Can fascia's characteristics be influenced by manual therapy?

Gracovetsky, Serge

doi:10.1016/j.jbmt.2016.08.011

Cited by 8 publications

(5 citation statements)

References 14 publications

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“…( 22 ) Interestingly, this study diverges from a previous one suggesting that combining MFR with abdominal exercises or pelvic tilting exercises yields superior outcomes compared to standalone MFR. ( 23 ) The divergence could potentially be attributed to the distinctive approach of 3D MFR, which acknowledges the intricate 3D network of the body’s fascial system. 3D MFR acknowledges the fascia’s presence not merely in linear planes but also in intricate, multidirectional networks throughout the body.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial

Welling,

Patil,

Gunjal

et al. 2024

IJTMB

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Background: Lumbar hyperlordosis is the most prevalent musculoskeletal postural deformity. Maintenance of normal limits of lumbar lordosis is necessary for obtaining an ideal posture. Literature suggests that poor posture results in fascial restriction in which the fascia reorganizes in response to tension. Gross myofascial release (MFR) combined with posterior pelvic tilting exercises proved to be beneficial in improving the lumbar range of motion. Three-dimensional (3D) MFR is a novel approach toward reducing fascial restrictions. However, the literature determining the effects of 3D MFR is still emerging. Aim: To determine the effect of 3D MFR on a lumbar lordosis angle and lumbar range of motion, in individuals with asymptomatic hyperlordosis. Method: Participants (n = 30) with hyperlordosis were randomly assigned to either the experimental group receiving 3D MFR (n = 15) or the control group (n = 15) that received sham 3D MFR for six sessions (3 alternate days for 2 weeks). The outcomes were assessed at day 1 and day 6. Lumbar range of motion was assessed using modified-modified Schober’s test and the lumbar lordosis angle was measured using x-ray and flexicurve. Results: There was significant decrease (p = 0.0001) in the lumbar lordosis angle, increase in the lumbar flexion (p = 0.0001), and decrease in the extension (p = 0.0011) range of motion in the experimental group when compared to the control group. Conclusion: Lumbar lordosis decreased and the lumbar range of motion increased in the experimental group only with 3D MFR and not with sham 3D MFR. Hence, 3D MFR is an effective method in the correction of lumbar hyperlordosis and improving the lumbar range. Clinical Trial Registry of India (CTRI) trial number CTRI/2023/03/050340.

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Section: Discussionmentioning

confidence: 99%

“…( 25 ) Gracovetsky and Chaudhry et al defined fascia as having nonlinear elastic properties transformable by external forces into heat. ( 23 , 24 ) Other MFR studies correlate interleukin levels with fascial holds. Interleukin 8, regulating inflammation, responds after 3 minutes of holding, doubling at 5 minutes.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial

Welling,

Patil,

Gunjal

et al. 2024

IJTMB

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“…(53) In this regard, Gracovetsky and Chaudhry et al in their studies defined fascia as a tissue with nonlinear elastic properties that can be affected by external mechanical forces and turned into heat. (54,55) Other studies on MFR techniques showed a relationship between levels of interleukin with fascial holds. Interleukin 8, which regulates the inflammatory response, was not stimulated until fascial holds reached 3 minutes, and it more than doubled at a 5-minute hold.…”

Section: Limitationsmentioning

confidence: 99%

Evaluation of Lumbar Myofascial Release Effects on Lumbar Flexion Angle and Pelvic Inclination Angle in Patients with Non-Specific Low Back Pain

Tamartash

Bahrpeyma

2022

IJTMB

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Background: Many studies have shown that changes in lumbar flexion angle and the pelvic inclination angle can be affected by the shortening of the lumbar muscles, which can cause low back pain. Decreased lumbar flexion angle and pelvic inclination angle can cause or exacerbate low back pain by disrupting the lumbopelvic rhythm. Purpose: This study aimed to use myofascial release techniques as a specialized treatment on muscle tissue to cause muscles to reach the optimal length and improve lumbar flexion angle and pelvic inclination angle, and thus improve low-back pain. Setting: Non-specific low back pain patients, Tarbiat Modares University, Iran. Participants: 30 chronic non-specific low back pain participants were randomly assigned into two groups. Research Design: This is a randomized control trial. Interventions: The myofascial release group (n=15) underwent 4 sessions of myofascial release treatment based on Myer’s techniques, and the control group (n=15) underwent 10 sessions of routine electrotherapy for two weeks. Main Outcome Measures: Before start-ing the intervention and after the last treatment session, both groups were evaluated by the lumbar flexion angle with a flexible ruler, calculating the pelvic inclination angle by a trigonometric formula, and VAS measured the pain score of the participants. Results: The results of the paired t test showed that, after treatment in both groups, the severity of pain and lumbar flexion angle changed significantly (p ≤ .001). However, the pelvic inclination angle was changed considerably only in the myofascial release group, and we did not see significant changes in the control group (p = .082). Also, the independent sample t test results to examine the between-group changes showed that changes in the myofascial release group were significantly different from the control group (p ≤ .000). Also, the effect size shows the large effect of the myofascial release technique compared to the control group (effect size ≥ 1.85). Conclusion: The present study results showed that myofascial release techniques in patients with low back pain could help decrease pain intensity and increase lumbar flexion and pelvic inclination angle. Based on the present study results, myofascial release can be a treat-ment to correct posture in patients with chronic non-specific, low back pain. Due to the prevalence of the COVID-19 pandemic, it was not possible to evaluate the long-term effects of treatment.

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“…' Gracovetsky (2016) has considered the issues relating to the transfer of forces, from the skin surface to deeper tissues, and has suggested that: "[While] it is not known how much energy can be transferred from the skin surface to the deeper layers, it can be speculated that at least some of the therapist's energy, applied to the skin, will end up being transferred. It follows that controlling the delivery of mechanical energy (heat) to the coiled collagen should (presumably) uncoil it, close the cleavage sites, and prevent matrix metalloproteinases [enzymes] from binding and degrading the collagen.…”

Section: Insightsmentioning

confidence: 99%

Fascial well-being: Mechanotransduction in manual and movement therapies

Chaitow¹

2018

Journal of Bodywork and Movement Therapies

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Can fascia's characteristics be influenced by manual therapy?

Cited by 8 publications

References 14 publications

Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial

Effectiveness of Three-Dimensional Myofascial Release on Lumbar Lordosis in Individuals with Asymptomatic Hyperlordosis: A Placebo Randomized Controlled Trial

Evaluation of Lumbar Myofascial Release Effects on Lumbar Flexion Angle and Pelvic Inclination Angle in Patients with Non-Specific Low Back Pain

Fascial well-being: Mechanotransduction in manual and movement therapies

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