Академический Документы
Профессиональный Документы
Культура Документы
ABSTRACT INTRODUCTION
M
Behara, B and Jacobson, BH. Acute effects of deep tissue assage and stretching causes a decrease in
foam rolling and dynamic stretching on muscular strength, motor unit activation, while also increasing
power, and flexibility in Division I linemen. J Strength Cond Res flexibility and decreasing perceived muscular
31(4): 888–892, 2017—A recent strategy to increase sports pain (6). Fibrous adhesions are believed to
performance is a self-massage technique called myofascial occur from trauma at a micronized level during hard phys-
ical activity. These adhesions have been shown to inhibit
release using foam rollers. Myofascial restrictions are believed
typical mechanics of the muscle such as joint range of
to be brought on by injuries, muscle imbalances, overrecruit-
motion, muscle length, muscle coordination, and decreased
ment, and/or inflammation, all of which can decrease sports
strength and power production (1,4). Massage and similar
performance. The purpose of this study was to compare the techniques are believed to be effective in treating fibrous
acute effects of a single-bout of lower extremity self-myofascial adhesions in the fascia (1).
release using a custom deep tissue roller (DTR) and a dynamic A recent strategy to increase sports performance is
stretch protocol. Subjects consisted of NCAA Division 1 offen- a massage technique called myofascial release. This tech-
sive linemen (n = 14) at a Midwestern university. All players nique was created by Barnes (1) as a way to reduce fibrous
were briefed on the objectives of the study and subsequently adhesions that occur between layers of fascia/connective
signed an approved IRB consent document. A randomized tissue (9). These fibrous adhesions are believed to be brought
crossover design was used to assess each dependent variable on by injuries, imbalances in the muscles, overrecruitment of
(vertical jump [VJ] power and velocity, knee isometric torque, muscle fibers, overworked muscles, recurring microtrauma,
and hip range of motion was assessed before and after: [a] no and inflammation (7). Areas of tightness in the muscles are
treatment, [b] deep tissue foam rolling, and [c] dynamic generally referred to as myofascial trigger points and are
stretching). Results of repeated-measures analysis of variance
defined as a “hypertensive palpable nodule or taut bands”
of muscle tissue that is commonly found in the muscle belly
yielded no pretest to posttest significant differences (p . 0.05)
(5). Myofascial release and massage techniques are used to
among the groups for VJ peak power (p = 0.45), VJ average
break up these fibrous adhesions; but, the disadvantage of
power (p = 0.16), VJ peak velocity (p = 0.25), VJ average
these techniques is that they generally are very time con-
velocity (p = 0.23), peak knee extension torque (p = 0.63), suming with sessions lasting up to 90 minutes (12).
average knee extension torque (p = 0.11), peak knee flexion Self-myofascial release (SMR), a technique mimicking
torque (p = 0.63), or average knee flexion torque (p = 0.22). myofascial release is believed to have similar benefits as that
However, hip flexibility was statistically significant when tested of therapeutic myofascial release (9). However, the differ-
after both dynamic stretching and foam rolling (p = 0.0001). ence is that individuals performing SMR use their own body
Although no changes in strength or power was evident, weight or leverage to apply pressure to the selected area.
increased flexibility after DTR may be used interchangeably Foam rolling through the use of cylindrical tubes constructed
with traditional stretching exercises. of foam (foam rollers) has recently been introduced as part of
training routines. Foam rollers, are placed on the floor and
KEY WORDS myofascial release, range of motion, torque the individuals simply lays the thigh, buttocks, or back on
the foam roller and moves back and forth applying pressure
to the selected area.
Address correspondence to Bert H. Jacobson, Bert.jacobson@okstate.edu. Okamoto et al. (11) suggested that foam rolling restores
31(4)/888–892 muscles, tendons, ligaments, fascia, and soft-tissue extensibil-
Journal of Strength and Conditioning Research ity. MacDonald et al. (9) concluded that SMR through
Ó 2015 National Strength and Conditioning Association smooth foam rollers enhanced knee joint range of motion
the TM
Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.
the TM
Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.
Effects of Deep Tissue Foam Rolling
TABLE 3. Average vertical jump power mean, SD, TABLE 5. Average vertical jump velocity means,
and CIs by treatment (Pretest, Foam Roller, and SD, and CIs by group (Pretest, Foam Roller,
Dynamic Stretch) (p = 0.16). Dynamic Stretch) (p = 0.23).
Mean Mean
Variable N (W) SD 95% CI Variable N (m$s21) SD 95% CI
TABLE 4. Peak vertical jump velocity, SD, and CIs TABLE 6. Peak isometric leg extension torque
by group (Pretest, Foam Roller, Dynamic means, SD, and CIs by group (Pretest, Foam
Stretch) (p = 0.25). Roller, Dynamic Stretch) (p = 0.63).
Mean Mean
Variable N (m$s21) SD 95% CI Variable N (N$m) SD 95% CI
the TM
Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.
the TM
TABLE 7. Average isometric leg extension torque TABLE 9. Average isometric leg flexion torque
means, SD, CIs by group (Pretest, Foam Roller, means, SD, and CIs by group (Pretest, Foam
Dynamic Stretch) (p = 0.11). Roller, Dynamic Stretch) (p = 0.22).
Mean Mean
Variable N (N$m) SD 95% CI Variable N (N$m) SD 95% CI
ankle and pushing the ankle toward the subject until a slight RESULTS
discomfort was felt and vocalized by the test subject. After the For peak VJ power, the DTR group and the DS group
ROM assessments, the subjects underwent quadriceps and slightly outperformed the baseline assessment (2.1% vs. 0.8%,
hamstring peak and average isometric torque measurements respectively); however, no significant (p = 0.45) differences
using a Biodex System 4 Pro dynamometer (Biodex Medical were found among the groups (Table 2). Similarly, the
Systems, Shirley, NY, USA). Once the subjects were seated and repeated-measures ANOVA yielded no significant differen-
strapped in the seat, the knee was positioned at a 608 angle and ces among the groups for average VJ power (p = 0.16) (Table
subjects were instructed to perform 3 warm-up repetitions for 3). Regarding peak and average VJ velocity, neither depen-
both knee extension and knee flexion at about 75% of their dent variable resulted in group differences (p = 0.0.25 and
maximal effort. After the warm-up repetitions, the subjects p = 0.23, respectively) (Tables 4 and 5).
waited 2 minutes and then underwent maximal testing. Testing No statistical significant differences were found for either
consisted of 3 maximal knee extensions and flexion against the peak knee extension isometric torque (p = 0.37) (Table 6) or
padded lever arm of the Biodex System. average knee extension isometric torque (p = 0.62) (Table
Statistical Analyses 7). Furthermore, no statistical significant differences were
All data were analyzed using IBM SPSS Version 21.0 found for peak and average knee flexion isometric torque
Statistics (IBM Corporation, Armonk, NY, USA), and the (p = 0.22 and p = 0.11, respectively). Interestingly, the
main descriptive parameters were calculated (arithmetic baseline torques for both knee extension and knee flexion
mean and SD). To determine the statistical difference among were greater than for either post-DTR or post-DS (Tables 8
the groups, repeated-measures analyses of variance (AN- and 9). For hip flexion ROM, both DTR and DS were
OVAs) were conducted. Post hoc analyses were conducted significantly (p = 0.0001) greater than baseline measure-
using Newman-Keuls post hoc measures. An alpha (a) level ments (Table 10). The DTR group demonstrated a 15.6%
was set to p # 0.05 to determine significance.
Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.
Effects of Deep Tissue Foam Rolling
increase in hip flexion ROM, whereas the DS group posted discomfort. Given that the subject’s weight plays a role in the
a 19.9% increase. amount of pressure exerted on the tissues, this could have
a prompted the participants to attempt to reduce the pres-
DISCUSSION sure exerted on the roller, thus not gaining full benefit or
These results conducted with a foam roller with “high-profile detriment of the protocol.
bumps” correlated with previous research that used smooth
foam rollers or stretching before power, strength, and ROM PRACTICAL APPLICATIONS
assessments. For instance, the current results agree with others Although the use of foam rollers do not appear to either
(7,9,15) in that both stretching and foam rolling may increase benefit or deter maximal isometric strength or velocity, DTR
joint ROM similarly. Furthermore, the current results suggest does appear to enhance ROM and may be used in addition to
that 8 minutes of DTR or DS had little impact on generation traditional stretching exercises to maintain or increase ROM
of power, velocity, or torque for knee extension and flexion. in athletes. As previously stated, DTR may be an appropriate
These finding are comparable with Healey et al. (7) who substitute for static stretching because of the potential static
found no difference in isometric force production or VJ height stretch interference with the strength and power.
after smooth foam rolling. These results were also similar to
MacDonald et al. (9) who studied the effects of foam rolling
REFERENCES
on ROM, knee extension force, and muscle activation. The
1. Barnes, J. The basic science of myofascial release. J Bodyw Movt Ther
authors concluded that foam rolling had no effect on the force 1: 231–238, 1997.
output of the quadriceps and no effect on muscle activation 2. Behm, D, Button, D, and Butt, J. Factors affecting force loss with
but found a significant positive effect on knee ROM (i.e., prolonged stretching. Can J Appl Physiol 26: 261–272, 2001.
approximately 7–108 greater than the control). Additionally, 3. Bushell, JE, Dawson, SM, and Webster, MM. Clinical relevance of
the authors concluded that although foam rolling did increase foam rolling on hip extension angle in a functional lunge position. J
Strength Cond Res 29: 2397–2403, 2015.
knee ROM, there was no deficit in muscle performance. A
similar study (3) concluded that foam rolling resulted in sig- 4. Curran, P, Fiore, R, and Crisco, J. A comparison of the pressure exerted
on soft tissue by 2 myofascial rollers. J Sports Rehabil 17: 432–444, 2008.
nificant (p # 0.05) gains in hip extension. Our study found
5. Dippenaar, D, Korporaal, C, Jones, C, Brantingham, J, Globe, G, and
similar results in that although foam rolling enhanced ROM, Synder, W. Myofascial trigger points in the quadriceps fremoris
there was no detrimental effect of muscle force, power, or muscle of patellofemoral pain syndrome subjects assessed and
velocity. Another similar study used a small handheld device correlated with nrs-101. J Am Chiropractic Assoc 45: 16–28, 2008.
referred to as a roller-massager to assess its effects on ROM 6. Dishman, JD and Bulbulian, R. Comparison of effects of spinal
manipulation and massage on motoneuron excitability. Electromyogr
and maximal voluntary isometric contraction after rolling the Clin Neurophysiol 41: 97–106, 2001.
hamstrings (15). The results showed a 4.3 and 2.3% increase in 7. Healey, K, Hatfield, D, Blanpied, P, Dorfman, L, and Riebe, D. The
ROM of a sit-and-reach test after using the roller-massager for effects of myofascial release with foam rolling on performance. J
both 10 seconds and 5 seconds, respectively; however, there Strength Cond Res 28: 61–68, 2013.
were no significant effects on maximal isometric contraction. 8. Jaggers, J, Swank, A, Frost, K, and Lee, C. The acute effects of
dynamic and ballistic stretching on vertical jump height, force, and
Regarding the effects of DS and VJ power production, power. J Strength Cond Res 22: 1844–1849, 2008.
Jaggers et al. (8) concluded that DS significantly increased VJ
9. MacDonald, G, Penney, M, Mullaley, M, Cuconato, A, Drake, C,
power production. In contrast, Jaggers et al. used healthy Behm, D, and Button, D. An acute bout of self-myofascial release
college-aged students, whereas our study used Division 1 col- increases range of motion without a subsequent decrease in muscle
lege football linemen. Given the drastic body mass difference activation or force. J Strength Cond Res 27: 812–821, 2013.
between varsity football players (offensive line = avg. 136 kg) 10. Mohr, A, Long, B, and Goad, C. Foam rolling and static stretching on
passive hip flexion range of motion. J Sport Rehabil 23: 296–299, 2014.
and the general college male population, it is possible that
11. Okamoto, T, Masuhara, M, and Ikuta, K. Acute effects of self-
these variances led to the difference in results. The rationale myofascial release using a foam roller on arterial function. J Strength
for an increased ROM after DTR has been addressed by many Cond Res 28: 69–73, 2014.
researchers who have suggested that deep tissue rolling has 12. Paolini, J. Review of myofascial release as an effective massage
the ability to break down fibrous adhesions in the muscles and therapy technique. Athl Ther Today 14: 30–34, 2009.
restore elasticity to the fascia (1,4,16). Our results also illus- 13. Ryan, ED, Beck, TW, Herda, TJ, Hull, HR, Hartman, MJ, Stout, JR, and
Cramer, JT. Do practical durations of stretching alter muscle strength?
trate that both DTR and DS significantly increase ROM with- A dose-response study. Med Sci Sports Exerc 40: 1529–1537, 2008.
out a decrease in power and strength production. Deep tissue
14. Škarabot, J, Beardsley, C, and Štirn, I. Comparing the effects of self-
rollers could possibly be an alternative to static stretching that myofascial release with static stretching on ankle range-of-motion in
has been shown to increase ROM but also result in a stretch- Adolescent athletes. Int J Sports Phys Ther 10: 203–212, 2015.
induced performance deficit when used before activities that 15. Sullivan, K, Silvey, D, Button, D, and Behm, D. Roller-massager
require strength and power (2,13). application to the hamstrings increases sit-and-reach range of
motion within five to ten seconds without performance
A limitation of this study was the lack of experience by the impairments. Int J Sports phys Ther 8: 228, 2013.
subjects using this type of foam roller. The aggressive nature 16. Swann, E and Graner, J. Use of manual-therapy techniques in pain
of this type of foam roller induces as a certain amount of management. Athl Ther Today 7: 14–17, 2002.
the TM
Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.