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Fascial manipulation

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
Giacomo Rossettini, Angie Rondoni, Irene Schiavetti, Sonia Tezza, Marco Testa
BACKGROUND: Work-related musculoskeletal disorders (WMSDs) affect physical therapists with loss of health status and social costs. MSD is a relevant problem in upper limb extremities, especially when associated with manual techniques. OBJECTIVE: The study aims to investigate the prevalence and risk factors associated with thumb pain in Italian physiotherapists who perform manual therapy. METHODS: A self-administered questionnaire was sent by email, exploring demographics, thumb mobility, job, thumb pain, manual techniques, aggravating factors, management strategies and consequences of thumb pain...
April 7, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Yu A Grigoryan, A R Sitnikov, G Yu Grigoryan
BACKGROUND: The tortuous vertebrobasilar artery (TVBA) often causes neurovascular conflicts in patients with trigeminal neuralgia (TN) and hemifacial spasm (HFS). Implementation of microvascular decompression (MVD) in these circumstances is hindered due to stiffness of the enlarged and dilated arteries and is often accompanied by poor outcomes. The surgical strategy in cases of trigeminal neuralgia and hemifacial spasm associated with the TVBA should be clarified in order to achieve good outcomes...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
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
James R Keenan
DATA SOURCES: A comprehensive search was carried out on major databases such as PubMed, EMBASE and Cochrane CENTRAL. Reference lists of the included studies were explored along with journals likely to contain studies relevant to the topic. The search was restricted to the English language. STUDY SELECTION: The inclusion criteria included randomised and quasi-randomised controlled trials including parallel or cross-over studies comparing botulinum toxin therapy (BTX) versus any alternative intervention or placebo...
December 2015: Evidence-based Dentistry
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
Alberto Manassero, Matteo Bossolasco, Maurizio Meineri, Susanna Ugues, Chrysoula Liarou, Luca Bertolaccini
BACKGROUND AND AIMS: We conducted a prospective study to examine the local anesthetic (LA) spread and the effectiveness for surgical anesthesia of ultrasound (US)-guided rectus sheath block (RSB) in adult patients undergoing umbilical hernia repair. MATERIAL AND METHODS: Thirty patients received at T-10 level a bilateral US-guided injection of 20 mL levobupivacaine 0.375% + epinephrine 5 μg/mL behind the rectus muscle to detach it from its sheath. Anesthetic spread into the rectus sheath was evaluated ultrasonographically at T-9 and T-11 levels and scored from 0 to 4...
July 2015: Journal of Anaesthesiology, Clinical Pharmacology
Manal Zein-Hammoud, Paul R Standley
A key osteopathic tenet involves the body's ability to self-heal. Osteopathic manipulative treatment (OMT) has been evolved to improve this healing capacity. The authors' in vitro work has focused on modeling 2 common OMT modalities: myofascial release (MFR) and counterstrain. Their studies have evaluated the effects of these modalities on wound healing, cytokine secretion, and muscle repair. The key components of the host response to mechanical forces are fibroblasts, which are the main fascial cells that respond to different types of strain by secreting anti-inflammatory chemicals and growth factors, thus improving wound healing and muscle repair processes...
August 2015: Journal of the American Osteopathic Association
Y-W Chen, Y-W Chiu, C-Y Chen, S-K Chuang
The objective of this study was to undertake a systematic review to assess the efficacy of botulinum toxin therapy (BTX) for temporomandibular joint disorders (TMDs). A comprehensive search of major databases through PubMed, EMBASE, and Cochrane CENTRAL was conducted to locate all relevant articles published from inception to October 2014. Eligible studies were selected based on inclusion criteria and included English language, peer-reviewed publications of randomized controlled trials comparing BTX versus any alternative intervention or placebo...
August 2015: International Journal of Oral and Maxillofacial Surgery
Bruno Bordoni, Emiliano Zanier
The diaphragm muscle should not be seen as a segment but as part of a body system. This muscle is an important crossroads of information for the entire body, from the trigeminal system to the pelvic floor, passing from thoracic diaphragm to the floor of the mouth: the network of breath. Viola Frymann first spoke of the treatment of three diaphragms, and more recently four diaphragms have been discussed. Current scientific knowledge has led to discussion of the manual treatment of five diaphragms. This article highlights the anatomic connections and fascial and neurologic aspects of the diaphragm muscle, with four other structures considered as diaphragms: that is, the five diaphragms...
April 2015: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
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
Peter Daechul Yoon, Nariman Ahmadi, Stephen Strahan, Audrey Wang
INTRODUCTION: Spontaneous ureteric rupture is a rare entity that presents as an extravasation of urine from the ureter without previous surgery, ureteric manipulation and external trauma of the ureter. We report the case of a desmoid tumour presenting as spontaneous ureteric rupture which was managed in our institution. PRESENTATION OF CASE: A 28 years old healthy male presented with a four day history of generalised abdominal pain secondary to spontaneous right ureteric rupture...
2014: International Journal of Surgery Case Reports
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
Christoph Schulze, Susanne Finze, Rainer Bader, Andreas Lison
Medial tibial stress syndrome (MTSS) is a common problem among athletes and soldiers. There is no proven theory that could explain the pathophysiology of shin splints. The therapies described so far are time-consuming and involve a high risk of relapse. The method according to the fascial distortion model (FDM) addresses local changes in the area of the lower leg fascia. It is suited to reduce pain and functional impairments associated with this symptom complex by applying targeted manual techniques. 32 patients (male: 30; female: 2) participated in this study...
2014: TheScientificWorldJournal
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
Kyle K Henderson, Justine Parker, Kurt P Heinking
CONTEXT: Flat feet (pes planus) have been implicated in multiple musculoskeletal complaints, which are often exacerbated by lack of appropriate arch support or intense exercise. OBJECTIVE: To investigate the efficacy of osteopathic manipulative treatment (OMT) on a patient (K.K.H.) with mountaineering-induced bilateral plantar paresthesia and to assess the association of pes planus with paresthesia in members of the mountaineering expedition party that accompanied the patient...
July 2014: Journal of the American Osteopathic Association
Paolo Tozzi
The idea that tissues may possess some sort of memory is a controversial topic in manual medicine, calling for research and clinical exploration. Many bodyworkers, at some point in their practice, have experienced phenomena that may be interpreted as representing a release of memory traces when working on dysfunctional tissues. This feeling may have been accompanied by some type of sensory experience, for the therapist and/or the patient. In some cases, early traumatic experiences may be recalled. When this happens, the potency of the memory may be erased or eased, along with restoration of tissue function...
April 2014: Journal of Bodywork and Movement Therapies
Liz A Holey, John Dixon
Connective tissue manipulation or connective tissue massage (bindegewebsmassage) is a manual reflex therapy in that it is applied with the therapist's hands which are in contact with the patient's skin. The assessment of the patient and the clinical decision-making that directs treatment is based on a theoretical model that assumes a reflex effect on the autonomic nervous system which is induced by manipulating the fascial layers within and beneath the skin to stimulate cutaneo-visceral reflexes. This paper reviews the literature and current research findings to establish the theoretical framework for CTM and the evidence for its clinical effects...
January 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
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