Fascial dysfunction, treatment considerations
Recently, fascia has gained increasingly popularity in the health care and fitness industry for its implications in both injury progression and prevention. The authors of the current study sought to investigate the current literature on fascia to clarify its physiology and disorders to more effectively guide specific treatment approaches. The authors concluded that dysfunctions of our bodies mechanical coordination, proprioception, myofascial pain and balance was more related to the deep fascia and required sufficient pressure to reach the muscle via manual deep pressure/frictions or surface tools. Dysfunction of the lymphatic, superficial vein system or thermorgulation was related to superficial fascia and likely requires a treatment approach over a larger area with a smaller amount of pressure.
A search strategy was performed on the pubmed databases and included studies published in the last fifteen years that included the word “fascia” and utilized a non-invasive treatment approach. Seventy nine articles underwent review.
The current narrative study sought to glean insight into the growing interest in fascia and its role in treatment. Throughout our body different forms of fascia exist, each with their own unique histological and anatomical properties. Due to the differences the authors concluded that when focusing our treatment based on a patients limitations we need to adjust both the surface area and pressure when manually targeting these structures.
Do you incorporate techniques aimed at the fascial system in your treatment? If the answer is "yes": which approach do you use?
> From: Stecco et al., PM R (2015) (Epub ahead of print). All rights reserved to Elsevier Inc.. Click here for the Pubmed summary.