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Fascial manipulation stecco

Massimo Busato, Cristian Quagliati, Lara Magri, Alessandra Filippi, Alberto Sanna, Mirco Branchini, Aurelie Marie Marchand, Antonio Stecco
BACKGROUND: Increasing evidence has suggested that botulinum toxin A (BoNT/A) can inhibit the release of selected neuropepetide transmitters from primary sensory neurons. Thus, intraarticular (IA) injection therapies with BoNT/A may reduce pain in patients with knee osteoarthritis (OA). OBJECTIVE: To investigate the effects of landmark-guided IA injection of BoNT/A on patients with knee OA. DESIGN: A prospective randomized controlled trial...
May 19, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Mirco Branchini, Francesca Lopopolo, Ernesto Andreoli, Ivano Loreti, Aurélie M Marchand, Antonio Stecco
BACKGROUND: The therapeutic approach to chronic aspecific low back pain (CALBP) has to consider the multifactorial aetiology of the disorder. International guidelines do not agree on unequivocal treatment indications. Recommendations for fascial therapy are few and of low level evidence but several studies indicate strong correlations between fascial thickness and low back pain. This study aims at comparing the effectiveness of Fascial Manipulation® associated with a physiotherapy program following guidelines for CALBP compared to a physiotherapy program alone...
2015: F1000Research
Anna Mikolajczyk, Marek Kocięcki, Aleksandra Zaklukiewicz, Mariusz Listewnik, Magdalena Gębska
Low therapeutic efficacy in a number of cases involving the musculoskeletal system may be caused by a wrong diagnosis, the misunderstanding of the essence of the problem, pathogen or improper treatment. Therapy may be applied to the wrong area (at the site of pain) or may cover an area that is too small. The paper presents the theory of structural tensegrity (along with the anatomical and physiological grounds), which is based on a number of modern holistic therapies. One such method is the method of fascial manipulation by Stecco, described in outline in this article...
2014: Annales Academiae Medicae Stetinensis
Elisa Pratelli, Marco Pintucci, Pina Cultrera, Enrico Baldini, Antonio Stecco, Antonio Petrocelli, Pietro Pasquetti
The etiopathogenesis of Carpal Tunnel Syndrome (CTS) is multifactorial and most cases are classified as idiopathic (Thurston 2013). A randomized controlled trial was performed to compare the effectiveness of Fascial Manipulation(®) (FM) and Low-Level Laser Therapy (LLLT) for CTS. This prospective trial included 42 patients (70 hands with symptoms) with clinical and electroneuromyographic diagnosis of CTS. The patients were randomly assigned to receive multiple sessions of FM or multiple session of LLLT. The Visual Analogic Scale (VAS) and Boston Carpal Tunnel Questionnaire (BCTQ) were performed at baseline, end of treatment and after three months...
January 2015: Journal of Bodywork and Movement Therapies
Vilma Ćosić, Julie Ann Day, Pietro Iogna, Antonio Stecco
BACKGROUND: Treatment of pubescent postural hyperkyphosis commonly includes postural exercises and auto-elongation. Myofascial imbalances can be involved in functional, sagittal plane deviations of spinal curves. This pilot-study assesses the effects of one manual therapy approach that addresses fascial dysfunctions (Fascial Manipulation(®)) in pubescent subjects with postural hyperkyphosis. METHODS: 17 subjects (mean age 11.8 DS 0.8; 9 males, 8 females) were evaluated for familiarity; psychological aspects; sport; pain; anteposition of shoulders, head, and pelvis; distance C7 and L3 from plumb-line; distance fingers to floor on forward bend...
October 2014: Journal of Bodywork and Movement Therapies
Tuulia Luomala, Mika Pihlman, Jouko Heiskanen, Carla Stecco
Many manual techniques describe palpable changes in the subcutaneous tissue. Many manual therapists have perceived palpable tissue stiffness and how it changes after treatment. No clear demonstration exists of the presence of specific alterations in the subcutaneous tissue and even less a visualization of their changes following manual therapy. This case study visualizes by ultrasound and elastography an alteration of the deep fascia in a 40-year-old male with subacute pain in the calf area. Ultrasound and elastography permits visualization of gliding, echogenicity and elasticity of deep fascia and their changes, after manual therapy (Fascial Manipulation(©))...
July 2014: Journal of Bodywork and Movement Therapies
Antonio Stecco, Andrea Meneghini, Robert Stern, Carla Stecco, Marta Imamura
OBJECTIVE: A definitive diagnosis of chronic neck pain (CNP) is sometimes not possible. The aim of this study was to understand the possible role of the deep fasciae in CNP and the utility of the ultrasonography in the diagnosis of myofascial neck pain. METHODS: The morphometric and clinical data of 25 healthy subjects and 28 patients with CNP were compared. For all subjects, the active and passive cervical range of motion (ROM) was analyzed and the neck pain disability questionnaire (NDPQ) was administered...
April 2014: Surgical and Radiologic Anatomy: SRA
Max Roman, Hans Chaudhry, Bruce Bukiet, Antonio Stecco, Thomas W Findley
CONTEXT: More research is needed to understand the flow characteristics of hyaluronic acid (HA) during motions used in osteopathic manipulative treatment and other manual therapies. OBJECTIVE: To apply a 3-dimensional mathematical model to explore the relationship between the 3 manual therapy motions (constant sliding, perpendicular vibration, and tangential oscillation) and the flow characteristics of HA below the fascial layer. METHODS: The Squeeze Film Lubrication theory of fluid mechanics for flow between 2 plates was used, as well as the Navier-Stokes equations...
August 2013: Journal of the American Osteopathic Association
Hans Chaudhry, Bruce Bukiet, Max Roman, Antonio Stecco, Thomas Findley
In this paper, we computed fluid pressure and force on fascia sheets during manual therapy treatments using Squeeze Film Lubrication theory for non-Newtonian fluids. For this purpose, we developed a model valid for three dimensional fluid flow of a non-Newtonian liquid. Previous models considered only one-dimensional flows in two dimensions. We applied this model to compare the one-dimensional flow of HA, considered as a lubricating fluid, around or within the fascia during sliding, vibration, and back-and-forth sliding manipulation treatment techniques...
2013: Biorheology
Antonio Stecco, Marco Gesi, Carla Stecco, Robert Stern
Myofascial pain syndrome (MPS) is described as the muscle, sensory, motor, and autonomic nervous system symptoms caused by stimulation of myofascial trigger points (MTP). The participation of fascia in this syndrome has often been neglected. Several manual and physical approaches have been proposed to improve myofascial function after traumatic injuries, but the processes that induce pathological modifications of myofascial tissue after trauma remain unclear. Alterations in collagen fiber composition, in fibroblasts or in extracellular matrix composition have been postulated...
August 2013: Current Pain and Headache Reports
Luca Guarda-Nardini, Antonio Stecco, Carla Stecco, Stefano Masiero, Daniele Manfredini
A randomized controlled trial was performed to compare the short-term effectiveness of botulinum toxin injections and physiatric treatment provided by means of Fascial Manipulation techniques in the management of myofascial pain of jaw muscles. Thirty patients with a Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) diagnosis of myofascial pain were randomized to receive either single-session botulinum toxin injections (Group A) or multiple-session Fascial Manipulation (Group B). Maximum pain levels (VAS ratings) and jaw range of motion in millimeters (maximum mouth opening, protrusion, right and left laterotrusion) were assessed at baseline, at the end of treatment, and at a three-month follow-up...
April 2012: Cranio: the Journal of Craniomandibular Practice
A Picelli, G Ledro, A Turrina, C Stecco, V Santilli, N Smania
BACKGROUND: Whiplash associated disorders commonly affect people after a motor vehicle accident, causing a variety of disabling manifestations. Some manual and physical approaches have been proposed to improve myofascial function after traumatic injuries, in order to effectively reduce pain and functional limitation. AIM: To evaluate whether the application of the Fascial Manipulation© technique could be more effective than a conventional approach to improve cervical range of motion in patients with subacute whiplash associated disorders...
December 2011: European Journal of Physical and Rehabilitation Medicine
Carla Stecco, Julie Ann Day
No abstract text is available yet for this article.
2010: International Journal of Therapeutic Massage & Bodywork
Antonio Stecco, Carla Stecco, Veronica Macchi, Andrea Porzionato, Claudio Ferraro, Stefano Masiero, Raffaele De Caro
Recent studies reveal the role of the ankle retinacula in proprioception and functional stability of the ankle, but there is no clear evidence of their role in the outcomes of ankle sprain. 25 patients with outcomes of ankle sprain were evaluated by MRI to analyze possible damage to the ankle retinacula. Patients with damage were subdivided into two groups: group A comprised cases with ankle retinacula damage only, and group B those also with anterior talofibular ligament rupture or bone marrow edema. Both groups were examined by VAS, CRTA and static posturography and underwent three treatments of deep connective tissue massage (Fascial Manipulation technique)...
December 2011: Surgical and Radiologic Anatomy: SRA
Borgini Ercole, Stecco Antonio, Day Julie Ann, Carla Stecco
The perception of what appears to be connective tissue fibrosis, and its consequent modification during therapy, is a daily experience for most manual therapists. The aim of this study was to evaluate the time required to modify a palpatory sensation of fibrosis of the fascia in correlation with changes in levels of patient discomfort in 40 subjects with low back pain utilizing the Fascial Manipulation technique. This study evidenced, for the first time, that the time required to modify an apparent fascial density differs in accordance with differences in characteristics of the subjects and of the symptoms...
October 2010: Journal of Bodywork and Movement Therapies
Julie Ann Day, Carla Stecco, Antonio Stecco
Classical anatomy still relegates muscular fascia to a role of contention. Nonetheless, different hypotheses concerning the function of this resilient tissue have led to the formulation of numerous soft tissue techniques for the treatment of musculoskeletal pain. This paper presents a pilot study concerning the application of one such manual technique, Fascial Manipulation, in 28 subjects suffering from chronic posterior brachial pain. This method involves a deep kneading of muscular fascia at specific points, termed centres of coordination (cc) and centres of fusion (cf), along myofascial sequences, diagonals, and spirals...
April 2009: Journal of Bodywork and Movement Therapies
Alessandro Pedrelli, Carla Stecco, Julie Ann Day
According to Fascial Manipulation theory, patellar tendon pain is often due to uncoordinated quadriceps contraction caused by anomalous fascial tension in the thigh. Therefore, the focus of treatment is not the patellar tendon itself, but involves localizing the cause of this incoordination, considered to be within the muscular fascia of the thigh region. Eighteen patients suffering from patellar tendon pain were treated with the Fascial Manipulation technique. Pain was assessed (in VAS) before (VAS 67.8/100) and after (VAS 26...
January 2009: Journal of Bodywork and Movement Therapies
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