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Article of Interest: How much time is required to modify a fascial fibrosis?

October 7, 2010

One of the main premises behind the new Functional Range Release™ soft tissue management system is the concept that in order to induce lasting alterations in fascial length, organization, and composition, the load application of soft tissue release techniques must be applied for longer periods of time than is allowed with many of the current systems.  For example, the method of shortening a tissue, then lengthening the tissue under tension, followed by
once again shortening the same tissue is inconsistent with the current research knowledge concerning fascial plasticity which states that load application must exceed (at a minimum) 2 min in length in order to induce the process of thixotropy (alteration of a substance from a gel to a more fluid state); and the process of piezoelectricity (the charge which accumulates in certain solid materials (including biological matter such as DNA and various proteins in response to applied mechanical force) – both processes are believed to contribute fascial changes.

In a recent article by Borgini Ercole et al (2010), they examined the time required for soft tissue release techniques to modify fascial fibrosis.  Although their outcome measures were subjective in nature (relying on the palpable perception of the practitioner as well as decreases in reported pain levels by the subject) the study once again demonstrates that more significant amounts of intervention time are required to produce fascial release.  This study evidenced, that the mean time to halve the pain was 3.24 min; however, in those subjects with symptoms present from less than 3 months (sub-acute) the mean time was lesser (2.58 min) with respect to the chronic patients (3.29 min).

I highly suggest reading this article.  Despite several downfalls in methodology, it does clinical evidence which is in agreement with the current literature surrounding fascial techniques:

Borgini Ercole, Stecco Antonio, Day Julie Ann, Carla Stecco.  How much time is required to modify a fascial fibrosis?  Journal of Bodywork & Movement Therapies (2010) 14, 318-325

Of course with time constraints, practitioners may wonder how to efficiently induce such changes.  The F.R.™ system, by simultaneously combining the application of release techniques and outer range contractions (P.A.I.L.’s™ training) provides a system which can easily be applied within a reasonable time frame for both the practitioner and patient.


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