Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal
Case Report

Acute effect of myofascial reorganization of the trapezius muscle in peripheral muscle oxygenation in asympomatic subjects – a case series.

Larissa Sinhorim, Mayane Amorim, Laureani Jaques Torres, Janaína Wagner, Nathália Tiepo Niza, Francisco De Paula Lemos, Verônica Vargas Horewicz Anelise Sonza, Gilmar Moraes Santos

Downloads: 0
Views: 22


Background: Myofascial Reorganization (MFR) is a physiotherapy technique that mixes myofascial pressures and slips and has been used as a simple and non-invasive method that readjusts soft tissues, as well as myofascial adhesions and contractures that may cause decreased blood supply and consequently of physical activity. Objective: To verify if the MFR alters the tissue oxygenation of the trapezius muscle (TM) in subjects without the pain symptom in the evaluation day. Methods: The sample consisted of eight subjects with a mean age of 23 (± 6) years and a body mass index of 23.2 (±15.0) kg.m-2. Changes in muscle oxygenation were measured by near infrared spectroscopy (NIRS) (Portamon, Artinis, the Netherlands) in TM before and after 15 minutes of intervention. The proposed MFR protocol lasted approximately 10 minutes and consisted of pressures, stretching and myofascial slippage of the upper, middle and lower TM fibers. Data normality was performed using the Shapiro Wilk test and due to the parametric nature of the data, the paired t-test was used for pre and post intervention comparison. Results: There was a significant increase in the tissue saturation index (TSI) in the trapezius muscle (80.7±2.7% vs. 89.4±4.6%; p= 0.002) in the pre and post intervention comparison. The pre-post variation delta of oxyhemoglobin - O2 Hb (8.1±11.2 g/dL), deoxyhemoglobin - HHb (-0.72±1.6 g/dL) and total hemoglobin - tHB (7.4±12.3 g/dL) showed no significant difference. However, there was an increase in O2 Hb, tHB levels and a decrease in HHb. Conclusion: The findings showed that the MFR applied on trapezius muscle increased the TSI, which reflects on peripheral muscle oxygenation in subjects without pain in the day of evaluation.


Myofascial Release; Physical Therapy Modalities; Mechanotransduction; Oxygen Level.


1. Soggard K, Fallentin N, Nielsen J. Work load during floor cleaning. The effect of cleaning methods and work technique. Eur. J. Appl. Physiol. Occup. Physiol. 1996, 73 (1–2): 73-81.

2. Freitas, Fabiana Cristina Taubert de. A ginástica Laboral na redução de queixas de estresse ocupacional e dor osteomuscular em funcionários administrativos de uma universidade pública. Diss. Universidade de São Paulo, 2010.

3. Hoy D, March L, Woolf A, Blyth F, Brooks P, Smith E. et al. “The global burden of neck pain: estimates from the global burden of disease 2010 study.” Ann Rheum Dis. 2014 Jul; 73(7): 1309-15.

4. Stapait EL, Dalsoglio M, Ehlers AM, Santos GM. Fortalecimento dos estabilizadores da cintura escapular na dor no ombro: revisão sistemática; Fisioter Mov, 2013. 26(3): 667-75.

5. Boushel R, Langberg H, Olesen J, Gonzalas AJ, Bulow J, Kjaer M. Monitoring tissue oxygen availability with near infrared spectrocopy (NIRS) in health and disease. Scandinavian Journal of Medicine & Science in Sports, 2001; 11: 213-22.

6. Findley T, Schleip R. Fascia. Elsevier. 2007.

7. Mckenney K, Elder AS, Elder C, Hutchins A. Myofascial Release as a Treatment for Orthopaedic Conditions: A Systematic Review. J Athl Train. 2013 Jul-Aug; 48(4): 522-27.

8. Findley TW. Fascia research. third international fascia research congress. Int J Ther Massage Bodywork. 2010; 3(4): 1-4.

9. Lewit K, Olsanska S. Clinical importance of active scars: abnormal scars as a cause of myofascial pain. Journal of manipulative and physiological therapeutics. 2004, 27(6): 399–402.

10. Schleip R. Fascial plasticity, a new neurobiological explanation. Journal of Bodywork and Movement Therapy. 2003; 7, 1: 11-19.

11. Prado SS, Oliveira SP. Liberação miofascial para o tratamento cefaleia tensional, 2010,, acessado em: 14/06/2018.

12. Ajimsha MS, Daniel B, Chuthra S. Effectiveness of myofascial release in the management of chronic low back pain in nursing professionals. J Bodyw Mov Ther. 2014; 14; 18: 273–81.

13. Lima L.A. Liberação Miofascial no Tratamento de Nódulos Reumatoides, 2014, Miofascial_no_Tratamento_de_Nódulos_Reumatoides.pdf, acessado em: 06/05/2018.

14. Lima, Alexandre, and Jan Bakker. “Espectroscopia no infravermelho próximo para a monitorização da perfusão tecidual.” Rev Bras Ter Intensiva. 2011; 23.3: 341-51.

15. Ferrari M, Motolla L, Quaresima V. Principles, techniques, and limitation of near infrared spectroscopy. Canadian Journal of Applied Physiology. 2004; 29, 463-87.

16. Lin JH, Maikala RV, Mcgorry R, Burnette C. NIRS application in evaluating threaded-fastener driving assembly tasks. International Journal of Industrial Ergonomics. 2010; 40: 146-52.

17. Schah Y, Arkesteijn M, Thomas D, Whyman J, Passfield L. The acute effects of integrated myofascial techniques on lumbar paraspinal blood flow compared with kinesio-taping: A pilot study. J Bodyw Mov Ther. 2017; 21(2): 459-467.

18. Amorim MS, Sinhorim LMB, Santos GM. Fascia Toracolombar E A Liberação Miofascial Como Tratamento Fisioterapêutico Na Dor Lombar: Revisão De Literatura. Revista Inspirar. 2018; 15,1: 44-50.

19. Lehmann JF, Masock AJ, Warren CG, Et Al. Effect of therapeutic temperatures on tendon extensibility. Arch. Phys. Med. Rehabil. 1970; 50: 481-87.

20. Taylor DC, Et Al. Viscoelastic properties of muscle-tendon units: The biomechanical effects of stretching. Am J Sports Med. 1990; 18,3: 300-8.

21. Schleip R. Active fascial contractility: Fascia may be able to contract in a smooth muscle-like manner and thereby influence musculoskeletal dynamics. Med Hypotheses. 2005;65(2):273-7.

22. Bienfait M. Fáscia e pompage. 4. ed. São Paulo: Summus, 1999.

23. Myers TW. Trilhos Anatômicos. 2 ed. Rio de Janeiro: Editora Elsevier, 2010.

24. Prentice WE. Fisioterapia na prática esportiva: uma abordagem baseada em competências. 14.ed. São Paulo: Artmed, 2011.

25. Morikawa Y, Takamoto K, Nishimaru H, Taguchi T, Urakawa S, Sakai S, Ono T, Nishjo H. Compression at Myofascial Trigger Point on Chronic Neck Pain Provides Pain Relief through the Prefrontal Cortex and Autonomic Nervous System: A Pilot Study. Front Neurosci, 2016; 11: 186-91

26. Pardali E, Sanchez-Duffhues G, Gomez-Puerto MC, Ten Dijke P. TGF-βInduced Endothelial-Mesenchymal Transition in Fibrotic Diseases. Int J Mol Sci. 2017 Oct 17;18(10). pii: E2157.

27. Cox JM. Dor lombar: mecanismo, diagnóstico e tratamento. 6. ed. São Paulo: Manole; 2002.

28. Bouffard NA, Cutroneo KR, Badger GJ, White SL, Buttolph TR, Ehrlich HP et al. Tissue Stretch Decreases Soluble TGF-β1 and Type-1 Procollagen in Mouse Subcutaneous Connective Tissue: Evidence From Ex Vivo and In Vivo Models. J Cell Physiol. 2008; 214, 2: 389-95

5dde70a00e882544457b23c7 mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections