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ACUTE EFFECTS OF DEEP TISSUE FOAM ROLLING AND

DYNAMIC STRETCHING ON MUSCULAR STRENGTH,


POWER, AND FLEXIBILITY IN DIVISION I LINEMEN
BRANDON BEHARA AND BERT H. JACOBSON
Health and Human Performance Laboratory, Oklahoma State University, Stillwater, Oklahoma

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
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(ROM); however, foam rolling had no effect on maximal


knee extension force. Two additional studies (10,14) com-
TABLE 1. Subject’s characteristics.
paring static stretching, foam rolling, and foam rolling com-
bined with static stretching on passive hip flexion found Variable Mean 6 SD
a significant (p = 0.001) change in ROM regardless of treat-
Age (y) 20.04 6 1.41
ment. However, those receiving foam rolling and static
Weight (kg) 136.28 6 6.67
stretching had a greater change than static stretch, foam Weight (lb) 300.45 6 14.70
rolling, or control. Height (cm) 194.92 6 3.63
Regarding performance, one study (7) compared planking Height (feet; inches) 76.74 6 1.32
with foam rolling and found no significant differences Body fat (%) 25.06 6 4.09
between the 2 treatments on the vertical jump (VJ) height
and power, isometric force, or agility. However, foam rolling
significantly reduced postexercise fatigue. Similarly, Sullivan
et al. (15) found no significant effect on maximum voluntary
muscle strength but significant increases in ROM for the sit- fascia in multiple directions. To our knowledge, no research
and-reach test after selected durations of foam rolling. exists that has used this particular type of foam roller to
All current research has been conducted with smooth assess its effect on selected variables. Thus, the approach to
foam rollers. Recently, a new type of foam roller has become this problem was to compare deep tissue foam rolling,
available (The Rumble Roller; STI, Baton Rouge, LA, USA), dynamic stretch, and no intervention on lower body
which will be described as a deep tissue roller (DTR). The strength, power, velocity, and ROM.
difference between a regular smooth foam rollers and the Subjects
DTR is that the DTR contains “high-profile” nodules that Subjects were well-trained NCAA Division 1 football offen-
are semiflexible but firm and advertised as “much like the sive linemen (n = 14) 18 years or older (range = 18–24 years)
thumbs of a massage therapist.” The nodules have an asym- who had been competitive for more than 6 years in organized
metrical shape and are spaced a little less than 50 cm apart sports. Table 1 provides the physical characteristics of the
and protrude about 10 cm from the surface of the roller on subjects. The study took place in the off-season (summer),
an alternating basis so that several of the nodules contact the and all testing was done in the athletic facility. All subjects
body simultaneously. Thus theoretically, the DTR exerts met with the researchers and were briefed on the require-
more pressure because it does not contact a large surface ments and objectives of the study and were informed of the
area like a smooth roller. Although smooth foam rollers have benefits and risks of the investigation before signing an insti-
been looked into, the aforementioned aggressive DTR rollers tutionally approved informed consent document to partici-
have yet to be investigated. Given the drastically altered pate in the study. Additionally, subjects completed a health
surface of these rollers, it is possible that a protocol using history questionnaire to ensure that the subjects qualified to
the rollers may not result in similar findings as those using participate in the study. Subject inclusion criteria consisted of
smooth rollers. To date, little information exists to evaluate no major lower extremity injury in the last year, not currently
these DTRs on certain performance variables. It is important engaging in any stretching or flexibility program, free from
to ascertain the effect of the DTRs on certain performance any current injury or disease that could affect strength, power,
parameters so that coaches, trainers, and exercise enthusiasts or flexibility, and free of any circulation problems.
can determine if and when to use them. The purpose of this
study was to compare deep tissue rolling, dynamic stretch,
and no intervention on VJ velocity and power, peak and
average knee torque production, and hip ROM.
TABLE 2. Peak vertical jump power mean, SD,
and CIs, by treatment (Pretest, Foam Roller, and
METHODS
Dynamic Stretch) (p = 0.45).
Experimental Approach to the Problem
The amount of effort and time to train these elite athletes are Mean
Variable N (W) SD 95% CI
extensive and limited. Finding the best methods to achieve
top physical conditioning is imperative. This study incorpo- Baseline 14 4,282.91 487.81 3,950.51–
rated Division I football players and a new novel foam roller 4,615.65
to ascertain the effect of its use on certain variables Foam roll 14 4,372.46 474.57 4,044.85–
consistent with the sport. A random crossover design was 4,700.05
Dynamic 14 4,318.73 418.52 4,066.62–
used to compare selected physical variables. This study stretch 4,570.65
aimed to use a more aggressive foam roller (The Rumble
Roller) equipped with raised nodules to allegedly stimulate
deeper layers of muscle tissue and to stretch muscle and

VOLUME 31 | NUMBER 4 | APRIL 2017 | 889

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

Baseline 14 2,386.10 349.64 2,119.93– Baseline 14 1.77 1.79 1.61–


2,652.25 1.93
Foam roll 14 2,544.55 383.64 2,283.33– Foam roll 14 1.90 1.89 1.74–
2,805.76 2.06
Dynamic 14 2,485.18 353.40 2,232.75– Dynamic 14 1.85 1.84 1.69–
stretch 2,737.62 stretch 2.01

Procedures DTR protocol. The no-intervention group remained inactive


For the first or three visits, subjects reported to the weight for the same amount of time. Immediately after treatment,
room wearing athletic shorts, shoes, and a t-shirt. Assessments postassessments were identical to the pretests. The second
consisted of the recording of demographic information and and third session was each scheduled exactly 1 week apart at
anthropometric data (i.e., height and weight) of each partic- the same time of day, and the groups were randomly assigned
ipant. After these measures, each participant warmed up on to a different treatment each session.
a cycle ergometer for 5 minutes with a low resistance at 70 Power (in Watts) and velocity (in meters per second)
revolutions per minute. After the warm-up, each subject was assessments consisted of three counter movement VJs, whereas
pretested on VJ peak and average power and peak and peak and average power and peak and average velocity data
average velocity, peak and average isometric knee flexion were collected by a Tendo Speed Analyzer (Tendo Sport
torque and extension torque, and hip flexion ROM. After Machines, M.R. Stefanika 19, 911 01 Trencin, Slovak Republic)
pretesting, subjects were randomly assigned to one of 2 connected to a laptop computer. The Tendo mat was placed on
groups, either the DTR or dynamic stretch (DS) or no the floor, and a nylon cord from the device was then attached
intervention. Deep tissue roller consisted of rolling on each to a belt around the subjects’ waist. After the VJ, all participants
extremity unilaterally for 1 minute (i.e., left and right ham- were assessed for hip flexion ROM using a Baseline Bubble
strings, left and right quadriceps, left and right gluteus Inclinometer (Fabrication Enterprises, Inc., White Plains, NY,
maximus, and left and right gastrocnemius) for a total of USA). For testing, the subjects were supine on an examination
8 minutes. The DS protocol consisted of stretching the same able and their nondominant leg strapped to the table to avoid
muscles as those involved in the DTR protocol. Each stretch unwanted movement during the assessment. Next, a bubble
was formed slowly and under control to avoid a bouncing inclinometer was zeroed and placed on the anterior thigh just
motion. Dynamic stretch stretching was coordinated to reflect above the knee, which was followed by the investigator pas-
equal time (8 minutes total) for each muscle group as with the sively stretching the hamstring by placing his left hand on the

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

Baseline 14 3.18 0.32 2.98– Baseline 14 221.63 40.15 197.26–


3.38 246.02
Foam roll 14 3.27 0.28 3.07– Foam roll 14 214.01 49.85 183.89–
3.46 244.14
Dynamic 14 3.22 0.27 3.05– Dynamic 14 208.44 60.25 172.03–
stretch 3.39 stretch 244.84

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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

Baseline 14 211.30 37.96 188.48– Baseline 14 128.28 25.27 111.76–


132.12 144.79
Foam roll 14 206.99 51.52 175.85– Foam roll 14 118.08 15.25 108.40–
238.12 127.77
Dynamic 14 203.75 48.79 174.27– Dynamic 14 119.13 21.74 105.32–
stretch 233.24 stretch 132.95

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.

TABLE 10. Hip flexion ROM means, SD, and CIs


TABLE 8. Peak isometric leg flexion torque group (Pretest, Foam Roller, Dynamic Stretch)
means, SD, and CIs by group (Pretest, Foam (p = 0.0001).
Roller, Dynamic Stretch) (p = 0.63).
Mean
Mean Variable N (8) SD 95% CI
Variable N (N$m) SD 95% CI
Baseline 12 94.17* 21.1 86.14–
Baseline 14 134.00 25.06 117.54– 102.19
150.46 Foam roll 12 108.92 15.51 99.06–
Foam roll 14 125.13 17.53 113.99– 118.77
136.26 Dynamic 12 111.77 13.44 102.31–
Dynamic 14 126.11 21.83 112.24– stretch 119.85
stretch 139.98
*p # 0.05.

VOLUME 31 | NUMBER 4 | APRIL 2017 | 891

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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
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