Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"The effects of different exercise modes on walking ability and balance function in chronic stroke survivors: A systematic review and network meta-analysis of randomized controlled trials.","authors":"Zhen Zhao, Xueping Dong, Jiajin Fang, Yikun Zhao, Xintao Zhang","doi":"10.1177/10538127251332414","DOIUrl":"https://doi.org/10.1177/10538127251332414","url":null,"abstract":"<p><p><b>Background</b>: Walking and balance problems are the main concerns for chronic stroke survivors, and the most effective exercise modalities for enhancing them remain unknown. <b>Objective</b>: As the main indicators for detecting walking ability and balance function, the effect of different exercise modes on 10-meter walking test (10MWT), 6-min walking test (6MWT), Berg Balance Scale (BBS), and timed up-and-go test (TUGT) were investigated and analyzed. <b>Methods</b>: A literature search was conducted in PubMed, EMBASE, and Cochrane Library databases, and only randomized controlled trials (RCTs) were included. 'Cochrane assessment tool' was used to assess the risk of bias. Statistical analysis was performed using Stata, presenting network, surface under the cumulative ranking curve (SUCRA), and publication bias graphs. <b>Results</b>: A total of 36 RCTs involving 1466 participants were included in this network meta-analysis. The results of data analysis showed that the traditional Chinese exercise (TCE) could effectively reduce 10MWT (SUCRA = 80.9%) and TUGT (SUCRA = 73.7%) scores. Additionally, walking could significantly increase 6MWT (SUCRA = 82.2%) and BBS scores (SUCRA = 89.9%). <b>Conclusion</b>: All types of exercises improve walking ability and balance function to some degree, particularly walking exercises for 6MWT and BBS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251332414"},"PeriodicalIF":1.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of multicomponent treatment compared with other therapeutic interventions in patients with fibromyalgia: A systematic review with meta-analysis.","authors":"Felipe Araya-Quintanilla, Iván Cuyul-Vásquez, Andrea Lizama-Lefno, Andres Jeria-Diaz, Jorge Fuentes, Mayte Serrat, Héctor Gutiérrez-Espinoza","doi":"10.1177/10538127251337393","DOIUrl":"https://doi.org/10.1177/10538127251337393","url":null,"abstract":"<p><p>BackgroundFibromyalgia (FM) is a chronic pain disease characterized by widespread musculoskeletal pain. The multicomponent treatment has showed improves symptom management in patients with FM. However, inconsistent results have been demonstrated in previous studies. Additionally, none of these studies have analyzed the effect on psychological outcomes.ObjectiveTo determine the effectiveness of multicomponent treatment compared with other therapeutic interventions for pain intensity and functional status, quality of life, depression and pain anxiety in patients with FM.MethodsAn electronic search was performed using MEDLINE, CENTRAL EMBASE, Web of Science, PEDro, CINAHL, SPORTDiscus, Scopus, and LILACS databases. The eligibility criteria included randomized clinical trials (RCTs) investigating the effects of multicomponent treatment compared with other therapeutic interventions (active and passive) in patients older than 18 years with FM. Effect sizes were calculated as a standard mean difference (SMD) with 95% CI using random-effects Hartung-Knapp-Sidik-Jonkman or the Mantel-Haenszel fixed method. The quality of intervention reporting was assessed with the Risk of Bias (RoB) 2, and certainty of evidence was assessed using GRADE approach. Two authors independently performed the search, study selection, data extraction, and risk-of-bias assessment.ResultsTwenty-five RCTs met the eligibility criteria, including 3476 patients. At 10-16 weeks, for multicomponent treatment versus all other interventions, the standardized mean difference in pain intensity was -0.51 (95% CI: -0.92 to -0.10, <i>P</i> <i>=</i> <i>0.021</i>). For functional status, quality of life, depression, and anxiety, statistically significant differences were found in favor of multicomponent treatment (all <i>P</i> values <0.05). Additionally, there were no differences in the effects of multicomponent treatment and passive interventions on any clinical outcomes. Finally, our study has some limitations such as lack methodology of some clinical trials included and high heterogeneity could be over-or-under estimation the effects of the intervention's studied.ConclusionIn the medium term, multicomponent treatment, in comparison with all other interventions (active and passive), showed statistically and clinically significant differences with moderate effect size in pain intensity in patients with FM. The quality of evidence was low to high according to the GRADE approach. Additionally, there were no differences between multicomponent treatment and passive interventions in patients with FM.PROSPERO registration numberCRD42020142082.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251337393"},"PeriodicalIF":1.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of acupuncture on clinical outcomes in patients with fibromyalgia: An overview of systematic reviews and meta-analyses.","authors":"Felipe Araya-Quintanilla, Iván Cuyul-Vásquez, Guillermo Méndez-Rebolledo, Celia Álvarez-Bueno, Mayte Serrat, Héctor Gutiérrez-Espinoza","doi":"10.1177/10538127251344497","DOIUrl":"https://doi.org/10.1177/10538127251344497","url":null,"abstract":"<p><p>BackgroundAcupuncture, a traditional oriental therapy, is increasingly being adopted globally as a method of complementary intervention for pain relief in patients with fibromyalgia (FM). The aim of this study was to evaluate the effectiveness of acupuncture compared to placebo, pharmacotherapy, or physiotherapy in reducing pain and improving function in patients with FM.MethodsAn electronic search was performed in the MEDLINE, Web of Science, CENTRAL, EMBASE, LILACS, CINAHL, PEDro, and SPORTDiscus databases. The eligibility criteria were systematic reviews of clinical trials that compared acupuncture versus control interventions for pain intensity and other clinical outcomes in women with FM.ResultsA total of 10 systematic reviews met the eligibility criteria for the quantitative synthesis. For pain intensity, the mean difference (MD) was -1.30 cm (95% CI = -1.85 to 0.76, <i>p</i> <i><</i> <i>0.001</i>). For functional status, the MD was -10.18 points (95% CI = -13.56 to -6.79, <i>p</i> <i><</i> <i>0.001</i>). For sleep quality, the MD was 0.46 points 95% CI = -1.85 to 0.76, <i>p</i> <i><</i> <i>0.001</i>). For fatigue, the standard mean difference (SMD) was -0.18 (95% CI = -0.86 to 0.51, <i>p</i> <i>=</i> <i>0.55).</i> For depression, the MD was -6.28 points (95% CI = -9.80 to -2.76, p = 0.0005). Most of the differences were in favor of acupuncture, except for sleep quality.ConclusionCompared to pharmacotherapy and physiotherapy interventions, acupuncture showed statistically significant differences in pain intensity, functional status, and depression symptoms; however, all differences did not reach the minimum threshold to be considered clinically important in patients with FM. The quality of evidence was low to very low according to GRADE ratings.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251344497"},"PeriodicalIF":1.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the degree of stenosis affect cervical proprioception in patients with cervical pain?","authors":"Onur Engin, Ayse Sezgi Kizilirmak Karatas, Betul Taspinar, Ferruh Taspinar","doi":"10.1177/10538127251343399","DOIUrl":"https://doi.org/10.1177/10538127251343399","url":null,"abstract":"<p><p>BackgroundCervical stenosis is an important problem in patients with cervical pain, which may cause proprioception problems.ObjectiveThis study aims to evaluate the effect of the degree of cervical stenosis on cervical proprioception and cervical range of motion (ROM).MethodA total of 111 patients presenting with cervical pain and undergoing cervical magnetic resonance imaging were included in the study. The ROM of the patients was measured with the Pa Cervical Range of Motion (CROM) device. Proprioception was evaluated with measurement of joint position error (JPE). JPE was assessed with neutral head position and target head position tests. The severity of stenosis was detected according to the Kang grading system. The Kruskal-Wallis test is used to compare joint position error in patients with different cervical stenosis stages.ResultsTwenty nine(%26) patients had no stenosis, 31 (28%) had mild stenosis, 31 (28%) had moderate stenosis, and 20 (18%) had severe stenosis. According to the neutral head positioning test, there was a significant difference in right lateral flexion between patients with different degrees of stenosis (grade 0: 1.67[0.67-4.67] vs. grade 2: 4.67[2.3-10.0], p = 0.009) and in flexion (grade 0: 8.0[2.67-10.0] vs. grade 3: 12.66[8.33-17.67], p = 0.011). There was also a significant difference in head-to-target JPEs in all motion planes(p < 0.05).ConclusionDegree of cervical stenosis significantly affects cervical proprioception and cervical ROM. The study's findings may guide clinicians in developing effective rehabilitation programs for proprioception in cervical stenosis and encourage further research on intervention effects at different stages of the disease.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251343399"},"PeriodicalIF":1.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of blood flow restriction training with core stabilization exercise on muscle activity and muscle thickness in subjects with nonspecific chronic low back pain.","authors":"Phurichaya Werasirirat, Juntip Namsawang, Nutsupa Singhasoot, Nongnuch Luangpon, Audrius Snieckus, Pornpimol Muanjai","doi":"10.1177/10538127251343856","DOIUrl":"https://doi.org/10.1177/10538127251343856","url":null,"abstract":"<p><p>BackgroundBlood flow restriction (BFR) is considered an alternative method for increasing muscle activity and thickness to reduce Nonspecific Chronic Low back pain (NSCLBP).ObjectivesThis study aimed to evaluate the effects of BFR with core stabilization exercise (CSE) on muscle activity, muscle thickness, and disability in individuals with NSCLBP.MethodsA total of 38 individuals with NSCLBP aged 18-45 years were included in this study. The participants were randomly divided into the BFR + CSE and CSE groups (n = 19 each). All participants underwent supervised rehabilitation sessions three times per week over a period of four consecutive weeks. Muscle activity, muscle thickness, and disability were assessed before and after the four-week intervention.ResultsThe BFR + CSE group showed significant within-group improvement in muscle activity of the transversus abdominis (TrA), multifidus (MF), and gluteus maximus (Gmax), muscle thickness at rest and during contraction, and disability (<i>p</i> < 0.05). The CSE group showed a significant increase in electromyography activity of the MF muscle (<i>p</i> < 0.05), a significant increase in muscle thickness at rest for the TrA, MF, and Gmax muscles (<i>p</i> < 0.05), and only a significant increase in muscle thickness during contraction for the TrA muscle (<i>p</i> < 0.05). Additionally, the BFR + CSE group exhibited superior benefits compared to the CSE group across all variables.ConclusionBFR combined with CSE over four weeks is more effective in improving TrA, MF, and Gmax muscle strength, muscle thickness, and disability.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251343856"},"PeriodicalIF":1.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of simultaneous soft tissue mobilization and capacitive and resistive electric transfer therapy using bracelet electrodes in women with chronic non-specific neck pain: A randomized clinical trial.","authors":"Dimitrios Lytras, Paris Iakovidis, Konstantinos Kasimis, Vasileios Georgoulas, Ioannis Algiounidis, Georgia Tarfali","doi":"10.1177/10538127251342557","DOIUrl":"https://doi.org/10.1177/10538127251342557","url":null,"abstract":"<p><p>BackgroundChronic non-specific neck pain (CNSNP), persisting for over 12 weeks, is commonly associated with myofascial trigger points. Soft tissue mobilization techniques (STMT) and capacitive and resistive electric transfer therapy (TECAR) may reduce pain and improve function.AimTo evaluate the effectiveness of combining STMT with TECAR using resistive bracelet electrodes in women with CNSNP.MethodA parallel-group, assessor-blinded randomized controlled trial (RCT) was conducted in accordance with CONSORT guidelines. Eighty women were randomly assigned to an experimental group (STMT + TECAR) or control (STMT only). TECAR was applied at 500 kHz: 10 min of capacitive mode with a conventional electrode, followed by simultaneous STMT and resistive mode using bracelet electrodes. Participants received 15 sessions over five weeks. NPRS, pressure pain thresholds (PPT), cervical range of motion (ROM), and Neck Disability Index (NDI) were assessed at baseline, week 5, and 6-month follow-up.ResultsThe experimental group showed significantly greater improvements at week 5 in NPRS, NDI, all PPT areas, lateral flexion, and right rotation ROM (p < .05). Clinically meaningful improvements in NPRS and NDI were observed only in the experimental group, while both groups achieved clinically significant gains in PPT. Improvements were sustained at six months; left rotation ROM differed only at follow-up. No differences were found in neck flexion or extension.ConclusionsCombining STMT with TECAR using bracelet electrodes resulted in superior improvements in pain, function, and ROM in women with CNSNP versus STMT alone, likely due to the synergistic mechanical and thermal effects of the intervention.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251342557"},"PeriodicalIF":1.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of paraspinal muscle morphology on the development of osteoporotic lumbar vertebral fractures.","authors":"Evren Sönmez, Abdurrahim Tekin, Dilek Ün Oğuzhanasiltürk, Ergin Anlı, Lokman Ayhan, Suna Dilbaz, Akın Öztürk, Nuri Serdar Baş, Semra Işık, Serdar Çevik","doi":"10.1177/10538127251340350","DOIUrl":"https://doi.org/10.1177/10538127251340350","url":null,"abstract":"<p><p>BackgroundVertebral compression fractures associated with osteoporosis reduce daily living activities. The primary risk factor for osteoporotic vertebral fractures (OVCFs) is the severity of osteoporosis, defined as low bone mineral density (BMD) in both peripheral and central regions. In addition to BMD, sarcopenia is also thought to affect OVCFs by reducing paraspinal muscle mass and strength.ObjectiveWe aimed to evaluate the association between vertebral compression fractures and paraspinal/psoas muscle characteristics, including muscle mass and fatty degeneration, using quantitative MRI measurements.MethodsWe retrospectively enrolled 77 patients aged ≥60 years who were diagnosed with acute OVCF between January 2019 and August 2023. The control group consisted of age- and sex-matched patients with osteoporosis (BMD > -2.5) who were followed up without fractures for at least six months. Demographic characteristics, relative total cross-sectional area (rTCSA) and relative functional CSA (rFCSA) of the multifidus (MF), erector spinae (ES), and psoas major (PS) were measured at the L4-5 and L5-S levels on MRI.ResultsThe TCSA and rTCSA of the multifidus (MF) and erector spinae (ES) muscles at both the L4-5 and L5-S1 levels did not show significant differences between the control and OVCF groups. (all p value > 0.05) The mean FCSAL4-5 of the MF 8.97 ± 2.81, ES 16.73 ± 6.49, the mean FCSAL5-1 of the MF 9.43 ± 3.27, ES 10.76 ± 5.79 in the fracture group, while the mean FCSAL4-5 of the MF 11.39 ± 2.6, ES 19.35 ± 4.04, the mean FCSAL5-1 of the MF 13.42 ± 2.56, ES 14.11 ± 4.6 in the non-fracture group. (PMFL4-5 < 0.001, PMFL5-1 < 0.001, PESL4-5 = 0.003, PESL5-1 < 0.001) The mean TCSA of the psoas muscle was significantly higher in the fracture group (17.65 ± 6.21) than in the control group (15.9 ± 4.14) (p = 0.042). Despite the significantly larger total psoas muscle mass in the fracture group, the rFCSA of the psoas muscle was lower in the fracture group (0.81 ± 0.27) compared to the control group (0.89 ± 0.25) (p = 0.046).ConclusionsThe study shows that the functional muscle mass of the paraspinal muscles is significantly lower in patients with osteoporotic vertebral compression fractures (OVCF) as compared to those without fractures. Quantitative measurement of the functional capacity of the paraspinal muscles using MRI can effectively predict the risk of OVCF and enable early intervention and adopt preventive measures to reduce the incidence of these fractures.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251340350"},"PeriodicalIF":1.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial.","authors":"Petra Hampel, Kevin Dadaczynski","doi":"10.1177/10538127251326157","DOIUrl":"https://doi.org/10.1177/10538127251326157","url":null,"abstract":"<p><p>BackgroundResearch has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation.ObjectiveTo investigate social inequalities in the utilisation and process of rehabilitation among people with non-specific chronic low back pain (CLBP) and multiple psychological strains undergoing inpatient multidisciplinary orthopaedic rehabilitation (MOR).MethodsThis multicentre study enrolled 910 patients with non-specific CLBP (ICD-10: M51/53/54) and examined the differences in self-initiative to attend rehabilitation, and psychological, work-related, and pain-related parameters prior to MOR stratified by the social class index (lower, middle, upper class). Moreover, socioeconomic differences were investigated in the frequency distributions of psychosocial cut-off scores before rehabilitation, indicating the clinical relevance of the social class index.ResultsCompared with patients in both higher classes, patients in the lower class showed significantly lower self-initiative for rehabilitation as well as unfavourable values for pain self-efficacy and work-related and pain-related parameters.ConclusionsHealth-related inequalities in the inpatient MOR of non-specific CLBP were supported. To promote better health equity, patients should be allocated to rehabilitation according to their needs and individually strengthened in terms of their self-efficacy, health literacy, and ability to cope with pain and work-related stress.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251326157"},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short term effectevness of tibial nerve flossing technique in patients With tarsal tunnel syndrome.","authors":"Bassam A El-Nassag, Nadia Mohamed Abdelhakiem, Ahmed S Abdelhamid, Rasha M El-Marakby, Shymaa Salem","doi":"10.1177/10538127251338173","DOIUrl":"https://doi.org/10.1177/10538127251338173","url":null,"abstract":"<p><p>ObjectiveTo examine the short-term influence of adding tibial nerve flossing (TNF) technique to conventional therapy on foot pain, Dorsiflexion-Eversion (DF-E) test, ankle range of motion (ROM), and tibial nerve conduction study (NCS) in individuals with Tarsal Tunnel Syndrome (TTS).MethodsThis was a parallel randomized pre-post-test single blinded controlled trial, included 54 individuals with TTS randomized into study and control groups. Both groups received conventional therapy including transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound (US), gastrocnemius (GC) muscle stretching, and foot arches supports/wedges provided as needed with an additional (TNF) technique provided for the study group. The intervention was 3 days/week on alternate days, for a four-week duration. Pain severity and DF-E test as primary; ankle dorsiflexion ROM and tibial NCS as secondary measures, were collected pre- and post-treatment.ResultsWithin-groups comparison showed a significant improvement in all tested variables. Post-treatment between-groups comparison showed a notably higher scores in favor for the study group (p < 0.05) except for the (DF-E) test (p > 0.05).ConclusionTibial nerve flossing is an effective adjunct to conventional therapy in improving foot pain, ankle ROM, and tibial nerve conduction in individuals with TTS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251338173"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic mechanisms of fascia manipulation: A scoping review.","authors":"Yuichi Isaji, Daisuke Sasaki, Kohei Okuyama, Yasuyuki Kurasawa, Kosuke Suzuki, Yusuke Kon, Takashi Kitagawa","doi":"10.1177/10538127251341828","DOIUrl":"https://doi.org/10.1177/10538127251341828","url":null,"abstract":"<p><p>BackgroundFascia manipulation is gaining attention due to their potential benefits in pain management, neuromuscular function, and tissue healing. However, the mechanisms underlying these effects remain unclear, limiting treatment optimization.ObjectivesThis scoping review (ScR) aimed to summarize current evidence on the physiological, structural, and neuromuscular mechanisms underlying fascia manipulation as a therapeutic intervention.MethodsThis ScR followed the Joanna Briggs Institute guidance. A comprehensive search of MEDLINE, Web of Science, CINAHL, Cochrane Central, EMBASE, Scopus, PEDro, ClinicalTrials.gov, and ICTRP was conducted in January 2025. Two independent reviewers selected studies and extracted data. Two independent reviewers selected studies and extracted data.ResultsEleven studies were included: eight on humans and three on animals. In humans, manual therapy triggered a transient local inflammatory response, raising temperature without activating coagulation or thrombosis risk. It also reduced unbound water in deep fascia, aiding pain relief and mobility. Animal studies showed anti-inflammatory effects via cytokine regulation and adenosine receptor involvement, with caffeine blocking pain relief. Massage-like stroking produced opioid-independent analgesia. Fascia manipulation relieved pain from densification and improved proprioception. Neuromusculary, it enhanced reaction time, movement efficiency, and motor performance, lasting up to a week.ConclusionsThis ScR suggests that fascia manipulation exerts its therapeutic effects through a combination of anti-inflammatory cytokine modulation, mechanoreceptor stimulation, and improvement in fascial gliding and proprioceptive feedback. These mechanisms collectively support its role in pain relief and neuromuscular function. Further research using standardized protocols and objective outcome measures is needed to validate and expand upon these findings.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251341828"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}