Practice of DBM Fasciatherapy for Low Back Pain

FasciaFrance Divers, Recherche scientifique

Dupuis C, Bertrand I, Courraud C

Communication orale et poster présenté lors du 10ème Congrès Mondial Interdisciplinaire sur la lombalgie et la douleur pelvienne – 28 au 31 octobre 2019 – Anvers (Belgique)

Abstract :

Abstract :

Evidence Based Practice is an approach to optimize decision-making. It has three principles: the research evidence, clinical expertise, and client preference.
DBM Fasciatherapy is a manual therapy with a holistic approach characterized by the solicitation of body/mind self-regulation via the fascia.
Low Back Pain (LBP) is a common disorder and a worldwide cause of disability. Previous research suggests that fascia is involved in LBP (morphological change, ischemia, innervation change, loss of gliding, mechanical change).
This study aimed to evaluate the use of this technique by members of the French association of professionals practicing DBM Fasciatherapy.
A questionnaire with 4 sections: how patients consult, characteristics of the session, techniques used, and evaluation of the training, was sent to 365 practitioners.
The 118 completed questionnaires were analyzed.
Practitioners had a mean of 16 (σ=18) LBP patients per week.
They saw them in direct access, exclusively or frequently (n=57, 48%).
Patients requested DBM Fasciatherapy exclusively or frequently (n=61, 52%).
DBM Fasciatherapy was used for acute LBP (aLBP) 94%, subchronic LBP (scLBP) 89%, chronic LBP (cLBP) 92%, and rehabilitation LBP (rLBP) 72%.
The number of sessions was:

  • aLBP, scLBP, and rLBP: <5 (89%, 72%, and 76%)
  • cLBP: >5 (91%)

Fasciatherapy was used mainly to alleviate pain (n=68, 58%).
Manual therapy was used most (97%). Exercise was used (57%) as a complement.
Musculoskeletal and visceral approaches were used most (92% and 84%)
This study gives a good insight into how practitioners use DBM Fasciatherapy. It provides a better understanding of how and when the different tools are deployed.

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