Cybermedlife - Therapeutic Actions Myofascial Release

Effects of the myofascial release in diffuse systemic sclerosis.

Abstract Title: Effects of the myofascial release in diffuse systemic sclerosis. Abstract Source: Acta Neurobiol Exp (Wars). 2010;70(2):177-86. PMID: 19761954 Abstract Author(s): Marilene Marfin Martin Abstract: OBJECTIVE: To improve breathing and functionality of the temporomandibular joint (TMJ) and hands, by increasing the range of motion (ROM), and to reduce the level of pain. METHOD: Twenty myofascial release (MR) sessions in 2002 with assessments (chest expansion, mouth opening, ROM of wrist and fingers). Between the 19th and the 20th session there was a break of 110 days. Every winter, 1-3 sessions have been made. RESULTS: Chest: expansion increased by 3.5 cm and pain was eliminated at the scar from a biopsy; TMJ: an 8mm increase in mouth opening with pain eliminated; hands and fingers: increase of ROM in all joints of fingers and wrists, of up to 100%, reduction in ulcerations and recovery of nail growth. CONCLUSION: The connective tissue affected by diffuse systemic sclerosis (dSSc) is subject to remodeling through MR, receding when the work is interrupted. Resuming the treatment on a regular basis increased the ROM in joints, reduced the effects of the Raynaud Phenomenon and the pain. Article Published Date : Jan 01, 2010

Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. 📎

Abstract Title: Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. Abstract Source: J Urol. 2009 Aug;182(2):570-80. Epub 2009 Jun 17. PMID: 19535099 Abstract Author(s): Mary P FitzGerald, Rodney U Anderson, Jeannette Potts, Christopher K Payne, Kenneth M Peters, J Quentin Clemens, Rhonda Kotarinos, Laura Fraser, Annemarie Cosby, Carole Fortman, Cynthia Neville, Suzanne Badillo, Lisa Odabachian, Andrea Sanfield, Betsy O'Dougherty, Rick Halle-Podell, Liyi Cen, Shannon Chuai, J Richard Landis, Keith Mickelberg, Ted Barrell, John W Kusek, Leroy M Nyberg, Abstract: PURPOSE: We determined the feasibility of conducting a randomized clinical trial designed to compare 2 methods of manual therapy (myofascial physical therapy and global therapeutic massage) in patients with urological chronic pelvic pain syndromes. MATERIALS AND METHODS: We recruited 48 subjects with chronic prostatitis/chronic pelvic pain syndrome or interstitial cystitis/painful bladder syndrome at 6 clinical centers. Eligible patients were randomized to myofascial physical therapy or global therapeutic massage and were scheduled to receive up to 10 weekly treatments of 1 hour each. Criteria to assess feasibility included adherence of therapists to prescribed therapeutic protocol as determined by records of treatment, adverse events during study treatment and rate of response to therapy as assessed by the patient global response assessment. Primary outcome analysis compared response rates between treatment arms using Mantel-Haenszel methods. RESULTS: There were 23 (49%) men and 24 (51%) women randomized during a 6-month period. Of the patients 24 (51%) were randomized to global therapeutic massage, 23 (49%) to myofascial physical therapy and 44 (94%) completed the study. Therapist adherence to the treatment protocols was excellent. The global response assessment response rate of 57% in the myofascial physical therapy group was significantly higher than the rate of 21% in the global therapeutic massage treatment group (p = 0.03). CONCLUSIONS: We judged the feasibility of conducting a full-scale trial of physical therapy methods and the preliminary findings of a beneficial effect of myofascial physical therapy warrants further study. Article Published Date : Aug 01, 2009

Efficacy of myofascial release techniques in the treatment of primary Raynaud's phenomenon.

Abstract Title: Efficacy of myofascial release techniques in the treatment of primary Raynaud's phenomenon. Abstract Source: J Bodyw Mov Ther. 2008 Jul;12(3):274-80. Epub 2008 Mar 5. PMID: 19083682 Abstract Author(s): Anne Walton Abstract: OBJECTIVE: This study investigated whether myofascial release techniques performed on upper body connective tissue could mitigate the frequency, duration or pain intensity associated with primary Raynaud's phenomenon. METHODS: Five treatments were administered over a 3-week treatment period on a 35-year-old female experiencing primary Raynaud's phenomenon for the past 12 years. A log was kept documenting frequency, duration and severity of pain. The myofascial work targeted the upper back, neck and arms according to hypothetical fascial meridian lines. RESULTS: Symptom duration was the one characteristic that showed improvement. After the first treatment, the duration of the subject's vasospastic episodes was reduced by almost half and continued to decrease throughout the 3 weeks of treatments. Neither the frequency or number of affected digits varied significantly from the pre-treatment weeks. CONCLUSIONS: The results suggest that by releasing restricted fascia, myofascial techniques may influence the duration and severity of the vasospastic episodes experienced in primary Raynaud's phenomenon. Article Published Date : Jul 01, 2008
Therapeutic Actions Myofascial Release

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Gathering Hints for Myofascial Force Transmission Under In Vivo Conditions: Are Remote Exercise Effects Age-Dependent?

Related Articles Gathering Hints for Myofascial Force Transmission Under In Vivo Conditions: Are Remote Exercise Effects Age-Dependent? J Sport Rehabil. 2018 Sep 17;:1-19 Authors: Wilke J, Kalo K, Niederer D, Vogt L, Banzer W Abstract CONTEXT: Recent research has underpinned the occurrence of non-local exercise effects. For instance, self-myofascial release (SMR) of the plantar fascia increases hamstring extensibility. A possible mechanism consists in a mechanical force transmission across myofascial chains. However, as the degree of structural continuity in these chains decreases with age, the magni-tude of the above described remote effects might also be reduced throughout lifespan. OBJECTIVE: To examine the age-dependency of non-local exercise effects following plantar fascia SMR. DESIGN: Regression experimental study. SETTING: General population. PARTICIPANTS: 168 healthy participants (45±21 years, 85 males). INTERVENTION: One 120 s bout of plantar foot SMR, performed in standing position. MAIN OUTCOMES MEASURE: Hamstring extensibility was assessed using sit and reach testing. Relative pre-post differences were classified as no im-provement, clinically non-relevant improvement, or clinically relevant improvement according to previously published data. The age-dependency of the effects was calculated by means of multinomial stepwise logistic regression. If the latter revealed other factors than age to affect treatment effectivity, their effect was eliminated using partial correlation. RESULTS: SMR in-creased hamstring extensibility by 10.1% (pre: 24.9±9.7 cm, post: 27.4±9.3 cm, p<.0001). 99 participants (58.9 %) attained a clinically relevant change. Multinomial logistic regression demonstrated no influence of sex, amount of physical activity, height, BMI, and daytime, but a significant impact of baseline flexibility and age (Nagelkerke's r2=.32, p<.001). Post hoc partial correlation analysis demonstrated that age, corrected for baseline flexibility, had a small to moderate association with treatment effectivity (r=.29, p<.0001). CONCLUSIONS: Plantar foot SMR increases hamstring extensibility, which is explained by age to a small degree. Additional research is warranted in order to delineate the substrate of remote exercise effects. Besides mechanical force transmission, also cortical adaptations might represent the driving factor. PMID: 30222474 [PubMed - as supplied by publisher]