Evidence map›Paper›PMID 40155875›Full record

ArticleBMC musculoskeletal disorders2025

Biomechanical effects of fascial hydrorelease: a cadaveric study.

Kousuke Shiwaku, Hidenori Otsubo, Daisuke Suzuki, Carmelo Pirri, Taiki Kodesyo, Tomoaki Kamiya, Keigo Taniguchi, Hirofumi Ohnishi, Atsushi Teramoto, Carla Stecco

Erratum issuedAbstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Hydrorelease Within the Paraneural Sheath: A Cadaveric Study.Journal of functional morphology and kinesiology · 2026
    Article
  7. Ultrasound-Guided Fascial Hydrorelease for Persistent Pain After Hamstring Injury.Journal of functional morphology and kinesiology · 2025
    Article
  8. Article
  9. Exploring fascia in myofascial pain syndrome: an integrative model of mechanisms.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Kousuke ShiwakuDepartment of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Hidenori OtsuboSapporo Sports Clinic, Sapporo, Japan. hide.otsubo@gmail.com.
Daisuke SuzukiDepartment of Health Science, Hokkaido Chitose Collage of Rehabilitation, Chitose, Japan.
Carmelo PirriDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, Padova, Italy.
Taiki KodesyoDepartment of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Tomoaki KamiyaDepartment of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Keigo TaniguchiSecond Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan.
Hirofumi OhnishiDepartment of Public Health, Sapporo Medical University School of Medicine, Sapporo, Japan.
Atsushi TeramotoDepartment of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Carla SteccoDepartment of Neurosciences, Institute of Human Anatomy, University of Padova, Padova, Italy.

Funding

JNOS JNOS202201
6 · The paper itself

Abstract

backgroundWe 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.

methodsIn 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.

resultsThe 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).

conclusionsThe 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.

Indexed as

AponeurosisFasciaMuscle, SkeletalTendonsAgedAged, 80 and overBiomechanical PhenomenaCadaverFemaleHumansMaleMiddle AgedBiomechanicsCadaverFasciaMyofascial pain syndromeTendon

Identifiers

PMID40155875
PMCPMC11951565

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.