Observation using thermography of post-operative reaction after fascial manipulation®

Abstract

Introduction and objective.Fascia Manipulation® is one of the methods focusing on the deep fascia. The assumption is that fascial manipulation is carried out on precisely determined points -coordination centres (cc), and on a limited area so as the friction occurring during manipulation would cause a local rise in temperature due to the inflammatory reaction. Rise in temperature influences modification in consistency of elementary matter in the manipulated area, and by the same token causing a decrease in the negative effects of fascia densification which stems from accumulation of hyaluronic acid. The purpose of the research is to prove the thesis that fascial manipulation causes local rise in temperature due to inflammatory reaction. Materials and method. For the research, 25 individuals with densification in lower limb area were qualified. They were exposed to a single, 3-minute facial manipulation®. By means of a thermal-imaging camera, changes in the temperature of the body in the examined area were evaluated. The body's temperature evaluation was carried out 8 times: before the treatment, 5 minutes after the treatment, and, next, 6, 12, 18, 24, 36, 48 hours after the treatment. Results. The average surface temperature of the treated area before mobilization was 33.4 °C. A statistically relevant increase in temperature was already observed 5 minutes after the treatment (increase of 0.5 °C; p<0.001). However, the highest temperature was observed 24 hours after mobilization (increase of 2.4 °C). The difference between the first and 7 other measurements was statistically relevant (p<0.001). Conclusion. The statistically relevant increase in temperature under the influence of fascial manipulation® in the treatment area can confirm the occurrence of inflammatory reaction.

A comparative study of the efficacy of instrument-assisted soft tissue mobilization and massage techniques in patients with patellofemoral joint pain

“…Therefore, when using a fascial knife, the therapist chooses an entry angle of about 45°, allowing the two forces to work together to solve the densification problem. The frictional force exerted on the rough tissue during fascial densification treatments causes vibrations of the molecules, and the kinetic energy of such movement is transferred between neighboring molecules, resulting in heat generation (64).…”

Pilot study assessing the effect of Fascial Manipulation on fascial densifications and associated pain

“…A center of coordination (CC) is defined as an area on the epimysial fascia where the vectors of force exerted by muscles converge to effect movement in a specific plane. 25 The subjects were either seated or lying down, depending on the location of the target densified CC. A densification is operationally defined as a perceived localized thickening of the fascial tissue along with a lack of glide of the fascia upon palpation.…”

Perspective Chapter: Identification of Body Contouring Surgery Complications by Multispectral RGB/Infrared Thermography Imaging

“…The manual or bioelectrical mechanical thermal point stimulation in a richly vascularized and innervated area explains much of the local and segmental effects of post-operative care procedures, by vascular activation, and by the peripheral sensory and sympathetic neurovegetative nervous system [9]. Infrared thermography permits evolutionary studies of healing and local effects of thermoguided procedures (manual therapy, laser photobiomodulation, ultrasound, radiofrequency, hyperbaric oxygen therapy [10][11][12]) near perforator vessels directing treatment with more objectivity, better results, and safety.…”