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Bioengineering
Volume 10
Issue 4
10.3390/bioengineering10040474
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Review

Response to Mechanical Properties and Physiological Challenges of Fascia: Diagnosis and Rehabilitative Therapeutic Intervention for Myofascial System Disorders

by
Yuya Kodama
1,*,
Shin Masuda
1,
Toshinori Ohmori
1,
Akihiro Kanamaru
1,
Masato Tanaka
1,
Tomoyoshi Sakaguchi
2 and
Masami Nakagawa
2
1
Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Midorimachi, Minamiku, Okayama 702-8055, Japan
2
Department of Central Rehabilitation, Okayama Rosai Hospital, 1-10-25 Midorimachi, Minamiku, Okayama 702-8055, Japan
*
Author to whom correspondence should be addressed.
Bioengineering 2023, 10(4), 474; https://doi.org/10.3390/bioengineering10040474
Submission received: 19 March 2023 / Revised: 6 April 2023 / Accepted: 12 April 2023 / Published: 14 April 2023
(This article belongs to the Special Issue Physical Examination and Rehabilitation of Fasciae and Muscles in Sports Injuries)
Review Reports Versions Notes

Abstract

Damage to the fascia can cause significant performance deficits in high-performance sports and recreational exercise and may contribute to the development of musculoskeletal disorders and persistent potential pain. The fascia is widely distributed from head to toe, encompassing muscles, bones, blood vessels, nerves, and internal organs and comprising various layers of different depths, indicating the complexity of its pathogenesis. It is a connective tissue composed of irregularly arranged collagen fibers, distinctly different from the regularly arranged collagen fibers found in tendons, ligaments, or periosteum, and mechanical changes in the fascia (stiffness or tension) can produce changes in its connective tissue that can cause pain. While these mechanical changes induce inflammation associated with mechanical loading, they are also affected by biochemical influences such as aging, sex hormones, and obesity. Therefore, this paper will review the current state of knowledge on the molecular level response to the mechanical properties of the fascia and its response to other physiological challenges, including mechanical changes, innervation, injury, and aging; imaging techniques available to study the fascial system; and therapeutic interventions targeting fascial tissue in sports medicine. This article aims to summarize contemporary views.
Keywords: fasciae; innervation; injury; hyaluronic acid; aging; sex hormone; rehabilitation; imaging; myofascial release fasciae; innervation; injury; hyaluronic acid; aging; sex hormone; rehabilitation; imaging; myofascial release

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MDPI and ACS Style

Kodama, Y.; Masuda, S.; Ohmori, T.; Kanamaru, A.; Tanaka, M.; Sakaguchi, T.; Nakagawa, M. Response to Mechanical Properties and Physiological Challenges of Fascia: Diagnosis and Rehabilitative Therapeutic Intervention for Myofascial System Disorders. Bioengineering 2023, 10, 474. https://doi.org/10.3390/bioengineering10040474

AMA Style

Kodama Y, Masuda S, Ohmori T, Kanamaru A, Tanaka M, Sakaguchi T, Nakagawa M. Response to Mechanical Properties and Physiological Challenges of Fascia: Diagnosis and Rehabilitative Therapeutic Intervention for Myofascial System Disorders. Bioengineering. 2023; 10(4):474. https://doi.org/10.3390/bioengineering10040474

Chicago/Turabian Style

Kodama, Yuya, Shin Masuda, Toshinori Ohmori, Akihiro Kanamaru, Masato Tanaka, Tomoyoshi Sakaguchi, and Masami Nakagawa. 2023. "Response to Mechanical Properties and Physiological Challenges of Fascia: Diagnosis and Rehabilitative Therapeutic Intervention for Myofascial System Disorders" Bioengineering 10, no. 4: 474. https://doi.org/10.3390/bioengineering10040474

APA Style

Kodama, Y., Masuda, S., Ohmori, T., Kanamaru, A., Tanaka, M., Sakaguchi, T., & Nakagawa, M. (2023). Response to Mechanical Properties and Physiological Challenges of Fascia: Diagnosis and Rehabilitative Therapeutic Intervention for Myofascial System Disorders. Bioengineering, 10(4), 474. https://doi.org/10.3390/bioengineering10040474

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