A two-part extensive review of Paolo Tozzi published in the Journal of Bodywork and Movement Therapies in 2015 proposed a neuro-fasciagenic model of somatic dysfunction. The author outlines mechanisms underlying dysfunctional processes addressed by manual therapy and proposes that somatic dysfunction is partially, if not entirely, mediated by fascia. Therein, the nociceptive model of somatic dysfunction, being a neurologically mediated phenomenon, is challenged by the neuro-fascial model. Furthermore, fascia-mediated mechanisms underlying therapeutic processes are reviewed and it is suggested to supplement the five models in osteopathic philosophy by a sixth connective tissue-fascial model. The paper presents an interesting review of fascia-mediated effect- and pathomechanisms in osteopathic practice.
Tozzi, P., 2015. A Unifying Neuro-Fasciagenic Model of Somatic Dysfunction – Underlying Mechanisms and Treatment – Part I. Journal of Bodywork and Movement Therapies, 19(2), 310-326.
https://doi.org/10.1016/j.jbmt.2015.01.001
Tozzi, P., 2015. A Unifying Neuro-Fasciagenic Model of Somatic Dysfunction – Underlying Mechanisms and Treatment – Part II. Journal of Bodywork and Movement Therapies, 19(3), 526-543.
