Ozdemir Hatice, Bas Aslan Ummuhan, Tonak Hasan Atacan, Kal Ibrahim Cagda
Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, Pamukkale University, Denizli, Turkey.
Faculty of Physiotherapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
J Sport Rehabil. 2025 Jan 20;34(6):657-666. doi: 10.1123/jsr.2024-0102. Print 2025 Aug 1.
Although cranial distant effects occur in self-myofascial release interventions for lower-extremity muscles and fascia, the results of caudal distant effects are still unclear. The aim of this study was to examine the distant effects of myofascial release applied to the thoracolumbar fascia together with exercise training on balance, lower-extremity flexibility, and muscular endurance in healthy young adults.
Single-blinded randomized control trial design.
Thirty-six healthy participants aged 18-35 years were randomly divided into 3 groups: myofascial release and exercise group (group 1, n = 12), exercise group (group 2, n = 12), and control group (group 3, n = 12). Three days a week for 4 weeks, group 1 applied the thoracolumbar fascia foam roller massage together with the warm-up, muscular endurance, balance, and stretching exercise program, and group 2 applied the same exercise program except for the foam roller massage. No intervention was made in group 3. Flexibility was assessed with sit and reach test, muscular endurance with the 1-minute sit to stand test, and balance with star excursion balance test before the intervention and at the end of the fourth week.
Flexibility, muscular endurance, and dynamic balance values increased significantly in groups 1 and 2 after the intervention (P < .05). When the difference values (Δ) of groups 1 and 2 were compared, there was a difference in favor of group 1 for flexibility, muscular endurance, and dynamic balance (P < .05).
The results of the study showed that the effect of the distant myofascial release technique added to the exercise training on flexibility, muscular endurance, and dynamic balance was greater than the exercise training alone.
尽管在针对下肢肌肉和筋膜的自我肌筋膜放松干预中会出现头部远处效应，但尾部远处效应的结果仍不明确。本研究的目的是探讨对胸腰筋膜进行肌筋膜放松并结合运动训练对健康年轻成年人平衡能力、下肢柔韧性和肌肉耐力的远处效应。
单盲随机对照试验设计。
36名年龄在18至35岁之间的健康参与者被随机分为3组：肌筋膜放松与运动组（第1组，n = 12）、运动组（第2组，n = 12）和对照组（第3组，n = 12）。第1组每周3天，共4周，在进行热身、肌肉耐力、平衡和伸展运动计划的同时，应用胸腰筋膜泡沫轴按摩，第2组应用相同的运动计划，但不进行泡沫轴按摩。第3组不进行任何干预。在干预前和第四周结束时，通过坐位体前屈测试评估柔韧性，通过1分钟坐立测试评估肌肉耐力，通过星形偏移平衡测试评估平衡能力。
干预后，第1组和第2组的柔韧性、肌肉耐力和动态平衡值均显著增加（P < .05）。比较第1组和第2组的差值（Δ）时，在柔韧性、肌肉耐力和动态平衡方面，第1组更具优势（P < .05）。
研究结果表明，在运动训练中加入远处肌筋膜放松技术对柔韧性、肌肉耐力和动态平衡的影响大于单纯的运动训练。
