The use of myofascial release techniques can be traced back to the 1940's but it was not until 1981 that the term "myofascial release" was first used by three doctors leading a course at Michigan State University. However Oleksandr Zinchenko Jersey , it is an umbrella term which is used to describe many different treatments.
The fascia is a connective tissue that is divided into three layers 鈥?a superficial layer, a layer of potential space, and a deeper layer. The fibres of fascia run in many different directions and as such it can stretch and move with the tissues surrounding it. It is thought to be one continuous piece of tissue working in "chains" that are connected to create tensional integrity in the body. This means that if part of the fascia is stretched it can cause tension or pain in another part of the body. It can be described as being similar to stretching cling film over the top of a jug or bowl: when you pull one side tight it exerts pressure on the opposite side making that side even tighter.
However, the pain that is felt is not the same as traditional referred pain and because of this myofascial pain can be difficult to diagnose. However Nicolas Otamendi Jersey , when it is diagnosed it is usually treated with myofascial release. It is commonly used in the treatment of orthopaedic conditions and this type of myofascial release is a graded stretch by the therapist which he adjusts entirely by the feedback that he receives from the patient's body to determine the direction of stretch, the amount of pressure to apply, and the length of time for which to apply it.
This type of therapy is known as indirect or passive myofascial release because the patient remains passive, and minimal pressure is applied to the tissue. Other types of myofascial release therapy are active treatments in which the patient uses muscle contractions to help relax Marlos Moreno Jersey , and trigger-point therapy.
Myofascial release is showing great promise for the treatment of orthopaedic conditions according to anecdotal evidence, but there is a lack of evidence-based research to back it up. R. F. Kidd has argued in an article "Why myofascial release will never be evidence-based" that it cannot be evidence-based because it relies on an interaction between the patient and the therapist. Therefore, it is not a neutral treatment and the subjectivity of the interaction cannot be removed when trying to determine the outcome. He said that much of the effect of myofascial release relies on the skill of the therapist and his ability to sense changes to the tissue. Furthermore, he stated that the biological effects of touch can alter the effectiveness of the treatment depending on the state of either the patient or the therapist. That variability Leroy Sane Jersey , according to Kidd, means that the effect of myofascial release cannot be based on evidence.
However, the facts are that the same arguments have been applied in the past to other manual treatments that are now considered as being based on evidence.
Research has been carried out into studies done on myofascial release in order to determine its effectiveness with regard to orthopaedic conditions and has found that the literature available is varied in both results and quality. The quality of studies ranged from high to poor. The studies were also very mixed, some finding myofascial release to be effective for orthopaedic conditions Kyle Walker Jersey , and others finding little to no effect. Several of the case studies found that myofascial release may be beneficial in a variety of different conditions.
The authors of the review into these studies considered that the wide array of results of the studies indicates a need for further research. They say that the experimental studies in their review serve as a starting point for more research by showing the wide assortment of conditions in which myofascial release could possibly be effective. They say that anecdotal evidence is a good starting point, but it is time for evidence-based research on the treatment in relation to orthopaedic conditions.
They say that studies should use randomised patients and that the therapist using myofascial release should also be using it regularly in his practice. Further they state that only one medical condition should be studied at a time, and that myofascial release must be used on its own rather than in conjunction with other treatments.
Acubody Therapies of London regularly uses myofascial release for the treatment of a variety of restrictions in the muscles and tissues, and report that it has an amazing capacity for relieving muscle pain.
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