Biomechanical effects of fascial hydrorelease: a cadaveric study
Abstract Background We aimed to investigate the influence of hydrorelease (HR) on the gliding resistance force between the aponeurotic fascia and epimysial fascia of tibialis anterior and between two epimysial fasciae of tibialis posterior and flexor digitorum longus using a biomechanical testing sy...
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BMC
2025-03-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08533-y |
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| author | Kousuke Shiwaku Hidenori Otsubo Daisuke Suzuki Carmelo Pirri Taiki Kodesyo Tomoaki Kamiya Keigo Taniguchi Hirofumi Ohnishi Atsushi Teramoto Carla Stecco |
| author_facet | Kousuke Shiwaku Hidenori Otsubo Daisuke Suzuki Carmelo Pirri Taiki Kodesyo Tomoaki Kamiya Keigo Taniguchi Hirofumi Ohnishi Atsushi Teramoto Carla Stecco |
| author_sort | Kousuke Shiwaku |
| collection | DOAJ |
| description | Abstract Background We aimed to investigate the influence of hydrorelease (HR) on the gliding resistance force between the aponeurotic fascia and epimysial fascia of tibialis anterior and between two epimysial fasciae of tibialis posterior and flexor digitorum longus using a biomechanical testing system. Methods In this cadaveric comparative study, 12 paired legs amputated above the knee joint from six fresh-frozen specimens were divided into two groups. The distal insertions of the target tendons of the tibialis anterior and posterior were detached and sutured to a force gauge for tension measurement during tendon pull. These tendons were representatives of the layer between the aponeurotic and epimysial fasciae of the tibialis anterior and between the epimysial fasciae of the tibialis posterior and flexor digitorum longus. For the baseline, the position where the tension of the target tendon was approximately 15 N was determined to eliminate creep. In the HR group, the baseline test position was replicated, and force was measured. The intervention was an HR injection between the specified fascial layers. The main outcome was the gliding resistance force between the aponeurotic and epimysial fasciae and between two epimysial fasciae. Results The resistance force between the aponeurotic and epimysial fasciae in the HR group was 6.4% lower than that in the control group (P = 0.02). The resistance force between two epimysial fasciae in the HR group was 4.3% lower than that in the control group (P < 0.01). Conclusions The gliding resistance force significantly decreased after HR in the layer between the aponeurotic and epimysial fasciae and between two epimysial fasciae in this cadaveric study. |
| format | Article |
| id | doaj-art-1f63bbf80e4f493a96c3cfe5001ecb17 |
| institution | DOAJ |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-1f63bbf80e4f493a96c3cfe5001ecb172025-08-20T03:03:19ZengBMCBMC Musculoskeletal Disorders1471-24742025-03-012611810.1186/s12891-025-08533-yBiomechanical effects of fascial hydrorelease: a cadaveric studyKousuke Shiwaku0Hidenori Otsubo1Daisuke Suzuki2Carmelo Pirri3Taiki Kodesyo4Tomoaki Kamiya5Keigo Taniguchi6Hirofumi Ohnishi7Atsushi Teramoto8Carla Stecco9Department of Orthopaedic Surgery, Sapporo Medical University School of MedicineSapporo Sports ClinicDepartment of Health Science, Hokkaido Chitose Collage of RehabilitationDepartment of Neurosciences, Institute of Human Anatomy, University of PadovaDepartment of Orthopaedic Surgery, Sapporo Medical University School of MedicineDepartment of Orthopaedic Surgery, Sapporo Medical University School of MedicineSecond Division of Physical Therapy, School of Health Sciences, Sapporo Medical UniversityDepartment of Public Health, Sapporo Medical University School of MedicineDepartment of Orthopaedic Surgery, Sapporo Medical University School of MedicineDepartment of Neurosciences, Institute of Human Anatomy, University of PadovaAbstract Background We aimed to investigate the influence of hydrorelease (HR) on the gliding resistance force between the aponeurotic fascia and epimysial fascia of tibialis anterior and between two epimysial fasciae of tibialis posterior and flexor digitorum longus using a biomechanical testing system. Methods In this cadaveric comparative study, 12 paired legs amputated above the knee joint from six fresh-frozen specimens were divided into two groups. The distal insertions of the target tendons of the tibialis anterior and posterior were detached and sutured to a force gauge for tension measurement during tendon pull. These tendons were representatives of the layer between the aponeurotic and epimysial fasciae of the tibialis anterior and between the epimysial fasciae of the tibialis posterior and flexor digitorum longus. For the baseline, the position where the tension of the target tendon was approximately 15 N was determined to eliminate creep. In the HR group, the baseline test position was replicated, and force was measured. The intervention was an HR injection between the specified fascial layers. The main outcome was the gliding resistance force between the aponeurotic and epimysial fasciae and between two epimysial fasciae. Results The resistance force between the aponeurotic and epimysial fasciae in the HR group was 6.4% lower than that in the control group (P = 0.02). The resistance force between two epimysial fasciae in the HR group was 4.3% lower than that in the control group (P < 0.01). Conclusions The gliding resistance force significantly decreased after HR in the layer between the aponeurotic and epimysial fasciae and between two epimysial fasciae in this cadaveric study.https://doi.org/10.1186/s12891-025-08533-yFasciaMyofascial pain syndromeBiomechanicsCadaverTendon |
| spellingShingle | Kousuke Shiwaku Hidenori Otsubo Daisuke Suzuki Carmelo Pirri Taiki Kodesyo Tomoaki Kamiya Keigo Taniguchi Hirofumi Ohnishi Atsushi Teramoto Carla Stecco Biomechanical effects of fascial hydrorelease: a cadaveric study BMC Musculoskeletal Disorders Fascia Myofascial pain syndrome Biomechanics Cadaver Tendon |
| title | Biomechanical effects of fascial hydrorelease: a cadaveric study |
| title_full | Biomechanical effects of fascial hydrorelease: a cadaveric study |
| title_fullStr | Biomechanical effects of fascial hydrorelease: a cadaveric study |
| title_full_unstemmed | Biomechanical effects of fascial hydrorelease: a cadaveric study |
| title_short | Biomechanical effects of fascial hydrorelease: a cadaveric study |
| title_sort | biomechanical effects of fascial hydrorelease a cadaveric study |
| topic | Fascia Myofascial pain syndrome Biomechanics Cadaver Tendon |
| url | https://doi.org/10.1186/s12891-025-08533-y |
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