Effects of Myofascial Self-Release on Range of Motion, Pressure Pain Threshold, and Hamstring Strength in Asymptomatic Individuals: A Randomized, Controlled, Blind Clinical Trial

in Journal of Sport Rehabilitation
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Context: Myofascial self-release is performed using a roller to exert pressure on the soft tissues and to promote effects similar to those of traditional massage. However, there is no standardization regarding its application, mainly in relation to time. Objective: To evaluate the effects of myofascial self-release with a rigid roller on range of motion (ROM), pressure pain threshold (PPT), and hamstring strength in asymptomatic individuals following 2 different times of intervention. Design: Randomized, controlled, blind, clinical trial comparing preintervention and immediately postintervention within 2 groups. Setting: Institutional physiotherapy clinic. Participants: A total of 40 university students (18–30 y), who had no symptoms, participated. Intervention: Foam roller for 30 seconds and 2 minutes for group 2. Main Outcome Measures: Hamstring PPT, knee-extension ROM, and peak knee-flexion torque measured before and immediately after the intervention. Results: Both groups experienced a statistically significant increase in ROM compared with baseline (30 s and 2 min for group 2 P < .024). There were no statistically significant differences comparing peak knee-flexion torque or PPT. Conclusions: Hamstring myofascial self-release using a roller for 30 seconds or 2 minutes produced an increase in ROM in healthy individuals. PPT and peak knee-flexion isometric torque showed no effects.

Nehring and Serafim are with the Departamento de Fisioterapia, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brasil. Silva, Sanada, and Okubo are with the Departamento de Fisioterapia, Programa de Pós-Graduação em Fisioterapia, Universidade do Estado de Santa Catarina, Florianópolis, SC, Brasil. Sprada de Menezes is with the Centro Universitário Estácio de Santa Catarina, Florianópolis, Brasil. Maffulli is with the Department of Orthopaedics, School of Medicine, Surgery and Dentistry, Salerno, Italy; Institute of Science and Technology in Medicine, Keele University School of Medicine, Stoke on Trent, United Kingdom; and the Centre for Sports and Exercise Medicine, Queen Mary University of London, London, United Kingdom.

Maffulli (n.maffulli@qmul.ac.uk) is corresponding author.
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