Hall MacGregor, Chadwick Smith J
Beleura Health Solutions, Mornington, Victoria, Australia.
Department of Kinesiology, Coastal Carolina University, Conway, South Carolina, USA.
Int J Sports Phys Ther. 2018 Aug;13(4):652-660.
Foam Rolling (FR) has steadily gained in popularity as an intervention to increase range of motion (ROM) and reduce pain. It is believed that FR can remove restrictions due to fascial adhesions, thus improving ROM. FR has been proposed as a means to increase ITB length as a means to achieve these outcomes. Previous research has focused on the effects of FR over both muscle and fascia tissue together. However, no studies have examined the effects of FR over fascial tissue not containing muscle.
The purpose of this study was to compare the acute effect of a single bout of foam rolling (FR) over the Iliotibial Band (ITB) compared to FR over the gluteal muscle group on hip adduction passive range of motion (PROM).
Twenty-seven participants were recruited for the study. Each participant performed three sessions: FR over tissue devoid of muscle, the ITB (PFR), FR over contractile tissue, the gluteal muscles (AFR), and a session without FR (control) in a randomized order. Hip adduction PROM was measured in a pre-post manner for each session.
Results of the repeated measures ANOVA showed a significant interaction across session and time (F = 25.202, < 0.001, = 0.502, 1 - β = 1.000). Post-hoc analysis showed the AFR post-test measure was significantly different from both control ( < 0.001) and PFR counterparts ( < 0.001). FR over the gluteal muscle group lead to a 14.8% improvement in hip adduction ROM, with PFR only a 2% improvement.
A single bout of FR over a myofascial group appears to increase PROM in healthy young adults, whereas FR over the ITB itself (primarily fascial tissue) does not. This suggests the conventional theory behind FR may need to be reevaluated.
Level 1B, laboratory study, repeated measures design.
泡沫轴放松(FR)作为一种增加关节活动范围(ROM)和减轻疼痛的干预措施,其受欢迎程度一直在稳步上升。人们认为,泡沫轴放松可以消除由于筋膜粘连造成的限制,从而改善关节活动范围。有人提出,泡沫轴放松可作为增加髂胫束(ITB)长度的一种方法,以实现上述效果。以往的研究主要关注泡沫轴放松对肌肉和筋膜组织的综合影响。然而,尚无研究考察泡沫轴放松对不含肌肉的筋膜组织的影响。
本研究旨在比较单次泡沫轴放松(FR)作用于髂胫束(ITB)与作用于臀肌组对髋关节内收被动活动范围(PROM)的急性影响。
招募27名参与者进行本研究。每位参与者按随机顺序进行三个阶段的测试:对不含肌肉的组织(即髂胫束,PFR)进行泡沫轴放松、对收缩性组织(即臀肌,AFR)进行泡沫轴放松以及不进行泡沫轴放松(对照组)。每个阶段均在前后分别测量髋关节内收的被动活动范围。
重复测量方差分析结果显示,阶段与时间之间存在显著交互作用(F = 25.202,P < 0.001,η² = 0.502,1 - β = 1.000)。事后分析表明,AFR测试后的测量结果与对照组(P < 0.001)和PFR组(P < 0.001)均存在显著差异。对臀肌组进行泡沫轴放松使髋关节内收活动范围提高了14.8%,而对髂胫束进行泡沫轴放松仅使其提高了2%。
单次对肌筋膜组进行泡沫轴放松似乎能增加健康年轻成年人的被动活动范围,而对髂胫束本身(主要是筋膜组织)进行泡沫轴放松则不然。这表明泡沫轴放松背后的传统理论可能需要重新评估。
1B级,实验室研究,重复测量设计。