DOI QR코드

DOI QR Code

Immediate Effect of Pressure Pain Threshold and Flexibility in Tensor Fascia Latae and Iliotibial Band According to Various Foam Roller Exercise Methods

  • Kim, Ho (Department of Physical Therapy, Daejeon University) ;
  • Shin, Wonseob (Department of Physical Therapy, Daejeon University)
  • Received : 2019.10.14
  • Accepted : 2019.11.22
  • Published : 2019.12.31

Abstract

Background: The treatment of pain in the iliotibial band friction syndrome has been difficult to determine, according to studies to date. However, recent studies have suggested that flexibility in the subacute stage of pain in the iliotibial band friction syndrome may help reduce pain. Objective: To investigate the immediate effect on pressure pain threshold and flexibility of the tensor fascia latae and iliotibial band by applying static and dynamic myofascial release foam rolling and self-stretching to adults with shortening iliotibial band. Design: Randomized controlled trial Methods: In this study, 50 subjects who were selected in advance as a randomized controlled trial were randomly allocated using a R Studio program. The included subjects were randomly allocated to three intervention groups. The static self-myofascial release 18 people, dynamic self-myofascial release group 16 people separated the self-stretching group 16 people and conducted a homogeneity check in advance. Before the start of the experiment, after of the experiment, 5 minutes after the end of the experiment, the pressure pain threshold and flexibility change for each part were measured. Results: The results of this study showed that the static self-myofascial release showed a significant difference in the pressure pain threshold in the tensor fascia latae and middle, lower part of the iliotibial band, compared with the other intervention groups (p<.05). In change of flexibility, the static self-myofascial release was significantly different than the other intervention groups (p<.05). Conclusion: The result of this study suggest that static self-myofascial release using foam roller may help to improve the pain and flexibility of the iliotibial band and to apply it as a more discerning intervention.

Keywords

References

  1. MacDonald GZ, Penney MD, Mullaley ME, et al. An acute bout of self-myofascial release increases range of motion without a subsequent decrease in muscle activation or force. J Strength Cond Res. 2013;27(3):812-21. https://doi.org/10.1519/JSC.0b013e31825c2bc1
  2. Maquet PGJ. Mechanics of the knee. Biomechanics of the knee. Springer, Berlin, Heidelberg. 1984;15-73.
  3. Kaplan EB. The iliotibial tract: clinical and morphological significance. JBJS. 1958;40(4):817-32. https://doi.org/10.2106/00004623-195840040-00006
  4. Hudson Z, Darthuy E. Iliotibial band tightness and patellofemoral pain syndrome: a case-control study. Man Ther. 2009;14(2):147-51. https://doi.org/10.1016/j.math.2007.12.009
  5. Vieira ELC, Vieira EA, Da Silva RT, et al. An anatomic study of the iliotibial tract Arthroscopy. 2007;23(3):269-74. https://doi.org/10.1016/j.arthro.2006.11.019
  6. Van der Worp MP, van der Horst N, de Wijer A, et al. Iliotibial band syndrome in runners. Sports Med. 2012;42(11):969-92. https://doi.org/10.1007/BF03262306
  7. Segal NA, Felson DT, Torner JC, et al. Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil. 2007;88(8):988-92. https://doi.org/10.1016/j.apmr.2007.04.014
  8. Vaughan B, McLaughlin P, Lepley AS. Immediate changes in pressure pain threshold in the iliotibial band using a myofascial (foam) roller. Int J Ther Rehabil. 2014;21(12):569-74. https://doi.org/10.12968/ijtr.2014.21.12.569
  9. Baker RL, Fredericson M. Iliotibial band syndrome in runners: biomechanical implications and exercise interventions. Phys Med Rehabil Clin N Am. 2016;27(1):53-77. https://doi.org/10.1016/j.pmr.2015.08.001
  10. Fredericson M, Weir A. Practical management of iliotibial band friction syndrome in runners. Clin J Sport Med. 2006;16(3):261-8. https://doi.org/10.1097/00042752-200605000-00013
  11. Falvey EC, Clark RA, Franklyn-Miller, et al. Iliotibial band syndrome: an examination of the evidence behind a number of treatment options. Scand J Med Sci Sports. 2010;20(4):580-7. https://doi.org/10.1111/j.1600-0838.2009.00968.x
  12. Healey KC, Hatfield DL, Blanpied P, et al. The effects of myofascial release with foam rolling on performance. J Strength Cond Res. 2014;28(1):61-8. https://doi.org/10.1519/JSC.0b013e3182956569
  13. Healey K, Dorfman L, Riebe D, et al. The effects of foam rolling on myofascial release and performance. J Strength Cond Res. 2011;25:s30-1 https://doi.org/10.1097/01.JSC.0000395625.08079.28
  14. Wilke J, Vogt L, Banzer W. Immediate effects of self-myofascial release on latent trigger point sensitivity: a randomized, placebo-controlled trial. Biol Sport. 2018;35(4):349. https://doi.org/10.5114/biolsport.2018.78055
  15. Fredericson M, White JJ, MacMahon J M, et al. Quantitative analysis of the relative effectiveness of 3 iliotibial band stretches. Arch Phys Med Rehabil. 2002;83(5):589-92. https://doi.org/10.1053/apmr.2002.31606
  16. Nussbaum E, Downes L. Reliability of clinical pressure-pain algometry measurements obtained on consecutive days. Phys Thera. 1998;78(2):160-9. https://doi.org/10.1093/ptj/78.2.160
  17. Chesterton LS, Sim J, Wright CC, et al. Interrater reliability of algometry in measuring pressure pain thresholds in healthy humans, using multiple raters. Clin J Pain. 2007;23(9):760-6. https://doi.org/10.1097/AJP.0b013e318154b6ae
  18. Muragod A, Patil VR, Nitsure P. Immediate effects of static stretching versus myofascial release in iliotibial band tightness in long distance runners-a randomised clinical trial. Eur J Sport Sci. 2015;2(1):31-8.
  19. Norris ES, Wright E, Sims S, et al. The reliability of smartphone and goniometric measurements of hip range of motion. JRSR. 2017;3(4):77-84.
  20. Ylinen J. Pressure algometry. Aust J Physiother. 2005;53(3):207. https://doi.org/10.1016/S0004-9514(07)70032-6
  21. Fisher A. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 1987;30(1):115-26. https://doi.org/10.1016/0304-3959(87)90089-3
  22. Rollman GB, Lautenbacher S. Sex differences in musculoskeletal pain. Clin J Pain. 2001;17(1):20-4. https://doi.org/10.1097/00002508-200103000-00004
  23. Mense S. Neurobiological concepts of fibromyalgia-the possible role of descending spinal tracts. Scand J Rheumatol Suppl. 2000;29(113):24-9. https://doi.org/10.1080/030097400446599
  24. Shah JP, Danoff JV, Desai MJ, et al. Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil. 2008;89(1):16-23. https://doi.org/10.1016/j.apmr.2007.10.018
  25. Barnes MF. The basic science of myofascial release: morphologic change in connective tissue. J Bodyw Mov Ther. 1997;1(4):231-8. https://doi.org/10.1016/S1360-8592(97)80051-4
  26. Stone JA. Myofascial release. Athl Ther Today 2000;5(4):34-5. https://doi.org/10.1123/att.5.4.34
  27. Schleip R. Fascial plasticity-a new neurobiological explanation: Part 1. J Bodyw Mov Ther. 2003;7(1):11-9. https://doi.org/10.1016/S1360-8592(02)00067-0
  28. Rassier DE, MacIntosh BR, Herzog W. Length dependence of active force production in skeletal muscle. J Appl Physiol. 1999;86(5):1445-57. https://doi.org/10.1152/jappl.1999.86.5.1445
  29. Okamoto T, Masuhara M, Ikuta, K. Acute effects of self-myofascial release using a foam roller on arterial function. J Strength Cond Res. 2014;28(1):69-73. https://doi.org/10.1519/JSC.0b013e31829480f5
  30. Beardsley C, Skarabot J. Effects of self-myofascial release: A systematic review. J Bodyw Mov Ther. 2015;19(4):747-58. https://doi.org/10.1016/j.jbmt.2015.08.007
  31. Twomey L, Taylor J. Flexion creep deformation and hysteresis in the lumbar vertebral column. Spine. 1982;7(2):116-22. https://doi.org/10.1097/00007632-198203000-00005
  32. Monteiro ER, Neto VGC. Effect of different foam rolling volumes on knee extension fatigue. Int J Sports Phys Ther. 2016;11(7):1076.