Effects of diacutaneous fibrolysis in patients with mild to moderate symptomatic carpal tunnel syndrome: a randomized controlled trial

Jiménez‐del‐Barrio, Sandra; Miguel, Elena Estébanez de; Bueno-Gracía, Elena; Garay, María Haddad; Moreno, José Miguel Tricás; Hidalgo-García, César

doi:10.1177/0269215518787316

Cited by 22 publications

(57 citation statements)

References 45 publications

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“…However, changes in the neuromuscular response in patients has not been yet analyzed. If the effects of the FD in patients were similar to the obtained in asymptomatic subjects, it could explain the clinical benefits obtained in previous studies after the application of the FD technique [2][3][4][5]. Future studies are required to assess this.…”

Section: Discussionmentioning

confidence: 81%

“…Diacutaneous fibrolysis (DF) is a non-invasive technique used to treat musculoskeletal conditions which produce pain and/or movement restriction [1][2][3][4][5]. DF is an instrument-assisted soft tissue mobilization developed from the Cyriax deep friction massage principles.…”

Section: Introductionmentioning

confidence: 99%

“…DF is a common technique in clinical practice which has shown to be effective in the treatment of musculoskeletal conditions such as shoulder pain [1,2], lateral epicondylalgia [3], patellofemoral pain syndrome [5] and carpal tunnel syndrome [4]. Previous studies have shown an improvement in pain intensity [2][3][4][5], function [3][4][5], pain-free grip strength [3], range of motion [2], nerve conduction [4] and patellar position [5]. The DF technique has also been shown to produce an increase of the range of motion in dorsiflexion of the ankle [1][2][3], a reduction in passive resistance of dorsiflexion of the ankle [8][9][10], and a decrease in the myotendinous reflex of the triceps surae [9,10] when used in healthy subjects.…”

Section: Introductionmentioning

confidence: 99%

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Effect of diacutaneous fibrolysis on the muscular properties of gastrocnemius muscle

et al. 2020

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Diacutaneous fibrolysis is a noninvasive technique that has been shown to be effective in the treatment of musculoskeletal disorders such as shoulder pain, lateral epicondylalgia, patellofemoral pain syndrome and carpal tunnel syndrome. However, while diacutaneous fibrolysis is applied to soft tissue, its effects on muscular properties are unknown. The purpose of the present study was to evaluate the effects of diacutaneous fibrolysis on muscle properties as measured by tensiomyography and myotonometry in asymptomatic subjects. An analytical descriptive study was performed. A single session of diacutaneous fibrolysis on the gastrocnemius muscle was applied to one limb (treated limb group) and the other limb was the control (control limb group). Subjects were assessed with tensiomyography and myotonometry before treatment (T0), after treatment (T1) and 30 minutes later (T2). The primary outcomes were tensiomyography and myotonometry variables. The treated limb group showed a statistically significant increase (p<0.05) in tensiomyography parameters. A decrease in rigidity and increase in relaxation was also observed on myotonometry at T1, with some of the effects being maintained at T2. Rigidity and relaxation at T1 were statistically significant between groups (p<0.05). A single session of diacutaneous fibrolysis to the gastrocnemius muscle of asymptomatic subjects produced immediate changes in muscle properties. These changes were maintained 30 minutes after the application of the technique.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of diacutaneous fibrolysis on the muscular properties of gastrocnemius muscle

et al. 2020

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“…All intervention groups were treated using a diacutaneous fibrolysis approach, added to his usual physiotherapy treatment. Five studies 7,8,18,20,21 carried out a sham diacutaneous fibrolysis in the comparison group. For the sham option, a pinch of skin was held to apply the technique so that participants could feel the hook as well, but it only acted on a superficial level, avoiding a mechanical action involving the deep tissue.…”

Section: Resultsmentioning

confidence: 99%

The effectiveness of diacutaneous fibrolysis on pain, range of motion and functionality in musculoskeletal disorders: A systematic review and meta-analysis

et al. 2020

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Objective: To assess the effectiveness of diacutaneous fibrolysis in reducing musculoskeletal disorders symptoms such as pain, range of motion and functionality. Data sources: A systematic review of MEDLINE, Cochrane, PEDro and Science Direct was conducted until September 2020. Review methods: Computerized search strategy was performed to identify randomized controlled trials applying diacutaneous fibrolysis, on subjects with musculoskeletal disorders. Eligible articles and data extraction were conducted independently by two reviewers. Methodology quality and risk of bias were assessed by Risk of Bias 2 tool from the Cochrane Collaboration and Physiotherapy Evidence Database. Outcomes assessed were pain intensity, range of motion and functionality. Results: Search strategy identified 98 potential randomized control trials and six studies involving 386 participants, were finally included. Diacutaneous fibrolysis intervention added to usual physiotherapy treatment was compared to control group. Pain intensity immediately after treatment showed a pooled Standard Mean Difference (SMD) of –0.58 with 95% confidence interval (CI) from –1.12 to –0.04, and in the longest follow-up SMD was –0.63 with 95% CI (–1.21 to –0.05). Functionality showed a pooled SMD of –1.02 with 95% CI (–1.67 to –0.36) immediately after intervention and a SMD of –0.84 with 95% CI (–1.54 to –0.14). Range of motion could not be included in the quantitative synthesis. Conclusion: Diacutaneous fibrolysis is an effective treatment, when combined with conventional physiotheraphy, reducing pain immediately after treatment and long term follow-up and improving function in both, short and long term in musculoskeletal disorders.

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“…(2,3) DF has shown to be effective in the treatment of musculoskeletal conditions such as shoulder pain, (1,2) lateral epicondylalgia,(3) patellofemoral pain syndrome (5) and carpal tunnel syndrome. (4) Previous studies have shown an improvement in pain intensity, (2)(3)(4)(5) function, (3)(4)(5) pain-free grip strength,(3) range of motion,(2) nerve conduction (4) and patellar position. (5) The DF technique has also been shown to produce an increase of the range of motion in dorsiflexion of the ankle, (1-3) a reduction in passive resistance of dorsiflexion of the ankle (6)(7)(8), and a decrease in the myotendinous reflex of the triceps surae (7,8) when used in healthy subjects.…”

Section: Introductionmentioning

confidence: 98%

Effect of diacutaneous fibrolysis on the muscular properties of Gastrocnemius muscle

López-de-Celis

Pérez‐Bellmunt

Bueno-Gracía

et al. 2020

Preprint

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Background: Diacutaneous fibrolysis is a noninvasive technique that has been shown to be effective in the treatment of musculoskeletal disorders such as shoulder pain, lateral epicondylalgia, patellofemoral pain syndrome and carpal tunnel syndrome. However, while diacutaneous fibrolysis is applied to soft tissue, its effects on muscular properties are unknown. The purpose of the present study was to evaluate the effects of diacutaneous fibrolysis on muscle properties as measured by tensiomyography and myotonometry in asymptomatic subjects. Methods: A randomized controlled clinical trial with a blinded evaluator was performed. A single session of diacutaneous fibrolysis on the gastrocnemius muscle was applied to one limb (treated limb group) and the other limb was the control (control limb group). Subjects were assessed with tensiomyography and myotonometry before treatment (T0), after treatment (T1) and 30 minutes later (T2). The primary outcomes were tensiomyography and myotonometry variables. The intra-group comparison was performed with repeated measures ANOVA and Bonferroni post hoc test or Freidman test with Wilcoxon post hoc test. In the between-group comparisons, a paired t test or Wilcoxon test was used. Results: The treated limb group showed a statistically significant increase (p<0.014) in tensiomyography parameters. A decrease in rigidity and increase in relaxation was also observed on myotonometry at T1, with some of the effects being maintained at T2. Rigidity and relaxation at T1 were statistically significant between groups (p<0.05). Conclusions: A single session of diacutaneous fibrolysis to the gastrocnemius muscle of asymptomatic subjects produced immediate changes in muscle properties. These changes were maintained 30 minutes after the application of the technique. Trial registration: NCT03963674. Keywords: Diacutaneous Fibrolysis, Tensiomyography, Myotonometry.

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Effects of diacutaneous fibrolysis in patients with mild to moderate symptomatic carpal tunnel syndrome: a randomized controlled trial

Abstract: Diacutaneous fibrolysis provides short-term and one-month follow-up, improvements in sensory conduction velocity, motor distal latency, symptoms and functional capacity in patients with mild to moderate carpal tunnel syndrome.

Cited by 22 publications

References 45 publications

Effect of diacutaneous fibrolysis on the muscular properties of gastrocnemius muscle

Effect of diacutaneous fibrolysis on the muscular properties of gastrocnemius muscle

The effectiveness of diacutaneous fibrolysis on pain, range of motion and functionality in musculoskeletal disorders: A systematic review and meta-analysis

Effect of diacutaneous fibrolysis on the muscular properties of Gastrocnemius muscle

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