Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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Can Myofascial Release Techniques Reduce Stress Hormones in the Subject of Short Hamstring Syndrome? A Pilot Study

  • Cho, Sunghak (Department of Physical Therapy, Kaya University)
  • Received : 2020.09.20
  • Accepted : 2020.11.05
  • Published : 2020.12.31
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Abstract

Background: The myofascial release technique is known to be an effective technique for increasing posterior fascia flexibility in short hamstring syndrome (SHS) subjects. But therapeutic mechanism of myofascial relaxation remains unclear. Recently, the theory of autonomic nervous system domination has been raised, however, a proper study to test the theory has not been conducted. Objectives: To investigate whether the application of the myofascial release technique can induce changes in the autonomic nervous system and affect the secretion of stress hormones and myofascial relaxation. Design: Quasi-experimental study. Methods: Twenty-four subjects with SHS were randomly divided into two groups. In the experimental group, the suboccipital muscle inhibition (SMI) technique was applied to the subjects for 4 min in supine position, and in the control group, the subjects were lying in the supine position only. A forward flexion distance (FFD) was conducted, blood pressure, heart rate, and cortisol levels were measured before and after the intervention and 30 min after intervention to determine myofascial relaxation and stress hormone levels. The evaluation was conducted separately in blind by an evaluator. Results: A FFD decreased in the experimental group, no change in cortisol was observed. On the contrary, a decrease in cortisol appeared in the control group after 30 minutes. Conclusion: The myofascial release technique is an effective treatment to increase the range of motion through posterior superior myofascial chain, but there is no evidence that myofascial release technique can control the autonomic nervous system.

Keywords

References

  1. Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiol Clin. 2007;25(4):841-851. https://doi.org/10.1016/j.anclin.2007.07.003
  2. Manheim CJ: The myofascial release manual. Thorofare, NJ: Slack; 2001:23-28.
  3. Twomey L, Taylor J. Flexion creep deformation and hysteresis in the lumbar vertebral column. Spine (Phila Pa 1976). 1982;7(2):116-122. https://doi.org/10.1097/00007632-198203000-00005
  4. Cottingham, John T. Healing Through Touch: A History and a Review of the Physiological Evidence. Boulder, CO: Rolf Institute; 1985:41-47.
  5. Staubesand J, Li Y. Zum Feinbau der Fascia cruris mit besonderer Berucksichtigung epi-und intrafaszialer Nerven. Manuelle Medizin. 1996;34(34):196-200.
  6. Yahia LH, Pigeon P, DesRosiers EA. Viscoelastic properties of the human lumbodorsal fascia. J Biomed Eng. 1993;15(5):425-429. https://doi.org/10.1016/0141-5425(93)90081-9
  7. Kim K, Park S, Goo BO, Choi SC. Effect of Self-myofascial Release on Reduction of Physical Stress: A Pilot Study. J Phys Ther Sci. 2014;26 (11):1779-1781. https://doi.org/10.1589/jpts.26.1779
  8. Chan YC, Wang TJ, Chang CC, et al. Short-term effects of self-massage combined with home exercise on pain, daily activity, and autonomic function in patients with myofascial pain dysfunction syndrome. J Phys Ther Sci. 2015;27 (1):217-221. https://doi.org/10.1589/jpts.27.217
  9. Fernandez-Lao C, Cantarero-Villanueva I, DiazRodriguez L, Fernandez-de-las-Penas C, Sanchez-Salado C, Arroyo-Morales M. The influence of patient attitude toward massage on pressure pain sensitivity and immune system after application of myofascial release in breast cancer survivors: a randomized, controlled crossover study. J Manipulative Physiol Ther. 2012;35(2):94-100. https://doi.org/10.1016/j.jmpt.2011.09.011
  10. Staubesand J, Li Y. Zum Feinbau der Fascia cruris mit besonderer Berucksichtigung epi-und intrafaszialer Nerven. Manuelle Medizin. 1996;34(34):196-200.
  11. Aparicio EQ, Quirante LB, Blanco CR, Sendin FA. Immediate effects of the suboccipital muscle inhibition technique in subjects with short hamstring syndrome. J Manipulative Physiol Ther. 2009;32(4):262-269. https://doi.org/10.1016/j.jmpt.2009.03.006
  12. Buckup K, Buckup J. Pruebas Clinicas Para Patologia Osea, Articular y Muscular: Exploraciones, Signos y Sintomas. Elsevier; 2019.
  13. Lopez EJM, Girela DL. Las pruebas de aptitud fisica en la evaluacion de la Educacion fisica de la ESO. Apunts Educacion fisica y deportes. 2003;1(71):61-77.
  14. Hellhammer DH, Wust S, Kudielka BM. Salivary cortisol as a biomarker in stress research. Psychoneuroendocrinology. 2009;34(2):163-171. https://doi.org/10.1016/j.psyneuen.2008.10.026
  15. Chaitow L. Cranial Manipulation: Theory and Practice: Osseous and Soft Tissue Approaches. Elsevier Health Sciences; 2005.
  16. Peck D, Buxton DF, Nitz A. A comparison of spindle concentrations in large and small muscles acting in parallel combinations. J Morphol. 1984;180(3):243-252. https://doi.org/10.1002/jmor.1051800307
  17. Myers TW. Anatomy trains. New York: Churchill Livingstone; 2001:137-164.
  18. Jeong ED, Kim CY, Kim SM, Lee SJ, Kim HD. Short-term effects of the suboccipital muscle inhibition technique and cranio-cervical flexion exercise on hamstring flexibility, cranio-vertebral angle, and range of motion of the cervical spine in subjects with neck pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2018;31(6):1025-1034. https://doi.org/10.3233/BMR-171016
  19. Rodriguez-Huguet M, Gil-Salu JL, RodriguezHuguet P, Cabrera-Afonso JR, Lomas-Vega R. Effects of Myofascial Release on Pressure Pain Thresholds in Patients With Neck Pain: A SingleBlind Randomized Controlled Trial. Am J Phys Med Rehabil. 2018;97(1):16-22. https://doi.org/10.1097/PHM.0000000000000790
  20. Schleip R. Rolfing and the neuro-myofascial net. Boulder: Rolf lines; 1996.
  21. Hopper D, Deacon S, Das S, et al. Dynamic soft tissue mobilisation increases hamstring flexibility in healthy male subjects. Br J Sports Med. 2005;39(9):594-598. https://doi.org/10.1136/bjsm.2004.011981
  22. Walton A. Efficacy of myofascial release techniques in the treatment of primary Raynaud's phenomenon. J Bodyw Mov Ther. 2008;12(3): 274-280. https://doi.org/10.1016/j.jbmt.2007.12.002
  23. Huguenin LK. Myofascial trigger points: the current evidence. Phys Ther Sport. 2004;5(1):2-12. https://doi.org/10.1016/j.ptsp.2003.11.002
  24. Niddam DM, Lee SH, Su YT, Chan RC. Brain structural changes in patients with chronic myofascial pain. Eur J Pain. 2017;21(1):148-158. https://doi.org/10.1002/ejp.911
  25. Nadendla LK, Meduri V, Paramkusam G, Pachava KR. Evaluation of salivary cortisol and anxiety levels in myofascial pain dysfunction syndrome. Korean J Pain. 2014;27(1):30-34. https://doi.org/10.3344/kjp.2014.27.1.30
  26. Fries E, Hesse J, Hellhammer J, Hellhammer DH. A new view on hypocortisolism. Psychoneuroendocrinology. 2005;30(10):1010-1016. https://doi.org/10.1016/j.psyneuen.2005.04.006
  27. Riva R, Mork PJ, Westgaard RH, Lundberg U. Comparison of the cortisol awakening response in women with shoulder and neck pain and women with fibromyalgia. Psychoneuroendocrinology. 2012;37(2):299-306. https://doi.org/10.1016/j.psyneuen.2011.06.014
  28. Maeda S, Ogishima H, Shimada H. Acute cortisol response to a psychosocial stressor is associated with heartbeat perception. Physiol Behav. 2019; 207:132-138. https://doi.org/10.1016/j.physbeh.2019.05.013
  29. de Oliveira FR, Visnardi Goncalves LC, Borghi F, et al. Massage therapy in cortisol circadian rhythm, pain intensity, perceived stress index and quality of life of fibromyalgia syndrome patients. Complement Ther Clin Pract. 2018; 30:85-90. https://doi.org/10.1016/j.ctcp.2017.12.006
  30. Vagedes J, Fazeli A, Boening A, Helmert E, Berger B, Martin D. Efficacy of rhythmical massage in comparison to heart rate variability biofeedback in patients with dysmenorrhea-A randomized, controlled trial. Complement Ther Med. 2019; 42:438-444. https://doi.org/10.1016/j.ctim.2018.11.009