Study Results
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Basic Information
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COMPLETED
NA
295 participants
INTERVENTIONAL
2023-07-03
2024-07-31
Brief Summary
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The thickness of the fascia was measured by ImageJ software. The aim of the study was an ultrasound imaging assessment of connective tissue of patients undergone myofascial therapy.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
BASIC_SCIENCE
TRIPLE
Study Groups
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Myofascial therapy
Myofascial therapy
The myofascial therapy in the form of Fascial Distortion Model (FDM) method is based on the idea that issues within the musculoskeletal system stem from deformations or distortions in the fascia. Once the type of deformation is identified, a specific technique is employed by the physiotherapist using their hands and pressure. FDM identifies six types of fascial distortions that can cause pain and other musculoskeletal issues. These distortions include triggerbands, continuum distortions, cylinder distortions, herniated triggerpoints, tectonic fixations, and folding distortions.
Deep Tissue Massage
Deep Tissue Massage
A deep tissue massage is a therapeutic technique that focuses on realigning deeper layers of muscles and connective tissue. It is particularly beneficial for individuals dealing with chronic pain, muscle tension, or injury recovery.
The physiotherapist uses more intense pressure compared to other massage types, like Swedish massage. The goal is to reach deeper muscle layers to relieve tension and pain. The therapist employs various techniques, including long, slow strokes, deep finger pressure, and friction, also use elbows, knuckles, or forearms to apply pressure to specific areas.
Interventions
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Myofascial therapy
The myofascial therapy in the form of Fascial Distortion Model (FDM) method is based on the idea that issues within the musculoskeletal system stem from deformations or distortions in the fascia. Once the type of deformation is identified, a specific technique is employed by the physiotherapist using their hands and pressure. FDM identifies six types of fascial distortions that can cause pain and other musculoskeletal issues. These distortions include triggerbands, continuum distortions, cylinder distortions, herniated triggerpoints, tectonic fixations, and folding distortions.
Deep Tissue Massage
A deep tissue massage is a therapeutic technique that focuses on realigning deeper layers of muscles and connective tissue. It is particularly beneficial for individuals dealing with chronic pain, muscle tension, or injury recovery.
The physiotherapist uses more intense pressure compared to other massage types, like Swedish massage. The goal is to reach deeper muscle layers to relieve tension and pain. The therapist employs various techniques, including long, slow strokes, deep finger pressure, and friction, also use elbows, knuckles, or forearms to apply pressure to specific areas.
Eligibility Criteria
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Inclusion Criteria
* undergone deep tissue massage
* patients with pain of musculoskeletal origin
* without contraindications to myofascial therapy
* without neurological diseases
* voluntary consent to participate in the study
Exclusion Criteria
* lack of patient consent
* cancers
* disturbed continuity of skin tissue at the examination site
* previous surgical procedures at the study site
* large vascular changes
* inflammatory changes in the examined areas of the body
* sensory disturbances in the examined body areas
* resignation from therapy
* changing the type of therapy
18 Years
60 Years
ALL
No
Sponsors
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Józef Piłsudski University of Physical Education
OTHER
Responsible Party
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Adrian Rogala
Principal Investigator
Locations
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Józef Piłsudski University of Physical Education in Warsaw
Warsaw, , Poland
Countries
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References
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Pirri C, Petrelli L, Guidolin D, Porzionato A, Fede C, Macchi V, De Caro R, Stecco C. Myofascial junction: Emerging insights into the connection between deep/muscular fascia and muscle. Clin Anat. 2024 Jul;37(5):534-545. doi: 10.1002/ca.24148. Epub 2024 Mar 12.
Hughes E, Koenig J, Lee R, McDermott K, Freilicher T, Pitcher M. Pilot study assessing the effect of Fascial Manipulation on fascial densifications and associated pain. Eur J Transl Myol. 2022 Mar 3;32(1):10369. doi: 10.4081/ejtm.2022.10369.
Jha DK, Wongkaewpotong J, Chuckpaiwong B. Effect of Age and BMI on Sonographic Findings of Plantar Fascia. J Foot Ankle Surg. 2023 Jan-Feb;62(1):125-128. doi: 10.1053/j.jfas.2022.05.010. Epub 2022 May 23.
Hanson-Viana E, Rojas-Ortiz J, Rendon-Medina MA, Pacheco-Lopez RC, Rios-Lara Lopez LR, Palacios-Juarez J. Influence of BMI, Age, and Gender on the Thickness of Most Common Thinned Flaps. Plast Reconstr Surg Glob Open. 2021 Mar 30;9(3):e3409. doi: 10.1097/GOX.0000000000003409. eCollection 2021 Mar.
Kondrup F, Gaudreault N, Venne G. The deep fascia and its role in chronic pain and pathological conditions: A review. Clin Anat. 2022 Jul;35(5):649-659. doi: 10.1002/ca.23882. Epub 2022 Apr 27.
Lariviere C, Preuss R, Gagnon DH, Mecheri H, Driscoll M, Henry SM. The relationship between clinical examination measures and ultrasound measures of fascia thickness surrounding trunk muscles or lumbar multifidus fatty infiltrations: An exploratory study. J Anat. 2023 Apr;242(4):666-682. doi: 10.1111/joa.13807. Epub 2022 Dec 15.
Wilke J, Macchi V, De Caro R, Stecco C. Fascia thickness, aging and flexibility: is there an association? J Anat. 2019 Jan;234(1):43-49. doi: 10.1111/joa.12902. Epub 2018 Nov 11.
Asquini G, Pitance L, Michelotti A, Falla D. Effectiveness of manual therapy applied to craniomandibular structures in temporomandibular disorders: A systematic review. J Oral Rehabil. 2022 Apr;49(4):442-455. doi: 10.1111/joor.13299. Epub 2022 Jan 17.
Clar C, Tsertsvadze A, Court R, Hundt GL, Clarke A, Sutcliffe P. Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report. Chiropr Man Therap. 2014 Mar 28;22(1):12. doi: 10.1186/2045-709X-22-12.
Rogala A., Warzecha A., Turek G., Brzuszkiewicz-Kuźmicka G., Raźniak M., Dzierzęcki S., Ząbek M. The importance of manual therapy in occipital neuralgia - case study. BÓL. 2023; 24(1): 44-51. doi: 10.5604/01.3001.0053.4745.
Rogala A., Brzuszkiewicz-Kuźmicka G. Influence of myofascial therapy on painful erection - case study. BÓL. 2020; 21(3): 54-59. doi: 10.5604/01.3001.0014.6060.
Nunez-Cabaleiro P, Leiros-Rodriguez R. Effectiveness of manual therapy in the treatment of cervicogenic headache: A systematic review. Headache. 2022 Mar;62(3):271-283. doi: 10.1111/head.14278. Epub 2022 Mar 16.
Cumplido-Trasmonte C, Fernandez-Gonzalez P, Alguacil-Diego IM, Molina-Rueda F. Manual therapy in adults with tension-type headache: A systematic review. Neurologia (Engl Ed). 2021 Sep;36(7):537-547. doi: 10.1016/j.nrleng.2017.12.005. Epub 2020 Apr 7.
Iogna Prat P, Milan N, Huber J, Ridehalgh C. The effectiveness of nerve mechanical interface treatment for entrapment neuropathies in the limbs: A systematic review with metanalysis. Musculoskelet Sci Pract. 2024 Feb;69:102907. doi: 10.1016/j.msksp.2024.102907. Epub 2024 Jan 9.
Hyunjoong K., Seungwon L. The Impact of Manual Therapy on Pain Catastrophizing in Chronic Pain Conditions: A Systematic Review and Meta-analysis. Phys Ther Rehabil Sci. 2023; 12(2): 177-184. doi: 10.14474/ptrs.2023.12.2.177
Tamartash H, Bahrpeyma F, Dizaji MM. The Effect of Remote Myofascial Release on Chronic Nonspecific Low Back Pain With Hamstrings Tightness. J Sport Rehabil. 2023 Mar 16;32(5):549-556. doi: 10.1123/jsr.2022-0141. Print 2023 Jul 1.
Ghorbanpour A., Shadmehr A., Moghaddam ST., Rasanani MH. The possibility of changes of brain activity following myofascial release in patients with nonspecific chronic low back pain: A hypothesis. Medical Hypotheses. 2023; 176: 111082. doi: 10.1016/j.mehy.2023.111082.
Barassi G., Guerri S., Tavani R., Ricucci G., De Luca G., Rabini A., Di Iorio A. Ultrasonography in physiotherapy and rehabilitation. JAHC. 2021; 3(1). doi: 10.36017/jahc202131114
Findley TW., Chaitow L., Huijing PA., Schleip R. Fascia: The Tensional Network of the Human Body. Elsevier 2012; 5 -57.
Rogala A., Molik B., Brzuszkiewicz-Kuźmicka G., Truszczyńska-Baszak A. The impact of Fascial Distortion Model on Shoulder Girdle Dysfunction. Med Rehabil 2022; 26(2): 17-26. doi: 10.5604/01.3001.0015.8242
Baird CJ., Shumate SM., Tancredi MP., Cayce LM., Wibbenmeyer JL. The effects of the fascial distortion model on chronic hamstring tightness. Topics in Integrative Health Care. 2014; 6(2): 1074-1086.
LeeChan JK., Kim M. Comparison of Maximum Isometric Strength, Proprioceptive, Dynamic Balance, and Maximum Angle by Applying the Fascial Distortion Model to Chronic Ankle Instability Subjects. J Kor Phys Ther. 2021; 33(5): 224-230. doi: 10.18857/jkpt.2021.33.5.224
Ghorbanpour A. Fascial Treatment in Frozen Shoulder: A Case Report. Journal of Modern Rehabilitation. 2019; 13(2): 123-128. doi: 10.32598/JMR.13.2.123
Tozzi P., Chila A., Liem T. Fascia in the Osteopathic Field. Handspring Publishing Limited. 2017; 35: 360 -367
Schulze C, Finze S, Bader R, Lison A. Treatment of medial tibial stress syndrome according to the fascial distortion model: a prospective case control study. ScientificWorldJournal. 2014;2014:790626. doi: 10.1155/2014/790626. Epub 2014 Oct 14.
Stecco C, Pirri C, Fede C, Fan C, Giordani F, Stecco L, Foti C, De Caro R. Dermatome and fasciatome. Clin Anat. 2019 Oct;32(7):896-902. doi: 10.1002/ca.23408. Epub 2019 May 28.
Pirri C, Stecco C, Petrelli L, De Caro R, Ozcakar L. Reappraisal on the Superficial Fascia in the Subcutaneous Tissue: Ultrasound and Histological Images Speaking Louder Than Words. Plast Reconstr Surg. 2022 Jul 1;150(1):244e-245e. doi: 10.1097/PRS.0000000000009224. Epub 2022 May 24. No abstract available.
Pirri C, Stecco C, Pirri N, De Caro R, Ozcakar L. Ultrasound examination for a heel scar: seeing/treating the painful superficial fascia. Med Ultrason. 2022 May 25;24(2):255-256. doi: 10.11152/mu-3689.
Pirri C, Pirri N, Guidolin D, Macchi V, De Caro R, Stecco C. Ultrasound Imaging of the Superficial Fascia in the Upper Limb: Arm and Forearm. Diagnostics (Basel). 2022 Aug 4;12(8):1884. doi: 10.3390/diagnostics12081884.
Pirri C, Guidolin D, Fede C, Macchi V, De Caro R, Stecco C. Ultrasound Imaging of Brachial and Antebrachial Fasciae. Diagnostics (Basel). 2021 Dec 2;11(12):2261. doi: 10.3390/diagnostics11122261.
Pirri C, Stecco A, Fede C, De Caro R, Stecco C, Ozcakar L. Ultrasound imaging of a scar on the knee: Sonopalpation for fascia and subcutaneous tissues. Eur J Transl Myol. 2020 Apr 1;30(1):8909. doi: 10.4081/ejtm.2019.8909. eCollection 2020 Apr 7.
Pirri C, Stecco C, Fede C, Macchi V, Ozcakar L. Ultrasound Imaging of the Fascial Layers: You See (Only) What You Know. J Ultrasound Med. 2020 Apr;39(4):827-828. doi: 10.1002/jum.15148. Epub 2019 Oct 23. No abstract available.
Pirri C, Fede C, Stecco A, Guidolin D, Fan C, De Caro R, Stecco C. Ultrasound Imaging of Crural Fascia and Epimysial Fascia Thicknesses in Basketball Players with Previous Ankle Sprains Versus Healthy Subjects. Diagnostics (Basel). 2021 Jan 26;11(2):177. doi: 10.3390/diagnostics11020177.
Boucher JD, Figueroa J. Restoration of Full Shoulder Range of Motion After Application of the Fascial Distortion Model. J Am Osteopath Assoc. 2018 May 1;118(5):341-344. doi: 10.7556/jaoa.2018.044.
Richter D, Karst M, Buhck H, Fink MG. Efficacy of Fascial Distortion Model Treatment for Acute, Nonspecific Low-Back Pain in Primary Care: A Prospective Controlled Trial. Altern Ther Health Med. 2017 Sep;23(5):AT5522. Epub 2017 Jun 23.
Chaudhry H, Schleip R, Ji Z, Bukiet B, Maney M, Findley T. Three-dimensional mathematical model for deformation of human fasciae in manual therapy. J Am Osteopath Assoc. 2008 Aug;108(8):379-90. doi: 10.7556/jaoa.2008.108.8.379.
Thalhamer C. A fundamental critique of the fascial distortion model and its application in clinical practice. J Bodyw Mov Ther. 2018 Jan;22(1):112-117. doi: 10.1016/j.jbmt.2017.07.009. Epub 2017 Jul 25.
Related Links
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Anatomy, Fascia Layers; 2023
Other Identifiers
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JozefPilsudski_U
Identifier Type: -
Identifier Source: org_study_id
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