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Antohe BA, Alshana O, Uysal HŞ, Rață M, Iacob GS, Panaet EA. Effects of Myofascial Release Techniques on Joint Range of Motion of Athletes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Sports (Basel) 2024; 12:132. [PMID: 38787001 PMCID: PMC11125680 DOI: 10.3390/sports12050132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 05/01/2024] [Accepted: 05/07/2024] [Indexed: 05/25/2024] Open
Abstract
Although myofascial release techniques (MRTs) are commonly used to improve athletes' range of motion (ROM), the effectiveness of MRTs may vary depending on the specific method performed. This systematic review and meta-analysis aimed to evaluate the effects of MRTs on the ROM performance of athletes. (2) Methods: The electronic databases of Cochrane Library, PubMed, Scopus, and Web of Science were searched to identify relevant articles published up to June 2023. This study utilized the PRISMA guidelines, and four databases were searched. The methodological quality of the studies was assessed using the PEDro scale, and the certainty of evidence was reported using the GRADE scale. The overall effect size was calculated using the robust variance estimator, and subgroup analyses were conducted using the Hotelling Zhang test. (3) Ten studies met the inclusion criteria. The overall effect size results indicated that the myofascial release intervention had a moderate effect on ROM performance in athletes when compared to the active or passive control groups. (4) Conclusions: Alternative MRTs, such as myofascial trigger point therapy, can further improve the ROM performance of athletes. Gender, duration of intervention, and joint type may have a moderating effect on the effectiveness of MRTs.
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Affiliation(s)
- Bogdan Alexandru Antohe
- Departament of Physical Therapy and Ocupational Therapy, “Vasile Alecsandri” University of Bacău, 600011 Bacău, Romania; (B.A.A.); (E.A.P.)
| | - Osama Alshana
- Department of Physiotherapy, University College of Applied Sciences, Gaza Strip P6160675, Palestine;
| | - Hüseyin Şahin Uysal
- Faculty of Sport Sciences, Burdur Mehmet Akif Ersoy University, 15030 Burdur, Turkey
| | - Marinela Rață
- Departament of Physical Therapy and Ocupational Therapy, “Vasile Alecsandri” University of Bacău, 600011 Bacău, Romania; (B.A.A.); (E.A.P.)
| | - George Sebastian Iacob
- Department of Physical Education and Sports Science, Faculty of Physical Education and Sport, “Alexandru Ioan Cuza” University of Iași, 700506 Iași, Romania;
| | - Elena Adelina Panaet
- Departament of Physical Therapy and Ocupational Therapy, “Vasile Alecsandri” University of Bacău, 600011 Bacău, Romania; (B.A.A.); (E.A.P.)
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Klich S, Smoter M, Michalik K, Bogdański B, Valera Calero JA, Manuel Clemente F, Makar P, Mroczek D. Foam rolling and tissue flossing of the triceps surae muscle: an acute effect on Achilles tendon stiffness, jump height and sprint performance - a randomized controlled trial. Res Sports Med 2024; 32:443-456. [PMID: 36134907 DOI: 10.1080/15438627.2022.2125317] [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: 03/30/2022] [Accepted: 09/13/2022] [Indexed: 10/14/2022]
Abstract
This study aimed to investigate an acute effect of foam rolling and tissue flossing of the Triceps Surae muscle on Achilles tendon stiffness, jump height and sprint performance at different time points. The participants were academic athletes (n = 32) aged between 22 and 24 years; randomly allocated into two groups: foam rolling (ROLL) and tissue flossing (FLOSS). The participants were tested at baseline and 5-min, 15-min, 30-min, 45-min, and 60-min after ROLL and FLOSS for Achilles tendon stiffness (ATstiffeness) at three reference locations: (1) tendon's origin, (2) ankle joint height and (3) intermuscular septum of the gastronomies muscle; countermovement jump (CMJ); and sprint performance at 15-m (SPRINT15 m). The analysis of stiffness revealed a significant decrease in ATstiffness from baseline to Post-60 (p ≤ 0.001) for three locations in the FLOSS group (p ≤ 0.001). In FLOSS, a significant increase was observed from Post-15 to Post-60 (all p≤0.001) in CMJ. We found also a significant decrease in SPRINT15 m in FLOSS in all-time points (p ≤ 0.001), however, SPRINT15 m decreased in Post-5 min, Post-15 min, and Post-30 min (p ≤ 0.001 for all) in ROLL. The current study suggested that both groups enhanced performance up to 60 min after the intervention, caused by mitigating excessive stiffness.
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Affiliation(s)
- Sebastian Klich
- Department of Paralympic Sport, Wrocław University of Health and Sport Sciences, Wrocław, Poland
| | - Małgorzata Smoter
- Department of Basics of Physiotherapy, Gdansk University of Physical Education and Sport, Gdańsk, Poland
| | - Kamil Michalik
- Department of Human Motor Skills, Wrocław University of Health and Sport Sciences, Wrocław, Poland
| | | | - Juan Antonio Valera Calero
- Department of Physiotherapy, Universidad Camilo José Cela, Madrid, Spain
- VALTRADOFI Research Group, Department of Physiotherapy, Universidad Camilo José Cela, Madrid, Spain
| | - Filipe Manuel Clemente
- Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Rua Escola Industrial e Comercial de Nun'Álvares, Viana do Castelo, Portugal
- Research Center in Sports Performance, Innovation and Technology (SPRINT) Recreation, Melgaço, Portugal
- Instituto de Telecomunicações Delegação da Covilhã, Lisboa, Portugal
| | - Piotr Makar
- Department of Swimming, Gdansk University of Physical Education and Sport, Gdańsk, Poland
| | - Dariusz Mroczek
- Department of Human Motor Skills, Wrocław University of Health and Sport Sciences, Wrocław, Poland
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Melton ML, Shim AL, Dial M, Cesar GM. The Acute Effects in Postural Sway as a Result of Self-Myofascial Release on the Lower Extremities in Collegiate Female Athletes. INTERNATIONAL JOURNAL OF EXERCISE SCIENCE 2024; 17:274-284. [PMID: 38665168 PMCID: PMC11042852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 04/28/2024]
Abstract
Myofascial release is a popular therapy technique used to manipulate connective muscle tissue to become more pliable. The maintenance of body posture relies on mechanoreceptors located in connective tissue, thus manipulation of connective tissue should affect postural control. The effects of this phenomenon have not been well studied, leaving room for this investigation. PURPOSE To observe if postural sway scores changed before and after foam rolling proximal (quadriceps and hamstrings) in comparison to distal (calves) muscles. METHODS Thirty-six, college-aged female athletes (age 20.39 ± 0.25 years, mass 68.70 ± 1.97 kg, height 170.18 ± 1.56 cm.) performed approximately two and one-half minutes of moderate intensity foam rolling to their calves (n = 19, Group A) or to their hamstrings and quadricep muscle (n = 17, Group B). Center of Pressure (CoP) and Limit of Stability (LoS) testing was assessed both pre- and post-foam rolling using a computerized posturography balance plate. CoP sway was measured under both eyes open (EO) and eye closed (EC) Conditions on both stable and unstable surfaces. LoS was measured in the Anterior, Posterior, Left, and Right Directions. Effects of foam rolling on CoP and LoS were assessed using a repeated-measures MANOVA (α = 0.05). RESULTS Eyes Open Stable Surface had the lowest postural sway (p = 0.001). However, CoP did not differ for any condition either between Groups (p ≥ 0.6) or from pre- to post-foam rolling (p = 0.3). LoS significantly differed between Directions such that LoS was greater in the frontal plane than in the sagittal plane (p = 0.011). There was also a significant Time X Group X Direction interaction effect (p = 0.001) such that LoS for Group A decreased after foam rolling (mean change = -1.621 cm) but increased for Group B after foam rolling (mean change = + 0.878 cm). No differences were found for any other Direction (p ≥ 0.1). CONCLUSION This study demonstrated CoP and LoS improvements between the two groups based on acute effects of foam rolling intervention. Further research is suggested to determine if long-term gains are observed within or between groups.
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Affiliation(s)
- Mackenzie L Melton
- Department of Kinesiology & Exercise Science, College of Saint Mary, Omaha, NE, USA
| | - Andrew L Shim
- Department of Kinesiology & Exercise Science, College of Saint Mary, Omaha, NE, USA
| | - Monica Dial
- Department of Physical Therapy, College of Saint Mary, Omaha, NE, USA
| | - Guilherme M Cesar
- Department of Physical Therapy, University of North Florida, Jacksonville, FL, USA
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Martínez-Aranda LM, Sanz-Matesanz M, García-Mantilla ED, González-Fernández FT. Effects of Self-Myofascial Release on Athletes' Physical Performance: A Systematic Review. J Funct Morphol Kinesiol 2024; 9:20. [PMID: 38249097 PMCID: PMC10801590 DOI: 10.3390/jfmk9010020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 12/31/2023] [Accepted: 01/05/2024] [Indexed: 01/23/2024] Open
Abstract
Therapists and strength and conditioning specialists use self-myofascial release (SMR) as an intervention tool through foam rollers or massage rollers for soft tissue massage, with the purpose of improving mobility in the muscular fascia. Moreover, the use of SMR by professional and amateur athletes during warm-ups, cool downs, and workouts can have significant effects on their physical performance attributes, such as range of motion (ROM) and strength. The purpose of this study was to analyse the literature pertaining to these types of interventions and their effects found in different physical performance attributes for athletes. A systematic search was carried out using the following databases: PUBMED, ISI Web of Science, ScienceDirect, and Cochrane, including articles up to September 2023. A total of 25 articles with 517 athletes were studied in depth. SMR seems to have acute positive effects on flexibility and range of motion, without affecting muscle performance during maximal strength and power actions, but favouring recovery perception and decreasing delayed-onset muscle soreness. Some positive effects on agility and very short-range high-speed actions were identified, as well. In conclusion, although there is little evidence of its method of application due to the heterogeneity in that regard, according to our findings, SMR could be used as an intervention to improve athletes' perceptual recovery parameters, in addition to flexibility and range of motion, without negatively affecting muscle performance.
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Affiliation(s)
- Luis Manuel Martínez-Aranda
- Physical and Sports Performance Research Centre, Faculty of Sports Sciences, Pablo de Olavide University, 41013 Seville, Spain
- SEJ-680: Science-Based Training (SBT) Research Group, Faculty of Sports Sciences, Pablo de Olavide University, 41013 Seville, Spain
| | - Manuel Sanz-Matesanz
- Faculty of Sport, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain; (M.S.-M.); (E.D.G.-M.)
| | | | - Francisco Tomás González-Fernández
- Department of Physical Education and Sports, Faculty of Education and Sport Sciences, Campus of Melilla, University of Granada, 52006 Melilla, Spain;
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Li FY, Guo CG, Li HS, Xu HR, Sun P. A systematic review and net meta-analysis of the effects of different warm-up methods on the acute effects of lower limb explosive strength. BMC Sports Sci Med Rehabil 2023; 15:106. [PMID: 37644585 PMCID: PMC10463540 DOI: 10.1186/s13102-023-00703-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 07/13/2023] [Indexed: 08/31/2023]
Abstract
OBJECTIVE To evaluate the effects of different warm-up methods on the acute effect of lower limb explosive strength with the help of a reticulated meta-analysis system and to track the optimal method. METHODS R software combined with Stata software, version 13.0, was used to analyse the outcome metrics of the 35 included papers. Mean differences (MD) were pooled using a random effects model. RESULTS 1) Static combined with dynamic stretching [MD = 1.80, 95% CI: (0.43, 3.20)] and dynamic stretching [MD = 1.60, 95% CI: (0.67, 2.60)] were significantly better than controls in terms of improving countermovement jump height (cm), and the effect of dynamic stretching was influenced by the duration of stretching (I2 = 80.4%), study population (I2 = 77.2%) and age (I2 = 75.6%) as moderating variables, with the most significant effect size for dynamic stretching time of 7-10min. 2) Only dynamic stretching [MD = -0.08, 95% CI: (-0.15, -0.008)] was significantly better than the control group in terms of improving sprint time (s), while static stretching [MD = 0.07, 95% CI: (0.002, 0.13)] showed a significant, negative effect. 3) No results were available to demonstrate a significant difference between other methods, such as foam axis rolling, and the control group. CONCLUSION The results of this review indicate that static stretching reduced explosive performance, while the 2 warm-up methods, namely dynamic stretching and static combined with dynamic stretching, were able to significantly improve explosive performance, with dynamic stretching being the most stable and moderated by multiple variables and dynamic stretching for 7-10min producing the best explosive performance. In the future, high-quality studies should be added based on strict adherence to test specifications.
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Affiliation(s)
- F Y Li
- College of Physical Education and Sports, Beijing Normal University, North Taipingzhuang Street, Beijing, 100875, China
| | - C G Guo
- College of Physical Education and Sports, Beijing Normal University, North Taipingzhuang Street, Beijing, 100875, China
| | - H S Li
- College of Physical Education and Sports, Beijing Normal University, North Taipingzhuang Street, Beijing, 100875, China
| | - H R Xu
- College of Physical Education and Sports, Beijing Normal University, North Taipingzhuang Street, Beijing, 100875, China
| | - P Sun
- College of Physical Education and Sports, Beijing Normal University, North Taipingzhuang Street, Beijing, 100875, China.
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Santana HG, Paz GA, Willardson JM, Farias DDA, Miranda H. Effects of Differing Foam Rolling Periods on Training Volume and Myoelectric Responses of Lower-Body Muscles. J Strength Cond Res 2022; 36:3311-3318. [PMID: 36165845 DOI: 10.1519/jsc.0000000000003896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
ABSTRACT Santana, HG, Paz, GA, Willardson, JM, de Araújo Farias, D, and Miranda, H. Effects of differing foam rolling periods on training volume and myoelectric responses of lower-body muscles. J Strength Cond Res 36(12): 3311-3318, 2022-Foam rolling (FR) is a practice that has increased in popularity before and after resistance training. The purpose of this study was to compare the acute effects of different foam rolling periods for the lower body muscles on subsequent performance, myoelectric activity and rating of perceived exertion in trained men. Fourteen men (26.2 ± 3.2 years, 178 ± 0.04 cm, 82.2 ± 10 kg and body mass index 25.9 ± 3.3kg/m -2 ) volunteered for this study. Four repetition maximum (4-RM) loads were determined for hexagonal bar deadlift and 45°-angled leg press during test and retest sessions over two nonconsecutive days. The experimental conditions included a traditional protocol (TP) with no prior foam rolling, and four other conditions that involved FR applied to the quadriceps, hamstrings and triceps surae for one set of 30 sec (P1), two sets of 30 sec (P2), three sets of 30 sec (P3), or four sets of 30 sec (P4).The resistance training consisted of five sets with 4-RM loads. The number of repetitions completed, the myoelectric activity of lower limbs were recorded, as well as the rating of perceived exertion for each protocol. There were no differences between the protocols in the total repetitions for the hexagonal bar deadlift and 45° angled leg press exercises. Similar results between protocols were also noted for muscle activity and rated perceived exertion (RPE). Therefore, the results of the present study indicated that the FR didn't provide effects on performance, myoelectric activity and rating of perceived exertion responses during high intensity resistance performance for lower limb exercises.
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Affiliation(s)
- Haroldo Gualter Santana
- LADTEF-Performance, Training, and Physical Exercise Laboratory, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,Federal University of Rio de Janeiro, School of Physical Education and Sports, Rio de Janeiro, Brazil.,Biodesp Institute, Kinesiology Center of Performance, Rio de Janeiro, RJ, Brazil
| | - Gabriel Andrade Paz
- LADTEF-Performance, Training, and Physical Exercise Laboratory, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,Federal University of Rio de Janeiro, School of Physical Education and Sports, Rio de Janeiro, Brazil.,Biodesp Institute, Kinesiology Center of Performance, Rio de Janeiro, RJ, Brazil
| | - Jeffrey M Willardson
- Health and Human Performance Department, Montana State University Billings, Billings, Montana
| | - Déborah de Araújo Farias
- LADTEF-Performance, Training, and Physical Exercise Laboratory, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,Amazon State University, School of Health, Manaus, AM, Brazil; and
| | - Humberto Miranda
- LADTEF-Performance, Training, and Physical Exercise Laboratory, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,Federal University of Rio de Janeiro, School of Physical Education and Sports, Rio de Janeiro, Brazil.,Lato Sensu Postgraduate Program in Strength Training, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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Satkunskiene D, Ardekani MMZ, Khair RM, Kutraite G, Venckuniene K, Snieckus A, Kamandulis S. Effects of Warm-up on Hamstring Stiffness, Stress-Relaxation, Flexibility and Knee Proprioception in Young Soccer Players. J Athl Train 2021; 57:485-493. [PMID: 34185855 PMCID: PMC9205552 DOI: 10.4085/1062-6050-0416.20] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Nerves or fascia may limit motion in young soccer players, thereby contributing to frequent hamstring injuries. Nerve gliding exercises and self-myofascial release techniques may enhance the range of motion. OBJECTIVE The aim of this study was to compare the acute effect of foam rolling (FR) and neurodynamic nerve gliding (NDNG) on hamstring flexibility, passive stiffness, viscoelasticity and proprioception during the warm-up of soccer players. DESIGN Crossover study design. SETTING Research laboratory. PARTICIPANTS Fifteen male soccer players on the same team (age 18.0 ± 1.4 years, body mass 76.9 ± 7.8 kg, height 183 ± 6 cm). INTERVENTION FR and NDNG included six sets of 45 s with 15 s rest between each set. Over a two-week period subjects performed NDNG and FR on two separate occasions. MAIN OUTCOME MEASURE(S) Hip flexion angle (SLR), knee extension range of motion (ROM), knee joint position sense (AKJPS), hamstring passive resistance torque (PRT), stiffness (STFmax and STF80%) and viscoelasticity (stress-relaxation test (SRT)). RESULTS A significant interaction between time and intervention was found for knee ROM (p = 0.017), PRT (p = 0.044), and STFmax (p = 0.042). NDNG induced an increase in ROM (p = 0.011), PRT (p = 0.008), and STFmax (p = 0.030). Both NDNG and FR induced an increase in SLR (p < 0.001). No interaction or main effects was found for SRT and AKJPS. CONCLUSION The inclusion of NDNG in the warm-up routine increased the ROM more in comparison with FR and may be of benefit to soccer players.
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Affiliation(s)
- Danguole Satkunskiene
- 1Institute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania
| | | | - Ra'ad M Khair
- 1Institute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania.,2Faculty of Sport and Health Sciences, Neuromuscular Research Center, University of Jyväskylä, Jyväskylä, Finland
| | - Goda Kutraite
- 1Institute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania
| | - Kristina Venckuniene
- 1Institute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania
| | - Audrius Snieckus
- 1Institute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania
| | - Sigitas Kamandulis
- 1Institute of Sports Science and Innovation, Lithuanian Sports University, Kaunas, Lithuania
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Patel S, Amirhekmat A, Le R, Williams Iii RJ, Wang D. Osteochondral Allograft Transplantation in Professional Athletes: Rehabilitation and Return to Play. Int J Sports Phys Ther 2021; 16:941-958. [PMID: 34123544 PMCID: PMC8169007 DOI: 10.26603/001c.22085] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 04/07/2021] [Indexed: 11/18/2022] Open
Abstract
For the treatment of large chondral and osteochondral defects of the knee, osteochondral allograft transplantation (OCA) is an effective solution with relatively high rates of return to sport. In professional athletes, rehabilitation following OCA is a critical component of the process of returning the athlete to full sports activity and requires a multidisciplinary team approach with frequent communication between the surgical and rehabilitation teams (physical therapists, athletic trainers, coaching staff). In this review, we describe our five-phase approach to progressive rehabilitation of the professional athlete after OCA, which takes into account the biological processes of healing and optimization of neuromuscular function required for the demands of elite-level sport. The principles of early range of motion, proper progression through the kinetic chain, avoidance of pain and effusion, optimization of movement, regimen individuation, and integration of sports-specific activities underlie proper recovery.
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Affiliation(s)
| | | | - Ryan Le
- University of California Irvine School of Medicine
| | | | - Dean Wang
- University of California Irvine School of Medicine; UCI Health
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Tsai WC, Chen ZR. The Acute Effect of Foam Rolling and Vibration Foam Rolling on Drop Jump Performance. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073489. [PMID: 33801720 PMCID: PMC8037843 DOI: 10.3390/ijerph18073489] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 03/20/2021] [Accepted: 03/24/2021] [Indexed: 11/22/2022]
Abstract
The purpose of this study was to examine the acute effect of foam rolling and vibration foam rolling on drop jump performance. The optimal time interval between warm-up using foam rolling or vibration foam rolling and drop jump performance was identified. This study included 16 male NCAA Division I college volleyball athletes. Three interventions were performed in a randomized order: the foam rolling exercise (FRE), vibration foam rolling exercise (VFRE), and static rest (control). The drop jump was performed before interventions, as well as 2 and 5 min after interventions. The FRE exhibited higher values for drop jump height (DJH) (p = 0.001; η2 = 0.382; statistical power = 0.964) and mean power generation at the hip joint (p = 0.006; η2 = 0.277; statistical power = 0.857) at 2 min compared with before intervention but not at 5 min (p > 0.05). However, the VFRE showed no significant changes in DJH (p > 0.05), and found that hippower was decreased at 5 min (p = 0.027; η2 = 0.214; statistical power = 0.680). The FRE completed in 2 min before rapid single action competition (sprint, long jump, triple jump, etc.) could increase sports performance.
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Affiliation(s)
- Wei-Chi Tsai
- Division of Physical Medicine and Rehabilitation, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung 813, Taiwan;
- Department of Physical Education, National Taiwan Normal University, Taipei 106, Taiwan
| | - Zong-Rong Chen
- Department of Athletic Performance, National University of Kaohsiung, Kaohsiung 811, Taiwan
- Correspondence: ; Tel.: +886-910-255-773
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Koumantakis GA, Roussou E, Angoules GA, Angoules NA, Alexandropoulos T, Mavrokosta G, Nikolaou P, Karathanassi F, Papadopoulou M. The immediate effect of IASTM vs. Vibration vs. Light Hand Massage on knee angle repositioning accuracy and hamstrings flexibility: A pilot study. J Bodyw Mov Ther 2020; 24:96-104. [PMID: 32826015 DOI: 10.1016/j.jbmt.2020.02.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Revised: 02/03/2020] [Accepted: 02/17/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The effectiveness of novel soft-tissue interventions relative to traditional ones requires further exploration. The purpose of this pilot study was to evaluate the immediate effect of Instrument Assisted Soft Tissue Mobilization (IASTM) compared to Vibration Massage or Light Hand Massage on hamstrings' flexibility and knee proprioception. METHODS 16 healthy non-injured male participants (mean age 23.7 years, height 1.80 cms and body mass 77.7 kg) were randomly assigned to the following interventions: (a) 5min IASTM, (b) 5min Vibration Massage and (c) 8min Light Hand-Massage, sequentially delivered to all participants with an in-between 1-week time interval. A single application of each intervention was given over the hamstrings of their dominant leg (repeated measures under 3 different experimental conditions). An active knee angle reproduction proprioception test and the back-saver sit and reach flexibility test were performed before and immediately after each intervention. Reliability of outcomes was also assessed. RESULTS Reliability for flexibility (ICC3,1 = 0.97-0.99/SEM = 0.83-1.52 cm) and proprioception (ICC3,1 = 0.83-0.88/SEM = 1.63-2.02°) was very good. For flexibility, statistically significant immediate improvement (p < 0.001) was noted in all 3 groups (1.61-3.23 cm), with no between-group differences. For proprioception, improvement in the IASTM (2.12°), Vibration Massage (0.32°) and Light Hand-Massage (1.17°) conditions was not statistically significant; no between-group differences were also evident. CONCLUSIONS Our findings indicate that muscle flexibility was positively influenced immediately after a single intervention of IASTM, Vibration Massage or Light Hand Massage. Proprioception changes were not statistically significant either within or between groups. Further evaluation of those interventions in a larger population with hamstrings pathology is required.
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Affiliation(s)
- George A Koumantakis
- 401 General Army Hospital of Athens, Physiotherapy Department, Pan. Kanellopoulou 1, Athens, Greece; Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK.
| | - Eleonora Roussou
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Georgios A Angoules
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Nikolaos A Angoules
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Theodoros Alexandropoulos
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Georgia Mavrokosta
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Prokopios Nikolaou
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Filippi Karathanassi
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
| | - Maria Papadopoulou
- Metropolitan College, Health Sciences Faculty, School of Physiotherapy, Athens, Greece - Affiliated Institution with Queen Margaret University, Edinburgh, UK
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