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:
StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–.
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
mathematical model for deformation of human fasciae in manual therapy. J Am
Osteopath Assoc. 2008 Aug;108(8):379-90. doi: 10.7556/jaoa.2008.108.8.379.
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
sciatica: a report of pain response to tissue stimulation during operations on the
lumbar spine using local anesthesia. Orthop Clin North Am. 1991 Apr;22(2):181-7.
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,
O'Sullivan PPB. What does best practice care for musculoskeletal pain look like?
Eleven consistent recommendations from high-quality clinical practice guidelines:
systematic review. Br J Sports Med. 2020 Jan;54(2):79-86. doi: 10.1136/bjsports-
2018-099878. Epub 2019 Mar 2.
https://pubmed.ncbi.nlm.nih.gov/30826805/
14. Nolet PS, Yu H, Côté P, Meyer AL, Kristman VL, Sutton D, Murnaghan K,
Lemeunier N. Reliability and validity of manual palpation for the assessment of
patients with low back pain: a systematic and critical review. Chiropr Man Therap.
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
Clinical Practice. Elsevier. p. 166.e22
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,
Freburger JK, Greco CM, Freel JA, Sowa GA, Wasan AD, Brennan GP, Hunter SJ,
Minick KI, Wegener ST, Ephraim PL, Friedman M, Beneciuk JM, George SZ, Saper
RB. Risk Factors Associated With Transition From Acute to Chronic Low Back Pain
in US Patients Seeking Primary Care. JAMA Netw Open. 2021 Feb 1;4(2):e2037371.
doi: 10.1001/jamanetworkopen.2020.37371.
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
application in clinical practice. J Bodyw Mov Ther. 2018 Jan;22(1):112-117. doi:
10.1016/j.jbmt.2017.07.009. Epub 2017 Jul 25.
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/
