A review of hands-on based conservative treatments on pain in recreational and elite athletes

Fleckenstein, Johannes; Banzer, Winfried

doi:10.1016/j.scispo.2018.08.004

Cited by 4 publications

(9 citation statements)

References 95 publications

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“…Thus, approaches modulating the activity of these receptors may be helpful for functional recovery. This is in line with recent clinical data showing that hands-on based conservative treatments can be effective in relieving pain in injured athletes (Fleckenstein and Banzer, 2019). These treatments include nerve block, injection, ultrasound and laser therapies, manipulation, mobilization, massage, and traction, as well as acupuncture and dry needling.…”

Section: Manipulation Techniques and Fascia Repairsupporting

confidence: 86%

Structural and Functional Changes in the Coupling of Fascial Tissue, Skeletal Muscle, and Nerves During Aging

et al. 2020

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Aging is a one-way process associated with profound structural and functional changes in the organism. Indeed, the neuromuscular system undergoes a wide remodeling, which involves muscles, fascia, and the central and peripheral nervous systems. As a result, intrinsic features of tissues, as well as their functional and structural coupling, are affected and a decline in overall physical performance occurs. Evidence from the scientific literature demonstrates that senescence is associated with increased stiffness and reduced elasticity of fascia, as well as loss of skeletal muscle mass, strength, and regenerative potential. The interaction between muscular and fascial structures is also weakened. As for the nervous system, aging leads to motor cortex atrophy, reduced motor cortical excitability, and plasticity, thus leading to accumulation of denervated muscle fibers. As a result, the magnitude of force generated by the neuromuscular apparatus, its transmission along the myofascial chain, joint mobility, and movement coordination are impaired. In this review, we summarize the evidence about the deleterious effect of aging on skeletal muscle, fascial tissue, and the nervous system. In particular, we address the structural and functional changes occurring within and between these tissues and discuss the effect of inflammation in aging. From the clinical perspective, this article outlines promising approaches for analyzing the composition and the viscoelastic properties of skeletal muscle, such as ultrasonography and elastography, which could be applied for a better understanding of musculoskeletal modifications occurring with aging. Moreover, we describe the use of tissue manipulation techniques, such as massage, traction, mobilization as well as acupuncture, dry needling, and nerve block, to enhance fascial repair.

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Section: Manipulation Techniques and Fascia Repairsupporting

confidence: 86%

Structural and Functional Changes in the Coupling of Fascial Tissue, Skeletal Muscle, and Nerves During Aging

et al. 2020

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“…Case reports of dry needling performed in a variety of acute or chronic muscle injuries have also demonstrated support for its use in decreasing pain and accelerating RTP. 28 With decreased pain, the athlete may be able to progress through rehabilitation faster and return to sport; however, the needling intervention itself does not determine how soon the player may return. The injury itself is the primary determinant for RTP.…”

Section: Muscle Dry Needlingmentioning

confidence: 99%

“…27 Case reports of dry needling performed in a variety of acute or chronic muscle injuries have also demonstrated support for its use in decreasing pain and accelerating RTP. 28…”

Section: Muscle Dry Needlingmentioning

confidence: 99%

Percutaneous Interventions for Injuries in Athletes: Implications on Return to Play

Varela-Margolles,

Milani,

Kamel

2024

Semin Musculoskelet Radiol

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For nonsurgical musculoskeletal (MSK) injuries in athletes, image-guided percutaneous intervention may aid in recovery and decrease return to play (RTP) time. These interventions fall into two major categories: to reduce inflammation (and therefore alleviate pain) or to promote healing. This review describes the risks and benefits of the various percutaneous interventions in MSK athletic injury and surveys the literature regarding the implication of these interventions on RTP.

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“…In der quasi-systematischen Übersicht [7] wurden folgende Anwendungsfelder identifiziert: Brustschmerzen bei einem Militärsportler, chronische Schmerzen im unteren Rückenbereich bei einem aktiven Militärsportler, Schulterschmerzen bei einem Freizeitsportler, Schulterschmerzen bei Tennis-und Racquetballspielern sowie Volleyballspielern, Kniesehnenzerrung bei einem College-Stabhochspringer, Tendinopathien bei Läufern oder Knieschmerzen bei einer Primaballerina (Ballett). In mehreren dieser Fälle wurden zusätzliche Dehnungsübungen oder körperliche Übungen durchgeführt.…”

Section: Johannes Fleckensteinunclassified

Akupunktur in der Sportmedizin

Fleckenstein¹

2023

AkupunkturPraxis

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A review of hands-on based conservative treatments on pain in recreational and elite athletes

Cited by 4 publications

References 95 publications

Structural and Functional Changes in the Coupling of Fascial Tissue, Skeletal Muscle, and Nerves During Aging

Structural and Functional Changes in the Coupling of Fascial Tissue, Skeletal Muscle, and Nerves During Aging

Percutaneous Interventions for Injuries in Athletes: Implications on Return to Play

Akupunktur in der Sportmedizin

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