Research.
Every peer-reviewed study on fascia in one place — graded for strength of evidence, summarised in plain language for clinicians, researchers, and curious readers.
We grade studies from A to 1A+++ using the Fascia Research Database rubric — 1A+++ is the strongest.
Researchers behind the studies- A2011
A questionnaire survey of UK physiotherapists on the diagnosis and management of contracted (frozen) shoulder
Nigel C A Hanchard, Lorna Goodchild, Jackie Thompson, Tracey O’Brien, Dot Davison, Chris RichardsonThis survey of 289 UK physiotherapists explored how they diagnose and manage frozen shoulder. The results showed that diagnosis typically relies on assessing movement restriction, particularly passive external rotation.…
frozen shoulderAdhesive capsulitisShoulder painDiagnosisTherapy - A2011
Sensory Innervation of the Nonspecialized Connective Tissues in the Low Back of the Rat
Sarah M Corey, Margaret A Vizzard, Gary J Badger, Helene M LangevinIn this animal study, researchers investigated the sensory nerves in the nonspecialized connective tissue of the rat low back, an area where knowledge is limited. Using 3D reconstruction and dye-labeling techniques, the…
fasciaConnective tissueinnervationlow back painmusculoskeletal pain - A2011
The extracellular matrix: an active or passive player in fibrosis?
T N Wight, S Potter-PerigoFibrosis, the excessive buildup of scar tissue, can be understood as a wound healing process that has gone awry. Normally, specialized cells called myofibroblasts help repair tissue and then disappear, but in fibrosis,…
fasciaprovisional extracellular matrixmyofibroblatcollagenhyaluronan proteoglycans - A2011
Anatomical Connection Between the Rectus Capitis Posterior Major and the Dura Mater
Frank Scali, Eric S Marsili, Matthew E PontellIn this anatomical study, researchers dissected 13 cadavers to investigate a connection between a deep neck muscle and the dura mater, the protective covering of the spinal cord. In 11 of the 13 specimens, they found a…
fasciacervical spineposterior atlantoaxial interspacerectus capitis posterior majorspinal dura - A2011
Hyaluronan: From Extracellular Glue to Pericellular Cue
B P TooleHyaluronan is traditionally seen as a biological 'goo' that lubricates joints and holds connective tissues together. This review describes how hyaluronan also functions as an important signaling molecule, or cue, in the…
hyaluronanfasciasignal transductioncancer - A2011
Pandiculation: Nature’s way of maintaining the functional integrity of the myofascial system?
Luiz Fernando BertolucciThis paper explores the hypothesis that pandiculation—the involuntary stretching and yawning most animals do upon waking—serves a key role for the locomotor system. Beyond preparing the nervous system for wakefulness, t…
fasciaConnective tissuemyofasciayawningsleep-wake rhythm - A2011
Fibroblasts and Myofibroblasts: What are we talking about?
Jennifer Baum, Heather S DuffyThis 2011 narrative review explores the roles of fibroblasts and myofibroblasts, two key cell types in the heart's connective tissue. Once considered static, research indicates these cells are dynamic and play an active…
fasciafibroblastMyofibroblast - A2011
High and Low Molecular Weight Hyaluronic Acid Differentially Regulate Human Fibrocyte Differentiation
A S Maharjan, D Pilling, R H GomerFollowing tissue injury, immune cells called monocytes can differentiate into fibrocytes, a cell type involved in healing and fibrosis. This study investigated how different sizes of hyaluronic acid (HA) affect this pro…
hyaluronanfasciafibrocyte differentiationmonocyte - A2011
Fibroblast cytoskeletal remodeling contributes to connective tissue tension
H M Langevin, N A Bouffard, J R Fox, B M Palmer, J Wu, J C Iatridis, W D Barnes, G J Badger, A K HoweThe mechanical properties of connective tissue, such as its elasticity and resistance, have traditionally been attributed to its non-cellular matrix. This study investigated the role of fibroblasts, the cells residing w…
fasciaConnective tissuefibroblastcytoskeletal remodeling - A2011
Dynamic fascial release and the role of mechanical/vibrational assist devices in manual therapies
Zachary ComeauxThis review article explores the use of mechanical vibration devices in manual therapy. The author examines several such tools, including percussion vibrators, vibrational platforms, and deep tissue oscillation. The art…
fasciaConnective tissuevibrationpercussion vibrationtonic vibratory reflex - A2011
Structure and function of the skeletal muscle extracellular matrix
Allison R Gillies, Richard L LieberThis narrative review explores the extracellular matrix (ECM), the connective tissue network within skeletal muscle. The authors describe the ECM's crucial roles in transmitting force and in muscle maintenance and repai…
Skeletal muscle; extracellular matrix; collagen; biomechanics; fibrosis - A2011
Hyaluronan in intestinal homeostasis and inflammation: implications for fibrosis
Carol A de la MotteThis narrative review explores the role of hyaluronan (HA) in intestinal health and disease. Chronic intestinal inflammation can lead to fibrosis, or scarring, a process driven by inflammatory signals and specialized ce…
hafasciaextracellular matrixfibrosismesenchymal cells
