Efficacy of the Fascial Distortion Model in Treating Hand Injuries: A Case Study in Manual Therapy

Background: Fascia is a network of fibrous tissue that surrounds and connects even the smallest structures in our body together. It is flexible, molding to the body's motion and tensions. Any twist, wrinkle or tear in the fascia can distort the tissue and surrounding structures. These changes in the fascial tissue may result in pain and limited motion. The Fascial Distortion Model (FDM) has identified six different fascial disruptions which can occur in isolation or combination with each other. This model aids in the evaluation and treatment of known fascial patterns to restore proper function to the tissue and decrease pain. Case information: In this case a 27-year-old male presented with acute pain in the left hand one day following a volleyball injury. On pinch grip strength testing, the patient exhibited about half the strength in the injured hand, relative to the non-injured extremity. The right hand was treated by applying the fascial distortion model resulting in decreased pain, improved motion and doubling of pinch grip strength. Conclusion: FDM is relatively new compared to other medical and manual therapies. This has limited the amount of evidence to support the efficacy of the model. In addition, due to the possible discomfort during treatment, there has been criticism on the use of the model in treating patients. This case provides an example of how FDM can be valuable in treating acute injuries by decreasing pain and allowing for a return in function and strength.