Effects Of Myofascial Release Research Articles

Increasing Hamstring Range of Motion via Plantar Myofascial Release: A Critically Appraised Topic

Context: The concept of anatomical fascial trains and myofascial release are heavily researched topics independently. However, few studies have determined if myofascial release of remote areas can cause lengthening throughout more distal aspects of these fascial trains. Clinical Question: In healthy individuals, what is the effect of myofascial release on the plantar aspect of the foot in improving flexibility and hamstring length as determined by a sit-and-reach test? Clinical Bottom Line: The usage of myofascial release on the plantar aspect of the foot via a firm object has been shown to improve sit-and-reach distance. Each article included for analysis utilized similar methods of instructing self-myofascial release with regard to time as well as type of object used for the intervention. Though this was consistent between studies, the authors should have implemented secondary outcome measures. Despite the limitations to each of the studies analyzed, there is a Strength of Recommendation Taxonomy (SORT) Level B evidence to support the implementation self-myofascial release to the plantar fascia. This intervention should be considered a concurrent option for individuals with range of motion deficits or fascial restrictions in the upper thigh.

Efficacy of Myofascial Release With Transcutaneous Electrical Nerve Stimulation Conductive Glove for Neck Myofascial Syndrome: A Randomized Clinical Trial Study

ObjectiveThe purpose of this study was to assess the efficacy of a myofascial release (MR) protocol applied with a transcutaneous electrical nerve stimulation (TENS) conductive glove. MethodsEighty individuals with neck myofascial syndrome were randomly divided into 4 groups: (1) MR protocol with a TENS conductive glove (MR+TENS), (2) MR protocol without TENS (MR), (3) conventional TENS protocol (TENS), and (4) placebo TENS (control). All participants attended 6 sessions over a period of 3 weeks. The following measures were evaluated at baseline, at the third week, and at the 1-month follow-up: Pain with the visual analog scale (VAS pain), upper trapezius pressure pain threshold (PPT) with pressure algometry, cervical range of motion (ROM) with goniometry, and disability with the neck disability index (NDI). A 2-way ANOVA with repeated measurements was applied. ResultsSignificant changes between the 3 intervention groups and the control group were noted in the VAS and the NDI scores (P < .05) with the MR+TENS group exhibiting the biggest difference. Additionally, MR significantly increased PPT compared to TENS, and even further when applied with the conductive glove (P < .05). Regarding lateral flexion ROM, MR was equally effective either alone or in combination with the glove compared to TENS (P < .05). In contrast, TENS did not appear to affect neck PPT and ROM (P > .05). Finally, no difference between the groups was detected in cervical rotation ROM (P > .05). ConclusionThe MR protocol appears to be more effective in dealing with pain, disability, and lateral flexion ROM than conventional TENS. A TENS conductive glove significantly improves the effects of MR, possibly due to the combined mechanical and electrical stimulation of the muscle.

The effects of myofascial release in combined with task-oriented circuit training on balance in people with Parkinson’s disease: a randomized pilot trial

ABSTRACT Objectives Task-oriented circuit training (TOCT) has been used to improve balance in people with Parkinson’s disease (pwPD). To investigate the effectiveness of TOCT on balance, quality of life, and disease symptoms when combined with myofascial release in pwPD. Methods Twenty-six pwPD were randomized into two groups for this randomized controlled study. The groups received TOCT three days a week for eight weeks. At the end of each session, the myofascial release was applied to the neck, trunk, and lumbar region with three sets of 60-s foam rolling body weight (Intervention group-IG) and perceived discomfort level 0/10 (Control group-CG) using a numeric rating scale. Primary outcome measures were measured by the Berg Balance Scale (BBS), Parkinson’s Disease Questionnaire (PDQ-8), and Movement Disorder Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS). Secondary outcome measures included posturographic assessment, timed-up and go test (TUG), Trunk Impairment Scale (TIS), and rolling time. Results Data obtained from 26 pwPDs in equal numbers in both groups were analyzed. All groups reported a significant change in MDS-UPDRS, MDS-UPDRS-III, PDQ-8, TIS, and rolling time after treatment compared to pretreatment. Post-hoc analyses showed that IG significantly improved motor symptoms, TUG, and TIS dynamics compared to CG. The mediolateral limits of stability and anterioposterior limits of stability distances of IG increased (p < 0.05). Discussion Myofascial release, when combined with TOCT, may help to reduce disease-related motor symptoms and improve dynamic balance in pwPD. These findings suggest that myofascial release can be a beneficial addition to TOCT programs for pwPD. Clinical Trial Number: NCT05900934 (ClinicalTrials.gov).

Effect of myofascial release and muscle energy technique on patients with chronic neck pain: a scoping review.

To identify the effects of muscle energy techniques and myofascial release in patients with chronic neck pain. To conduct a literature search and identification; PRISMA-ScR guidelines were followed. Relevant articles were searched for from the following medical and health sciences electronic databases: PubMed, EBSCOhost, CENTRAL of the Cochrane Library, and the Physiotherapy Evidence-Based Database (PEDro). Patients with chronic neck pain were eligible for the scoping review. Seven articles were included in this review. This scoping review found that there is heterogeneity in the prescription of MFR and MET and a greater tendency to check three major physical dimensions (pain, range of motion, and disability). Various studies have opted for distinct intervention regimens, resulting in disparities in the frequency of weekly interventions, which can range from biweekly to five times a week. These inconsistencies may lead to perplexity among practitioners, as each intervention modality demonstrates favorable outcomes for individuals with persistent cervical discomfort. Moreover, a significant proportion of research projects have employed the numeric pain rating scale (NPRS) and visual analog scale (VAS) for data quantification. According to results, majority of the studies were focused on pain and missing components of range of motion and quality of life. Work-related factors can act as risk factors for chronic neck pain. Future investigations should adopt a comprehensive methodology and incorporate QoL assessments of quality of life.

The Effect of Myofascial Release on Pain Levels in the Condition of Myofascial Pain Syndrome in the Upper Trapezius Muscle in Students of Stikes Kesdam IV/Diponegoro Semarang

Working position when typing is closely related to ergonomics or comfort issues, especially in the areas of design, position and proper body posture. MTrPs is a condition describing acute or chronic soft tissue pain, which occurs in muscles or muscle fascia. MTrPs cause contraction of knots or nodes that can form in a muscle band junction which is a source of pain. Pain or discomfort in the form of a prickling, throbbing, cutting and burning sensation in the loose connective tissue that covers the trapezius muscle due to trigger points. Data on computer workers in the Pedurungan Wetan area is 24 workers. This research method is a pre-experimental one group pre and post test design and sampling using purposive sampling technique. The population of this research is rental workers who work in Tlogosari Wetan, Pedurungan, Semarang City. The research instrument uses VAS (Vasual Analog Skill). The research stages consist of preparation, implementation and processing of research data. The steps taken at the preparation stage are literature study, field survey, outreach to rental workers. The implementation stage is carried out by collecting data. The results of this study showed that there was a relationship between typing time and the occurrence of MTrPs in the Upper Trapezius Muscle.

Myofascial Pain Syndrome Of The Upper Trapezius Muscle: Different Effects Of Myofascial Release And Stretching On Pain

Background: The increasing demand of works from day to day and unergonomic posture habits and static positions at works for a longer period of time can cause physical symptoms such as muscle spasm and pain especially on the neck area or known as myofascial pain upper trapezius muscle. The pain can limit daily functional activities so that invidivual with this problem usually seek for treatment to reduce it. Physiotherapy intervention that can be used in this case among others are myofascial release and stretching. Objective: To know the difference between the effect of myofascial release with stretching on myofascial pain upper trapezius muscle. Research Methods and Result: This research is an experimental study with two group with pre and post test design. The sampling technique was purposive sampling. The subject is 30 workers in Fitasoma Clinic who fulfill inclusion criteria and divided into two groups namely group I (n=15) with myofascial release treatment and group II (n=15) with stretching. Each group received treatment 6 times for 2 weeks. The assessment of pain in this research used quadruple visual analogue scale (QVAS). During pre and post-test group I and II used paired t test and each group got the score of p=0,000. Meanwhile, in post-test group I and II used unpaired t test and got the score of p=0,009. Conclusion: This research shows that myofascial release and stretching is effective to reduce pain on myofascial pain upper trapezius muscle. However, myofascial release is more effective than stretching to decrease pain on myofascial pain upper trapezius muscle.

Immediate Effects of Myofascial Release Treatment on Lumbar Microcirculation: A Randomized, Placebo-Controlled Trial

(1) Background: Inflammatory processes in the thoracolumbar fascia (TLF) lead to thickening, compaction, and fibrosis and are thought to contribute to the development of nonspecific low back pain (nLBP). The blood flow (BF) of fascial tissue may play a critical role in this process, as it may promote hypoxia-induced inflammation. The primary objective of the study was to examine the immediate effects of a set of myofascial release (MFR) techniques on the BF of lumbar myofascial tissue. The secondary objectives were to evaluate the influence of TLF morphology (TLFM), physical activity (PA), and body mass index (BMI) on these parameters and their correlations with each other. (2) Methods: This study was a single-blind, randomized, placebo-controlled trial. Thirty pain-free subjects (40.5 ± 14.1 years) were randomly assigned to two groups treated with MFR or a placebo intervention. Correlations between PA, BMI, and TLFM were calculated at baseline. The effects of MFR and TLFM on BF (measured with white light and laser Doppler spectroscopy) were determined. (3) Results: The MFR group had a significant increase in BF after treatment (31.6%) and at follow-up (48.7%) compared with the placebo group. BF was significantly different between disorganized and organized TLFM (p < 0.0001). There were strong correlations between PA (r = -0.648), PA (d = 0.681), BMI (r = -0.798), and TLFM. (4) Conclusions: Impaired blood flow could lead to hypoxia-induced inflammation, possibly resulting in pain and impaired proprioceptive function, thereby likely contributing to the development of nLBP. Fascial restrictions of blood vessels and free nerve endings, which are likely associated with TLFM, could be positively affected by the intervention in this study.

Effect of Myofascial Release (MFR) on Tendo Achilles (TA) Flexibility in Nurses: A Review.

Increased muscle stiffness can result in a reduced range of motion (ROM) and impaired function. An increased ankle injury risk has been associated with reduced ankle dorsiflexion ROM. Although self-myofascial release (SMFR) is commonly used in clinical and sporting settings, little is known about its impact on gastrocnemius and Achilles tendon (AT) stiffness. As a result, we investigated how SMFR using a foam roller (FR) affects gastrocnemius-AT complex stiffness and ankle dorsiflexion ROM. According to these results, self-myofascial relaxation of the gastrocnemius and an improvement in ankle dorsiflexion ROM can be accomplished by rolling an FR along the calf. Myofascial release (MFR) is a type of manual therapy that involves stretching the myofascial complex with a light load and for a long duration in order to restore optimal length, relieve pain, and improve function.Viscoelastic deformation is the rapid increase in muscle length following stretching.

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Effects Of Myofascial Release Versus Pelvic Floor Muscle Exercises in Women with Primary Dysmenorrhea

Primary dysmenorrhea is also associated with significantly high economic burdens due to absenteeism, and 2-to-3-fold increased healthcare costs. Objective: To determine the effects of myofascial release versus pelvic floor muscle exercises in women with primary dysmenorrhea. Methods: The study design was Randomized Clinical Trial. The study was conducted at Gynae Department of Hamza Hospital Lahore and completed ten months after the approval of synopsis. Sample size is 22, calculated by Epitool. Nonprobability convenient sampling technique was used. Females with 17-30 years of age and who fulfilled five criteria to be considered for primary dysmenorrhea were included in the study. Visual Analogue Scale (VAS) and working ability, location, intensity, days of pain, dysmenorrhea (WaLIDD) Score was used as a tool. Results: Twenty-four participants with mean age of the participants was 21 ± 2.75 years while Body Mass Index (BMI) of participants was 26.23 ± 1.631. Normality of data was checked by Shapiro wilk test that showed that data was normally distributed with p value ≤ 0.05. Parametric test, paired sample t test and an independent samples t-test was conducted to compare the effects of Myofascial release and Pelvic floor muscle exercises group in between and within group. Total score of VAS and WaLIDD was measured before and after 12 weeks of intervention in between two groups. The mean difference was 5.82 in Myofascial release group and 4.3 in Pelvic floor muscle exercises group. Although there was a significant reduction in WaLIDD score in both groups after treatment, but the myofascial release group was superior to pelvic floor exercise group. Conclusions: It was concluded that myofascial release and Pelvic floor muscle exercises are effective for treatment for primary dysmenorrhea, but Myofascial release has greater effects on relieving primary dysmenorrhea Symptoms than the pelvic floor muscle Exercises after the treatment sessions

Effect of myofascial release, stretching, and strengthening on upper torso posture, spinal curvatures, range of motion, strength, shoulder pain and disability, and quality of life in breast cancer survivors.

Breast cancer survivors are known to develop upper torso pain and stiffness including shoulder elevation and ipsilateral inclination of the trunk within a short period of time as a result of cancer adjuvant therapies correlating with the type and side of surgery. Hence, the study. Twenty-two breast cancer survivors at a tertiary care hospital, Belgaum, Karnataka, have participated in this pre-post experimental study which included myofascial release (MFR), stretching, and strengthening for four sessions per week for 3weeks that is, a total of 12 sessions. The participants were assessed at baseline and post-intervention using photogrammetry for Posture and shoulder range of motion (ROM), flexicurve for spinal curvatures, digital inclinometer for cervical ROM, manual muscle testing and hand dynamometer for strength of the upper back, shoulder muscles and hand grip, Shoulder Pain and Disability Index (SPADI) for shoulder impairment and Functional Assessment of Cancer Therapy-Breast (FACT-B) for quality of life. The outcomes were analyzed with a p-value set at ≤0.05. The results of the study demonstrated a substantial improvement in the posture alignment (p=0.001), shoulder and cervical ROM (p=0.001), upper back and shoulder muscle and hand grip strength (p=0.001), SPADI (p=0.001), and FACT-B (p=0.001) values. The upper torso malalignment and muscular imbalance is seen in patients who has undergone surgeries involving the chest wall and early physiotherapy intervention can benefit the patients overall physical performance and quality of life. Hence, MFR, stretching and strengthening has shown to be beneficial in improving upper torso malalignment in breast cancer survivors. The suggested techniques can be applied at a larger scale which can involve patients with head and neck cancer since the areas of intervention are identical. CTRI (Clinical Trial Registry- India) Registration No.: CTRI/2021/01/030453.

変形性膝関節症患者に対する膝蓋骨周囲軟部組織への筋膜リリースが膝機能に及ぼす即時効果

変形性膝関節症患者に対する膝蓋骨周囲軟部組織への筋膜リリースが膝機能に及ぼす即時効果

Effect of Peroneus Longus Muscle Release on Abductor Hallucis Muscle Activity and Medial Longitudinal Arch before Toe-Tap Exercise in Participants with Flexible Pes Planus.

Pes planus is a medical condition of the foot wherein there is a flattening or lowering of the medial longitudinal arch. The abductor hallucis muscle starts at the heel bone and attaches to the medial side of the first toe. Whenever it contracts, it plays a key role in elevating the medial longitudinal arch. Hence, the abductor hallucis muscle should be strong enough to control the depression on the medial longitudinal arch. The peroneus longus muscle plantarflexes the ankle and everts the ankle and subtalar joint. If this muscle contracts more than the abductor hallucis muscle does, the medial longitudinal arch of the foot is depressed. This study aimed to investigate the effect of myofascial release of the peroneus longus before performing the toe-tap exercise for strengthening the abductor hallucis muscle in participants with flexible pes planus. This cross-over study included 16 volunteers with flexible pes planus. The participants performed a toe-tap exercise before and after the myofascial release of the peroneus longus. During the toe-tap exercise, the muscle activity of the abductor hallucis and peroneus longus were measured using a Delsys Trigno Wireless Electromyography System. The angle of the medial longitudinal arch was measured using Image J software. Photos in the sagittal plane were used. The peroneus longus activity and medial longitudinal arch angles were significantly decreased. On the other hand, the activity of the abductor hallucis significantly increased after the myofascial release of the peroneus longus before performing the toe-tap exercise (p < 0.05). Individuals with flexible pes planus should be encouraged to perform myofascial release of the peroneus longus before the toe-tap exercise to improve the abductor hallucis activity and to elevate the medial longitudinal arch.

Immediate Effects of Myofascial Release on the Thoracolumbar Fascia and Osteopathic Treatment for Acute Low Back Pain on Spine Shape Parameters: A Randomized, Placebo-Controlled Trial.

Background: Spine shape parameters, such as leg length and kyphotic or lordotic angle, are influenced by low back pain. There is also evidence that the thoracolumbar fascia plays a role in such pathologies. This study examined the immediate effects of a myofascial release (MFR) technique on the thoracolumbar fascia and of an osteopathic treatment (OMT) on postural parameters in patients with acute low back pain (aLBP). Methods: This study was a single-blind randomized placebo-controlled trial. Seventy-one subjects (43.8 ± 10.5 years) suffering from aLBP were randomly and blindedly assigned to three groups to be treated with MFR, OMT, or a placebo intervention. Spinal shape parameters (functional leg length discrepancy (fLLD), kyphotic angle, and lordotic angle) were measured before and after the intervention using video raster stereography. Results: Within the MFR group, fLLD reduced by 5.2 mm, p < 0.001 and kyphotic angle by 8.2 degrees, p < 0.001. Within the OMT group, fLLD reduced by 4.5 mm, p < 0.001, and kyphotic angle by 8.4°, p = 0.007. Conclusion: MFR and OMT have an influence on fLLD and the kyphotic angle in aLBP patients. The interventions could have a regulating effect on the impaired neuromotor control of the lumbar muscles.

Immediate Effects of Myofascial Release Technique on Muscle Flexibility, Vertical Jump Height in Recreational Badminton Players

Introduction: In the life of a normal human function or in doing activity of daily living muscular flexibility plays an important role. Flexibility is the ability of a joint or series of joints to move through an unrestricted, pain free range of motion. A limitation in the muscular flexibility leads to several musculoskeletal overuse injuries in players life and remarkably affect a person’s level of function. Myofascial Release (MFR) is a manual soft tissue technique that is frequently used in physical therapy for the flexibility purpose. Aim: To find out the immediate effects of MFR on muscle flexibility, vertical jump height in recreational badminton players. Materials and Methods: This was a case control study design with total of 60 recreational badminton players were recruited for the study during July 2018 to May 2019 for 10 months. All the subject was assigned into three groups as per the selected muscle like quadriceps, hamstring and calf muscle. Vertical jump height Knee flexion angle Popliteal Angle (PA) distance from the wall (Lunge test) was measured pre-intervention and post intervention. MFR technique was applied as an intervention. Paired sample t test was used to find out the immediate effect. Results: Quadriceps and hamstring play a significant effect in vertical jump height and the flexibility of the muscles increases after the administration of MFR. Vertical jump height for quadriceps group (p&lt;0.029) showed extremely significant improvement. Flexibility of quadriceps (p&lt;0.001), hamstring (p&lt;0.001) and calf (p&lt;0.001) also showed significant differences. Conclusion: The study concluded that MFR has immediate effect on increasing muscle flexibility and muscle power.

IMMEDIATE EFFECT OF MYOFASCIAL RELEASE V/S POSITIONAL RELEASE TECHNIQUE ON LEVATOR SCAPULAE TRIGGER POINTS IN YOUNG ADULTS

Context : Myofascial release is the gentle manual application of sustained pressure to release fascial restriction. One of the cervical spine pain healing methods is Trigger point therapy with positional release method. Aim: To compare the efficacy of Immediate Effect of Myofascial Release and Positional Release techniques on levator scapulae trigger points in young adults. Method and material: Study involved 30 subjects that were divided into 2 groups. Group A (n=15) Myofascial Release technique and Group B (n=15)Positional Release technique. Results: The data was analysed using statistical method of paired’t’-test between the pre and post interventional study of pain and range of motion. Result showed statistically significant improvement (p&lt;0.05) and visible difference in the post intervention. Discussion and conclusion: From the present study we conclude that Myofascial release is more efficient in reducing pain whereas Positional Release Technique is more efficient in increasing the cervical ROM , both Active lateral flexion and Cervical rotation.

Immediate effects of myofascial release and cryo-stretching in management of upper trapezius trigger points – A comparative study

Background: Myofascial release has beneficial effects on trigger points. Many studies have been done on myofascial release but a comparative study with cryo-stretching is lacking. Aims and Objectives: To find the effectiveness of cryo-stretching on trigger points and compare between myofascial release and cryo-stretching. Materials and Methods: 54 participants were included in the study and were allocated into two groups: Myofascial release (deep transverse friction, cross-hand technique) and cryo-stretching (static stretch, isometric contraction). Pre and post-assessments were taken for pain using VAS, pressure threshold by digital algometer and cervical lateral flexion using a universal goniometer. Results: Analysis was done using unpaired t-test and Mann Whitney U test for comparison of ROM and pressure threshold and pain respectively between the two groups. Differences between the two groups were statistically insignificant (p > 0.05). Paired t-tests and Wilcoxon’s test for within-group study showed significant improvement for VAS PPT, and ROM in both groups. Conclusion: The study found that both MFR and cryo-stretching were effective in management of upper trapezius trigger point. Keywords: Myofascial release, Trigger points, Cryostretch, Trapezius.

A pilot study on the short-term effects of myofascial release and core stability exercises on balance in chronic low back pain

Background and Aim: Balance disorders are among common complications of chronic low back pain (LBP). Since the tissue and echo­genicity of thoracolumbar fascia changes in chro­nic LBP, the independent motion of fascia layers would negatively alter, and it may affect the con­trol of spine movements. It has been shown that myofascial release (MFR) improves the function of transversus abdominis as a core muscle in LBP. So, MFR may affect the balance and pos­tural control in these patients. The aim of this study was to evaluate the immediate effects of MFR and core stability (CS) exercises on dyna­mic balance and pain in women with chronic non-specific LBP. Methods: In this pilot study, with a pretest-posttest design, 10 females aged 30 ± 9.04 parti­cipated. The participants received one session of MFR on thoracolumbar fascia and CS exercises. The outcome measures were dynamic balance by Y balance test (YBT) and pain with visual ana­logue scale (VAS), which were assessed before and immediately after the intervention. Results: Dynamic balance improved signifi­cantly (p &lt; 0.02) after intervention. The VAS as an indicator of pain intensity showed significant improvement (p = 0.005). Conclusion: The application of MFR plus CS exercises for a single session is effective in improving dynamic balance and pain in women with chronic non-specific LBP. Keywords: Dynamic balance; core stability; low back pain; myofascial release

Effects of Myofascial Release and Posture Correction Exercise on the Neck Movement and the Quality of Sleep in Patients with Chronic Tension-Type Headaches

Background: Tension-type headaches, which make up the highest proportion of headaches, are prone to develop into chronic tension-type headaches (CTTH). The characteristic of CTTH in patients is that the active myofascial trigger point (ATrP) which causes pain in the muscles of the back of the head is increased, compared to the normal headache and moves the head position forward. Objective: The aim of this study was to investigate the effects of myofascial release (MFR) and posture correction in effectively improving neck function and sleep quality in the symptoms of CTTH patients. Design: Observer-blind study Methods: To reduce ATrP, MFR was applied and exercise was also applied to correct posture. The subjects of this study were 48 individuals randomly divided into three groups; The MFR group using the MFR technique; The MFR with exercise group subject to both the MFR technique and forward head position correction exercises (MFREx), and the control group. MFR and MFREx groups were given the relevant interventions twice a week for four consecutive weeks, and went through the number ATrPs, range of motion (ROM) of neck, Neck Disability Index (NDI) and the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. A physical therapist, who was fully familiar with the measuring methods of the equipment, was the measurer and not aware of the target''s condition was blinded to take measurements only before and after intervention. Results: There was a significant improvement in the ATrP, Neck ROM, NDI and PSQI in the group of patients to whom the MFR technique and MFREx were applied. MFREx was more effective in increasing neck mobility. Conclusions: According to this study, the application of MFR is effective in improving neck movement and sleep quality in chronic tension headache patients.

Effects of Myofascial Release and TENS Over Pain, Hand Prehensile Strength and Functionality of Superior Extremity in Women With Lateral Epicondylalgia

Effects of Myofascial Release and TENS Over Pain, Hand Prehensile Strength and Functionality of Superior Extremity in Women With Lateral Epicondylalgia