Fascial manipulation vs. standard physical therapy practice for low back pain diagnoses: A pragmatic study

Harper, Brent; Steinbeck, Larry; Aron, Adrian

doi:10.1016/j.jbmt.2018.10.007

Cited by 22 publications

(17 citation statements)

References 60 publications

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“…If responses to SI therapy result in a reduction of tissue stiffness in dominant upper limb, as found in this study, it can be hypothesized that the therapy could lead to a reduction in pain and restoration of lost functions in patients with muscular disorders. This is the team's plan in the continuation of this research, particularly given that currently, fascial therapy is an area of great interest as it may prove to be more effective than standard physical therapy (Harper et al, 2019). Other study suggests that the dominant upper limb tends to be stiffer than the non-dominant one, which may support the argument that daily activities and specific physical activity have an impact on tissue properties (Durand et al, 2019).…”

Section: Discussionmentioning

confidence: 81%

“…For example, increased fascial stiffness due to altered sympathetic nervous system activation may modify proprioception and coordination, which could possibly contribute to injury ( Schleip et al, 2019a ). Another explanation for the reduction of the stiffness of FTs may be the restoration of their shiftability to each other and re-hydration in response to applied mechanical stimuli ( Zügel et al, 2018 ; Harper et al, 2019 ). Moreover, Stecco et al (2013 , 2018 ) suggest that myofascial release modifies the expression of HA in fascia, which then results in a lower viscosity in the ground substance and also in increased gliding ability.…”

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: 81%

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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“…Disorders treated with the use of the FM® method were: chronic shoulder pain (9), low back pain (11,13), postural hyperkyphosis (12), chronic ankle instability (15), total hip arthroplasty (16), carpal tunnel syndrome (10,17). It is worth emphasizing fact that, according to publications included in this literature review, FM® method turned out to be effective particularly in low back pain (11,13) and carpal tunnel syndrome (10,17). According to Pedrelli et al (8)and reduction of pain is observed after FM® treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Fascial manipulation vs. standard physical therapy practice for low back pain diagnoses: A pragmatic study, Harper et al, 2019(11) FM® appears to improve NPRS, GROC, and ODI more than SPT. FM® may provide an effective treatment technique for LBP.…”

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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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“…Participants recalled the 3D appreciation of depth of and anatomical relationships between structures afforded by dissection. Harper, Steinbeck and Aron (2019) reported that deep fascial manipulation might be an effective PT treatment for low back pain. Adstrum (2017) concluded that traditionally dissection ignored the 3D, dynamic fascia component of the body.…”

Section: Discussionmentioning

confidence: 99%

Opinions of South African physiotherapists on gross anatomy education for physiotherapy students

Shead

Roos

Olivier

et al. 2019

South African Journal of Physiotherapy

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Background Physiotherapists know the depth of gross anatomical knowledge required for safe and effective clinical practice. They can offer insightful opinions on inclusions for and teaching of an anatomy curriculum for physiotherapy students. Objectives The aim of this study was to gather opinions of physiotherapists as to what they perceive as necessary anatomy curricular content for undergraduate physiotherapy students and identify pedagogy that should be used. Method A qualitative methodology using a grounded theory approach incorporating semi-structured interviews was utilised in this study. Theoretical sampling was used to identify representative South African physiotherapists. An inductive process, using continuous manual analysis of data by two independent coders, was undertaken. Data were collapsed until themes were identified. Triangulation and other strategies for trustworthiness of data were instituted. Results Theoretical saturation was reached after five focus groups ( n = 32). Demographical information indicated physiotherapists of all age groups and both genders working in diversified clinical areas. Seven themes were identified and incorporated information from ‘structure’, ‘content’ and ‘pedagogy’ for anatomy programmes to the psychological impact of course aspects on a student’s psyche. Vertical integration of anatomy into later preclinical years, incorporation of physiotherapists to teach anatomy, a ‘physiotherapist personality’ and ‘anatomy know how’ for clinical practice were included. Conclusion Opinions of physiotherapists are important in identifying curricular and teaching considerations that can be incorporated into an anatomy programme designed for physiotherapy students. Clinical implications Targeted anatomy education for physiotherapy students can aid learning and retention of anatomical knowledge necessary for effective and safe clinical practice.

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Fascial manipulation vs. standard physical therapy practice for low back pain diagnoses: A pragmatic study

Cited by 22 publications

References 60 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®)

Opinions of South African physiotherapists on gross anatomy education for physiotherapy students

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