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A fascia ma szinte mitikus státuszt élvez a terápiás világban – de vajon mit mond róla a tudomány? Ebben az epizódban egy különleges vendéggel vesszük górcső alá a fasciával kapcsolatos állításokat, és megnézzük, mi az, ami kutatásokkal is alátámasztható… és mi az, ami csak jól hangzik. Ha úgy érzed, már mindent tudsz a fasciáról – ez az adás lehet, hogy kényelmetlen meglepetést tartogat.
Az epizód alapjául szolgáló és abban elhangzó hivatkozások és azok forrásai:
1. Arumugam K, Harikesavan K. Effectiveness of fascial manipulation on pain and disability in musculoskeletal conditions. A systematic review. Journal of Bodywork and Movement Therapies. 2021 Jan;25:230–9.
https://pubmed.ncbi.nlm.nih.gov/33714501/
2. Bialosky JE, Beneciuk JM, Bishop MD, Coronado RA, Penza CW, Simon CB, et al. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. Journal of Orthopaedic & Sports Physical Therapy. 2018 Jan;48(1):8–18.
https://pubmed.ncbi.nlm.nih.gov/29034802/
3. Bordoni B, Mahabadi N, Varacallo MA. Anatomy, Fascia. 2023 Jul 17. In:
https://pubmed.ncbi.nlm.nih.gov/29630284/
4. Branchini M, Lopopolo F, Andreoli E, Loreti I, Marchand AM, Stecco A. Fascial Manipulation® for chronic aspecific low back pain: a single blinded randomized controlled trial [Internet]. F1000Research; 2016 [cited 2025 Apr 24].
https://pubmed.ncbi.nlm.nih.gov/26834998/
5. Brandl A, Egner C, Reer R, Schmidt T, Schleip R. Immediate Effects of Myofascial Release Treatment on Lumbar Microcirculation: A Randomized, Placebo-Controlled Trial. Journal of Clinical Medicine. 2023 Jan;12(4):1248.
https://pubmed.ncbi.nlm.nih.gov/36835784/
6. Carla Stecco MD, Julie Ann Day PT. The Fascial Manipulation Technique and Its Biomedical Model: A Guide to the Human Fascial System. International Journal of Therapeutic Massage & Bodywork Research Education & Practice. 2010 Mar 5;3(1):38–40.
https://pubmed.ncbi.nlm.nih.gov/21589701/
7. Chaudhry H, Schleip R, Ji Z, Bukiet B, Maney M, Findley T. Three-dimensional
https://pubmed.ncbi.nlm.nih.gov/18723456/
8. Cruz-Montecinos C, Cerda M, Sanzana-Cuche R, Martín-Martín J, Cuesta-Vargas A. Ultrasound assessment of fascial connectivity in the lower limb during maximal cervical flexion: technical aspects and practical application of automatic tracking. BMC Sports Sci Med Rehabil. 2016 Jul 11;8:18.
https://pubmed.ncbi.nlm.nih.gov/27403319/
9. Fede C, Petrelli L, Pirri C, Neuhuber W, Tiengo C, Biz C, et al. Innervation of human superficial fascia. Front Neuroanat. 2022 Aug 29;16:981426.
https://pubmed.ncbi.nlm.nih.gov/36106154/
10. Fede C, Porzionato A, Petrelli L, Fan C, Pirri C, Biz C, et al. Fascia and soft tissues innervation in the human hip and their possible role in post-surgical pain. J Orthop Res. 2020 Jul;38(7):1646–54.
https://pubmed.ncbi.nlm.nih.gov/32181900/
11. Kuslich SD, Ulstrom CL, Michael CJ. The tissue origin of low back pain and
https://pubmed.ncbi.nlm.nih.gov/1826546/
12. Langevin HM, Bishop J, Maple R, Badger GJ, Fox JR. Effect of Stretching on Thoracolumbar Fascia Injury and Movement Restriction in a Porcine Model. Am J Phys Med Rehabil. 2018 Mar;97(3):187–91.
https://pubmed.ncbi.nlm.nih.gov/28901961/
13. Lin I, Wiles L, Waller R, Goucke R, Nagree Y, Gibberd M, Straker L, Maher CG,
https://pubmed.ncbi.nlm.nih.gov/30826805/
14. Nolet PS, Yu H, Côté P, Meyer AL, Kristman VL, Sutton D, Murnaghan K,
https://pubmed.ncbi.nlm.nih.gov/34446040/
15. Roman M, Chaudhry H, Bukiet B, Stecco A, Findley TW. Mathematical Analysis of the Flow of Hyaluronic Acid Around Fascia During Manual Therapy Motions. Journal of Osteopathic Medicine. 2013 Aug 1;113(8):600–10.
https://pubmed.ncbi.nlm.nih.gov/23918911/
16. Schleip R, Klingler W, Lehmann-Horn F. Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Medical Hypotheses. 2005 Jan;65(2):273–7.
https://pubmed.ncbi.nlm.nih.gov/15922099/
17. Schleip R, Gabbiani G, Wilke J, Naylor I, Hinz B, Zorn A, et al. Fascia Is Able to Actively Contract and May Thereby Influence Musculoskeletal Dynamics: A Histochemical and Mechanographic Investigation. Front Physiol [Internet]. 2019 Apr 2 [cited 2025 Apr 25];10.
https://pubmed.ncbi.nlm.nih.gov/31001134/
18. Schleip R, Jäger H, Klingler W. What is ‘fascia’? A review of different nomenclatures. Journal of Bodywork and Movement Therapies. 2012 Oct;16(4):496–502.
https://pubmed.ncbi.nlm.nih.gov/23036881/
19. Schleip R, Mechsner F, Zorn A, Klingler W. The Bodywide Fascial Network as a Sensory Organ for Haptic Perception. Journal of Motor Behavior. 2014 May;46(3):191–3.
https://pubmed.ncbi.nlm.nih.gov/24628059/
20. Slater AM, Barclay SJ, Granfar RMS, Pratt RL. Fascia as a regulatory system in health and disease. Front Neurol. 2024 Aug 7;15:1458385.
https://pubmed.ncbi.nlm.nih.gov/39188704/
21. Standring, S. (2021) Gray’s Anatomy, 42nd Edition. The Anatomical Basis of
https://shop.elsevier.com/books/grays-anatomy/standring/978-0-7020-7705-0
22. Stecco A, Gesi M, Stecco C, Stern R. Fascial Components of the Myofascial Pain Syndrome. Curr Pain Headache Rep. 2013 Jun 26;17(8):352.
https://pubmed.ncbi.nlm.nih.gov/23801005/
23. Stevans JM, Delitto A, Khoja SS, Patterson CG, Smith CN, Schneider MJ,
https://pubmed.ncbi.nlm.nih.gov/33591367/
24. Tesarz J, Hoheisel U, Wiedenhöfer B, Mense S. Sensory innervation of the thoracolumbar fascia in rats and humans. Neuroscience. 2011 Oct;194:302–8.
https://pubmed.ncbi.nlm.nih.gov/21839150/
25. Thalhamer C. A fundamental critique of the fascial distortion model and its
https://pubmed.ncbi.nlm.nih.gov/29332733/
26. Trybulski R, Olaniszyn ,Gracjan, Smoter ,Małgorzata, Clemente ,Filipe Manuel, Vovkanych ,Andriy, and Kużdzał A. The effects of fascial manipulation on pain: a systematic review with meta-analysis. Journal of Manual & Manipulative Therapy. 0(0):1–12.
https://pubmed.ncbi.nlm.nih.gov/40159109/
27. Wilke J, Krause F, Vogt L, Banzer W. What Is Evidence-Based About Myofascial Chains: A Systematic Review. Archives of Physical Medicine and Rehabilitation. 2016 Mar;97(3):454–61.
https://pubmed.ncbi.nlm.nih.gov/26281953/
28. https://www.painscience.com/articles/does-fascia-matter.php
29. https://www.physio-network.com/blog/myth-busting-adhesions/
A fascia ma szinte mitikus státuszt élvez a terápiás világban – de vajon mit mond róla a tudomány? Ebben az epizódban egy különleges vendéggel vesszük górcső alá a fasciával kapcsolatos állításokat, és megnézzük, mi az, ami kutatásokkal is alátámasztható… és mi az, ami csak jól hangzik. Ha úgy érzed, már mindent tudsz a fasciáról – ez az adás lehet, hogy kényelmetlen meglepetést tartogat.
Az epizód alapjául szolgáló és abban elhangzó hivatkozások és azok forrásai:
1. Arumugam K, Harikesavan K. Effectiveness of fascial manipulation on pain and disability in musculoskeletal conditions. A systematic review. Journal of Bodywork and Movement Therapies. 2021 Jan;25:230–9.
https://pubmed.ncbi.nlm.nih.gov/33714501/
2. Bialosky JE, Beneciuk JM, Bishop MD, Coronado RA, Penza CW, Simon CB, et al. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. Journal of Orthopaedic & Sports Physical Therapy. 2018 Jan;48(1):8–18.
https://pubmed.ncbi.nlm.nih.gov/29034802/
3. Bordoni B, Mahabadi N, Varacallo MA. Anatomy, Fascia. 2023 Jul 17. In:
https://pubmed.ncbi.nlm.nih.gov/29630284/
4. Branchini M, Lopopolo F, Andreoli E, Loreti I, Marchand AM, Stecco A. Fascial Manipulation® for chronic aspecific low back pain: a single blinded randomized controlled trial [Internet]. F1000Research; 2016 [cited 2025 Apr 24].
https://pubmed.ncbi.nlm.nih.gov/26834998/
5. Brandl A, Egner C, Reer R, Schmidt T, Schleip R. Immediate Effects of Myofascial Release Treatment on Lumbar Microcirculation: A Randomized, Placebo-Controlled Trial. Journal of Clinical Medicine. 2023 Jan;12(4):1248.
https://pubmed.ncbi.nlm.nih.gov/36835784/
6. Carla Stecco MD, Julie Ann Day PT. The Fascial Manipulation Technique and Its Biomedical Model: A Guide to the Human Fascial System. International Journal of Therapeutic Massage & Bodywork Research Education & Practice. 2010 Mar 5;3(1):38–40.
https://pubmed.ncbi.nlm.nih.gov/21589701/
7. Chaudhry H, Schleip R, Ji Z, Bukiet B, Maney M, Findley T. Three-dimensional
https://pubmed.ncbi.nlm.nih.gov/18723456/
8. Cruz-Montecinos C, Cerda M, Sanzana-Cuche R, Martín-Martín J, Cuesta-Vargas A. Ultrasound assessment of fascial connectivity in the lower limb during maximal cervical flexion: technical aspects and practical application of automatic tracking. BMC Sports Sci Med Rehabil. 2016 Jul 11;8:18.
https://pubmed.ncbi.nlm.nih.gov/27403319/
9. Fede C, Petrelli L, Pirri C, Neuhuber W, Tiengo C, Biz C, et al. Innervation of human superficial fascia. Front Neuroanat. 2022 Aug 29;16:981426.
https://pubmed.ncbi.nlm.nih.gov/36106154/
10. Fede C, Porzionato A, Petrelli L, Fan C, Pirri C, Biz C, et al. Fascia and soft tissues innervation in the human hip and their possible role in post-surgical pain. J Orthop Res. 2020 Jul;38(7):1646–54.
https://pubmed.ncbi.nlm.nih.gov/32181900/
11. Kuslich SD, Ulstrom CL, Michael CJ. The tissue origin of low back pain and
https://pubmed.ncbi.nlm.nih.gov/1826546/
12. Langevin HM, Bishop J, Maple R, Badger GJ, Fox JR. Effect of Stretching on Thoracolumbar Fascia Injury and Movement Restriction in a Porcine Model. Am J Phys Med Rehabil. 2018 Mar;97(3):187–91.
https://pubmed.ncbi.nlm.nih.gov/28901961/
13. Lin I, Wiles L, Waller R, Goucke R, Nagree Y, Gibberd M, Straker L, Maher CG,
https://pubmed.ncbi.nlm.nih.gov/30826805/
14. Nolet PS, Yu H, Côté P, Meyer AL, Kristman VL, Sutton D, Murnaghan K,
https://pubmed.ncbi.nlm.nih.gov/34446040/
15. Roman M, Chaudhry H, Bukiet B, Stecco A, Findley TW. Mathematical Analysis of the Flow of Hyaluronic Acid Around Fascia During Manual Therapy Motions. Journal of Osteopathic Medicine. 2013 Aug 1;113(8):600–10.
https://pubmed.ncbi.nlm.nih.gov/23918911/
16. Schleip R, Klingler W, Lehmann-Horn F. Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Medical Hypotheses. 2005 Jan;65(2):273–7.
https://pubmed.ncbi.nlm.nih.gov/15922099/
17. Schleip R, Gabbiani G, Wilke J, Naylor I, Hinz B, Zorn A, et al. Fascia Is Able to Actively Contract and May Thereby Influence Musculoskeletal Dynamics: A Histochemical and Mechanographic Investigation. Front Physiol [Internet]. 2019 Apr 2 [cited 2025 Apr 25];10.
https://pubmed.ncbi.nlm.nih.gov/31001134/
18. Schleip R, Jäger H, Klingler W. What is ‘fascia’? A review of different nomenclatures. Journal of Bodywork and Movement Therapies. 2012 Oct;16(4):496–502.
https://pubmed.ncbi.nlm.nih.gov/23036881/
19. Schleip R, Mechsner F, Zorn A, Klingler W. The Bodywide Fascial Network as a Sensory Organ for Haptic Perception. Journal of Motor Behavior. 2014 May;46(3):191–3.
https://pubmed.ncbi.nlm.nih.gov/24628059/
20. Slater AM, Barclay SJ, Granfar RMS, Pratt RL. Fascia as a regulatory system in health and disease. Front Neurol. 2024 Aug 7;15:1458385.
https://pubmed.ncbi.nlm.nih.gov/39188704/
21. Standring, S. (2021) Gray’s Anatomy, 42nd Edition. The Anatomical Basis of
https://shop.elsevier.com/books/grays-anatomy/standring/978-0-7020-7705-0
22. Stecco A, Gesi M, Stecco C, Stern R. Fascial Components of the Myofascial Pain Syndrome. Curr Pain Headache Rep. 2013 Jun 26;17(8):352.
https://pubmed.ncbi.nlm.nih.gov/23801005/
23. Stevans JM, Delitto A, Khoja SS, Patterson CG, Smith CN, Schneider MJ,
https://pubmed.ncbi.nlm.nih.gov/33591367/
24. Tesarz J, Hoheisel U, Wiedenhöfer B, Mense S. Sensory innervation of the thoracolumbar fascia in rats and humans. Neuroscience. 2011 Oct;194:302–8.
https://pubmed.ncbi.nlm.nih.gov/21839150/
25. Thalhamer C. A fundamental critique of the fascial distortion model and its
https://pubmed.ncbi.nlm.nih.gov/29332733/
26. Trybulski R, Olaniszyn ,Gracjan, Smoter ,Małgorzata, Clemente ,Filipe Manuel, Vovkanych ,Andriy, and Kużdzał A. The effects of fascial manipulation on pain: a systematic review with meta-analysis. Journal of Manual & Manipulative Therapy. 0(0):1–12.
https://pubmed.ncbi.nlm.nih.gov/40159109/
27. Wilke J, Krause F, Vogt L, Banzer W. What Is Evidence-Based About Myofascial Chains: A Systematic Review. Archives of Physical Medicine and Rehabilitation. 2016 Mar;97(3):454–61.
https://pubmed.ncbi.nlm.nih.gov/26281953/
28. https://www.painscience.com/articles/does-fascia-matter.php
29. https://www.physio-network.com/blog/myth-busting-adhesions/
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