T1ρ-Mapping for Musculoskeletal Pain Diagnosis: Case Series of Variation of Water Bound Glycosaminoglycans Quantification before and after Fascial Manipulation® in Subjects with Elbow Pain

Menon, Rajiv G.; Oswald, Stephen F; Raghavan, Preeti; Regatte, Ravinder R.; Stecco, Antonio

doi:10.3390/ijerph17030708

Cited by 24 publications

(19 citation statements)

References 31 publications

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“…HA is considered a lubricant that allows the gliding i.e., between individual layers of the deep fascia, and its high concentration can increase the viscosity in the extracellular matrix (ECM) of the FT, generating pain. Results shows that FM seems to hydrolyze the overflow amount of self-aggregate GAG/HA reducing the viscoelasticity of the ECM in the affected elbow regions after treatment (Menon et al, 2020). It is also proposed that SI may have an effect on myofascial adhesions, which could theoretically increase blood perfusion (Portillo-Soto et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, myofascial techniques used in SI may influence the ground substance of the soft tissues and mechanoreceptors, contributing to decreased excessive muscle tension, changes in local fluid dynamics, capillary constriction, and improved local blood perfusion ( Schleip, 2003a , b ). Moreover, changes in fluid dynamics could be explained by the last study of Menon et al (2020) , which using proton T1ρ relaxation mapping to determine intramuscular glycosaminoglycan (GAG) content. Their data suggest that the application of the fascial manipulation (FM) method seems to decrease the concentration of unbound water inside the deep fascia in the patients with chronic elbow pain and stimulate to produce the correct quality and quantity of hyaluronan (HA).…”

Section: Discussionmentioning

confidence: 99%

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The Rolf Method of Structural Integration on Fascial Tissue Stiffness, Elasticity, and Superficial Blood Perfusion in Healthy Individuals: The Prospective, Interventional Study

et al. 2020

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Introduction: There are multiple theories surrounding the physiological impact of structural integration (SI) with little evidence or research corroborating any of these. The aim of the study was to assess the effectiveness of 10 sessions of SI on fascial tissue (FT) superficial blood perfusion, stiffness, and elasticity in 13 healthy women. Methods: This was a prospective, interventional study. The primary outcome measures were FTs' superficial blood perfusion, stiffness, and elasticity of bilateral selected FT points on the body. Data were collected before and after 10 sessions of SI intervention. Statistical analysis was performed using the non-parametric Wilcoxon test (intragroup comparison). Results: The superficial blood perfusion increased significantly in the most selected FT points on the body (p < 0.05). SI interventions produced significant decreases in selected points (brachioradialis, biceps brachii, and trapezius; p < 0.05) of FT stiffness and significant increases in elasticity (brachioradialis, biceps brachii, triceps surae, and trapezius; p < 0.05), especially in the FT of the right (dominant) upper limb. Conclusion: A 10-session of SI demonstrated positive effects on increasing superficial blood perfusion contributed to a decrease in FT stiffness and an increase in elasticity properties in the dominant upper limb. Data collection for this study is currently underway, and the trial is registered at ISRCTN.com with the identifier: ISRCTN46707309.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Rolf Method of Structural Integration on Fascial Tissue Stiffness, Elasticity, and Superficial Blood Perfusion in Healthy Individuals: The Prospective, Interventional Study

et al. 2020

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“…The results obtained by all authors can be explained by this non-standard approach to the patient in FM® technique that is based on looking for causes of symptoms. An ability to find an altered deep fascial region and mechanisms of pain can make therapies more effective than treating only symptomatic part of the body (5). The deep fascia consists of layers of dense connective tissue which transmit the load and loose connective tissue that allows gliding of the collagen layers (13).…”

Section: Discussionmentioning

confidence: 99%

“…They are able to transmit forces and also to cause pain -due to free nerves endings and receptors within the fascia. Fascia can also cause restriction of motion of the organs as a result of an injury, inflammation or infection (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Fascial Manipulation Method (FM®)

Podstawka¹,

Pińkowska²,

Byś³

et al. 2020

J Educ Health Sport

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BackgroundFascial Manipulation® (FM®) is a manual method of treatment created by Luigi Stecco that centres on the muscular fascia. Fascia is a fibrous collagenous tissue which, with its wide strands, connects all the connective tissues in the body into a whole. Fascia can also cause restriction of motion of the organs as a result of an injury, inflammation or infection. FM® technique bases on identification and therapy of specific points, which are located at the point of convergence of the vectorial forces of the muscles involved in every movement. The aim of this literature review was to analyze publications on the use of FM® in treatment of pain and functional dysfunctions.Materials and methodsMaterial for this literature review was found by two independent authors using PubMed, Cochrane library, ScienceDirect and PEDro databases. In order to identify appropriate studies, a combination of keywords ,,fascial manipulation”, „pain”, „dysfunction” was used. Finally, 10 publications were qualified for a literature review.ResultsIn the analyzed ten publications, improvement after treatment, reduction of pain and better functional outcome in patients conditions were figured. Six authors had some similar conclusions which state that the positive results of treatment last over time. One study presented opposite findings and state that the treatment has not brought long-lasting effects. ConclusionsConsidering all the reports on this subject, it is suggested that FM® therapy is worth considering in treatment of pain disorders, orthopaedic dysfunctions and postural disabilities. Further research of the subject on whether the treatment results are sustainable is necessary.

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“…Pain syndromes may be related to increased thickness of the deep fascia [ 17 ] corresponding to an increase and change in extracellular matrix [ 18 , 19 ]. This aggregation of extracellular matrix in the deep fascia is termed densification [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Myofascial Injection Using Fascial Layer-Specific Hydromanipulation Technique (FLuSH) and the Delineation of Multifactorial Myofascial Pain

et al. 2020

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Background and objectives: The aims of this study were to delineate the contribution of specific fascial layers of the myofascial unit to myofascial pain and introduce the use of ultrasound-guided fascial layer-specific hydromanipulation (FLuSH) as a novel technique in the treatment of myofascial pain. Materials and Methods: The clinical data of 20 consecutive adult patients who underwent myofascial injections using FLuSH technique for the treatment of myofascial pain were reviewed. The FLuSH technique involved measuring the pain pressure threshold using an analog algometer initially and after each ultrasound guided injection of normal saline into the specific layers of the myofascial unit (superficial fascia, deep fascia, or muscle) in myofascial points corresponding with Centers of Coordination/Fusion (Fascial Manipulation®). The outcome measured was the change in pain pressure threshold after injection of each specific fascial layer. Results: Deep fascia was involved in 73%, superficial fascia in 55%, and muscle in 43% of points. A non-response to treatment of all three layers occurred in 10% of all injected points. The most common combinations of fascial layer involvement were deep fascia alone in 23%, deep fascia and superficial fascia in 22%, and deep fascia and muscle in 18% of injected points. Each individual had on average of 3.0 ± 1.2 different combinations of fascial layers contributing to myofascial pain. Conclusions: The data support the hypothesis that multiple fascial layers are responsible for myofascial pain. In particular, for a given patient, pain may develop from discrete combinations of fascial layers unique to each myofascial point. Non-response to treatment of the myofascial unit may represent a centralized pain process. Adequate treatment of myofascial pain may require treatment of each point as a distinct pathologic entity rather than uniformly in a given patient or across patients.

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T1ρ-Mapping for Musculoskeletal Pain Diagnosis: Case Series of Variation of Water Bound Glycosaminoglycans Quantification before and after Fascial Manipulation® in Subjects with Elbow Pain

Cited by 24 publications

References 31 publications

The Rolf Method of Structural Integration on Fascial Tissue Stiffness, Elasticity, and Superficial Blood Perfusion in Healthy Individuals: The Prospective, Interventional Study

The Rolf Method of Structural Integration on Fascial Tissue Stiffness, Elasticity, and Superficial Blood Perfusion in Healthy Individuals: The Prospective, Interventional Study

Effectiveness of Fascial Manipulation Method (FM®)

Myofascial Injection Using Fascial Layer-Specific Hydromanipulation Technique (FLuSH) and the Delineation of Multifactorial Myofascial Pain

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