A Review of the Scope of Myofascial Release for the Treatment of Chronic Nonspecific Low Back Pain
DOI:
https://doi.org/10.71204/pqqrre62Keywords:
Myofascial Release Therapy, Chronic Non-Specific Low Back Pain, Pain, Scope OverviewAbstract
A scoping review of myofascial release in patients with chronic nonspecific low back pain to identify methods of intervention, outcome metrics, and effectiveness of application. Computerized search of domestic and international databases such as China Knowledge, Wanfang, Wipro, China Biomedical Literature Database, Pubmed, Web of Science, etc., for the application of myofascial release in patients with chronic nonspecific low back pain. The search time limit was from the construction of the database to December 20, 2024. Screening and summarizing of the included literature. A total of 8 literature included, including 7 randomized intervention studies and 1 non-randomized intervention study, involving a total of 324 patients with chronic non-specific low back pain, with outcome metrics related to pain relief, functional recovery and psychosocial effects. The effectiveness of myofascial release has been confirmed in the treatment of patients with chronic non-specific low back pain. In the future, we can promote its precise application in the clinic by optimizing the dosage, combining multimodal treatment and expanding the sample size, and exploring the design of personalized treatment plans in conjunction with patients' needs.
References
Arguisuelas, M. D., Lisón, J. F., Doménech-Fernández, J., Martínez-Hurtado, I., Coloma, P. S., & Sánchez-Zuriaga, D. (2019). Effects of myofascial release in erector spinae myoelectric activity and lumbar spine kinematics in non-specific chronic low back pain: A randomized controlled trial. Clinical Biomechanics, 63, 27–33. https://doi.org/10.1016/j.clinbiomech.2019.02.009
Arguisuelas, M. D., Lisón, J. F., Sánchez-Zuriaga, D., Martínez-Hurtado, I., & Doménech-Fernández, J. (2017). Effects of myofascial release in nonspecific chronic low back pain: A randomized clinical trial. Spine, 42(9), 627–634. https://doi.org/10.1097/BRS.0000000000001897
Barnes, M. F. (1997). The basic science of myofascial release: Morphologic change in connective tissue. Journal of Bodywork and Movement Therapies, 1(4), 231–238. https://doi.org/10.1016/S1360-8592(97)80051-4
Boff, T. A., Pasinato, F., Ben, Â. J., Bosmans, J. E., van Tulder, M., & Carregaro, R. L. (2020). Effectiveness of spinal manipulation and myofascial release compared with spinal manipulation alone on health-related outcomes in individuals with non-specific low back pain: Randomized controlled trial. Physiotherapy, 107, 71–80. https://doi.org/10.1016/j.physio.2019.11.002
Brandl, A., Egner, C., & Schleip, R. (2021). Immediate effects of myofascial release on the thoracolumbar fascia and osteopathic treatment for acute low back pain on spine shape parameters: A randomized, placebo-controlled trial. Life, 11(8), Article 845. https://doi.org/10.3390/life11080845
Brandl, A., Keiner, M., Wilke, J., Egner, C., Reer, R., & Schleip, R. (2023). Immediate effects of myofascial release treatment on lumbar microcirculation: A randomized, placebo-controlled trial. Journal of Clinical Medicine, 12(4), Article 1248. https://doi.org/10.3390/jcm12041248
Cetinyol, O., Saka, S., & Çetinkaya, A. (2025). Acute effects of myofascial release technique on flexibility and pain: Outcome for chronic low back pain. Journal of Bodywork and Movement Therapies, 41, 194–198. https://doi.org/10.1016/j.jbmt.2024.11.035
Chen, X., Cui, X., & Yu, L. (2021b). The efficacy of trigger point acupuncture combined with fascial release technique in treating chronic lumbar myofascial pain syndrome and its impact on TNF-α and IL-1β levels. Chinese Archives of Traditional Chinese Medicine, 39(10), 236–238. https://doi.org/10.13193/j.issn.1673-7717.2021.10.056
Chen, Y. C., Zhang, L., Li, E. N., Ding, L. X., Zhang, G. A., Hou, Y., Yuan, W., & Qu, G. X. (2018). Comparison of posterolateral fusion and posterior lumbar interbody fusion in the treatment of lumbar spondylolisthesis: A meta-analysis. Journal of Investigative Surgery, 32(4), 290–297. https://doi.org/10.1080/08941939.2017.1411543
Chen, Z., Wu, J., Wang, X., Wu, J., & Ren, Z. (2021). The effects of myofascial release technique for patients with low back pain: A systematic review and meta-analysis. Complementary Therapies in Medicine, 59, Article 102737. https://doi.org/10.1016/j.ctim.2021.102737
Das, A., Bhattacharya, U., & Chauhan, V. (2020). Efficacy of muscle energy technique and myofascial release in nonspecific low back pain: A comparative study. Alternative and Complementary Therapies, 26(6), 258–259. https://doi.org/10.1089/act.2020.29304.ada
Devantéry, K., Morin, M., Grimard, J., Nadeau, S., & Tremblay, F. (2023). Effects of a myofascial technique on the stiffness and thickness of the thoracolumbar fascia and lumbar erector spinae muscles in adults with chronic low back pain: A randomized before-and-after experimental study. Bioengineering, 10(3), Article 332. https://doi.org/10.3390/bioengineering10030332
Expert Group of the Spine and Spinal Cord Professional Committee of the Chinese Association of Rehabilitation Medicine. (2016). Expert consensus on the diagnosis and treatment of acute/chronic non-specific low back pain in China. Chinese Journal of Spine and Spinal Cord, 26(12), 1134–1138. https://doi.org/10.3969/j.issn.1004-406X.2016.12.16
Fan, S. (2024). A comparative study on the rehabilitation effects of three fascial release techniques for patients with chronic non-specific low back pain [Doctoral dissertation, Wuhan Sports University]. https://doi.org/10.27384/d.cnki.gwhtc.2024.000296
He, H., & Ma, W. (2024). Advances in the treatment of chronic non-specific low back pain. Advances in Clinical Medicine, 14(5), 240–247. https://doi.org/10.12677/acm.2024.1451419
Kikuchi, S., Togo, K., Ebata, N., Fujii, K., Yonemoto, N., Abraham, L., & Katsuno, T. (2021). Database analysis on the relationships between nonsteroidal anti-inflammatory drug treatment variables and incidence of acute myocardial infarction in Japanese patients with osteoarthritis and chronic low back pain. Advances in Therapy, 38(3), 1601–1613. https://doi.org/10.1007/s12325-021-01629-6
Laimi, K., Mäkilä, A., Bärlund, E., Katajapuu, N., Oksanen, A., Seikkula, V., Karppinen, J., & Saltychev, M. (2018). Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: A systematic review. Clinical Rehabilitation, 32(4), 440–450. https://doi.org/10.1177/0269215517732820
Lee, D. W., Shin, H. K., & Kim, K. S. (2019). Effects of dynamic myofascial release on trunk mobility and standing balance in persons with chronic nonspecific low back pain. Physical Therapy Rehabilitation Science, 8(2), 74–81. https://doi.org/10.14474/ptrs.2019.8.2.74
Ling, L. Z., Singh, K., Govind, S., & Abichandani, D. (2022). Effect of lumbar stabilization exercise and myofascial release therapy in non-specific low back pain: A randomized controlled trial. Journal of Positive School Psychology, 6(3), 125–131.
Manheim, C. J. (2001). The myofascial release manual. Slack Incorporated.
Mutubuki, E. N., Beljon, Y., Maas, E. T., Huygen, F. J. P. M., Ostelo, R. W. J. G., van Tulder, M. W., & van Dongen, J. M. (2020). The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients. Quality of Life Research, 29, 275–287. https://doi.org/10.1007/s11136-019-02302-w
Ożóg, P., Weber-Rajek, M., & Radzimińska, A. (2023). Effects of isolated myofascial release therapy in patients with chronic low back pain: A systematic review. Journal of Clinical Medicine, 12(19), Article 6143. https://doi.org/10.3390/jcm12196143
Ran, Q., Li, A., Chen, H., Zhang, J., & He, B. (2024). A randomized controlled study on the efficacy of myofascial release therapy in treating chronic non-specific low back pain. Chinese General Practice, 27(20), 2451–2457. https://doi.org/10.12114/j.issn.1007-9572.2023.0681
Ren, Y. (2023). Clinical efficacy observation of myofascial release technique combined with conventional acupuncture in treating non-specific low back pain [Doctoral dissertation, Yunnan University of Traditional Chinese Medicine]. https://doi.org/10.27460/d.cnki.gyzyc.2023.000322
Rodrigues, L., Sant’Anna, P. C. F., La Torre, M., & Dhein, W. (2021). Effects of myofascial release on flexibility and electromyographic activity of the lumbar erector spinae muscles in healthy individuals. Journal of Bodywork and Movement Therapies, 27, 322–327. https://doi.org/10.1016/j.jbmt.2021.03.015
Sanjari, M., Noorali, S., Behnoush, A. H., Davatchi, F., Jamshidi, A. R., & Gharibdoost, F. (2023). The burden of rheumatoid arthritis and low back pain in North Africa and Middle East from 1990 to 2019: Results from the Global Burden of Disease Study 2019. International Journal of Rheumatic Diseases, 26(11), 2170–2182. https://doi.org/10.1111/1756-185X.14908
Sannasi, R., et al. (2017). Fascial manipulation for persistent knee pain following ACL and meniscus repair. Journal of Bodywork and Movement Therapies, 21, 452–460. https://doi.org/10.1016/j.jbmt.2016.08.014
Schroeder, A. N., & Best, T. M. (2015). Is self myofascial release an effective preexercise and recovery strategy? A literature review. Current Sports Medicine Reports, 14(3), 200–208. https://doi.org/10.1249/JSR.0000000000000148
Senrau, J., Hentschke, C., Peters, S., Pfeifer, K., & Meng, K. (2021). Effects of behavioural exercise therapy on the effectiveness of multidisciplinary rehabilitation for chronic non-specific low back pain: A randomised controlled trial. BMC Musculoskeletal Disorders, 22, Article 500. https://doi.org/10.1186/s12891-021-04353-y
Tamartash, H., & Bahrpeyma, F. (2022b). Evaluation of lumbar myofascial release effects on lumbar flexion angle and pelvic inclination angle in patients with non-specific low back pain. International Journal of Therapeutic Massage & Bodywork, 15(1), 15–22. https://doi.org/10.3822/ijtmb.v15i1.709
Tamartash, H., Bahrpeyma, F., & Dizaji, M. M. (2023a). The effect of remote myofascial release on chronic nonspecific low back pain with hamstrings tightness. Journal of Sport Rehabilitation, 32(5), 549–556. https://doi.org/10.1123/jsr.2022-0141
Tamartash, H., Bahrpeyma, F., & Dizaji, M. M. (2023b). Effect of remote myofascial release on lumbar elasticity and pain in patients with chronic nonspecific low back pain: A randomized clinical trial. Journal of Chiropractic Medicine, 22(1), 52–59. https://doi.org/10.1016/j.jcm.2022.04.002
Tamartash, H., Bahrpeyma, F., & Mokhtari Dizaji, M. (2022a). Effect of lumbar myofascial release with electrotherapy on the elastic modulus of lumbar fascia and pain in patients with non-specific low back pain. Journal of Bodywork and Movement Therapies, 29, 174–179. https://doi.org/10.1016/j.jbmt.2021.10.008
Williams, W., & Selkow, N. M. (2019). Self-myofascial release of the superficial back line improves sit-and-reach distance. Journal of Sport Rehabilitation, 29(4), 400–404. https://doi.org/10.1123/jsr.2018-0306
Wu, Z., Wang, Y., Ye, X., Chen, Z., Zhou, R., Ye, Z., Huang, J., Zhu, Y., & Chen, G. (2021). Myofascial release for chronic low back pain: A systematic review and meta-analysis. Frontiers in Medicine, 8, Article 697986. https://doi.org/10.3389/fmed.2021.697986
Zhang, W., & Zong, Y. (2021). Application of myofascial release techniques in sports injury rehabilitation. Chinese Journal of Physical Medicine and Rehabilitation, 43(5), 4–8.
Zhou, X., Wu, M., Hu, K., Zhang, Y., & Liu, Y. (2024). Summary of the best evidence for rehabilitation exercises in patients with chronic non-specific low back pain. Journal of Nursing Science, 39(22), 10–15. https://doi.org/10.3870/j.issn.1001-4152.2024.22.010
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Copyright (c) 2026 Qiaoyi Hu, Chunna Zhou, Xiaoyan Cui, Qianqian Ye, Zhi Chen (Author)
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