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.
Functional in vitro tension measurements of fascial tissue – a novel modified superfusion approach
In this laboratory study on rat tissue, researchers compared two techniques for measuring tension changes in fascia. The traditional method involves immersing the tissue in a fluid bath, but the team also tested a modif…
A Systematic Review of the Soft-Tissue Connections Between Neck Muscles and Dura Mater
In this systematic review, researchers compiled data from 26 studies to investigate direct soft-tissue connections between neck muscles and the dura mater, the outermost membrane surrounding the spinal cord. The analysi…
Modelling the mechanoreceptor’s dynamic behaviour
This study developed a computational model to better understand how mechanoreceptors, our body's stretch and pressure sensors, adapt to stimuli. Researchers adapted a model originally used for vision in flies to simulat…
Reflections on osteopathic fascia treatment in the peripheral nervous system
In this reflective article, the authors discuss the fascia of the peripheral nervous system. They explain that nerves are enclosed in several layers of fascia that must be able to slide, and that impeded sliding can be…
The Effects of Vibration and Muscle Fatigue on Trunk Sensorimotor Control in Low Back Pain Patients
This study compared trunk muscle control between people with chronic low back pain (cLBP) and healthy individuals. Researchers found that the cLBP group was less accurate at reproducing a specific amount of force with t…
Primo Vascular System: An Endothelial-to-Mesenchymal Potential Transitional Tissue Involved in Gastric Cancer Metastasis
The primo vascular system (PVS) is described as a distinct circulatory network beyond the blood and lymphatic systems. This study investigated the role this system might play in the spread of gastric cancer. The researc…
Innervation Changes Induced by Inflammation of the Thoracolumbar Fascia
This animal study investigated how inflammation affects the nerves in the thoracolumbar fascia (TLF) of rats. Researchers induced inflammation in the TLF and compared its nerve fiber density to that of healthy fascia. W…
Effects of non-pharmacological interventions on inflammatory biomarker expression in patients with fibromyalgia: a systematic review
This systematic review examined how non-drug treatments affect inflammatory markers in people with fibromyalgia. Researchers analyzed 12 studies involving 536 participants who underwent exercise, dietary, or multidiscip…
Hyaluronan’s Role in Fibrosis: A Pathogenic Factor or a Passive Player?
This 2015 review article explores the role of hyaluronan (HA) in fibrosis, a condition where excessive connective tissue buildup impairs organ function. HA is a key component of the extracellular matrix, known for its h…
Primo-Vascular System as Presented by Bong Han Kim
In the 1960s, researcher Bong Han Kim described a new vascular system, distinct from the blood and lymph systems, which he proposed was involved in tissue regeneration. However, his work was difficult for later scientis…
Evidence for the existence of nociceptors in rat thoracolumbar fascia
This animal study on rats investigated the presence of pain-sensing nerve fibers (nociceptors) in the thoracolumbar fascia. Researchers compared normal fascia with tissue in which they had induced inflammation. The resu…
Understanding Fibroblasts in Order to Comprehend the Osteopathic Treatment of the Fascia
In this review paper, the authors argue that understanding fibroblasts is essential for comprehending and applying osteopathic treatment of the fascia. As the foundational cells of connective tissue, fibroblasts have ma…
Mitochondrial Dysfunction and Disturbed Coherence: Gate to Cancer
This theoretical paper explores the link between cellular energy and cancer. Healthy cells maintain a stable, coherent electrical state through continuous energy production in the mitochondria. The authors propose that…
Fascia and Primo Vascular System
In 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…
The content and size of hyaluronan in biological fluids and tissues
Hyaluronan is a simple sugar polymer found throughout the body's tissues and fluids. It is typically produced as a very large, high-molecular-mass molecule. This narrative review notes that during processes like inflamm…
Remodelling the extracellular matrix in development and disease
This narrative review describes the extracellular matrix (ECM), a dynamic network present in all body tissues that undergoes constant remodeling. This remodeling process is crucial for regulating cell functions like pro…
Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective
This narrative review explores the historical and scientific understanding of myofascial trigger points (MTrPs) and their role in myofascial pain syndrome (MPS). MTrPs are palpable nodules in taut muscle bands, long con…
Modeled Osteopathic Manipulative Treatments: A Review of Their in Vitro Effects on Fibroblast Tissue Preparations
This 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…
Glycosaminoglycans and Proteoglycans in Palmar Fascia of Patients with Dupuytren
In this experimental study, researchers investigated the role of glycosaminoglycans (GAGs), a type of molecule in connective tissue, in Dupuytren's disease. The team analyzed palmar fascia tissue samples from 23 patient…
A multidisciplinary approach to scars: a narrative review
This narrative review examines complementary and alternative medicine approaches to treating scar tissue. The authors survey literature on osteopathy, naturopathy, and manual therapies like physiotherapy. They also disc…
Modes of cancer cell invasion and the role of the microenvironment
For cancer to spread, or metastasize, tumor cells must first invade the surrounding connective tissue (stroma). This review article describes how cancer cells can move in different ways—either as single cells or in coll…
Structural Integration as an Adjunct to Outpatient Rehabilitation for Chronic Nonspecific Low Back Pain: A Randomized Pilot Clinical Trial
This randomized pilot clinical trial investigated if adding Structural Integration (SI) to standard outpatient rehabilitation could help people with chronic non-specific low back pain. Researchers assigned 46 participan…
The effects of grounding (earthing) on inflammation, the immune response, wound healing, and prevention and treatment of chronic inflammatory and autoimmune diseases
This report summarizes research on the effects of "grounding" or "earthing," which involves direct electrically conductive contact with the Earth's surface. The research suggests this contact may influence the body's ph…
The fascial system and exercise intolerance in patients with chronic heart failure: hypothesis of osteopathic treatment
This 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…
A unifying neuro-fasciagenic model of somatic dysfunction - Underlying mechanisms and treatment - Part II
This review paper proposes a new, unifying "neuro-fasciagenic" model for understanding somatic dysfunction. The author argues for a shift in perspective, moving from a purely neurological explanation to one where fascia…
Primo Vascular System: A Unique Biological System Shifting a Medical Paradigm
This article describes the primo vascular system (PVS), a unique biological system distinct from the arteriovenous and lymphatic systems. Research suggests the PVS has immune and endocrine functions and plays a role in…
Essential Experimental Methods for Identifying Bonghan Systems as a Basis for Korean Medicine: Focusing on Visual Materials from Original Papers and Modern Outcomes
This narrative review examines methods for identifying the so-called Bonghan system, also known as the primo vascular system (PVS). This system was originally proposed in the 1960s as the anatomical basis for acupunctur…
Sensory Nerve Fibers Containing Calcitonin Gene-Related Peptide in Gastrocnemius, Latissimus Dorsi and Erector Spinae Muscles and Thoracolumbar Fascia in Mice
In this animal study, researchers investigated sensory nerve fibers containing CGRP, a peptide involved in pain signaling. They compared the presence of these nerve fibers in various muscles (gastrocnemius, latissimus d…
Hyaluronan, inflammation and breast cancer progression
This narrative review explores the link between inflammation, the tissue component hyaluronan (HA), and breast cancer progression. Cancer cells and surrounding host cells can create an inflamed microenvironment that hel…
Investigation of meningomyovertebral structures within the upper cervical epidural space: a sheet plastination study with clinical implications
This cadaver study investigated soft-tissue connections within the epidural space of the upper cervical spine using dissection and a technique called sheet plastination. The researchers found consistent connections wher…
Painful Connections: Densification Versus Fibrosis of Fascia
In 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…
Lumbopelvic muscle activation patterns in three stances under graded loading conditions: Proposing a tensegrity model for load transfer through the sacroiliac joints
Researchers investigated how lumbopelvic muscles activate to stabilize the sacroiliac (SI) joints under different loads. They compared muscle activity in 30 men during two-legged and one-legged standing while holding we…
New perspective in cell communication: Potential role of ultra-weak photon emission
This 2014 narrative review explores how cells might communicate with each other. Beyond chemical signals and direct contact, the authors discuss evidence for communication via electromagnetic radiation, specifically ult…
Mechanisms of Myofascial Pain
This 2014 narrative review discusses the potential causes of myofascial pain. Myofascial pain syndrome is a common condition involving painful trigger points in muscle, but its precise mechanisms are not well understood…
Spatiotemporal Imaging of Glutamate-Induced Biophotonic Activities and Transmission in Neural Circuits
This study on mouse brain tissue investigated biophotons, which are ultra-weak light emissions from biological systems. Researchers found that applying the neurotransmitter glutamate caused a significant and long-lastin…
Neuroreceptor Activation by Vibration-Assisted Tunneling
This theoretical study used quantum chemical modeling to explore how receptors in the nervous system get activated. The researchers propose a model where a molecule's specific vibrations, like a musical key, may be what…
Fascia—Current knowledge and future directions in physiatry: Narrative review
In this 2014 narrative review, the authors discuss fascia from the perspective of physiatry, or rehabilitation medicine. They note that while fascia is part of the body's connective tissue, its definition is unclear in…
The Medium of Haptic Perception: A Tensegrity Hypothesis
In 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…
Biotensegrity of the extracellular matrix: physiology, dynamic mechanical balance, and implications in oncology and mechanotherapy
This 2014 review article explores the concept of biotensegrity, a principle where cells and tissues maintain structural integrity through a balance of tension and compression. This dynamic mechanical balance involves th…
Chiropractic Management of Pubic Symphysis Shear Dysfunction in a Patient With Overactive Bladder
This case report describes the chiropractic care of a 24-year-old woman with an overactive bladder, specifically frequent nighttime urination that disrupted her sleep. A physical examination revealed a shear dysfunction…
Fat Connected with the Primo Vascular System
This research entry is currently available as a title only, so a detailed summary is not yet possible. The title, "Fat Connected with the Primo Vascular System," suggests an investigation into the relationship between a…
The cervical myodural bridge, a review of literature and clinical implications
This literature review examines the cervical myodural bridge, a soft tissue connection between deep suboccipital muscles and the dura mater surrounding the spinal cord. This bridge appears to anchor the spinal cord and…
Clinical and symptomatological reflections: the fascial system
This narrative review discusses the fascial system as a continuous network of connective tissue that gives form and function to the entire body. The authors note that despite its importance in transmitting force, coordi…
Definition of the To Be Named Ligament and Vertebrodural Ligament and Their Possible Effects on the Circulation of CSF
In this cadaver study, researchers investigated connective tissue structures in the upper neck of 30 human specimens. They identified two specific ligaments, the 'to be named ligament' (TBNL) and the vertebrodural ligam…
Skin, fascias, and scars: symptoms and systemic connections
This review article explores how skin, fascia, and scars are interconnected and can affect the entire body. The authors describe the skin as an organ that communicates with the nervous system and other structures. When…
Specific Sizes of Hyaluronan Oligosaccharides Stimulate Fibroblast Migration and Excisional Wound Repair
Hyaluronan (HA) is a molecule important for wound healing, and its effects appear to depend on its size. In this study using cell cultures and animal models, researchers investigated how specific, small fragments of HA…
Mechanotransduction and extracellular matrix homeostasis
Connective tissues are dynamic, constantly adapting even at rest. Cells within these tissues continually sense mechanical cues from their environment through a process called mechanotransduction. In response, they maint…
Peripheral Mechanisms Contributing to Spasticity and Implications for Treatment
This 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…
Deformations Experienced in the Human Skin, Adipose Tissue, and Fascia in Osteopathic Manipulative Medicine
This 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…
Our Internal Universe
This 2014 entry, titled 'Our Internal Universe' by Stephen M Levin, has not yet been summarized. The title suggests a conceptual exploration of the body's internal environment, possibly from a structural or philosophica…
Clinical Relevance of Fascial Tissue and Dysfunctions
Fascia is a continuous network of connective tissue that supports the entire body. Traditionally seen as a passive structure, recent research shows it plays a more active role. Fascia contains contractile elements that…
Vibration Induced Osteogenic Commitment of Mesenchymal Stem Cells is Enhanced by Cytoskeletal Remodeling but not Fluid Shear
This laboratory study investigated how mechanical vibrations encourage stem cells to develop into bone cells. Researchers tested two potential mechanisms: the force of fluid moving across the cells (fluid shear) and cha…
A pilot study of myofascial release therapy compared to Swedish massage in Fibromyalgia
This small pilot study compared the effects of myofascial release (MFR) and Swedish massage on women with fibromyalgia. Participants received either MFR or Swedish massage for 90 minutes weekly over four weeks. While bo…
Fascia Research Congress Evidence from the 100 year perspective of Andrew Taylor Still
This review paper examines research from the first three International Fascia Research Congresses through the perspective of Andrew Taylor Still, the founder of osteopathic medicine. Over a century ago, Still described…
The Primo Vascular System as a New Anatomical System
This review paper proposes the existence of a "primo vascular system" (PVS) as the physical, anatomical basis for the meridian system of traditional Eastern medicine. According to the authors, this previously unknown sy…
Dosed Myofascial Release in Three-Dimensional Bioengineered Tendons: Effects on Human Fibroblast Hyperplasia, Hypertrophy, and Cytokine Secretion
This laboratory study investigated how different amounts and durations of simulated myofascial release (MFR) affect lab-grown human tendon tissue. Researchers applied varying degrees of stretch for different lengths of…
Helical Structure of the Cardiac Ventricular Anatomy Assessed by Diffusion Tensor Magnetic Resonance Imaging With Multiresolution Tractography
In this animal study, researchers used advanced magnetic resonance imaging (MRI) and computer modeling to visualize the complex fiber structure of the heart muscle in dogs. They developed an automated method to trace th…
Visceral and Somatic Disorders: Tissue Softening with Frequency-Specific Microcurrent
This review article explores a technique called Frequency-Specific Microcurrent (FSM), which uses microampere-level electrical currents to treat various health conditions. A consistent finding is a rapid and palpable so…
Sensory findings after stimulation of the thoracolumbar fascia with hypertonic saline suggest its contribution to low back pain
This experimental study investigated the role of the thoracolumbar fascia as a potential source of low back pain. Researchers injected a pain-inducing saline solution into the fascia, back muscles, and subcutaneous tiss…
Primo Vascular System: Past, Present, and Future
As only the title of this article was available, this summary is necessarily limited. The title, "Primo Vascular System: Past, Present, and Future," suggests this is a review article. It likely covers the history of the…