Saturday, October 16, 2010

Is a specific amount of time required to manipulate fascia?

According to the link below it would seem so!

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WHF-5046W41-1&_user=10&_coverDate=10%2F31%2F2010&_rdoc=1&_fmt=high&_orig=search&_origin=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=1fa688bff76d8ed265aec482551c0b61&searchtype=a

The study used a qualitative measure to identify the length of time required to modify fascia in patients with low back pain. Interestingly the average time was almost 3 and 1/2 minutes at one location! The technique used in the study was based on a technique called Fascia Manipulation. It was developed by an Italian PT by the name of Luigi Stecco. If you remember a few posts back I mentioned the technique in relation to the kinetic chain. That's because Stecco has developed his concept around lines of fascia throughout the body similar to the concept of Anatomy Trains. However there are some distinct differences. Stecco treats specific points using a friction type maneuver away from where the patient feels the pain. It's probably the most evidence based technique available given that he has published several peer reviewed articles on its efficacy.

I have both of his books. Both are of excellent quality and require dedicated reading time. The first book, Fascial Manipulation for Musculoskeletal Pain, is heavy with the technical aspects of fascia whereas the second book, Fascial Manipulation Practical Part, is as the title states. It describes the chains and points within the chains. Interesting side bar is that Stecco notes that many points correspond to acupuncture points.

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