Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals – A randomized clinical trial

Joshi, Durga Girish; Balthillaya, Ganesh M; Prabhu, Anupama

doi:10.1016/j.jbmt.2018.01.008

Cited by 47 publications

(39 citation statements)

References 35 publications

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“…As indicated, to date, only few trials have examined the relevance of myofascial chains in the living organism. A couple of studies demonstrated remote flexibility increases following local exercise treatments (Grieve et al, 2015;Wilke et al, 2016bWilke et al, , 2017Wilke et al, , 2019bJoshi et al, 2018). These findings are intriguing, seemingly verifying the observations made in vitro.…”

Section: Introductionsupporting

confidence: 54%

“…Our trial shows that maximal ankle dorsal extension is associated with significant caudal displacements of the semimembranosus muscle and its encapsulating fascia. This finding may explain the remote exercise effects detected in previous studies: It had been shown that stretching or self-myofascial release treatments induced flexibility increases in neighboring or even more distant cranial joints (Grieve et al, 2015;Wilke et al, 2016bWilke et al, , 2017Wilke et al, , 2019aJoshi et al, 2018). Although representing an intriguing observation, the occurrence of non-local changes in such functional outcome could not only be related to a force transmission across myofascial continuity but also be due to other factors such as systemic neural adaptations, i.e., altered stretch tolerance.…”

Section: Discussionmentioning

confidence: 78%

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Ankle Motion Is Associated With Soft Tissue Displacement in the Dorsal Thigh: An in vivo Investigation Suggesting Myofascial Force Transmission Across the Knee Joint

et al. 2020

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Experiments in cadavers have demonstrated significant mechanical interactions between constituents of myofascial chains. However, evidence for such force transmission effects is scarce under in vivo conditions. The purpose of this trial was to examine the impact of ankle motion on soft tissue displacement of the dorsal thigh. Eleven healthy active individuals (26.8 ± 4.3 years, six males), in prone position and with the knee extended, underwent passive calf stretches (ankle dorsal extension) imposed by an isokinetic dynamometer. High-resolution ultrasound was used to simultaneously capture the displacement of the semimembranosus muscle, which was quantified by means of cross-correlation analysis. Inactivity of the leg muscles was controlled using surface electromyography (EMG). One participant had to be excluded due to major EMG activity during the experiment. According to a one-sample t test testing the difference to the neutral zero position, ankle dorsal extension induced substantial caudal muscle displacements (5.76 ± 2.67 mm, p < 0.0001). Correlation analysis (Spearman), furthermore, revealed a strong association between maximal dorsal extension and semimembranosus motion (rho = 0.76, p = 0.02). In conclusion, the present trial provides initial in vivo evidence for a mechanical force transmission between serially connected skeletal muscles. This means that local alterations of the mechanical tissue properties may modify flexibility in neighboring (superior or inferior) joints.

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Section: Introductionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 78%

Ankle Motion Is Associated With Soft Tissue Displacement in the Dorsal Thigh: An in vivo Investigation Suggesting Myofascial Force Transmission Across the Knee Joint

et al. 2020

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“…The thoracolumbar fascia that communicates with the muscular portion of the respiratory diaphragm posteriorly, continues, involving the lumbosacral and posterior pelvic muscle area (biceps femoris, piriformis, gluteus maximus, multifidus, longissimus thoracis, iliocostalis lumborum, erector spinae) [45][46][47][48]. The posterior-lateral myofascial continuum connects all the mentioned diaphragms, constituting an important tool for osteopathic medicine for the resolution of dysfunction or the maximum clinical help that a patient can obtain [2,[49][50].…”

Section: Systemic Myofascial Relationships Of the Five Diaphragms: Pomentioning

confidence: 99%

The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1

Bordoni

2020

Cureus

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Working on the diaphragm muscle and the connected diaphragms is part of the respiratorycirculatory osteopathic model. The breath allows the free movement of body fluids and according to the concept of this model, the patient's health is preserved thanks to the cleaning of the tissues by means of the movement of the fluids (blood, lymph). The respiratory muscle has several systemic connections and multiple functions. The founder of osteopathic medicine emphasized the importance of the thoracic diaphragm and body health. The five diaphragms (tentorium cerebelli, tongue, thoracic outlet, thoracic diaphragm and pelvic floor) represent an important tool for the osteopath to evaluate and find a treatment strategy with the ultimate goal of patient well-being. The two articles highlight the most up-to-date scientific information on the myofascial continuum for the first time. Knowledge of myofascial connections is the basis for understanding the importance of the five diaphragms in osteopathic medicine. In this first part, the article reviews the systemic myofascial posterolateral relationships of the respiratory diaphragm; in the second I will deal with the myofascial anterolateral myofascial connections.

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“…The initial literature search yielded a total of 29,964 citations, from which 196 were included for further reading. After review of full texts, 188 studies were excluded leaving 8 eligible randomized controlled studies [13][14][15][16][17][18][19][20] to be included in the review. Figure 1 shows the QUORUM flow diagram, summarizing the selection process and the number of studies excluded at each stage with reasons.…”

Section: Evidence Synthesismentioning

confidence: 99%

Can Myofascial Interventions Have a Remote Effect on ROM? A Systematic Review and Meta-Analysis

Burk¹,

Perry²,

Lis³

et al. 2020

Journal of Sport Rehabilitation

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Context: Anatomical and in vivo studies suggest that muscles function synergistically as part of a myofascial chain. A related theory is that certain myofascial techniques have a remote and clinically important effect on range of motion (ROM). Objective: To determine if remote myofascial techniques can effectively increase the range of motion at a distant body segment. Evidence Acquisition: In November 2018, the authors searched 3 electronic databases (CENTRAL, MEDLINE, and PEDro) and hand-searched journals and conference proceedings. Inclusion criteria were randomized controlled trials comparing remote myofascial techniques with passive intervention (rest/sham) or local treatment intervention. The primary outcome of interest was ROM. Quality assessment was performed using the PEDro Scale. Three authors independently evaluated study quality and extracted data. RevMan software was used to pool data using a fixed-effect model. Evidence Synthesis: Eight randomized controlled trials, comprising N = 354 participants were included (mean age range 22–36 y; 50% female). Study quality was low with PEDro scores ranging from 2 to 7 (median scores 4.5/10). None of the studies incorporated adequate allocation concealment and just 2 used blinded assessment of outcomes. In all studies, treatments and outcomes were developed around the same myofascial chain (superficial back line). Five studies included comparisons between remote interventions to sham or inactive controls; pooled results for ROM showed trends in favor of remote interventions (standard mean difference 0.23; 95% confidence intervals; −0.09 to 0.55; 4 studies) at immediate follow-ups. Effects sizes were small, corresponding to mean differences of 9% or 5° in cervical spine ROM, and 1 to 3 cm in sit and reach distance. Four studies compared remote interventions to local treatments, but there were few differences between groups. Conclusions: Remote exercise interventions may increase ROM at distant body segments. However, effect sizes are small and the current evidence base is limited by selection and measurement bias.

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Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals – A randomized clinical trial

Cited by 47 publications

References 35 publications

Ankle Motion Is Associated With Soft Tissue Displacement in the Dorsal Thigh: An in vivo Investigation Suggesting Myofascial Force Transmission Across the Knee Joint

Ankle Motion Is Associated With Soft Tissue Displacement in the Dorsal Thigh: An in vivo Investigation Suggesting Myofascial Force Transmission Across the Knee Joint

The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1

Can Myofascial Interventions Have a Remote Effect on ROM? A Systematic Review and Meta-Analysis

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