Effects of Myofascial Release Therapy on Body Posture and Facial Symmetry

NCT07610200 — Not applicable, Not yet recruiting, 60 participants, Ece ACAR

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Effects of Myofascial Release Therapy on Body Posture and Facial Symmetry in Healthy Individuals: A Randomized Controlled Trial

RegistryNCT07610200, acronym MYOPOST-FACE
StatusNot yet recruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: single, treatment
Enrollment60 (Estimated)
SponsorEce ACAR (Other)
ConditionsPostural Disorders, Facial Asymmetry, Myofascial Dysfunction
InterventionsMyofascial Release Therapy (Procedure)
Datesstart 2026-06-15 (estimated), primary completion 2027-02-01 (estimated), completion 2027-12-01 (estimated), first posted 2026-05-27, last updated 2026-05-27

Related Papers Related Patents Related Grants Related Experts
All trials for Postural Disorders All trials for Facial Asymmetry All trials of Myofascial Release Therapy

-Summary

This randomized controlled study aims to investigate the effects of myofascial release therapy on body posture and facial symmetry in healthy individuals. Postural disorders and fascial tension may lead to biomechanical alterations not only in the musculoskeletal system but also in facial soft tissues and symmetry. Myofascial release techniques are widely used in physiotherapy to improve fascial mobility, reduce tissue tension, and support postural alignment. However, the potential effects of these interventions on facial symmetry have not been sufficiently investigated.

A total of 60 healthy participants will be included in the study and randomly assigned to either an intervention group or a control group. Participants in the intervention group will receive myofascial release therapy twice weekly for 6 weeks, while the control group will not receive any physical intervention during the same period. Body posture and facial symmetry assessments will be performed at baseline and after the intervention period.

Postural assessment will be conducted using the PostureScreen Mobile application through standardized anterior, posterior, and lateral photographs. Facial symmetry will be evaluated using anthropometric facial landmarks identified on standardized facial photographs. Directional asymmetry scores, linear measurements, proportional analyses, and angular measurements will be calculated.

The study is expected to provide evidence regarding the relationship between fascial interventions, postural alignment, and facial symmetry, and may contribute to the development of new physiotherapy approaches targeting fascial and postural dysfunctions.

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+Detailed description

Body posture and fascial balance are closely associated with musculoskeletal health and biomechanical alignment. Impairments in postural alignment may contribute to abnormal loading patterns, muscular imbalance, fascial tension, and compensatory movement strategies throughout the body. Recent fascial theories suggest that fascial continuity may influence not only spinal and extremity alignment but also craniofacial structures and facial symmetry. Increased fascial tension, particularly in the cervical and thoracic regions, may alter soft tissue mechanics and contribute to asymmetrical facial appearance.

Myofascial release therapy is a manual therapy approach commonly used in physiotherapy to improve fascial mobility, decrease tissue restriction, reduce pain, and optimize postural alignment. Although previous studies have investigated the effects of myofascial interventions on musculoskeletal pain and posture, limited evidence exists regarding their influence on facial symmetry and facial anthropometric characteristics.

The present study is designed as a randomized controlled trial to evaluate the effects of myofascial release therapy on body posture and facial symmetry in healthy individuals. A total of 60 participants will be recruited and randomly allocated into intervention and control groups using a stratified randomization method based on dominant side characteristics. The intervention group will receive myofascial release therapy twice weekly for 6 weeks, whereas the control group will undergo only observation and assessment procedures during the same period.

The myofascial intervention protocol will include standardized manual therapy techniques targeting cervical, thoracic, shoulder, and fascial regions. The techniques will consist of single arm pull, lateral neck shoulder release, thoracic transverse plane technique, and anterior cervical fascial release applications performed by a trained physiotherapist.

Body posture assessment will be performed using the validated PostureScreen Mobile application. Standardized anterior, posterior, and lateral photographs will be analyzed to evaluate postural alignment parameters including forward head posture, shoulder asymmetry, spinal alignment, pelvic tilt, thoracic kyphosis, lumbar lordosis, and lower extremity alignment characteristics.

Facial symmetry assessment will be conducted using standardized digital facial photographs obtained under controlled environmental conditions. Anthropometric facial landmarks including exocanthion, endocanthion, alare, cheilion, zygion, and gonion points will be identified. Linear, proportional, and angular measurements will be calculated to determine facial asymmetry levels. Directional asymmetry scores will also be calculated to quantitatively evaluate right-left facial asymmetry.

Primary outcome measures will include changes in facial directional asymmetry scores and postural alignment parameters after the intervention period. Secondary analyses will investigate the relationship between postural characteristics, dominant side, physical activity habits, and facial symmetry variables.

The findings of this study may contribute to understanding the biomechanical relationship between fascial interventions, posture, and craniofacial symmetry. Additionally, the results may provide preliminary evidence for the use of fascial-based physiotherapy approaches in postural rehabilitation and facial asymmetry management.

+Arms and interventions

ArmTypeInterventionsDescription
Myofascial Release Therapy GroupExperimentalProcedure: Myofascial Release TherapyParticipants in this group will receive myofascial release therapy twice weekly for 6 weeks. The intervention protocol will include cervical, thoracic, shoulder, and fascial manual therapy techniques performed by a trained physiotherapist.
Control GroupNo interventionParticipants in the control group will not receive any manual therapy or physical intervention during the study period and will only undergo assessment procedures.
  • Myofascial Release Therapy (Procedure), also known as Myofascial Therapy, Fascial Release Therapy, Manual Myofascial Release: Participants assigned to the intervention group will receive standardized myofascial release therapy performed by a trained physiotherapist twice weekly for 6 weeks. The intervention protocol will include single arm pull, lateral neck shoulder release, thoracic transverse plane technique, and anterior cervical fascial release techniques targeting cervical, thoracic, shoulder, and fascial regions. Each session will be conducted under standardized clinical conditions to improve fascial mobility, reduce tissue tension, and support postural alignment and facial symmetry.

+Outcome measures

Primary outcomes

  • Change in Facial Directional Asymmetry Score [Baseline and after 6 weeks of intervention]: Facial symmetry will be evaluated using standardized digital facial photographs and anthropometric facial landmarks. Directional asymmetry scores will be calculated by comparing right and left facial measurements before and after the intervention period.

+Eligibility

Sex: All, ages: 18 Years to 45 Years, accepts healthy volunteers

Inclusion Criteria:

* Healthy individuals aged between 18 and 45 years
* Ability to understand and follow study instructions
* Independent performance of daily living activities
* No regular physiotherapy or manual therapy treatment within the previous 3 months
* Willingness to participate voluntarily and sign the informed consent form
* Ability to attend assessment and intervention sessions regularly

Exclusion Criteria:

* History of neurological or orthopedic disorders affecting posture or facial symmetry
* Current musculoskeletal injury or ongoing rehabilitation treatment
* Previous facial, spinal, or major musculoskeletal surgery or trauma
* Pregnancy
* Use of medications affecting muscle tone or neuromuscular function
* Psychiatric or cognitive disorders limiting study participation
* Inability to comply with study procedures

+Publications

  • Szucs KA, Brown EVD. Rater reliability and construct validity of a mobile application for posture analysis. J Phys Ther Sci. 2018 Jan;30(1):31-36. doi: 10.1589/jpts.30.31. Epub 2018 Jan 27. PMID 29410561
  • Wilke J, Krause F, Vogt L, Banzer W. What Is Evidence-Based About Myofascial Chains: A Systematic Review. Arch Phys Med Rehabil. 2016 Mar;97(3):454-61. doi: 10.1016/j.apmr.2015.07.023. Epub 2015 Aug 14. PMID 26281953
  • Schleip R, Jager H, Klingler W. What is 'fascia'? A review of different nomenclatures. J Bodyw Mov Ther. 2012 Oct;16(4):496-502. doi: 10.1016/j.jbmt.2012.08.001. Epub 2012 Aug 22. PMID 23036881

+Investigators

  • Ece Acar, Principal investigator, Karabuk University