{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:13:35Z","timestamp":1789564415932,"version":"build-2803163510"},"reference-count":29,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ida P. Rolf Research Foundation (USA)","award":["2025-03"],"award-info":[{"award-number":["2025-03"]}]},{"name":"Ida P. Rolf Research Foundation (USA)","award":["02-2025"],"award-info":[{"award-number":["02-2025"]}]},{"name":"Verein zur Foerderung der Faszienforschung e.V. (Germany)","award":["2025-03"],"award-info":[{"award-number":["2025-03"]}]},{"name":"Verein zur Foerderung der Faszienforschung e.V. (Germany)","award":["02-2025"],"award-info":[{"award-number":["02-2025"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Previous research highlights the potential of Rolfing structural integration (SI)\u2014a force-based mobilization of fascia\u2014in modifying postural alignment and joint mobility. This retrospective cohort study builds upon prior work to explore the influence of SI on lower limb mobility, trunk symmetry, and respiratory thoracic expansion. Methods: We conducted a retrospective secondary analysis of data drawn from the archive of clinical records as in our previous publication. A total of 563 subjects (aged 18\u201360 years, BMI 19\u201329) who completed 10 SI sessions were included. Outcomes evaluated included passive hip flexion (right\/left), passive knee flexion mobility (right\/left), trunk length symmetry, and chest diameter at normal breath as well as in full inspiration. Wilcoxon signed-rank tests were used for statistical analysis. Results: All parameters showed statistically significant improvements post-intervention (p &lt; 0.001), including increased thoracic expansion, enhanced trunk symmetry, and improved mobility in hip joint flexion and knee flexion. Conclusions: Ten sessions of SI were associated with statistically significant improvements in lower limb mobility, trunk symmetry, and respiratory thoracic mobility. These findings support the role of SI in addressing postural and mobility-related dysfunctions through fascia-oriented mobilization.<\/jats:p>","DOI":"10.3390\/jcm14176123","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T12:25:57Z","timestamp":1756470357000},"page":"6123","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Influence of Rolfing Structural Integration on Lower Limb Mobility, Respiratory Thorax Mobility, and Trunk Symmetry: A Retrospective Cohort Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1225-0475","authenticated-orcid":false,"given":"Robert","family":"Schleip","sequence":"first","affiliation":[{"name":"Conservative and Rehabilitative Orthopedics, TUM School of Medicine and Health, Technical University of Munich, 80333 Munich, Germany"},{"name":"Department for Medical Professions, Diploma Hochschule, 37242 Bad Sooden-Allendorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"James","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, California State University, Fresno, CA 93740, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6834-2726","authenticated-orcid":false,"given":"Katja","family":"Bartsch","sequence":"additional","affiliation":[{"name":"Conservative and Rehabilitative Orthopedics, TUM School of Medicine and Health, Technical University of Munich, 80333 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Jacobsen","sequence":"additional","affiliation":[{"name":"Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA 02115, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1336-591X","authenticated-orcid":false,"given":"David","family":"Lesondak","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA 15219, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilyn E.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of St. Augustine for Health Sciences at San Diego, San Diego, CA 92069, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Brandl","sequence":"additional","affiliation":[{"name":"Conservative and Rehabilitative Orthopedics, TUM School of Medicine and Health, Technical University of Munich, 80333 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Schleip, R., Gabbiani, G., Wilke, J., Naylor, I., Hinz, B., Zorn, A., J\u00e4ger, H., Breul, R., Schreiner, S., and Klingler, W. 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