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Muniz Cunha JCDO, Monteiro ER, Behm DG, Corrêa Neto VG, de Souza Ribeiro M, Machado CB, da Silva Novaes G, Serra R, Vianna JM, da Silva Novaes J. Manual myofascial release and muscle energy enhances trunk flexibility and strength in recreationally resistance-trained women: Cross-over study. J Bodyw Mov Ther 2023; 33:82-87. [PMID: 36775531 DOI: 10.1016/j.jbmt.2022.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 07/13/2021] [Accepted: 09/18/2022] [Indexed: 11/19/2022]
Abstract
The purpose of this study was to compare the effects of myofascial release and muscle energy on acute outcomes in trunk extensors active range-of-motion and strength in recreationally resistance-trained women. Seventeen apparently healthy women performed three experimental protocols using a cross-over, randomized (counterbalanced in Latin Square format), and within-subjects design: a) range-of-motion and strength test after a manual myofascial release protocol (MFR); b) flexibility and strength test after a muscle energy protocol (ME); and c) range-of-motion and strength test without myofascial release or muscle energy (control condition). Active trunk range-of-motion was measured via a sit-and-reach test and trunk extension strength via isometric dorsal dynamometer. A significant increase in range-of-motion was found for MFR (p = 0.002; d = 0.71) and ME (p < 0.001; d = 0.47) when comparing post-intervention with baseline values. Similarly, a significant increase for strength was found for MFR (p = 0.018; d = 0.10) when comparing post-intervention with baseline values. In conclusion, both techniques (MFR and ME) improved trunk range-of-motion with the sit and reach test immediately post-intervention; however, MFR showed greater magnitude increases in range-of-motion (MFR: (medium magnitude) vs ME: small magnitude). Due to the potential health implications, both (MFR and ME) responses should be among the many considerations for rehabilitation and performance exercise prescription when prescribing an exercise regimen.
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Affiliation(s)
- Julio Cesar de Oliveira Muniz Cunha
- Postgraduate Program in Physical Education, School of Physical Education and Sports, Federal University of Rio De Janeiro, Rio de Janeiro, Brazil; Estácio de Sá University, Rio de Janeiro, Brazil; Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
| | - Estêvão Rios Monteiro
- Postgraduate Program in Physical Education, School of Physical Education and Sports, Federal University of Rio De Janeiro, Rio de Janeiro, Brazil; Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; Undergraduate Program in Physical Education and Physical Therapy, Augusto Motta University Centre, Rio de Janeiro, Brazil.
| | - David G Behm
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
| | - Victor Gonçalves Corrêa Neto
- Estácio de Sá University, Rio de Janeiro, Brazil; Undergraduate Program in Physical Education, Gama e Souza University Centre, Rio de Janeiro, Brasil.
| | | | | | - Giovanni da Silva Novaes
- Brazilian Music University Center, Rio de Janeiro, Brazil; Universo Veritas University Center, Rio de Janeiro, Brazil.
| | - Rhodes Serra
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
| | - Jeferson Macedo Vianna
- Postgraduate Program in Physical Education, College of Physical Education and Sports, Federal University of Juiz de Fora, Minas Gerais, Brazil.
| | - Jefferson da Silva Novaes
- Postgraduate Program in Physical Education, School of Physical Education and Sports, Federal University of Rio De Janeiro, Rio de Janeiro, Brazil; Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; Postgraduate Program in Physical Education, College of Physical Education and Sports, Federal University of Juiz de Fora, Minas Gerais, Brazil.
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Wanderley D, Lemos A, Moretti E, Barros MMMB, Valença MM, de Oliveira DA. Efficacy of proprioceptive neuromuscular facilitation compared to other stretching modalities in range of motion gain in young healthy adults: A systematic review. Physiother Theory Pract 2018; 35:109-129. [PMID: 29474101 DOI: 10.1080/09593985.2018.1440677] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The objective of this study was to evaluate the efficacy of proprioceptive neuromuscular facilitation (PNF) on range of motion (ROM) gain in young healthy adults. We performed a systematic review of randomized controlled trials and quasi-randomized trials, including young healthy adults. The interventions were: PNF compared with different PNF techniques, control, other muscle stretching exercises and musculoskeletal manipulations. The outcome measures were: articular ROM and adverse effects. The final number of included studies was 46, involving 1,864 adults. There was difference on ROM comparing assisted hold-relax (HR) on diagonal plane to control, based on very low-quality evidence. There was also difference on ROM comparing assisted HR to self-HR; self-contract-relax (CR) to control; assisted CR contract to control; and assisted HR contract to control, based on low-quality evidence. Moderate-quality evidence shows that results differ between self HR and control (SMD: 0.95; 95%CI 0.03, 1.86; I249%; P = 0.16) in terms of ROM gain. When performing the other comparisons, the results were based on low or very low-quality evidence and do not allow to state if PNF is more or less effective than other stretches for improving ROM in healthy young adults. No adverse effects were mentioned.
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Affiliation(s)
- Débora Wanderley
- a Physical Therapy Department , Universidade Federal de Pernambuco , Recife , PE , Brazil
| | - Andrea Lemos
- a Physical Therapy Department , Universidade Federal de Pernambuco , Recife , PE , Brazil
| | - Eduarda Moretti
- a Physical Therapy Department , Universidade Federal de Pernambuco , Recife , PE , Brazil
| | | | - Marcelo Moraes Valença
- b Post Graduation Program in Neropsiquiatry and Science of Behavior, Universidade Federal de Pernambuco , Recife , PE , Brazil
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