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Cross Fibre Frictions

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Lecture notes study book CLINICAL SPORTS MEDICINE of Peter Brukner, Karim Khan - ISBN: 9781760420512, Edition: 5, Year of publication: - (Method)

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  • January 19, 2021
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  • 2017/2018
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Cross Fibre Frictions

Separation and stretching of tissues through the application of superficial, deep and precise
strokes. Main aim is to disrupt tissues to realign new fibres by breaking down fascia
adhesions, dense scar tissue and stimulate movement within the tissue. It reduces abnormal
fibrous adhesions and improves mobility of scar tissue by encouraging the normal alignment
of soft tissue structures.

Goals
 Traumatic hyperemia (excess blood flow) which helps to evacuate pain triggering
metabolites – increase blood flow
 Stimulates mechanoreceptors producing afferent impulses that trigger temporary
analgesia (distraction from the pain)
 Activates fibroblastic proliferation, responsible for the repair and regeneration of
collagen
 Realignment of collagen fibres

Superficial CFF
 Help to soften adhesions within the fascial tissue (myofascial adhesions)
 Considered a soft tissue mobilisation technique
‘mechanically softening the tissue can …’

Soft Tissue Mobilisation
 Typically, slow and sustained, usually cross the fibres
 The goal is to break up inelastic or fibrous muscle tissue called myofascial adhesions,
move tissue fluids and relax muscle tension

Application
 Reinforced fingers
 Thumb and fingers (sometimes elbow)
 Working back and forth within a small area on specific areas of scar tissue
 The deeper, the slower
 Support the area you are working on – Tendons must be taut (stretched) and
muscles relaxed
 Inform the patient it can be uncomfortable
 After care advice – rest and ice
 2-3 times a week

Deep Transverse Frictions
 Pioneered by Dr James Cyriax (Cyriax frictions)
 Ideal technique for scar tissue formed where tendons, ligaments, muscles and
connective tissue become adhered together
 Specific STM
 Re-injures the tissue, breaking down the scar tissue, returning the injury to a new
inflammatory phase

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