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Complementary and Alternative Medicine Use in Rheumatic Disease
Published in Jason Liebowitz, Philip Seo, David Hellmann, Michael Zeide, Clinical Innovation in Rheumatology, 2023
Massage therapy has been widely studied in arthritis (RA, osteoarthritis) as well as fibromyalgia. In a systematic review of six RCTs in people living with arthritis, massage therapy was superior to nonactive and active controls in reducing pain, although the quality of evidence was low.20 There is also great utility for massage therapy in fibromyalgia, and this modality may be covered by some insurance plans. In a systematic review of ten RCTs evaluating the use of massage for patients living with fibromyalgia, there were large, positive effects on pain and medium effects on anxiety and depression when compared with placebo.21 The most common form of massage therapy used in clinical trials was myofascial release.
Sexual Health
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
In a pelvic floor physical therapy session, the physical therapist places biofeedback sensors on the vaginal wall to measure muscle tone and the strength of muscle contractions, which are printed out on a machine. After practicing your exercises at home, you can see your improvement on the machine in your next session. Sometimes the therapist will use a massage-like technique called “myofascial release” to help stretch and release the connective tissue between the skin and the muscles and bones in your pelvic region. Typically, several months of therapy are needed to achieve satisfactory results.
Therapeutic intervention
Published in Stephanie Martin, Working with Voice Disorders, 2020
is used to facilitate reduction and elimination of tension in the laryngeal muscles, as with Perilaryngeal Manual Therapies. It is used to address the tight muscles around the neck and hyoid, as well as the postural muscles that affect vocal quality and projection. Myofascial release is a hands-on technique that involves applying gentle, sustained pressure into the myofascial connective tissue targeted to release tissue restrictions in the neck, back, chest and abdominals. As with other perilaryngeal procedures, care, through properly designed protocols and/or training, needs to be taken by the clinician to avoid any adverse events, such as the patient experiencing light-headedness or dizziness due to carotid compression. Interventions should never be undertaken by novice providers without training. Training in MT techniques is the best way to avoid these events. Based on research and from clinical experience, myofascial release in combination with work with other professionals has shown to work well (Krisciunas et al., 2019), thus supporting the findings of Marszalek et al. (2012) that the use of osteopathic myofascial therapy appears to significantly improve the functions of the vocal tract in patients with occupational dysphonia.
Efficacy of physical therapy interventions for chronic lateral elbow tendinopathy: a systematic review
Published in Physical Therapy Reviews, 2020
Beshoy Girgis, José Alberto Duarte
Further systematic reviews have comparable conclusions to the results of the current review regarding specific interventions. These reviews, however, did not limit inclusion criteria to the recommended outcome measures [68–70]. Findings of Herd and Meserve [152] indicated the effectiveness of mobilization with movement, but they stated that their results should be generalized with care. Conversely, Hoogvliet et al. [153] concluded that evidence to support mobilization with movement is limited. Laimi et al. [154] mentioned that existing evidence on myofascial release therapy is insufficient to confirm its effectiveness for the treatment of chronic musculoskeletal pain. Reviews on the effectiveness of extracorporeal shockwave therapy had contradictory results. Stasinopoulos and Johnson [155] and Buchbinder et al. [156] showed that relevant studies had conflicting results. In addition, Rompe and Maffulli [157] concluded that qualitative evidence for the effectiveness of extracorporeal shockwave therapy exists under restrictive conditions only. Strujis et al. [158] demonstrated that definitive conclusions concerning the effectiveness of orthotic devices for LET could not be drawn. Other systematic reviews [159–165] have assessed the effectiveness of non-physical therapy interventions, however, these interventions are beyond the scope of the present review.
Improvement in clinical outcomes after dry needling versus myofascial release on pain pressure thresholds, quality of life, fatigue, pain intensity, quality of sleep, anxiety, and depression in patients with fibromyalgia syndrome
Published in Disability and Rehabilitation, 2019
Adelaida M. Castro Sánchez, Hector García López, Manuel Fernández Sánchez, José Manuel Pérez Mármol, María Encarnación Aguilar-Ferrándiz, Alejandro Luque Suárez, Guillermo Adolfo Matarán Peñarrocha
Myofascial release is a therapeutic intervention defined as “a rapidly spreading form of manual therapy aimed at providing pain relief by restoring impaired functions of soft tissues” [31, p.2]. Its effects are provided by the specific behavior of connective tissue sheets, referred to as “fascia”. This tissue represents the main element in the functioning of the musculoskeletal system and it creates the fascial system that connects the whole body, from head to feet. A source of tension in the fascial tissue, provoked by tightening, stiffening, or restricted sliding capacity after micro-trauma or acute injuries, can lead to pain and general dysfunction. Inflammation of the fascial system may lead to peripheral nociceptive input, provoking central sensitization in FMS patients. This fascial dysfunction can be attributed to an imbalance of growth hormone production and hypothalamic–pituitary–adrenal axis dysfunction. If we assume the relationship among inflammation, fascial system dysfunction, and central sensitization in this population, therapeutic approaches should include interventions that target the fascia [31–33].
Effects of an active intervention based on myofascial release and neurodynamics in patients with chronic neck pain: a randomized controlled trial
Published in Physiotherapy Theory and Practice, 2022
Irene Cabrera-Martos, Janet Rodríguez-Torres, Laura López-López, Esther Prados-Román, María Granados-Santiago, Marie Carmen Valenza
Although neck pain can be severely disabling and costly, treatment options have shown moderate evidence of effectiveness (Miller et al., 2010). It has been previously shown that participants prefer self-care measures for the management of neck pain (Scherer et al., 2010). In this regard, easily learned self-administered therapies that patients can perform at home are useful. However, randomized controlled trials of therapeutic interventions including an engagement of patients and self-administered treatments are lacking. Numerous studies on the clinical effectiveness of manual therapy techniques have found them to be effective to treat neck pain (Blanpied et al., 2017; Gross et al., 2015; Miller et al., 2010). Specifically, there has been a considerable increase in the number of studies involving myofascial release therapy (Rodríguez-Fuentes et al., 2016). Myofascial release has been introduced in the literature as a method to treat restrictions in the fascia resulting from soft tissue injury. The study conducted by Rodríguez-Fuentes et al. (2016) assessed the clinical efficacy of myofascial release therapy in occupational mechanical neck pain to determine if this approach has advantages over another manual therapy protocol not including myofascial release. Its results showed that myofascial release was more effective than manual therapy for correcting the advanced position of the head, increasing range of motion in side bending and rotation, and improving quality of life. However, other randomized controlled trials (Haas et al., 2010; Nilsson, Christensen, and Hartvigsen, 1997) have provided evidence that cervical spine manipulations are more effective than some myofascial techniques in patients with cervicogenic headache. More research is needed to understand the effects of myofascial release therapy in this population. Curran, Fiore, and Crisco (2008) determined that a higher density foam roller would increase soft tissue pressure, thus enhancing the effects of myofascial release and improving soft tissue health. This tool can be used in self-administered therapies. No previous studies have used a foam roller in patients with neck pain.