Abstract

Diacutaneous fibrolysis is a noninvasive technique that has been shown to be effective in the treatment of musculoskeletal disorders such as shoulder pain, lateral epicondylalgia, patellofemoral pain syndrome and carpal tunnel syndrome. However, while diacutaneous fibrolysis is applied to soft tissue, its effects on muscular properties are unknown. The purpose of the present study was to evaluate the effects of diacutaneous fibrolysis on muscle properties as measured by tensiomyography and myotonometry in asymptomatic subjects. An analytical descriptive study was performed. A single session of diacutaneous fibrolysis on the gastrocnemius muscle was applied to one limb (treated limb group) and the other limb was the control (control limb group). Subjects were assessed with tensiomyography and myotonometry before treatment (T0), after treatment (T1) and 30 minutes later (T2). The primary outcomes were tensiomyography and myotonometry variables. The treated limb group showed a statistically significant increase (p<0.05) in tensiomyography parameters. A decrease in rigidity and increase in relaxation was also observed on myotonometry at T1, with some of the effects being maintained at T2. Rigidity and relaxation at T1 were statistically significant between groups (p<0.05). A single session of diacutaneous fibrolysis to the gastrocnemius muscle of asymptomatic subjects produced immediate changes in muscle properties. These changes were maintained 30 minutes after the application of the technique.

Highlights

  • Diacutaneous fibrolysis (DF) is a non-invasive technique used to treat musculoskeletal conditions which produce pain and/or movement restriction [1,2,3,4,5]

  • The rest of the parameters obtained with TMG depend on Dm: the delay time (Td), known as reaction or activation time, is the time between the initiation and 10% of Dm; the contraction time (Tc) is the time between 10% and 90% of Dm; the sustained time (Ts) is the time in which the muscle response remains >50% of Dm; and the half-relaxation time (Tr) is the time in which the muscle response decreases from 90% to 50% of Dm

  • The initial values of the outcome variables were homogeneous between the intervention and control limb groups (Table 1)

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Summary

Introduction

Diacutaneous fibrolysis (DF) is a non-invasive technique used to treat musculoskeletal conditions which produce pain and/or movement restriction [1,2,3,4,5]. DF is an instrument- assisted soft tissue mobilization developed from the Cyriax deep friction massage principles. Diacutaneous fibrolysis and muscle properties data collection, analysis, interpretation of data, manuscript writing or submission for publication

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