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.
- A2019
Improving the New Definition of Fascial System
Bruno BordoniThis narrative review proposes expanding the definition of the fascial system to include bone tissue. The author argues that bone, a specialized form of connective tissue, shares the same embryological origins as other…
fasciaChiropracticosteopathyManual Therapyfascial system - A2018
Meaning of the Solid and Liquid Fascia to Reconsider the Model of Biotensegrity
Bruno Bordoni, David Lintonbon, Bruno MorabitoThis theoretical article proposes a reconsideration of the traditional biotensegrity model. The authors argue that fascia should be viewed as a system with both solid and liquid components, where blood and lymph constit…
fasciaChiropracticManual TherapyMyofascialOsteopathic - A2018
A New Concept of Biotensegrity Incorporating Liquid Tissues: Blood and Lymph
Bruno Bordoni, Fabiola Marelli, Bruno Morabito, Roberto CastagnaThis conceptual article proposes an update to the biotensegrity model, which traditionally focuses on the solid structures of the fascial system. The authors argue that "liquid tissues" like blood and lymph should also…
fasciaChiropracticManual TherapyMyofascialOsteopathic - A2018
A fundamental critique of the fascial distortion model and its application in clinical practice
Christoph ThalhamerThis narrative review critiques the Fascial Distortion Model (FDM), a manual therapy approach based on the idea that all musculoskeletal complaints stem from distortions of fascia. The author investigated the scientific…
Manual Therapyfasciaefascial distortion modelreductionismtypaldos - A2017
The indeterminable resilience of the fascial system
Bruno Bordoni, Fabiola Marelli, Bruno Morabito, Beatrice SacconiThis commentary proposes a model of fascia not as layers, but as a network of polyhedral microvacuoles of connective tissue. These structures connect the body's systems and can change shape in response to tension, allow…
fasciafibroblastManual TherapyOsteopathicfascial continuum - A2015
The fascial system and exercise intolerance in patients with chronic heart failure: hypothesis of osteopathic treatment
Bruno Bordoni, F MarelliThis hypothesis paper proposes a connection between the fascial system and exercise intolerance in people with chronic heart failure. The authors note that heart failure is a complex disease affecting the entire body, l…
fasciaManual TherapyOsteopathicfatiguechronic heart failure - A2015
Modeled Osteopathic Manipulative Treatments: A Review of Their in Vitro Effects on Fibroblast Tissue Preparations
Manal Zein-Hammoud, Paul R StandleyThis narrative review summarizes lab-based (in vitro) studies investigating how simulated osteopathic treatments, like myofascial release, affect fibroblasts. The authors found that applying mechanical strain to these c…
fasciaFibroblastsManual TherapyOsteopathic - A2014
Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study
Christoph Schulze, Susanne Finze, Rainer Bader, Andreas LisonThis prospective case-control study investigated the Fascial Distortion Model (FDM) for treating medial tibial stress syndrome (MTSS), or shin splints. Researchers applied targeted manual techniques to the lower leg fas…
Manual Therapyfasciaefascial distortion model - A2014
Deformations Experienced in the Human Skin, Adipose Tissue, and Fascia in Osteopathic Manipulative Medicine
Hans Chaudhry, Bruce Bukiet, Zhiming Ji, Antonio Stecco, Thomas W FindleyThis study used a mathematical model to investigate how forces from manual therapy affect the skin, adipose tissue, and fascia. The researchers aimed to understand how much each layer deforms under compression and shear…
fasciaosteopathyManual Therapy - A2012
A theoretical framework for the role of fascia in manual therapy
Nigel Simmonds, Peter Miller, Hugh GemmellThis theoretical paper explores why different types of manual therapy, such as soft tissue work and joint manipulation, often seem to produce similar results. The authors compare these approaches based on their effects…
fasciaManual TherapyMyofascialManipulationautonomic nervous system - A2011
Assessing the influence of FDM to the postoperative healing processes in distal fracture of the radius
Tomasz TesznerResearchers investigated if the Fascial Distortion Model (FDM) could improve recovery following surgery for a common wrist fracture. In this study, 65 patients were divided into two groups; one received standard rehabil…
fasciaManual Therapyfasciaefascial distortion modelreductionism - A2010
How much time is required to modify a fascial fibrosis?
Ercole Borgini, Antonio Stecco, Julie Ann Day, Carla SteccoThis study investigated how long it takes for manual therapy to alter a palpable sensation of fascial "fibrosis" and reduce discomfort. Researchers worked with 40 people experiencing low back pain, applying the Fascial…
fasciaConnective tissueManual Therapylow back painManipulation
