The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Fascial Distortion Model and Myofascial Release on Pain Threshold in Remote Area

  • JiYoung Kim (Department of Physical Therapy, College Health, Masan University) ;
  • Migyoung Kweon (Department of Physical Therapy, Andong Science College)
  • Received : 2022.09.23
  • Accepted : 2023.02.17
  • Published : 2023.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study sought to identify whether fascial therapy using myofascial release (MFR) and Fascial Distortion Model (FDM) techniques affected not only the area where treatment was being given but also remote areas connected to the treatment area by fascial continuity through comparison of the pain pressure threshold (PPT). Methods: The subjects were 16 healthy normal adults in their 20s and 30s who were divided into the MFR and FDM groups before the experiment. The PPT was measured at 4 different points on the body of the subjects. C7, T7, L5, and gastrocnemius along the superficial back line (SBL) before and after the intervention. Results: Only the FDM group subjects showed a significant increase in the PPT at T7 after the intervention. (p<0.05). In addition, the FDM group demonstrated significantly increased PPT at L5 compared to the MFR group. However, neither the FDM nor the MFR group showed a meaningful change in the PPT at the remote area in the lower leg. Conclusion: These findings showed that FDM can affect PPT more and has a positive effect on the pain threshold compared to MFR. However, neither FDM nor MFR showed any effect on the PPT in a remote area.

Keywords

References

  1. Ajimsha MS, Shenoy PD, Gampawar N. Role of fascial connectivity in musculoskeletal dysfunctions: a narrative review. J Bodyw Mov Ther. 2020;24(4):423-31. https://doi.org/10.1016/j.jbmt.2020.07.020
  2. Tozzi P, Bongiorno D, Vitturini C. Fascial release effects on patients with non-specific cervical or lumbar pain. J Bodyw Mov Ther. 2011;15(4):405-16. https://doi.org/10.1016/j.jbmt.2010.11.003
  3. Wilke J, Krause F, Vogt L et al. What is evidence-based about myofascial chains: a systematic review. Arch Phys Med Rehabil. 2016;97(3):454-61. https://doi.org/10.1016/j.apmr.2015.07.023
  4. Cathcart E, McSweeney T, Johnston R et al. Immediate biomechanical, systemic, and interoceptive effects of myofascial release on the thoracic spine: a randomised controlled trial. J Bodyw Mov Ther. 2019;23(1):74-81. https://doi.org/10.1016/j.jbmt.2018.10.006
  5. Siriphorn A, Eksakulkla S. Calf stretching and plantar fascia-specific stretching for plantar fasciitis: a systematic review and meta-analysis. J Bodyw Mov Ther. 2020;24(4):222-32. https://doi.org/10.1016/j.jbmt.2020.06.013
  6. Arguisuelas MD, Lison JF, Domenech-Fernandez J et al. Effects of myofascial release in erector spinae myoelectric activity and lumbar spine kinematics in non-specific chronic low back pain: randomized controlled trial. Clin Biomech (Bristol, Avon). 2019;63:27-33. https://doi.org/10.1016/j.clinbiomech.2019.02.009
  7. Kim DH, Lee BH. Effects of mechanical intervention on cutaneous sensory change and pressure pain threshold in the same spinal segment of myofascial pain. PTRS. 2019;8(1):15-21. https://doi.org/10.14474/ptrs.2019.8.1.15
  8. Kim DH, Lee BH. The effects of mechanical stimulation using graston on changing trigger point pressure pain threshold and muscle tone of the same spinal segment in neck disk patient. JKCA. 2019;19(10):198-205.
  9. e Silva DCCM, de Andrade Alexandre DJ, Silva JG. Immediate effect of myofascial release on range of motion, pain and biceps and rectus femoris muscle activity after total knee replacement. J Bodyw Mov Ther. 2018;22(4):930-6. https://doi.org/10.1016/j.jbmt.2017.12.003
  10. Joshi DG, Balthillaya G, Prabhu A. Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals - a randomized clinical trial. J Bodyw Mov Ther. 2018;22(3):832-7. https://doi.org/10.1016/j.jbmt.2018.01.008
  11. Grieve R, Goodwin F, Alfaki M et al. The immediate effect of bilateral self myofascial release on the plantar surface of the feet on hamstring and lumbar spine flexibility: a pilot randomised controlled trial. J Bodyw Mov Ther. 2015;19(3):544-52. https://doi.org/10.1016/j.jbmt.2014.12.004
  12. Weisman MH, Haddad M, Lavi N et al. Surface electromyographic recordings after passive and active motion along the posterior myofascial kinematic chain in healthy male subjects. J Bodyw Mov Ther. 2014;18(3):452-61. https://doi.org/10.1016/j.jbmt.2013.12.007
  13. Ball TM. Structural integration-based fascial release efficacy in systemic lupus erythematosus (SLE): two case studies. J Bodyw Mov Ther. 2011;15(2):217-25. https://doi.org/10.1016/j.jbmt.2010.10.006
  14. Kim MK, Lee WJ. Effect of fascial distortion model on the pain and movement of neck patient. J Kor Phys Ther. 2019;31(1):24-30. https://doi.org/10.18857/jkpt.2019.31.1.24
  15. Kim JY, Kim SY. The effect of fascial distortion model on maximal grip strength, force sense and range of motion. KSIM. 2021;9(1):33-40.
  16. Park S, Kim JY. Comparison of the effect of the fascial distortion model, foam rolling and self-stretching on the ankle dorsiflexion range of motion. J Kor Phys Ther. 2020;32(4):238-44. https://doi.org/10.18857/jkpt.2020.32.4.238
  17. Demoulin C, Wolfs S, Chevalier M, et al. a comparison of two stretching programs for hamstring muscles: a randomized controlled assessor-blinded study. Physiother Theory Pract. 2016;32(1):53-62. https://doi.org/10.3109/09593985.2015.1091533
  18. Shah S, Kage V. Comparative effectiveness of active release technique and rolfing soft tissue manipulation in normal subjects with hamstring tightness - a randomised clinical trial. Indian J Physiother Occup. 2013;7(2):207-11. https://doi.org/10.5958/j.0973-5674.7.2.043
  19. Aspinall SL, Jacques A, Leboeuf-Yde C et al. No difference in pressure pain threshold and temporal summation after lumbar spinal manipulation compared to sham: a randomised controlled trial in adults with low back pain. Musculoskelet Sci Pract. 2019;43:18-25. https://doi.org/10.1016/j.msksp.2019.05.011
  20. Ransone JW, Schmidt J, Crawford SK et al. Effect of manual compressive therapy on latent myofascial trigger point pressure pain thresholds. J Bodyw Mov Ther. 2019;23(4):792-8. https://doi.org/10.1016/j.jbmt.2019.06.011
  21. Martin-Alguacil JL, Arroyo-Morales M, Martin-Gomez JL et al. Comparison of knee sonography and pressure pain threshold after anterior cruciate ligament reconstruction with quadriceps tendon versus hamstring tendon autografts in soccer players. Acta orthopaedica et traumatologica turcica. 2019;53(4):260-5. https://doi.org/10.1016/j.aott.2019.04.012
  22. Tanaka R, Umehara T, Kawabata Y et al. Effect of continuous compression stimulation on pressure-pain threshold and muscle spasms in older adults with knee osteoarthritis: a randomized trial. J Manip Physiol Ther. 2018;41(4):315-22. https://doi.org/10.1016/j.jmpt.2017.09.011
  23. Boff TA, Pasinato F, Ben AJ et al. Effectiveness of spinal manipulation and myofascial release compared with spinal manipulation alone on health-related outcomes in individuals with non-specific low back pain: randomized controlled trial. Physiotherapy. 2020;107:71-80. https://doi.org/10.1016/j.physio.2019.11.002
  24. Romer F. Practical manual of the fascial distortion model. IFDMO. 2013:27-103.
  25. Unal M, Evcik E, Kocaturk M et al. Investigating the effects of myofascial induction therapy techniques on pain, function and quality of life in patients with chronic low back pain. J Bodyw Mov Ther. 2020;24(4):188-95. https://doi.org/10.1016/j.jbmt.2020.07.014
  26. Cheatham SW, Baker R. Differences in pressure pain threshold among men and women after foam rolling. J Bodyw Mov Ther. 2017;21(4):978-82. https://doi.org/10.1016/j.jbmt.2017.06.006