Fascial Distortion Model approach to Medial Tibial Stress Syndrome

NewsBot · Oct 21, 2014

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Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study
Christoph Schulze, Susanne Finze, Rainer Bader, and Andreas Lison
The Scientific World Journal Volume 2014 (2014), (full text)

Medial tibial stress syndrome (MTSS) is a common problem among athletes and soldiers. There is no proven theory that could explain the pathophysiology of shin splints. The therapies described so far are time-consuming and involve a high risk of relapse. The method according to the fascial distortion model (FDM) addresses local changes in the area of the lower leg fascia. It is suited to reduce pain and functional impairments associated with this symptom complex by applying targeted manual techniques. 32 patients (male: 30; female: 2) participated in this study. Visual analogue scale (VAS) was used for the quantification of pain. Scores were also given to rate the maximum painless exercise tolerance of the patients. Subsequently treatment of the crural fascia was performed. Patients retested ability of running and jumping. Therapy was continued until full exercise tolerance or painlessness was reached. A significant reduction of the VAS pain score from 5.2 to 1.1 could be achieved . The impairment of exercise tolerance could be reduced from 7 to 2 points . The duration of treatment was 6.3 (SD: 4.3) days on average. The FDM therapy is a potential effective method for acute treatment of MTSS.
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Craig Payne · Apr 21, 2017

NewsBot said: ↑

A Prospective Case Control Study
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Nope. Its was NOT a case control study. There were NO controls

Admin2 · Oct 21, 2014

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HansMassage · Nov 3, 2014

So they proposed a controlled study based on their initial findings using a painful Fascial Distortion using the thumb.
I propose that podiatrists teach there clients a self applied Fascial Distortion using the finger tips of the opposite hand to the involved anterior compartment. Apply a distal or paroxysmal distortion which ever is most comfortable and hold while planter flexing and dorsaflexing the ankle.
If this give relief then the client can repeat it as needed until recovery.

NewsBot · Nov 12, 2014

Massage treatment and medial tibial stress syndrome; a commentary to provoke thought about the way massage therapy is used in the treatment of MTSS
Sarah Fogarty
Journal of Bodywork and Movement Therapies; Articles in Press

As students and practitioners we are taught about the treatment and causative factors of medial shin pain, in particular’ shin splints’ or the more recent term; medial tibial stress syndrome (MTSS). During the years there have been many theories, conjecture and misunderstandings about the mechanisms of ‘shin splints/medial tibial stress syndrome’ however the ramifications of these mechanisms on how massage treatment is delivered have not being discussed. The evidence for the treatment of MTSS is largely clinical with little evidence of any treatment being proven to be effective in treating MTSS. The aim of this article is to present a summary of the mechanisms of MTSS and a commentary to provoke thought about the way massage therapy is used in the treatment of MTSS based on these mechanisms.
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NewsBot · Jul 25, 2017

A fundamental critique of the fascial distortion model and its application in clinical practice
Mag. Christoph Thalhamer et al
Journal of Bodywork and Movement Therapies; Article in Press

Introduction
The therapeutic techniques used in the fascial distortion model (FDM) have become increasingly popular among manual therapists and physical therapists. The reasons for this trend remain to be empirically explored. Therefore this paper pursues two goals: first, to investigate the historical and theoretical background of FDM, and second, to discuss seven problems associated with the theory and practice of FDM.

Materials and methods
The objectives of this paper are based on a review of the literature. The research mainly focuses on clinical proofs of concept for FDM treatment techniques in musculoskeletal medicine.

Results
FDM as a treatment method was founded and developed in the early 1990s by Stephen Typaldos. It is based on the concept that all musculoskeletal complaints can be traced back to three-dimensional deformations or distortions of the fasciae. The concept is that these distortions can be undone through direct application of certain manual techniques. A literature review found no clinical trials or basic research studies to support the empirical foundations of the FDM contentions.

Discussion
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.

Conclusion
The above problems can only be invalidated through high-quality clinical trials. Allegations that clinical experience is sufficient to validate therapeutic results have been abundantly refuted in the literature.
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