Effect of diacutaneous fibrolysis on the muscular properties of gastrocnemius muscle

López-de-Celis, Carlos; Pérez‐Bellmunt, Albert; Bueno-Gracía, Elena; Fanlo-Mazas, Pablo; Zárate-Tejero, Carlos Antonio; Llurda-Almuzara, Luis; Arróniz, Aida Cadellans; Rodríguez-Rubio, Pere Ramón

doi:10.1371/journal.pone.0243225

Cited by 9 publications

(13 citation statements)

References 36 publications

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“…These data agree with the results obtained in Dm variable, since all three variables are related to the degree of muscle deformation before a stimulus [ 16 ]. Moreover, similar results in all the variables analyzed were found in a previous study by López-de-Celis et al [ 56 ] after a diacutaneous fibrolysis intervention. As previously mentioned, a minimum degree of muscular stiffness is necessary to ensure the transmission of muscle forces to the tendon.…”

Section: Discussionsupporting

confidence: 89%

Effects of a Massage Protocol in Tensiomyographic and Myotonometric Proprieties

Pérez‐Bellmunt

Labata-Lezáun

Llurda-Almuzara

et al. 2021

IJERPH

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Background: Pre-competition massage is usually used to improve athletic performance and reduce risk of injury. Despite its usual use, the effects of pre-competition massage on neuromuscular function have barely been studied. The aim of this study is to evaluate the effects of the pre-competition massage over the gastrocnemius neuromuscular function. Method: The study is a quasi-experimental clinical trial thirty healthy athletes were enrolled in the study. Subjects received an intervention in one leg (experimental), consisting of a massage, and no intervention in the opposite leg (control). From all values of neuromuscular function, the following were analyzed: contraction time (Tc) and maximal displacement (Dm) by tensiomyography, and stiffness and tone by myotonometry. Results: Main effects of pre-competition massage on neuromuscular function include a significant (p < 0.05) increase in Tc and Dm variables, as well as a reduction in stiffness and tone. Conclusion: Data shows an increase in Tc and maximal radial displacement (Dm) variables, as well as a reduction in stiffness and tone. More quality studies are needed to draw clear conclusions about the effects of pre-competition massage.

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Section: Discussionsupporting

confidence: 89%

Effects of a Massage Protocol in Tensiomyographic and Myotonometric Proprieties

Pérez‐Bellmunt

Labata-Lezáun

Llurda-Almuzara

et al. 2021

IJERPH

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“…In a descriptive-analytical study focusing on a single session of DF on gastrocnemius, improvements in stiffness and relaxation measured by myotonometry were found in healthy subjects, supporting the findings of the present study. However, they find a statistically significant increase in contractile properties, whereas contractile capacities do not appear to be modified in the present study [ 9 ].…”

Section: Discussioncontrasting

confidence: 71%

“…All TMG parameters depend on the maximum radial displacement (Dm), which is the radial movement of the muscle belly after the application of the electrical stimulus, expressed in mm. Other parameter obtained with the TMG is contraction time (Tc), which is the time between 10% and 90% of Dm [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

“…The room temperature was controlled between 22 °C and 23 °C to avoid any alteration of the mechanical properties of the muscle [ 9 ]. DF technique was applied with the necessary pressure to encompass the structure to be moved.…”

Section: Methodsmentioning

confidence: 99%

“…Hamstring injuries are the most common muscle injury in athletes, involving mild alterations up to the complete loss of fiber organization, accounting for almost 30% of lower limb injury [ 6 ]. Specifically, the biceps femoris is the most commonly muscle injured (84%), followed by semimembranosus (12%) and the semitendinosus (4%) [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Diacutaneous Fibrolysis on Passive Neuromuscular Response and Mechanosensitivity in Athletes with Hamstring Shortening: A Randomized Controlled Trial

Cadellans-Arróniz

López-de-Celis

Pérez‐Bellmunt

et al. 2021

IJERPH

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Introduction. Diacutaneous Fibrolysis is defined as specific instrumental intervention to normalize function in the musculoskeletal system. It is considered a treatment method for the mechanical alterations of the locomotor system, and it is widely used in sports for therapeutic and preventive purposes. Despite the clinical benefits observed in different musculoskeletal conditions, the action mechanism of diacutaneous fibrolysis remains uncertain. There are no studies evaluating the neuromuscular response on the posterior muscular chain of the lower extremity in athletes, where overload, stiffness, and injury incidence are high. Objective. To evaluate the immediate, and 30 min post treatment effects of a single diacutaneous fibrolysis session on passive neuromuscular response and mechanosensitibity on hamstring and gluteus in athletes with shortening. Design. A randomized within participant clinical trial. Methods. Sixty-six athletes with hamstring shortening were included (PKE < 160). The lower limbs were randomized between the experimental limb and control limb, regardless of dominance. A single session of diacutaneous fibrolysis was applied to the posterior gluteus maximus, biceps femoris, and semitendinosus of the experimental lower limb whereas the control limb was not treated. Viscoelastic muscle properties (myotonometry), contractile muscle properties (tensomiography), and mechanosensitivity (algometry) were tested before treatment (T0), after treatment (T1), and 30 min post treatment (T2). Results. Regarding viscoelastic properties, in the intra-group analysis we found statistically significant differences in the experimental limb at T1, decreasing muscle stiffness in gluteus maximus (p < 0.042), in biceps femoris (p < 0.001) and in semitendinosus (p < 0.032). We also observed statistically significant differences in Tone decrease (p < 0.011) and relaxation increase (p < 0.001) in biceps femoris. At T2, the decrease in stiffness in all tested muscles was maintained (p < 0.05). There were statistically significant inter-groups differences in stiffness on gluteus (p < 0.048) and biceps femoris (p < 0.019) and in tone on biceps femoris (p < 0.009) compared to the control limb. For contractile properties, we only found statistically significant differences on maximal radial displacement (Dm) in gluteus, both control and experimental at T2 (p < 0.05) and in biceps femoris control (p < 0.030). No changes were found in the mechanosensitivity. Conclusions. A single session of diacutaneous fibrolysis produces changes in some parameters related to viscoelasticity properties of the biceps femoris and gluteus. There were no changes on contractile properties on semitendinosus. Only small changes on the contractile properties on the gluteus maximus and biceps femoris were found. No effect was found on the mechanosensitivity of the posterior chain muscles in athletes with hamstring shortening.

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Novel Technologies Used in the Assessment of Patellofemoral Pain: A Scoping Review

Arin-Bal,

Bayrakci-Tunay,

Benedetti

et al. 2023

Applied Sciences

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This scoping review aims to present existing evidence on new technologies reported recently to assess patients with patellofemoral pain (PFP). The literature search was conducted in September 2023, and search engines were Medline (via Pubmed), Scopus, and Cochrane Central. The preferred search term was “patellofemoral pain”, as the 2016 PFP consensus statement recommended, and several subgroups were arranged to find any possible technology-related assessment. The total number of articles found was 7927. After eliminating duplicates, 2058 articles remained for the title and abstract screening. Methods sections of the articles were investigated for data charting. Among the 652 full-text articles, 8 met our inclusion criteria on gait analysis, 34 on imaging, and 95 on EMG. However, only 5 included innovative technology, 2 used cone-beam CT, 1 used a device in medical imaging to apply stress to the patella in anatomical directions, and 2 used a novel EMG electrode system based on a high-density linear array. The results of this review demonstrate the large use of innovative technologies in PFP, particularly using medical imaging and state-of-the-art gait analysis, sometimes used together for thorough biomechanical studies. Because modern technology can provide precise and detailed information, exploiting these to design more effective prevention campaigns and patient-specific rehabilitation programs is fundamental. Investigations are becoming increasingly translational and multidisciplinary as a fusion of technological and clinical perspectives brings significant insights to PFP.

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Effect of diacutaneous fibrolysis on the muscular properties of gastrocnemius muscle

Cited by 9 publications

References 36 publications

Effects of a Massage Protocol in Tensiomyographic and Myotonometric Proprieties

Effects of a Massage Protocol in Tensiomyographic and Myotonometric Proprieties

Effects of Diacutaneous Fibrolysis on Passive Neuromuscular Response and Mechanosensitivity in Athletes with Hamstring Shortening: A Randomized Controlled Trial

Novel Technologies Used in the Assessment of Patellofemoral Pain: A Scoping Review

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