Fascial Manipulation ® for persistent knee pain following ACL and meniscus repair

Rajasekar, Sannasi; Marchand, Aurélie M.

doi:10.1016/j.jbmt.2016.08.014

Cited by 12 publications

(8 citation statements)

References 28 publications

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“…The decreased stability of the body in patients with CLBP may be due to impaired proprioception ( 54 ), and some manual treatments can stimulate the proprioceptors to have a positive effect on posture control and body stability ( 55 , 56 ). Myofascial release promotes the increase of trunk mobility through biomechanical effects and improves the patient's balance function through the overall adjustment of the nervous system ( 57 , 58 ). Myofascial release can relax the tense tissues that cause pain, thereby inducing the imbalance of the body to a balanced and stable state ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Myofascial Release for Chronic Low Back Pain: A Systematic Review and Meta-Analysis

Wang

et al. 2021

Front. Med.

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Background: Chronic low back pain (CLBP) is one of the most common musculoskeletal diseases in the elderly, which has a severe impact on the health of the elderly. However, CLBP treatment is very challenging, and more effective treatment methods are needed. Myofascial release may be an effective therapy for the management of chronic musculoskeletal pain. It is widely used clinically to treat CLBP, but its clinical efficacy is still controversial.Objective: This study aims to systematically evaluate the effectiveness of myofascial release for patients with CLBP.Methods: We selected PubMed, Cochrane Library, EMBASE database, and Web of Science database articles published until April 5, 2021. Randomized controlled trials (RCTs) of myofascial release for CLBP were included. Outcome measures included pain, physical function, quality of life, balance function, pain pressure-threshold, trunk mobility, and mental health. For each outcome, Standardized mean differences (SMD) or mean differences (MD) and 95% confidence intervals (CIs) were calculated.Results: Eight RCTs (n = 375) were included based on inclusion and exclusion criteria. The meta-analysis showed that the overall efficacy of myofascial release for CLBP was significant, including two aspects: pain [SMD = −0.37, 95% CI (−0.67, −0.08), I2 = 46%, P = 0.01] and physical function [SMD = −0.43, 95% CI (−0.75, −0.12), I2 = 44%, P = 0.007]. However, myofascial release did not significantly improve quality of life [SMD = 0.13, 95% CI (−0.38, 0.64), I2 = 53%, P = 0.62], balance function [SMD = 0.58, 95% CI (−0.49, 1.64), I2 = 82%, P = 0.29], pain pressure-threshold [SMD = 0.03,95% CI (−0.75, 0.69), I2 = 73%, P = 0.93], trunk mobility [SMD = 1.02, 95% CI (−0.09, 2.13), I2 = 92%, P = 0.07] and mental health [SMD = −0.06, 95% CI (−0.83, 0.71), I2 = 73%, P = 0.88].Conclusions: In this study, we systematically reviewed and quantified the efficacy of myofascial release in treating CLBP. The meta-analysis results showed that myofascial release significantly improved pain and physical function in patients with CLBP but had no significant effects on balance function, pain pressure-threshold, trunk mobility, mental health, and quality of life. However, due to the low quality and a small number of included literature, more and more rigorously designed RCTs should be included in the future to verify these conclusions.

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Section: Discussionmentioning

confidence: 99%

Myofascial Release for Chronic Low Back Pain: A Systematic Review and Meta-Analysis

Wang

et al. 2021

Front. Med.

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“…Another explanation could be in theory that after FM® session, the free nerves endings in fascia would no longer be activated at a lower threshold and the patient commonly finds pain relief with the normal perception of pressure. (1,20).…”

Section: Discussionmentioning

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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“…In pathological cases, rehabilitative intervention (i.e. fascial manipulation) have to be undertaken to ''help'' the system to escape its trap (Kalichman, Lachman, & Freilich, 2016;Pintucci et al, 2017;Rajasekar & Marchand, 2017).…”

Section: Thermodynamical Equilibrium Of the Myofascial Unitsmentioning

confidence: 99%

Neuro-Mechanical Control of Movement and Coordination: A New Perspective Based on Somatic Equilibrium Points

Garofolini¹,

Svanera²

2022

Preprint

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Despite more than hundred years of research since Sir Sherrington’s studies on reflexes, his questions are still somehow unanswered. On what anatomical stage do the play of spinal reflex interaction take place? What are the physiological properties of this anatomical substrate? In this paper, we address these questions in light of the most advanced theory of motor control and the anatomical discoveries on the fascia that are changing how we think about control of action and perception. There are two sides of the problem: the neurological (reflex) connections that are at the base of movement, and the anatomical substrate that regulates and coordinates the movement. We recently advanced a hypothesis on how these two elements are connected and how they interplay. Here we further explain the concept of the somatic equilibrium point – SEP – and its central role in movement control and coordination. It is our belief that the concept of SEP explains how the neuro-mechanical control of movement is organized at peripheral level. At this level, intrafusal and extrafusal muscle fibres are combined in myofascial units, organized in anatomical directions. Myofascial units are closed systems whose behaviour can be affected by neural (voluntary) control or changes in external forces. SEPs represent the intrinsic equilibrium of the myofascial units, and are connected through the continuum of the fascia so that mechanical transfer of tension from segment to segment pre-adjust muscle fibers length and hence their excitation level. This is how coordination between segments is achieved. Finally, we suggest SEPs create the neurological representation of the referent configuration for action, and configurations are linked to the architecture of the fascial system.

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Fascial Manipulation ® for persistent knee pain following ACL and meniscus repair

Cited by 12 publications

References 28 publications

Myofascial Release for Chronic Low Back Pain: A Systematic Review and Meta-Analysis

Myofascial Release for Chronic Low Back Pain: A Systematic Review and Meta-Analysis

Effectiveness of Fascial Manipulation Method (FM®)

Neuro-Mechanical Control of Movement and Coordination: A New Perspective Based on Somatic Equilibrium Points

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