AOFAS scores, was performed 21 days (T1) and 3 months (T2) after treatment. Results: Nine patients, among 28 recruited initially, completed the manual therapy sessions and relative follow-up points. This noninvasive pain treatment led to significant improvement of VAS (p = 0.0034) and AOFAS scores (p = 0.0240) at the first follow-up (T1). At 3-month follow-up (T2), both scores decreased slightly, remaining however superior to the pre-treatment values. Only VAS was still significant (p = 0.0184). Conclusions: Despite the small size of the case series, this pilot study is unique in supporting Fascial Manipulation in the nonoperative treatment of MS. Further studies are needed with a large cohort of gender balanced patients to confirm the encouraging results obtained.

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Effectiveness of fascial manipulation on pain and disability in musculoskeletal conditions. A systematic review

Cited by 12 publications

References 23 publications

Short-Term Benefits from Manual Therapy as an Adjunct Treatment for Persistent Postural-Perceptual Dizziness Symptoms: A Preliminary Prospective Case Series

Short-Term Benefits from Manual Therapy as an Adjunct Treatment for Persistent Postural-Perceptual Dizziness Symptoms: A Preliminary Prospective Case Series

Interstitial Injection of Hydrogels with High‐Mechanical Conductivity Relieves Muscle Atrophy Induced by Nerve Injury

Fascial Manipulation Technique in the Conservative Management of Morton’s Syndrome: A Pilot Study

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