Nakamura Masatoshi, Konrad Andreas, Kiyono Ryosuke, Sato Shigeru, Yahata Kaoru, Yoshida Riku, Yasaka Koki, Murakami Yuta, Sanuki Futaba, Wilke Jan
Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.
Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan.
Front Physiol. 2021 Jun 25;12:702042. doi: 10.3389/fphys.2021.702042. eCollection 2021.
In sports and clinical settings, roller massage (RM) interventions are used to acutely increase range of motion (ROM); however, the underlying mechanisms are unclear. Apart from changes in soft tissue properties (i.e., reduced passive stiffness), neurophysiological alterations such as decreased spinal excitability have been described. However, to date, no study has investigated both jointly. The purpose of this trial was to examine RM's effects on neurophysiological markers and passive tissue properties of the plantar flexors in the treated (ROLL) and non-treated (NO-ROLL) leg. Fifteen healthy individuals (23 ± 3 years, eight females) performed three unilateral 60-s bouts of calf RM. This procedure was repeated four times on separate days to allow independent assessments of the following outcomes without reciprocal interactions: dorsiflexion ROM, passive torque during passive dorsiflexion, shear elastic modulus of the medial gastrocnemius muscle, and spinal excitability. Following RM, dorsiflexion ROM increased in both ROLL (+19.7%) and NO-ROLL (+13.9%). Similarly, also passive torque at dorsiflexion ROM increased in ROLL (+15.0%) and NO-ROLL (+15.2%). However, there were no significant changes in shear elastic modulus and spinal excitability ( > 0.05). Moreover, significant correlations were observed between the changes in DF ROM and passive torque at DF ROM in both ROLL and NO-ROLL. Changes in ROM after RM appear to be the result of sensory changes (e.g., passive torque at DF ROM), affecting both rolled and non-rolled body regions. Thus, therapists and exercise professionals may consider applying remote treatments if local loading is contraindicated.
在体育和临床环境中,滚轴按摩(RM)干预用于急性增加关节活动范围(ROM);然而,其潜在机制尚不清楚。除了软组织特性的变化(即被动僵硬度降低)外,还描述了神经生理学改变,如脊髓兴奋性降低。然而,迄今为止,尚无研究对两者进行联合调查。本试验的目的是研究RM对治疗侧(ROLL)和未治疗侧(NO-ROLL)腿部跖屈肌的神经生理学标志物和被动组织特性的影响。15名健康个体(23±3岁,8名女性)进行了三次单侧60秒的小腿RM。此程序在不同日期重复四次,以便对以下结果进行独立评估,而不会产生相互影响:背屈ROM、被动背屈时的被动扭矩、腓肠肌内侧的剪切弹性模量和脊髓兴奋性。RM后,ROLL侧(+19.7%)和NO-ROLL侧(+13.9%)的背屈ROM均增加。同样,ROLL侧(+15.0%)和NO-ROLL侧(+15.2%)在背屈ROM时的被动扭矩也增加。然而,剪切弹性模量和脊髓兴奋性没有显著变化(>0.05)。此外,在ROLL侧和NO-ROLL侧,背屈ROM的变化与背屈ROM时的被动扭矩变化之间均观察到显著相关性。RM后ROM的变化似乎是感觉变化(如背屈ROM时的被动扭矩)的结果,影响滚动和未滚动的身体区域。因此,如果局部负荷禁忌,治疗师和运动专业人员可考虑应用远程治疗。