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The study involved patients who suffered from myofascial pain caused occupational or sports overloads or muscle strains caused by sports or improper preparation for physical activity. The patients had not been previously treated for this reason. The only form of therapy was self-administered over-the-counter painkillers and ointments. Due to lack of relief, patients received one of two types of treatments, myofascial therapy or deep tissue massage. Each group was divided into three subgroups, depending on the location of the symptoms: arm, forearm, calf. The patients received three treatments on alternate days. Ultrasound imaging examination was performed by a physiotherapist, qualified to assess soft tissues using an USG. Two measurements were taken, before and seven days after therapy. To standardise the assessment, ultrasound imaging protocol was used.
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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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Myofascial therapy | Experimental |
| |
| Deep Tissue Massage | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Myofascial therapy | Procedure | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| The thickness of the deep and superficial fascia. | To assessed the thickness of the deep and superficial fascia, ultrasound imaging examination (USG) was performed by qualified physiotherapist. Two measurements were taken, before and seven days after therapy. Philips Affiniti 70G ultrasound device with linear probe (2-15 MHz) was used. To standardize the assessment, ultrasound imaging protocol described by Pirri et al. 2022 was used. To obtain more accurate results, the ultrasound image of the examined tissue was placed in the ImageJ ver. 1.54 software to assess the fascia thickness in millimetres. | From enrollment to the 7 days after last therapy. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain level | To assess the pain level, Visual Analogue Scale (VAS) was used. It is a simple but valuable instrument that measure a level of pain, by range across a continuum of values and cannot easily be directly measured. The scale is a horizontal line, 100 mm in length, anchored by word descriptors at each end, that represent the severity of symptoms from 0 "no symptoms" to 10 "very severe symptoms." The patient marked on the line the point that the patient believed represents his or her perception of his or her current state. |
| Measure | Description | Time Frame |
|---|---|---|
| Body weight | A digital scale was used to assess the patients' body weight. The unit of measurement used in the study was kilograms. | Once - upon enrollment |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Józef Piłsudski University of Physical Education in Warsaw | Warsaw | 00-968 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38476005 | Background | 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. | |
| 35244363 | Background | 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. |
| Label | URL |
|---|---|
| Anatomy, Fascia Layers; 2023 | View source |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000089803 | Myofascial Release Therapy |
| ID | Term |
|---|---|
| D008405 | Massage |
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
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|
| Deep Tissue Massage | Procedure | 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. |
|
| From enrollment to the 7 days after last therapy. |
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| Background | 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. |
| Background | 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. |
| 35294051 | Background | 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. |
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| 38217928 | Background | 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. |
| Background | 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 |
| 36928003 | Background | 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. |
| Background | 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. |
| Background | 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 |
| Background | Findley TW., Chaitow L., Huijing PA., Schleip R. Fascia: The Tensional Network of the Human Body. Elsevier 2012; 5 -57. |
| Background | 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 |
| Background | 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. |
| Background | 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 |
| Background | 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 |
| Background | Tozzi P., Chila A., Liem T. Fascia in the Osteopathic Field. Handspring Publishing Limited. 2017; 35: 360 -367 |
| 25379543 | Background | 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. |
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| 35608834 | Background | 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. |
| 35617618 | Background | 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. |
| 36010234 | Background | 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. |
| 34943498 | Background | 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. |
| 32499900 | Background | 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. |
| 31642543 | Background | 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. |
| 33530583 | Background | 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. |
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| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |