Fascial distortion model and plantar heel pain

NewsBot · Sep 30, 2020

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This clinical trial was just registered:
Recovery From Plantar Heel Pain Using the Fascial Distortion Model a Pilot Study

To assess feasibility and determine preliminary efficacy of Fascial Distortion Model (FDM) for plantar heel pain (PHP) in a pilot study. The FDM is a hands on direct technique that is non-invasive and has been shown in preliminary studies to be effective in treating musculoskeletal (MSK) injuries. Study participants will be Active Duty Service Members (SM) in the Fort Gordon catchment area.
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NewsBot · Sep 30, 2020

Related thread:
Fascial Distortion Model approach to Medial Tibial Stress Syndrome

AtomAnt · Oct 2, 2020

Pseudoscience

NewsBot · Jul 18, 2021

They published it:
Manual Therapy Informed by the Fascia Distortion Model for Plantar Heel Pain: Results of a Single-Arm Prospective Effectiveness Study
Joshua Boucher et al
J Altern Complement Med. 2021 Jun 29

Objectives: Plantar heel pain (PHP) is the most common cause of heel pain and can be debilitating; 20% of patients are refractory to standard of care. The Fascial Distortion Model (FDM), a novel manual diagnostic and treatment strategy, is purported to be effective for chronic pain; however, no rigorous studies document its effectiveness. We assessed the FDM for care of PHP. Design: Single arm prospective effectiveness study. Settings/Location: Outpatient primary care clinic; Fort Gordon, GA. Subjects: Outpatient adults. Interventions: Participants received an FDM-informed diagnostic and treatment strategy to identify fascial "distortions" at the foot based on patient-reported pain patterns and palpatory examination and then to provide distortion-specific manual therapy at baseline and 1 week. Outcome Measures: Primary outcome measure (0, 1, and 16 weeks): the Foot Pain subscale on the validated Foot Health Status Questionnaire (FHSQ; 0-100 points on each of eight separate subscales); secondary outcome measures (0, 1, and 16 weeks): the seven remaining subscales on the FHSQ, visual analog pain scale (VAS, 0-100 points), and plantar fascia thickness of the most effected foot assessed by ultrasound (0 and 16 weeks). Analysis was performed per protocol using repeated-measures analysis of variance. Results: One hundred and ninety-seven participants were screened; 33 were enrolled. Twenty-eight participants received two FDM procedures. Compared with baseline, improvement on the FHSQ Foot Pain (33.8-23.6 points) and Foot Function (23.9-19.8 points) subscales and VAS (44.7-27.7 points) at 16 weeks was statistically significant (all p's < 0.001) and clinically important representing large effect sizes. Relative to baseline, 16-week ultrasound demonstrated reduced average plantar fascia thickness (0.6-0.9 mm [p = 0.001]). Demographic characteristics were unrelated to response. Satisfaction was high. There were no serious adverse events; side effects included consistent mild-to-moderate self-limited pain. Conclusions: Participants with PHP who received FDM-informed care reported significant and sustained improvement on validated foot pain and foot function méasures; additional findings included decreased plantar fascial thickness. These results require corroboration in a larger randomized controlled study.
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Craig Payne · Jul 18, 2021

No control group. No blinded assessments of outcome. etc

DaVinci · Jul 19, 2021

What is the fascial distortion model? I googled it and there is not much on it practically. Do you have to be a member of a secret club to get the secrets?

Craig Payne · Jul 19, 2021

DaVinci said: ↑

What is the fascial distortion model?
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Here is the word salad:
“The fascial distortion model is an anatomical perspective in which the underlying etiology of virtually every musculoskeletal injury (and many neurological and medical conditions as well) is considered to be comprised of one or more of six specific pathological alterations of the body’s connecting tissues (fascial bands, ligaments, tendons, retinacula, etc.). This model not only allows for strikingly effective manipulative treatments for diverse afflictions such as pulled muscles, fractures, and frozen shoulders, but the results are objective, obvious, measurable, and immediate.”
That is from the now deleted Wikipedia entry on the fascial distortion model..... that says a lot.

Craig Payne · Jul 19, 2021

and this:
" Based on the absence of proof of concept for FDM treatment techniques along with certain theoretical considerations, seven problems emerge, the most striking of which include
(1) diagnostic criteria for FDM,
(2) the biological implausibility of the model,
(3) the reduction of all such disorders to a single common denominator: the fasciae,
(4) the role of FDM research, and
(5) potentially harmful consequences related to FDM treatment."

https://pubmed.ncbi.nlm.nih.gov/29332733/

NewsBot · Jun 23, 2022

Effect Of Fascial Distortion Model On
Osgoodschlatter Disease - A Case Study
Dr. Hiral Parmar, Dr. Sandip Parekh, Dr. Komal Chauhan
International Journal of Advanced Research and Publications

Background: Osgood-Schlatter disease refers to pain isolated to the bump just below the front of the knee in active, growing
children (usually aged 9-13 years).It is an inflammation of the bone, cartilage, and/or tendon at the top of the shinbone where the tendon
from the patella attaches. Repeated stress can cause the tendon to pull away from the shinbone a bit, resulting in the pain and swelling
associated with Osgood-Schlatter disease. Purpose: Aim of this study was to find out how treating distorted fascia improves ROM, Pain
and function of the patient.Case Description: We present a case of 13 year old boy who was involved in sport activity karate had difficulty
in performing karate and pain at anterior aspect of knee joint and also had difficulty in bending the knee Since 6 months. Orthopaedic doctor
advised him for rest and given medication But there was no improvement for long duration so doctor advised him for physiotherapy. we
started the treatment in form of ice pack application for 15 minutes and fascial distortion model techniques- trigger band technique and
continuum distortion technique was given for 3 weeks and 5 sessions per week. The pre and post measures of data taken every week.
Outcome Measures: Range of Motion, Visual Analogue scale, Wall Slide Test Conclusion: This study shows that FDM is effective in
reducing pain, improving ROM and physical function in case of Osgoodschlatter disease.
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NewsBot · Feb 19, 2024

Investigating the Combined Effects of Fascial Distortion Model Manual Therapy and Balance–Strength Training in Individuals with Chronic Ankle Instability
Amin Mohammadi et al
Sports 2024, 12(1), 33;

Background: The Fascial Distortion Model (FDM) is a relatively new manual therapy approach in the field of musculoskeletal physical therapy, and its potential effectiveness in treating chronic ankle instability (CAI) remains unexplored. Methods: A randomized controlled trial with 23 participants was conducted. Patients were randomly assigned to either the FDM + balance–strength training (BST) group (n = 8), receiving extra FDM sessions weekly in addition to two sessions of BST, or the BST group (n = 7). Healthy controls (n = 8) did not receive any treatment and participated only in pre- and post-test measurements. Objective measurements including Y-Balance Test Lower Quarter (YBT-LQ), Flamingo Balance Test (FBT), Weight-Bearing Lunge Test (WBLT), ankle joint range of motion (ROM), and Cumberland Ankle Instability Tool (CAIT) were recorded at baseline and the end of the intervention. The results demonstrated significant differences between the FDM + BST and BST groups for supination ROM (p = 0.008) and similarly for WBLT (p = 0.041), FBT (p = 0.40), YBT-LQ (p = 0.023), and CAIT score (p = 0.008). Moreover, while both groups demonstrated significant improvement at the post-test compared with their pre-test for plantarflexion and pronation ROM, WBLT, and CAIT score, the FDM + BST group demonstrated significant improvements in supination ROM, FBT, and YBT-LQ. Conclusion: Our study suggests that the addition of FDM concepts to a BST may lead to enhanced improvements in ankle ROM, static and dynamic balance, and self-reported outcomes in individuals with CAI compared to BST.
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