Relief of benign paroxysmal positional vertigo and temporomandibular disorder using a myofascial induction in genu recurvatum patients: Case reports

IF 1.2 Q3 REHABILITATION JOURNAL OF BODYWORK AND MOVEMENT THERAPIES Pub Date : 2024-07-22 DOI:10.1016/j.jbmt.2024.07.041
Cathy Kim , John Sharkey , Luiz Carlos Slutzky , Graal Diaz
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Abstract

Background

In the realm of research, the single case study has been recognized as a valuable tool for sharing insights, demonstrating new concepts, discovering novel phenomena, consolidating hypotheses, and sparking original ideas. In this physician-guided narrative, phenomena previously unreported in the clinical context are explored. These case studies aim to offer insights that may inform an existing theoretical model that encapsulates a distinct therapeutic intervention. Original research in fascia-focused therapies presents many challenges, including the lack of universal terminology, inconsistent techniques, and difficulties in quantifying treatment effects. Tensegrity-based approaches, which concentrate on tissue tension, also face challenges in establishing their validity within living organisms.

For centuries, fascia was seen only as ribbons and sheets of soft, inert, mostly fatty tissue. Consequently, most anatomy textbooks provide a sterile view of anatomical structures devoid of the context of unifying fascia. Now, however, consensus of research describes fascia as an omnipresent, ubiquitous, body-wide tissue that acts as a system, transmitting mechanical information via tensional force changes.

Methods and results

The clinical outcomes in the cases provided in this narrative report suggest that induction of thigh fascia resulted in immediate anatomically distant therapeutic benefit, as reported by the patients.

Conclusions

Rather than measuring treatment efficacy, these two case studies utilize a specific myofascial induction performed at high velocity to elucidate the possibility of a fascia-based, tensegrity-mediated, mechanism for commonly managed, yet often incurable conditions – Benign Paroxysmal Positional Vertigo (BPPV) symptoms and Temporomandibular Joint (TMJ) pain (within the spectrum of Temporomandibular Disorder (TMD)).

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基于张力的筋膜机制?玄关后凸患者大腿肌筋膜松解后良性阵发性位置性眩晕和颞下颌关节疼痛缓解的病例报告
背景在研究领域,单一病例研究已被公认为是分享见解、展示新概念、发现新现象、巩固假设和激发原创想法的重要工具。在这一由医生指导的叙述中,探讨了以前在临床中从未报道过的现象。这些案例研究旨在为现有的理论模型提供启示,这些理论模型囊括了一种独特的治疗干预方法。以筋膜为重点的疗法的原创性研究面临许多挑战,包括缺乏通用术语、技术不一致以及难以量化治疗效果。几个世纪以来,筋膜只被视为柔软、惰性、多为脂肪组织的带状或片状组织。因此,大多数解剖学教科书对解剖结构的描述都缺乏统一筋膜的背景。但现在,研究一致认为筋膜是一种无所不在、无处不在的全身性组织,它作为一个系统,通过张力变化传递机械信息。方法和结果本叙述性报告中提供的病例的临床结果表明,正如患者所报告的那样,诱导大腿筋膜可立即带来解剖学上的远期治疗效果。结论这两项病例研究不是测量治疗效果,而是利用高速进行的特定肌筋膜诱导来阐明以筋膜为基础、以张力整体为媒介的机制治疗常见但往往无法治愈的疾病--良性阵发性位置性眩晕 (BPPV) 症状和颞下颌关节 (TMJ) 疼痛(属于颞下颌关节紊乱 (TMD) 范畴)的可能性。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
133
审稿时长
321 days
期刊介绍: The Journal of Bodywork and Movement Therapies brings you the latest therapeutic techniques and current professional debate. Publishing highly illustrated articles on a wide range of subjects this journal is immediately relevant to everyday clinical practice in private, community and primary health care settings. Techiques featured include: • Physical Therapy • Osteopathy • Chiropractic • Massage Therapy • Structural Integration • Feldenkrais • Yoga Therapy • Dance • Physiotherapy • Pilates • Alexander Technique • Shiatsu and Tuina
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