• The Journal of Korean Physical Therapy
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• 제35권1호
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• pp.31-35
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• 2023

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.

• The Journal of Korean Physical Therapy
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• 제33권5호
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• pp.224-230
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• 2021

Purpose: The purpose of this study was to investigate the effects of the fascia distortion model (FDM), one of the fascia treatments, on unstable ankle subjects. This was done through the chronic ankle instability tool (CAIT) questionnaire on maximum isometric muscle strength, proprioception, dynamic balance, and maximum angle. Methods: An experiment was conducted using the chronic ankle instability tool questionnaire on males and females in their twenties who suffered from ankle instability. Before the experiment, maximum isometric strength, proprioceptive, dynamic balance, and maximum angle were measured. The fascia distortion model was applied and then measurements were taken again to compare and analyze the changes. Analysis was carried out using the paired t-test. Results: After applying the fascia distortion model, maximum isometric strength, proprioceptive, dynamic balance, and maximum angle significantly improved (p<0.05). Conclusion: This study found that the fascia distortion model method was effective in improving maximum isometric strength, proprioceptive, dynamic balance, and maximum angle. The results suggest that the fascia distortion model method is a new intervention that could be used for subjects with chronic ankle instability.

• The Journal of Korean Physical Therapy
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• 제31권1호
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• pp.31-34
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• 2019

Purpose: This study examined the effects of the fascial distortion model (FDM) method on Cobb's angle. Methods: Fourteen subjects participated in this study. The idiopathic scoliosis group performed FDM treatments eight times in four weeks. A Shapiro-Wilks test was used to verify the normality of a group of idiopathic scoliosis patients. A paired t-test was performed to determine the satisfaction with the normality. Results: The difference in Cobb's angle was reduced significantly (p<0.05) by an average of $5.72^{\circ}{\pm}2.24$ from $15.51^{\circ}{\pm}1.81$ before the experiment. Conclusion: This study found that the use of the FDM method was effective in improving the Cobb's angle. The application of a FDM treatment appears to stabilize the fascia with decreased ability to adapt physiologically. The application of the CD and TB method of FDM treatment improved the asymmetry spine by dispersing moisture in fascia and improving the contraction and relaxation ability. The results suggest that the Cobb's angle is reduced when FDM is applied, thereby preventing the progression of curvature and avoiding psychological and physical problems that can arise from improving patients with scoliosis.

• The Journal of Korean Physical Therapy
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• 제31권1호
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• pp.24-30
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• 2019

Purpose: This study compared the effectiveness of three methods, fascial distortion model (FDM), myofascial release (MFR), self-myofascial release (SMR), on the neck range of motion and pain. Methods: In this study, the collected data were processed statistically using SPSS version 22.0 for Windows. Descriptive statistics were used to analyze the general characteristics of the subjects. Repeated measure ANOVA was conducted to analyze the range of motion of the neck of the group and VAS, and Contras was used to see the difference in significance over time. One-way ANOVA was used to compare the differences among the groups and a post-hoc test was used. The significance level (${\alpha}$) was 0.05. Results: In the range of motion, the flexion and extension of the neck, right rotation, and left rotation were significantly different in the SMR, FDM, and MFR groups. The right lateral flexion showed significant differences in the FDM, MFR, and SMR groups. The VAS was similar in the groups at 2 and 4 weeks, but there was a significant difference among the FDM, MFR, and SMR groups at 6 weeks. Conclusion: In this study, MFR and MSR as well as FDM were effective in controlling the range of motion and pain control of the neck. Further studies will be needed to determine the effects of long-lasting treatments other than pain control. These studies and the present study will be used as a basis for ongoing research into the duration and method of application for musculoskeletal therapies.

• 대한통합의학회지
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• 제9권1호
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• pp.33-40
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• 2021

Purpose : The fascia is the body's largest sensory organ affected by mechanical stimuli such as pressure. Fascial distortion model (FDM) is one of the fascia treatment techniques, and it is based that most musculoskeletal problems are caused by three-dimensional distortion of the fascia. Until now, some studies have been conducted to investigate the effect of FDM, but it is still not enough. In this study, among the six techniques of FDM, trigger band (TB) and cylinder distortion (CyD) were applied to the forearm to investigate the immediate effect on the maximal grip strength, force sense and range of motion. Methods : 22 healthy adults in their 20s and 30s participated. Before and after the application of FDM, maximal grip strength, force sense and range of motion were measured. For analysis, a paired t-test was performed, and the significance level was set to p<.05. Results : After FDM, there were a significant differences that increased the force sense and the range of motion (p<.05). But the maximal grip strength did not show a significant difference (p>.05). Conclusion : The results of this study, the FDM did not affect maximal grip strength, but it was shown to increase the sense of force and range of motion. We assumed that it is the result of the changes in the states of the fascia and changes in the activity of mechanical receptors induced by pressure and stretch from FDM application.

• The Journal of Korean Physical Therapy
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• 제32권4호
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• pp.238-244
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• 2020

Purpose: This study compared the effects of the fascial distortion model (FDM), foam rolling (FR), and self-stretching (SS) on the ankle dorsiflexion range of motion (ROM). Methods: Thirty subjects who had no more than 30° of ankle dorsiflexion ROM at the weight-bearing lunge test were recruited in this study. They were divided into three groups: (FDM, FR, and SS), and underwent each intervention for five minutes. Before and after the intervention, the ankle dorsiflexion ROM in the supine (the open-) and standing (the closed-kinetic chain) of the subjects were tested. The changes in the ROM between pre- and post-intervention and among the groups were analyzed. Results: All groups showed increased ankle dorsiflexion ROM after the intervention in both positions. In the position of the open kinetic chain, the changes in the ROM between pre- and post-intervention had significant differences among the groups, and the FDM was higher than the FR and SS. In the position of the closed kinetic chain, the ROM after the interventions and the changes in the ROM had significant differences among the groups, and FDM was higher than the FR (ROM after the intervention, the change in ROM) and SS (the change in ROM). Conclusion: These findings showed that FDM had more efficiency than the FR and SS as FDM had a stronger effect on increasing ankle dorsiflexion in a short, limited time. Clinicians who have limited time to treat their patients, particularly trying to increase ankle dorsiflexion ROM, should consider the application of FDM.

• 대한물리의학회지
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• 제15권4호
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• pp.21-28
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• 2020

PURPOSE: The main purpose of this meta-analysis study was to identify the degree-of-effect size and the variables for the effects of manual physical therapy on myofascial pain syndrome. METHODS: This study collected six studies published between 2015.01.01 and 2019.12.31. The analysis result verified nine effect size data. The random-effect model was chosen because of the heterogeneity of the data. RESULTS: First, the full case showed the largest mean effect size of 2.297 (p < .001). Second, the size of the effect based on the fascial distortion model (FDM) intervention showed an effect size of 4.654 (p < .001). Third, the number of participants showed a 15 or less effect size of 2.612 (p > .058). The number of treatments showed a 10 less effect size of 2.844 (p > .129). The publication type showed a thesis effect size of 3.095 (p < .002). CONCLUSION: Manual physical therapy has a great effect on myofascial pain syndrome in the neck and shoulders, and that the effects differ according to the methods of intervention.