The effect of Selected Fascial Techniques on Joint Range of Motion: A narrative review of Randomised controlled trials.
Item
- Title
- The effect of Selected Fascial Techniques on Joint Range of Motion: A narrative review of Randomised controlled trials.
- Author(s)
- Webb, T
- Abstract
- Objectives: This narrative review aims to a) collate Randomised Controlled Trials conducted over the last 10 years into the effects of selected fascia} techniques used within osteopathic practice on joint Range Of Motion (ROM); b) critically evaluate the results and quality of these investigations using the Jadad scale; c) present what is suggested by the trials with regards to using fascia{ techniques to improve ROM to further inform practice; d) highlight common weaknesses with such research and suggest improvements for further research. Methodology: A rigorous search using selective key terms only was conducted using the PubMed database, and filters were applied to fit inclusion and exclusion criteria for this review. A total of 608 studies were found using Boolean logic and key terms when filters were applied Further assessment of the abstracts of studies that remained after filters were applied occurred. At this stage, another 598 investigations were excluded. Only the 10 studies fulfilling all inclusion criteria were included in the review. Two of these studies investigated the effects of two techniques, bringing the total number of investigations up to 12. Results: Information about the objectives, methodology and results was collected and presented in tables. The Jadad scale was then used to assess the quality of the methods used in the trials. The 10 trials investigated a range of myofascial techniques, including muscle energy technique, Strain-Counterstrain, Ischemic Compression, Fascia} Manipulation@ and myofascial release. Also the effect of such techniques on ROM on a variety of different joints was studied. Out of a total of 12 investigations, when results were compared to baseline, 7 trials reported a statistically significant improvement, and when compared to the control group, 6 studies reported a statistically significant difference. When the Jaded scale was applied to each study, it was found that only 3 studies out of the 10 were of high quality (score 3), with most studies not sufficiently describing blinding or withdrawals from the trials. Differences between the results of high and low quality trials appears to be minimal in the comparison to baseline measurements of ROM, and only slightly greater when compared to the control group. Conclusion: Currently, the number of RCT's investigating the effects of fascia} techniques into joint ROM is scarce, however the results so far are generally indicating improvements in ROM in particular planes across most techniques, and results do not seem to differ a great deal between high and low quality studies. In light of the above, this study concludes that there is a need for further research into this area.
- presented at
- European School of Osteopathy
- Date Accepted
- 2013
- Date Submitted
- 20.1.2015 16:42:59
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15478
- Inst-Identifier
- 1229
- Keywords
- Fascial techniques.
- Recommended
- 0
- Item sets
- Thesis
Webb, T, “The effect of Selected Fascial Techniques on Joint Range of Motion: A narrative review of Randomised controlled trials.”, Osteopathic Research Web, accessed May 17, 2024, https://www.osteopathicresearch.com/s/orw/item/686