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. 2018 Aug 2;52(23):1497. doi: 10.1136/bjsports-2018-099308

Figure 3.

Figure 3

Factors influencing the mechanical stiffness of fascial tissues and their hypothesised impact. Up arrows symbolise a positive effect (eg, increased cellular contractility increases stiffness), down arrows symbolise a negative effect (eg, increased use of corticosteroids decreases stiffness) and double arrows symbolise an ambiguous association (eg, hyaluronan decreases stiffness if mobilised by mechanical stimuli, but leads to increased stiffness if no stimuli are applied). ECM, extracellular matrix.