Research.
Every peer-reviewed study on fascia in one place — graded for strength of evidence, summarised in plain language for clinicians, researchers, and curious patients.
We grade studies from A to 1A+++ using the Fascia Research Database rubric — 1A+++ is the strongest.
- 1A+2019
The Awareness of the Fascial System
Bruno Bordoni, Marta SimonelliIn this theoretical article, the authors propose a new way of looking at the fascial system, drawing on concepts from quantum physics. They suggest that fascial cells can sense, remember, and even anticipate mechanical…
fasciafascial systemMyofascialquantum physicsphysiology - 1A+2019
The fascial breath
Bruno Bordoni, Marta Simonelli, Bruno MorabitoThis narrative review proposes a new way of understanding the diaphragm muscle, moving beyond a purely mechanical view. The authors argue that the diaphragm is not just covered by fascia but is fundamentally a fascial t…
fasciaMyofascialOsteopathicdiaphragmbreathing - 1A+2019
The Other Side of the Fascia: Visceral Fascia, Part 2
Bruno Bordoni, Marta Simonelli, Bruno MorabitoThis editorial, part two of a series, argues for including certain internal organs (viscera) within the definition of fascia. From an osteopathic perspective, the authors suggest that understanding these organs as fasci…
fasciaMyofascialOsteopathicsmooth musclemesoderm - 1A+2019
Sensitivity of the fasciae to sex hormone levels: Modulation of collagen-I, collagen-III and fibrillin production
Caterina Fede, Carmelo Pirri, Chenglei Fan, Giovanna Albertin, Andrea Porzionato, Veronica Macchi, Raffaele De Caro, Ca…Women experience myofascial pain more often than men, and evidence suggests fascia can be influenced by sex hormones. In this lab study, researchers examined how cells from human fascia lata responded to various levels…
fasciacollagen Icollagen IIIsex hormones - 1A+2019
Bone Tissue is an Integral Part of the Fascial System
Bruno Bordoni, Maria Marcella LaganaThis review article proposes that bone tissue should be considered an integral part of the fascial system, a departure from the current definition. The authors support this by highlighting the shared embryological origi…
fasciaBonefascial systemMyofascial - 1A+2019
Fascia Is Able to Actively Contract and May Thereby Influence Musculoskeletal Dynamics: A Histochemical and Mechanographic Investigation
Robert Schleip, G Gabbiani, Jan Wilke, I Naylor, B Hinz, A Zorn, Heike Jäger, R Breul, S Schreiner, Werner KlinglerThis study investigated whether fascia can actively contract, challenging the traditional view of it as a passive tissue. Researchers examined human and rat fascial samples for the presence of contractile cells called m…
Connective tissuestiffnessmyofibroblastscontractilitycontracture - 1A+2019
Role of fasciae in nonspecific low back pain
G Casato, Carla Stecco, R BusinResearch increasingly links the thoracolumbar fascia to non-specific low back pain. This small case study explored the idea that pain could originate elsewhere in the body's continuous fascial network. Five patients wit…
fascianonspecific low back painlimb myofascial manipulationfascial continuitycase series - 1A+2019
A Primitive Trait in Two Breeds of Equus Caballus Revealed by Comparative Anatomy of the Distal Limb
Sharon May-Davis, Zefanja Vermeulen, Wendy Y BrownThis comparative anatomy study investigated the lower limbs of 574 equids, including 18 horse breeds, donkeys, zebras, and Przewalski's horses. Researchers looked for two specific ligamentous structures that are remnant…
2nd3rd4th Interosseous muscle; Dutch Konik; Bosnian Mountain Horse; Donkey; Przewalski; Zebra; Atavism - 1A+2019
The Other Side of the Fascia: The SmoothMuscle Part 1
Bruno Bordoni, Marta Simonelli, Bruno MorabitoThis theoretical article challenges the standard definition of fascia. Traditionally, fascia is considered connective tissue originating from two embryonic layers, the mesoderm and ectoderm. The authors propose expandin…
fasciaMyofascialOsteopathicsmooth musclemesoderm - 1A+2018
Stretching Reduces Tumor Growth in a Mouse Breast Cancer Model
L Berrueta, J Bergholz, D Munoz, I Muskaj, G J Badger, A Shukla, H J Kim, J J Zhao, H M LangevinIn this mouse study, researchers investigated the effect of daily stretching on breast cancer tumors. Mice with implanted tumor cells were divided into two groups, with one group receiving gentle stretching for 10 minut…
StretchingTumor growthBreast cancer - 1A+2018
From mechanobiology to developmentally inspired engineering
Donald IngberThis review article, based on a lecture, explores the field of mechanobiology, which studies the central role of physical forces in development and physiology. The author reviews 40 years of his laboratory's foundationa…
Tensegritymechanicalorgans-on-chipstissue engineering - 1A+2018
Effect of Stretching on Thoracolumbar Fascia Injury and Movement Restriction in a Porcine Model
H M Langevin, J Bishop, R Maple, G J Badger, J R FoxIn this animal study on pigs, researchers investigated the effect of stretching on the thoracolumbar fascia after injury and movement restriction. An injury combined with restricted movement led to reduced fascial mobil…
fasciaConnective tissueStretchingManual TherapyMovement Therapy - 1A+2018
The Equine Hindlimb Proximal Suspensory Ligament: an Assessment of Health and Function by Means of Its Damping Harmonic Oscillator Properties, Measured Using an Acoustic Myography System: a New Modality Study
Jillian Costello Chavers, A Kent Allen, Waqas Ahmed, Lene Høeg Fuglsang-Damgaard, Adrian P HarrisonThis study in horses explored a new method called acoustic myography (AMG) to help diagnose injuries in the proximal suspensory ligament (PSL) of the hindlimb. Researchers used a device to record sound signals from the…
equineCUROAcoustic myographySuspensory desmitisLameness - 1A+2018
Equine Manual Therapies in Sport Horse Practice
Kevin K HausslerManual therapies can provide diagnostic and therapeutic approaches for assessing and managing neuromuscular coordination and strength in sport horses. This review describes various techniques, including active and passi…
osteopathyManual Therapyproprioceptionmassage therapyNeuromuscular control - 1A+2018
The Fasciacytes- A New Cell Devoted To Fascial Gliding Regulation
Carla Stecco, Caterina Fede, Veronica Macchi, Andrea Porzionato, Lucia Petrelli, Carlo Biz, Robert Stern, Raffaele De C…Researchers have identified a new type of cell within fascia, which they have named "fasciacytes." This study presents evidence that these specialized cells are responsible for producing hyaluronan, a key component of t…
hyaluronanfasciafasciacytesextracellular matrix - 1A+2017
Emotions in Motion: Myofascial Interoception
B Bordoni, F MarelliIn this perspective piece, the authors argue that the myofascial system is closely linked to our emotional state. They suggest that manual treatment not only affects the body physically but also activates the interocept…
fasciaManual TherapyMyofascialOsteopathicInteroception - 1A+2016
Hormone receptor expression in human fascial tissue
Caterina Fede, G Albertin, L Petrelli, M M Sfriso, C Biz, R De Caro, Carla SteccoAdult women tend to experience more myofascial pain than men, and this study explored a possible hormonal link. Researchers examined fascial tissue from eight female volunteers, looking for receptors for the hormones es…
Fascia; fascial fibroblasts; estrogen; relaxin; immunostaining - 1A+2016
STRETCHING IMPACTS INFLAMMATION RESOLUTION IN CONNECTIVE TISSUE
L Berrueta, I Muskaj, S Olenich, T Butler, G J Badger, R A Colas, M Spite, C N Serhan, H M LangevinIn this animal study, researchers investigated the effect of stretching on acute inflammation in the connective tissue of rats. After inducing local inflammation in the rats' backs, one group was subjected to twice-dail…
Stretching; SPM; Resolvin; Inflammation; Connective tissue - 1A+2016
Expression of the endocannabinoid receptors in human fascial tissue
Caterina Fede, G Albertin, L Petrelli, M M Sfriso, C Biz, R De Caro, Carla SteccoResearchers investigated whether human fascia contains cannabinoid receptors, which are part of the body's endocannabinoid system. Taking small tissue samples from volunteers during orthopedic surgery, they analyzed the…
fascia; fascial fibroblasts; endocannabinoid; immunostaining - 1A+2015
Fascia and Primo Vascular System
Chun Yang, Yi-kuan Du, Jian-bin Wu, JunWang, Ping Luan, Qin-lao Yang, Lin YuanIn this review article, the authors explore the idea that the body's network of fascia may be the physical structure corresponding to acupuncture meridians in Traditional Chinese Medicine (TCM). They also discuss the pr…
fasciamechanotransductionprimo vascular systemBonghan systemfasciology - 1A+2015
Gymnastic Training and Dynamic Mobilization Exercises Improve Stride Quality and Increase Epaxial Muscle Size in Therapy Horses
Kátia de Oliveira, Ricardo V G Soutello, Ricardo da Fonseca, Ciniro Costa, Paulo R de L Meirelles, Daniele F Fachiolli,…This study on therapy horses investigated how specific exercises affect stride and back muscles. Over three months, nine horses were divided into three groups: a control group, one doing dynamic mobilization exercises,…
Hippotherapytherapeutic exercisedynamic mobilization exercisephysical trainingthree-dimensional movement - 1A+2015
Electron microscopy of human fascia lata: focus on telocytes
Joanna Dawidowicz, Sylwia Szotek, Natalia Matysiak, Łukasz Miela!nczyk, Krzysztof MaksymowiczThis study used an electron microscope to examine the types of cells present in the fascia lata, a sheet of connective tissue in the thigh. For the first time, researchers confirmed the existence of a specific cell type…
Fibroblastsmyofibroblastshuman fascia latatransmission electron microscopytelocytes - 1A+2014
Peripheral Mechanisms Contributing to Spasticity and Implications for Treatment
Antonio Stecco, Carla Stecco, P RaghavanThis narrative review explores how changes in connective tissue might contribute to spasticity following a central nervous system injury. The authors suggest that the initial injury can alter the turnover of hyaluronic…
fasciaConnective tissueStrokeCerebral palsyHypertonia - 1A+2014
Painful Connections: Densification Versus Fibrosis of Fascia
P G Pavan, Antonio Stecco, R Stern, Carla SteccoIn this review article, the authors describe two types of fascial changes that can cause pain: densification and fibrosis. Densification is described as a reversible alteration in the viscosity of the loose connective t…
hyaluronanfasciafibrosisdensificationConnective tissue - 1A+2014
Crosstalk between fibroblasts and inflammatory cells
S Van Linthout, K Miteva, C TschöpeThis narrative review describes how fibroblasts, traditionally seen as passive cells that produce extracellular matrix, are increasingly understood as active key players in the immune system. The authors provide an over…
fibroblastMyofibroblastInnate and adaptive immune responseHeart failure - 1A+2014
The Medium of Haptic Perception: A Tensegrity Hypothesis
Michael T Turvey, Sérgio T FonsecaIn this theoretical paper, the authors propose a new hypothesis for how our sense of touch, or haptic perception, works. Unlike other senses that have a clear medium (like air for sound), the haptic system lacks one. Th…
fasciaConnective tissuecytoskeletonhaptic systemmultifractal tensegrity - 1A+2014
Hyaluronan: Biosynthesis and signaling
D Vigetti, E Karousou, M Viola, S Deleonibus, G De Luca, A PassiThis 2014 narrative review discusses hyaluronan (HA), a key component of the extracellular matrix. Beyond its structural role in tissue hydration and architecture, HA is an active signaling molecule. The authors highlig…
extracellular matrixGlycosaminoglycanAMPKO-GlcNacylationHyaluronan receptor - 1A+2013
Stress and Matrix-Responsive Cytoskeletal Remodeling in Fibroblasts
R D Abbott, C Koptiuch, J C Iatridis, A K Howe, G J Badger, H M LangevinIn loose connective tissue, fibroblasts change shape in response to static stretch, which helps the tissue relax. This study investigated whether this response depends on the cell itself or its surrounding environment,…
Fibroblasts; cytoskeleton; dense connective tissue; areolar connective tissue; mechanotransduction - 1A+2013
Fascial Components of the Myofascial Pain Syndrome
Antonio Stecco, M Gesi, Carla Stecco, R SternMyofascial pain syndrome (MPS) involves muscle pain and other symptoms linked to trigger points, but the role of fascia is often overlooked. This review summarizes recent research into the biology of fascia to better un…
fasciaHyaluronic aciddensificationMyofascial pain syndrome (MPS)Myofascial trigger - 1A+2013
History of Bioelectrical Study and the Electrophysiology of the Primo Vascular System
Sang Hyun Park, Eung Hwi Kim, Ho Jong Chang, Seung Zhoo Yoon, Ji Woong Yoon, Seong-Jin Cho, Yeon-Hee RyuThis review paper summarizes the history of research on the bioelectrical properties of the primo vascular system (PVS), also known as the Bonghan system. This system has been proposed as a novel circulatory system in t…
primo vascular systemelectrophysiologybioelectrical signals - 1A+2013
Cytoskeletal remodeling of connective tissue fibroblasts in response to static stretch is dependent on matrix material properties
R D Abbott, C Koptiuch, J C Iatridis, A K Howe, G J Badger, H M LangevinThis study investigated how fibroblasts, the cells within connective tissue, change shape in response to static stretching. Researchers compared fibroblasts in loose (areolar) and dense connective tissues, as well as ce…
Fibroblasts; cytoskeleton; dense connective tissue; areolar connective tissue; mechanotransduction - 1A+2012
Stretching of the Back Improves Gait, Mechanical Sensitivity and Connective Tissue Inflammation in a Rodent Model
S M Corey, M A Vizzard, N A Bouffard, G J Badger, H M LangevinIn this rodent study, researchers investigated how stretching affects inflammation in the connective tissue of the low back. They first induced local inflammation, which resulted in altered gait, increased mechanical se…
fasciaConnective tissueStretchingManual TherapyMovement Therapy - 1A+2011
Reduced thoracolumbar fascia shear strain in human chronic low back pain
Helene M Langevin, J R Fox, C Koptiuch, G J Badger, A C Greenan-Naumann, N A Bouffard, E E Konofagou, W-N Lee, J J Tria…Researchers used ultrasound to investigate the movement between layers of the thoracolumbar fascia, a large sheet of connective tissue in the lower back. They compared a group of people with chronic low back pain to a g…
Thoracolumbar fascialow back painshear strain - 1A+2010
Tissue stretch induces nuclear remodeling in connective tissue fibroblasts
H M Langevin, K N Storch, R R Snapp, N A Bouffard, G J Badger, A K Howe, D J TaatjesIn a study on mice, researchers investigated how stretching connective tissue affects the nuclei of fibroblast cells. The results showed that when tissue samples were stretched for 30 minutes, the shape of the cell nucl…
Cytoskeleton; subcutaneous; nucleus; mechanotransduction; invagination