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两种自我肌筋膜放松方案对髋关节和踝关节活动范围的急性影响。

Acute Effect of 2 Self-Myofascial Release Protocols on Hip and Ankle Range of Motion.

作者信息

de Souza Amandda, Sanchotene Cristiano Gomes, Lopes Cristiano Moreira da Silva, Beck Jader Alfredo, da Silva Affonso Celso Kulevicz, Pereira Suzana Matheus, Ruschel Caroline

出版信息

J Sport Rehabil. 2019 Feb 1;28(2):159-164. doi: 10.1123/jsr.2017-0114. Epub 2018 Oct 9.

Abstract

CONTEXT

Self-myofascial release (SMR) is an intervention popularly used by rehabilitation, fitness, and sports professionals to improve recovery and performance. In SMR, the athlete/patient applies pressure to the muscle and fascia using various tools, such as balls, rods, foam rolls, and massagers.

OBJECTIVE

This study aimed to evaluate the acute effect of 2 SMR protocols (short term and long term) of the posterior thigh and calf muscles on hip and ankle range of motion (ROM) in physically active men.

PARTICIPANTS

A total of 14 adult males (24.9 [3.2] y, 77.2 [13.2] kg, and 1.75 [0.06] m) who exercise regularly (at least twice a week, 45 min per session) participated in this study.

INTERVENTIONS

Participants performed a short-term SMR protocol (2 × 10 repetitions, SSMR) and a long-term SMR protocol (2 × 20 repetitions, LSMR) of the posterior thigh (using a foam roller) and calf (using a massage stick) muscles in counterbalanced order, on 2 different days with a 48-hour interval.

MAIN OUTCOME MEASURES

Ankle dorsiflexion and hip-flexion ROM, evaluated at 5 moments: pre- and post-SSMR, pre- and post-LSMR, and in the control condition, which was always performed at the first visit.

RESULTS

The SMR promoted significant gains for both dorsiflexion (F =202.67, P < .001, ) and hip flexion (F = 66.46, P < .001, ), regardless of the protocol and limb analyzed. The average increase for both limbs corresponded, approximately, to 11% for ankle dorsiflexion and to 6% for and in hip flexion.

CONCLUSIONS

The results suggest that SMR of the posterior thigh and calf muscles acutely increases the ROM of both hip flexion and ankle dorsiflexion and that duplicating the SMR volume from 10 to 20 repetitions per set seems not to promote additional gains.

摘要

背景

自我肌筋膜放松(SMR)是康复、健身和运动专业人员常用的一种干预方法,用于改善恢复情况和运动表现。在自我肌筋膜放松过程中,运动员/患者使用各种工具,如球、棒、泡沫轴和按摩器,对肌肉和筋膜施加压力。

目的

本研究旨在评估后大腿和小腿肌肉的两种自我肌筋膜放松方案(短期和长期)对身体活跃男性的髋关节和踝关节活动范围(ROM)的急性影响。

参与者

共有14名成年男性(年龄24.9 [3.2]岁,体重77.2 [13.2]千克,身高1.75 [0.06]米)定期锻炼(每周至少两次,每次45分钟)参与本研究。

干预措施

参与者以平衡顺序在两天内,间隔48小时,对后大腿(使用泡沫轴)和小腿(使用按摩棒)肌肉分别进行短期自我肌筋膜放松方案(2×10次重复,SSMR)和长期自我肌筋膜放松方案(2×20次重复,LSMR)。

主要观察指标

在5个时间点评估踝关节背屈和髋关节屈曲活动范围,即SSMR前后、LSMR前后,以及在首次就诊时始终进行的对照条件下。

结果

无论采用何种方案以及分析的肢体如何,自我肌筋膜放松均使背屈(F = 202.67,P <.001,)和髋关节屈曲(F = 66.46,P <.001,)显著增加。双下肢的平均增加幅度分别约为踝关节背屈11%和髋关节屈曲6%。

结论

结果表明,后大腿和小腿肌肉的自我肌筋膜放松可急性增加髋关节屈曲和踝关节背屈的活动范围,且每组将自我肌筋膜放松的重复次数从10次增加到20次似乎不会带来额外的改善。

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