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Fasya ve Faset Eklemi Arasındaki İlişki: Sistematik Derleme

Year 2021, Volume: 3 Issue: 1, 3 - 15, 31.12.2021
https://doi.org/10.53445/batd.994974

Abstract

Fasyanın son yıllarda hem değerlendirme hem de terapatik uygulamalar açısından ön plana çıkması, kas iskelet sistemi rahatsızlıklarını farklı bir bakış açısı ile değerlendirmek açısından bir fırsat ortaya çıkarmıştır. Bu çalışmada fasyanın faset eklemi ile anatomik, biyomekanik özellikleri ve bağlantıları, tedavi yöntemlerinde nasıl bir etkileşim içinde oldukları ortaya konulmaya çalışılmıştır. Literatür taraması amacıyla Pubmed, Google Scholar ve ResearchGate veri tabanlarındandan yararlanıldı. Bu incelemeye 2013 ve 2017 yılları arasında yer alan dört adet tam metne sahip makale çalışma dahil edildi. Ayrıca; faset eklemin dahil olduğu sırt ve boyun kaynaklı ağrı ve dizabilite problemlerinde fasyal tedavi yöntemleri araştırıldı. Anahtar kelime kombinasyonları “faset eklem” ve “fasya”, ‘’ve, veya’’ kullanılarak, “fizik tedavi”, “rehabilitasyon” ve “fasyal tedavi yaklaşımları” gibi diğer kelimelerle birleştirildi. Dahil edilen çalışmaların kalite değerlendirmesi PEDro ölçeği kullanılarak yapılmıştır. Arama 4 tam makalenin incelendiği 31 sonuç üretti. 367 katılımcıyı içeren dört randomize kontrollü araştırma incelemeye dahil edildi. Bu çalışmaların metodolojik kalitesi iki tanesi düşük, iki tanesi orta olarak ortaya konuldu. Genel olarak fasyal terapatik yaklaşımların ağrı, spazm skorları ve eklem hareket açıklığı (EHA) kısıtlılığı üzerinde etkili olduğu görüldü. Bu derleme, faset eklem disfonksiyonu sebebiyle ortaya çıkan ağrı, EHA kısıtlılığı ve spazm gibi semptomlar için fasyal tedavi yaklaşımlarının etkinliği hakkında metodolojik bir yöntem izleyerek kanıta dayalı bilgiler sunmuştur. Fasyal tedavi yaklaşımlarının konvansiyonel fizyoterapi yöntemleriyle karşılaştırıldığı çalışmalar karşılaştırılarak değerlendirildi. Bununla birlikte klinik faydaların altında yatan mekanizmaları oluşturmak için daha fazla araştırmaya ihtiyaç vardır.

References

  • Acarkan T., Elmacıoğlu M.A., Nazlıkul H. (2019). Faset Eklem Sendromu ve Klinik Yansımaları, Journal Of Complementary Medicine, Regulation and Neural Therapy Volume 13, Number 1.
  • Ashton, I. K., Ashton, B. A., Gibson, S. J., Polak, J. M., Jaffray, D. C., Eisenstein, S. M. (1992). Morphological basis for back pain: the demonstration of nerve fibers and neuropeptides in the lumbar facet joint capsule but not in ligamentum flavum. Journal of orthopaedic research: official publication of the Orthopaedic Research Society, 10(1), 72–78. https://doi.org/10.1002/jor.1100100109
  • Barnes MF (1997). The basic science of myofascial release: morphologic changes in connective tissue. IN: Journal of Bodywork and Movement Therapies, 1(4): 231-238
  • Barop H. (2017): Textbook and Atlas of Neural Therapy: Diagnosis and Therapy with Local Anesthetics Thieme.
  • Bogduk N. (1997). Clinical anatomy of the lumbar spine and sacrum, 3rd edition. Edinburgh: Churchill Livingstone.
  • Bogduk N., Wilson A. S., Tynan W. (1982). The human lumbar dorsal rami. Journal of anatomy, 134(Pt 2), 383–397.
  • Brown D. (2020). A Review of the PubMed PICO Tool: Using Evidence-Based Practice in Health Education. Health Promot Pract. 21(4):496-498. doi:10.1177/1524839919893361
  • Falco F. J., Manchikanti L., Datta S., Sehgal N., Geffert S., Onyewu O., Singh V., Bryce D. A., Benyamin R. M., Simopoulos T. T., Vallejo R., Gupta S., Ward S. P., Hirsch J. A. (2012). An update of the systematic assessment of the diagnostic accuracy of lumbar facet joint nerve blocks. Pain physician, 15(6), E869–E907.
  • Filippiadis D. K., Kelekis A. (2016). A review of percutaneous techniques for low back pain and neuralgia: current trends in epidural infiltrations, intervertebral disk and facet joint therapies. The British journal of radiology, 89(1057), 20150357. https://doi.org/10.1259/bjr.20150357
  • Findley T, Chaudhry H, Stecco A, Roman M (2012). Fascia research: A narrative review. IN: Journal of Bodywork and Movement Therapies, 16(1): 67-75
  • Fujiwara A., Lim T. H., An H. S., Tanaka N., Jeon C. H., Andersson G. B., Haughton V. M. (2000). The effect of disc degeneration and facet joint osteoarthritis on the segmental flexibility of the lumbar spine. Spine, 25(23), 3036–3044. https://doi.org/10.1097/00007632-200012010-00011
  • Glover J. R. (1977). Arthrography of the joints of the lumbar vertebral arches. The Orthopedic clinics of North America, 8(1), 37–42.
  • Hestbaek L., Kongsted A., Jensen T. S., Leboeuf-Yde, C. (2009). The clinical aspects of the acute facet syndrome: results from a structured discussion among European chiropractors. Chiropractic & osteopathy, 17, 2. https://doi.org/10.1186/1746-1340-17-2
  • Hutton B., Salanti G., Caldwell D.M. (2015). The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Ann Inter Med. 162(11):777-784.
  • Langevin H.M., Bouffard N.A., Churchill D.L., Badger G.J. (2007). Connective tissue fibroblast response to acupuncture: dose- dependent effect of bidirectional needle rotation. J Altern Complement Med 13, 355–360.
  • Langevin H.M., Sherman KJ. (2006). Pathophysiological model for chronic low back pain integrating connective tissue and nervous system mechanisms. Medical Hypotheses, vol. 68, no. 1, pp. 74–80.
  • Li W.D., Xu. H.Q., Qiu H.S. (2013). Tuina is superior to electroacupuncture in treating thoracic facet joint disorder. J. Acupunct. Tuina. Sci. 11, 375–379. https://doi.org/10.1007/s11726-013-0730-1
  • Maher C.G., Sherrington C., Herbert R.D., Moseley A.M., Elkins M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 83(8):713-721.
  • Mejuto-Vázquez M. J., Salom-Moreno J., Ortega-Santiago R., Truyols-Domínguez S., Fernández-de-Las-Peñas, C. (2014). Short-term changes in neck pain, widespread pressure pain sensitivity, and cervical range of motion after the application of trigger point dry needling in patients with acute mechanical neck pain: a randomized clinical trial. The Journal of orthopaedic and sports physical therapy, 44(4), 252–260. https://doi.org/10.2519/jospt.2014.5108.
  • Paoletti S (2011). Fascia, anatomy, structures, techniques, special osteopathy, Urban and Fischer Verlag, Elsevier GmbH, München: 87ff., 103, 114, 117, 118f., 122.
  • Schleip R, Klingler W, Lehmann-Horn F (2008). Faszien besitzen eine der glatten Muskulatur vergleichbare Kontraktionsfähigkeit und können so die muskuloskelettale Mechanik beeinflussen IN: Osteopathische Medizin, 9(4): 19-21
  • Schwarzer A.C., Derby R., Aprill C.N. (1994). The value of the provocation response in lumbar zygapophyseal joint injections. The Clinical Journal of Pain. Dec;10(4):309-313. DOI: 10.1097/00002508-199412000-00011.
  • Shanmugam S., Mathias L. (2017). Immediate Effects of Paraspinal Dry Needling in Patients with Acute Facet Joint Lock Induced Wry Neck, Journal of Clinical and Diagnostic Research. Jun, Vol-11(6): YM01-YM03, DOI: 10.7860/JCDR/2017/26407.10079
  • Standring S. (2004). Gray’s Anatomy: the Anatomical Basis of Clinical Practice. Edinburgh: Churchill Livingstone.
  • Stecco C, Porzionato A, Lancerotto L, Stecco A, Macchi V, Day JA, De Caro R (2008). Histological study of the deep fasciae of the limbs IN: Journal of Bodywork and Movement Therapies, 12(3): 225-230.
  • Wentzell M. (2016). Fascial Dysfunction-Manual Therapy Approaches. The Journal of the Canadian Chiropractic Association, 60(1), 123.
  • Willard F.H. (2007). The muscular, ligamentous, and neural structure of the lumbosacrum and its relationship to low back pain. Movement, Stability & Lumbopelvic Pain. 5-45. 10.1016/B978-044310178-6.50003-7.
  • Vleeming A., Stoeckart R. (2007). The role of the pelvic girdle in coupling the spine and the legs: A clinical-anatomical perspective on pelvic stability. Movement, Stability & Lumbopelvic Pain. 113-137. 10.1016/B978-044310178-6.50010-4.
  • Ye T., Xue H.W., Wang Y., Liu L., Sun J.B. (2013). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 33(12), 1077–1080.
  • Zeni J. A., Rudolph K., Higginson J. S. (2010). Alterations in quadriceps and hamstrings coordination in persons with medial compartment knee osteoarthritis. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 20(1), 148–154. https://doi.org/10.1016/j.jelekin.2008.12.003
  • Zhou W.C., Zhu J.F. (2016). Clinical observation on acupuncture at Jiaji (EX-B 2) points plus tuina in treating thoracic facet joint disorder. J Acupunct Tuina Sci, 14(2): 126-130. DOI: 10.1007/s11726-016-0912-8

Relationship Between Fascia and Facet Joint: Systematic Review

Year 2021, Volume: 3 Issue: 1, 3 - 15, 31.12.2021
https://doi.org/10.53445/batd.994974

Abstract

In recent years, the prominence of fascia in physiotherapy applications in terms of both evaluation and therapeutic approaches has created an opportunity to evaluate musculoskeletal disorders from a different perspective. In this study, it has been tried to reveal the anatomical connections of the fascia with the facet joint, its biomechanical properties, and how they interact when therapeutic approaches are applied to the fascia. Pubmed, Google Scholar and ResearchGate databases were used for literature review. Four full-text research articles published between 2013 and 2017 were included in this review. Also; The effects of facial therapeutic methods in the treatment of symptoms in the back and neck region caused by facet joint involvement were investigated. Keyword combinations “facet joint” and “fascia” were combined with other words such as “physical therapy”, “rehabilitation” and “fascial therapy approaches” using “and, or”. Quality assessment of the included studies was done using the PEDro scale. The search produced 31 results, of which four full articles were reviewed. Four randomized controlled trials involving 367 participants were included in our study. When the methodological quality of these studies was examined, two were revealed as low quality and two as medium quality. In general, facial therapeutic approaches were found to be effective on pain, spasm and limitation of joint range of motion (ROM). This review study presented evidence-based information on the effectiveness of facial therapeutic approaches for symptoms such as pain, spasm, and ROM limitation due to facet joint dysfunction, following a methodological method. It has been revealed that facial therapeutic approaches in facet joint dysfunction show significant improvement in the symptoms of pain, spasm and ROM limitation. More research is needed to understand the mechanisms underlying the effectiveness of these practices.

References

  • Acarkan T., Elmacıoğlu M.A., Nazlıkul H. (2019). Faset Eklem Sendromu ve Klinik Yansımaları, Journal Of Complementary Medicine, Regulation and Neural Therapy Volume 13, Number 1.
  • Ashton, I. K., Ashton, B. A., Gibson, S. J., Polak, J. M., Jaffray, D. C., Eisenstein, S. M. (1992). Morphological basis for back pain: the demonstration of nerve fibers and neuropeptides in the lumbar facet joint capsule but not in ligamentum flavum. Journal of orthopaedic research: official publication of the Orthopaedic Research Society, 10(1), 72–78. https://doi.org/10.1002/jor.1100100109
  • Barnes MF (1997). The basic science of myofascial release: morphologic changes in connective tissue. IN: Journal of Bodywork and Movement Therapies, 1(4): 231-238
  • Barop H. (2017): Textbook and Atlas of Neural Therapy: Diagnosis and Therapy with Local Anesthetics Thieme.
  • Bogduk N. (1997). Clinical anatomy of the lumbar spine and sacrum, 3rd edition. Edinburgh: Churchill Livingstone.
  • Bogduk N., Wilson A. S., Tynan W. (1982). The human lumbar dorsal rami. Journal of anatomy, 134(Pt 2), 383–397.
  • Brown D. (2020). A Review of the PubMed PICO Tool: Using Evidence-Based Practice in Health Education. Health Promot Pract. 21(4):496-498. doi:10.1177/1524839919893361
  • Falco F. J., Manchikanti L., Datta S., Sehgal N., Geffert S., Onyewu O., Singh V., Bryce D. A., Benyamin R. M., Simopoulos T. T., Vallejo R., Gupta S., Ward S. P., Hirsch J. A. (2012). An update of the systematic assessment of the diagnostic accuracy of lumbar facet joint nerve blocks. Pain physician, 15(6), E869–E907.
  • Filippiadis D. K., Kelekis A. (2016). A review of percutaneous techniques for low back pain and neuralgia: current trends in epidural infiltrations, intervertebral disk and facet joint therapies. The British journal of radiology, 89(1057), 20150357. https://doi.org/10.1259/bjr.20150357
  • Findley T, Chaudhry H, Stecco A, Roman M (2012). Fascia research: A narrative review. IN: Journal of Bodywork and Movement Therapies, 16(1): 67-75
  • Fujiwara A., Lim T. H., An H. S., Tanaka N., Jeon C. H., Andersson G. B., Haughton V. M. (2000). The effect of disc degeneration and facet joint osteoarthritis on the segmental flexibility of the lumbar spine. Spine, 25(23), 3036–3044. https://doi.org/10.1097/00007632-200012010-00011
  • Glover J. R. (1977). Arthrography of the joints of the lumbar vertebral arches. The Orthopedic clinics of North America, 8(1), 37–42.
  • Hestbaek L., Kongsted A., Jensen T. S., Leboeuf-Yde, C. (2009). The clinical aspects of the acute facet syndrome: results from a structured discussion among European chiropractors. Chiropractic & osteopathy, 17, 2. https://doi.org/10.1186/1746-1340-17-2
  • Hutton B., Salanti G., Caldwell D.M. (2015). The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations. Ann Inter Med. 162(11):777-784.
  • Langevin H.M., Bouffard N.A., Churchill D.L., Badger G.J. (2007). Connective tissue fibroblast response to acupuncture: dose- dependent effect of bidirectional needle rotation. J Altern Complement Med 13, 355–360.
  • Langevin H.M., Sherman KJ. (2006). Pathophysiological model for chronic low back pain integrating connective tissue and nervous system mechanisms. Medical Hypotheses, vol. 68, no. 1, pp. 74–80.
  • Li W.D., Xu. H.Q., Qiu H.S. (2013). Tuina is superior to electroacupuncture in treating thoracic facet joint disorder. J. Acupunct. Tuina. Sci. 11, 375–379. https://doi.org/10.1007/s11726-013-0730-1
  • Maher C.G., Sherrington C., Herbert R.D., Moseley A.M., Elkins M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 83(8):713-721.
  • Mejuto-Vázquez M. J., Salom-Moreno J., Ortega-Santiago R., Truyols-Domínguez S., Fernández-de-Las-Peñas, C. (2014). Short-term changes in neck pain, widespread pressure pain sensitivity, and cervical range of motion after the application of trigger point dry needling in patients with acute mechanical neck pain: a randomized clinical trial. The Journal of orthopaedic and sports physical therapy, 44(4), 252–260. https://doi.org/10.2519/jospt.2014.5108.
  • Paoletti S (2011). Fascia, anatomy, structures, techniques, special osteopathy, Urban and Fischer Verlag, Elsevier GmbH, München: 87ff., 103, 114, 117, 118f., 122.
  • Schleip R, Klingler W, Lehmann-Horn F (2008). Faszien besitzen eine der glatten Muskulatur vergleichbare Kontraktionsfähigkeit und können so die muskuloskelettale Mechanik beeinflussen IN: Osteopathische Medizin, 9(4): 19-21
  • Schwarzer A.C., Derby R., Aprill C.N. (1994). The value of the provocation response in lumbar zygapophyseal joint injections. The Clinical Journal of Pain. Dec;10(4):309-313. DOI: 10.1097/00002508-199412000-00011.
  • Shanmugam S., Mathias L. (2017). Immediate Effects of Paraspinal Dry Needling in Patients with Acute Facet Joint Lock Induced Wry Neck, Journal of Clinical and Diagnostic Research. Jun, Vol-11(6): YM01-YM03, DOI: 10.7860/JCDR/2017/26407.10079
  • Standring S. (2004). Gray’s Anatomy: the Anatomical Basis of Clinical Practice. Edinburgh: Churchill Livingstone.
  • Stecco C, Porzionato A, Lancerotto L, Stecco A, Macchi V, Day JA, De Caro R (2008). Histological study of the deep fasciae of the limbs IN: Journal of Bodywork and Movement Therapies, 12(3): 225-230.
  • Wentzell M. (2016). Fascial Dysfunction-Manual Therapy Approaches. The Journal of the Canadian Chiropractic Association, 60(1), 123.
  • Willard F.H. (2007). The muscular, ligamentous, and neural structure of the lumbosacrum and its relationship to low back pain. Movement, Stability & Lumbopelvic Pain. 5-45. 10.1016/B978-044310178-6.50003-7.
  • Vleeming A., Stoeckart R. (2007). The role of the pelvic girdle in coupling the spine and the legs: A clinical-anatomical perspective on pelvic stability. Movement, Stability & Lumbopelvic Pain. 113-137. 10.1016/B978-044310178-6.50010-4.
  • Ye T., Xue H.W., Wang Y., Liu L., Sun J.B. (2013). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 33(12), 1077–1080.
  • Zeni J. A., Rudolph K., Higginson J. S. (2010). Alterations in quadriceps and hamstrings coordination in persons with medial compartment knee osteoarthritis. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 20(1), 148–154. https://doi.org/10.1016/j.jelekin.2008.12.003
  • Zhou W.C., Zhu J.F. (2016). Clinical observation on acupuncture at Jiaji (EX-B 2) points plus tuina in treating thoracic facet joint disorder. J Acupunct Tuina Sci, 14(2): 126-130. DOI: 10.1007/s11726-016-0912-8
There are 31 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Review Articles
Authors

Alper Perçin 0000-0001-7974-6945

Hasan Kerem Alptekin 0000-0003-2429-5651

Publication Date December 31, 2021
Published in Issue Year 2021 Volume: 3 Issue: 1

Cite

APA Perçin, A., & Alptekin, H. K. (2021). Fasya ve Faset Eklemi Arasındaki İlişki: Sistematik Derleme. Bütünleyici Ve Anadolu Tıbbı Dergisi, 3(1), 3-15. https://doi.org/10.53445/batd.994974

Bütünleyici ve Anadolu Tıbbı Dergisi

Journal of Integrative and Anatolian Medicine