Duration and Magnitude of Myofascial Release in 3-Dimensional Bioengineered Tendons: Effects on Wound Healing

Cao, Thanh V.; Hicks, Michael R.; Zein-Hammoud, Manal; Standley, Paul R.

doi:10.7556/jaoa.2015.018

Cited by 15 publications

(16 citation statements)

References 29 publications

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“…In this study, direct, intermittent and pendulum techniques, as well as longitudinal and latitudinal gliding were used with the intention of improving the gliding layers [12], breaking up adhesions in the tissue, creating micro-fissures, and setting a localized inflammation process in motion [21][22][23][24][25] in order to increase collagenase production [26]. In addition, a mixture of MFR and FU was used to reduce pain and tightness in the tissues, to calm the tissue and inflammatory reaction [21] as the result of intense, mechanical stimulation [23,24,[27][28][29], and to quicken the healing and rebuilding processes thereafter [30,31].…”

Section: Discussionmentioning

confidence: 99%

Influence of postoperative adhesions after caesarean section on chronic lower back pain – A pilot study of osteopathic manipulative treatment.

Liedler¹,

Woisetschläger²

2019

Eur J Osteopath Res

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Background: Despite the prevalence of abdominal adhesions after a caesarean section, there exist few postoperative treatment approaches which specifically target adhesions or establish their connection with chronic lower back pain (cLBP). Aims: To investigate if the osteopathic approach of treating adhesions after a caesarean section reduces existing cLBP symptoms and alleviates associated pain. Methods: The subjects received two 30-minute treatments with a one week pause between treatments. The intervention group A (n=18), those who received osteopathic treatment, were compared to a control group B (n=16), who received scar treatment using traditional physiotherapy. The evaluation of subjective (pain intensity with a numeric rating scale, or NRS) and objective (symptom evaluation using the Oswestry Low Back Pain Questionnaire) parameters was accomplished using questionnaires before and after the treatments. Results: Pain intensity reduced clinically relevant in group A by MA21=-2.6; SDA21=1.33 on the NRS. The average Oswestry Disability Index (ODI) in group A decreased from M1=18.3%; SD1=7.8 to M2=6.2%; SD2=6.2. In group B, the decrease from M1=19.1%; SD1=11.1 to M2=14.0%; SD2=10.1 was significantly smaller (p=0,005). Conclusions: Postoperative adhesions could cause cLBP. Treatment of adhesions using oste-opathy results in a significant reduction of pain symptoms for cLBP. Due to the sample size calculation, further studies addressing adhesions and chronic lower back pain would be rec-ommended. Keywords: peritoneal adhesions; visceral adhesions; caesarean section; chronic lower back pain (cLBP)

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Section: Discussionmentioning

confidence: 99%

Influence of postoperative adhesions after caesarean section on chronic lower back pain – A pilot study of osteopathic manipulative treatment.

Liedler¹,

Woisetschläger²

2019

Eur J Osteopath Res

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“…The reduction of pain in patients affected by FM, after 40 sessions of intervention, might be related to the regeneration of collagen fibres, which are disposed in the appropriate direction. It might be also related to an increase of the ground substance (Van den Berg, 2013) through the stimulation of fibroblasts exerted by the mechanical tension produced during exercises (Cao, Hicks, Zein-Hammoud, & Standley, 2015).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a self-myofascial conditioning programme on pain, depression, anxiety and sleep quality in people with Fibromyalgia

Ceca¹,

Pablos

Elvira

et al. 2019

CPD

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La autoliberación miofascial puede facilitar la disminución o desaparición del dolor intenso percibido por las terminaciones nerviosas localizadas en el tejido miofascial. Según algunos investigadores, la fibromialgia (FM) puede estar directamente relacionado con la teoría de la "sensibilización central". El presente estudio tiene como objetivo determinar la efectividad de la aplicación de un programa de autoacondicionamiento miofascial sobre el dolor, la depresión, la ansiedad y la calidad del sueño en personas diagnosticadas con fibromialgia (FM). La muestra se asignó al azar a los grupos de intervención (n =33) y control (n =33). Los sujetos del grupo intervención participaron en un programa de autoacondicionamiento miofascial compuesto por un total de 40 sesiones de 50 minutos cada una de ellas. Se tomaron medidas pre y post intervención. Los resultados se obtuvieron mediante un ANOVA 2x2 de medidas repetidas con dos factores (tiempo y grupo). Los resultados muestran que, después de completar el programa, los sujetos del grupo intervención obtuvieron una disminución significativa en el dolor general (p <0,01), el nivel de depresión (p <0,05), la ansiedad-estado (p <0,01) y rasgo (p <0,01), así como en tres subescalas relacionadas con la calidad del sueño, como son la "calidad subjetiva del sueño" (p <0,05), la "eficiencia habitual del sueño" (p <0,05) y la "disfunción diaria ”(p <0,001). Estos resultados indican que participar en un programa de autoacondicionamiento miofascial regularmente, bajo el control de un profesional de educación física y deporte, puede afectar positivamente a los pacientes con FM tanto física como psicológicamente. Self-myofascial release can facilitate the diminution or disappearance of the intense pain perceived by the nerve endings located in the myofascial tissue. According to some researchers, fibromyalgia (FM) can be directly related to the "central sensitization" theory. The present study aims to determine the effectiveness of the application of a self-myofascial conditioning programme on pain, depression, anxiety, and quality of sleep in people diagnosed with Fibromyalgia (FM). The sample was randomly assigned to intervention (n = 33) and control groups (n = 33). Subjects in the intervention group took part in a self-myofascial conditioning programme, which consisted of 40 sessions of 50 minutes each. Pre and post-intervention measurements were taken. Results were obtained by a 2x2 ANOVA for repeated measures with two factors (time and group). Results show that, after completing the programme, subjects in the intervention group had seen a significant decrease in general pain (p < 0,01), level of depression (p < 0,05), state (p < 0,01) and trait anxiety (p < 0,01), as well as three subscales related to the quality of sleep, such as “sleep subjective quality” (p < 0,05), “habitual sleep efficiency” (p < 0,05) and “daily dysfunction” (p < 0,001). These results indicate that participating in a self-myofascial conditioning programme regularly and under the control of a physical education and sport professional can affect patients with FM positively both physically and psychologically. A auto-liberação miofascial pode facilitar a diminuição ou o desaparecimento da dor intensa percebida pelas terminações nervosas localizadas no tecido miofascial. Segundo alguns pesquisadores, a fibromialgia (FM) pode estar diretamente relacionada à teoria da "sensibilização central". O presente estudo tem como objetivo determinar a eficácia da aplicação de um programa de auto-condicionamento miofascial na dor, depressão, ansiedade e qualidade do sono em pessoas diagnosticadas com fibromialgia (FM). A amostra foi randomizada para os grupos intervenção (n =33) e controle (n =33). Os sujeitos do grupo de intervenção participaram de um programa de auto- condicionamento miofascial composto por um total de 40 sessões de 50 minutos cada. Medidas de intervenção pré e pós foram tomadas. Os resultados foram obtidos por meio de uma ANOVA 2x2 de medidas repetidas com dois fatores (tempo e grupo). Os resultados mostram que, após o término do programa, os sujeitos do grupo de intervenção obtiveram uma diminuição significativa na dor geral (p <0,01), o nível de depressão (p <0,05), estado de ansiedade (p < 0,01) e traço (p <0,01), assim como em três subescalas relacionadas à qualidade do sono, como a "qualidade subjetiva do sono" (p <0,05), a "eficiência habitual do sono" (p <0,05) e "disfunção diária" (p <0,001). Esses resultados indicam que participar de um programa de auto-condicionamento miofascial regularmente, sob o controle de um profissional de educação física e esportes, pode afetar positivamente os pacientes com FM fisicamente e psicologicamente.

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“…For primary cesarean deliveries, MFR potentially releases the tension of the tissue layers that will be incised. 13,14,18,19 In addition, MFR potentially relieves congestion or visceral somatic dysfunction of the uterus or broad ligament by targeting the uterine Chapman points. 24 Because no previous incision site exists in these cases, the initial incision of the tissue layers (and later healing) will dictate the quality and subsequent structural alteration caused by the future scar.…”

Section: Discussionmentioning

confidence: 99%

“…The OMT techniques included myofascial release (MFR) 13,14,18,19 of the Pfannenstiel incision site (the intended scar site for primary cesarean deliveries or the scar itself for repeated cesarean deliveries), MFR of the lumbar and sacral anchors, rib raising, paraspinal inhibition, pectoral retraction, 13,14,[20][21][22][23] and management of uterine Chapman points, which include those specific to the uterus and broad ligament. 24 The treatment Algorithm for management of cesarean scars for primary cesarean deliveries, repeated cesarean deliveries, and trial of labor after previous cesarean delivery (TOLAC).…”

Section: Osteopathic Manipulative Treatmentmentioning

confidence: 99%

Management of Cesarean Deliveries and Cesarean Scars With Osteopathic Manipulative Treatment: A Brief Report

Martingano¹

2016

Journal of Osteopathic Medicine

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Cesarean scars pose a unique set of risks for women who have had previous cesarean deliveries. Between 1996 and 2007, the rate of trial of labor after previous cesarean delivery increased, along with reported rates of uterine rupture and other complications. Consequently, trial of labor after previous cesarean delivery and resultant vaginal birth after cesarean delivery have decreased and cesarean delivery has increased. With nearly one-third of women having cesarean delivery, the rate of rare complications such as cesarean scar ectopic pregnancy has also increased. An integration of osteopathic manipulative treatment techniques into the management of cesarean deliveries and cesarean scars has yet to be defined. The author presents 4 cases of cesarean delivery in which osteopathic manipulative treatment was integrated with successful outcomes.

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Duration and Magnitude of Myofascial Release in 3-Dimensional Bioengineered Tendons: Effects on Wound Healing

Cited by 15 publications

References 29 publications

Influence of postoperative adhesions after caesarean section on chronic lower back pain – A pilot study of osteopathic manipulative treatment.

Influence of postoperative adhesions after caesarean section on chronic lower back pain – A pilot study of osteopathic manipulative treatment.

Effectiveness of a self-myofascial conditioning programme on pain, depression, anxiety and sleep quality in people with Fibromyalgia

Management of Cesarean Deliveries and Cesarean Scars With Osteopathic Manipulative Treatment: A Brief Report

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