Comparison of the Acute Effects of Self-Myofascial Release and Static Stretching on the Piriformis Muscle in Healthy Individuals
Yıl 2025,
Cilt: 8 Sayı: 2, 93 - 108, 28.08.2025
Emine İrem Şahin
,
Melahat Mehrioğlu
,
Tuğba Şimşek
,
Görkem Kıyak
,
Ahmet Said Uyan
,
Zeliha Başkurt
,
Sabriye Ercan
Öz
Objective: The aim of the study was to investigate the acute effects of self-myofascial release (SMR) and static stretching (SS) on hip range of motion (ROM), hip muscle strength, flexibility, and pressure pain threshold.
Methods: The study was a crossover-randomized controlled trial. A total of 20 participants (mean age = 23.25 ± 1.97) took part in SMR (3 sets × 30 seconds), SS (3 sets × 30 seconds) and control sessions on three separate days, with a two-day interval between sessions. Hip ROM was measured using a goniometer, strengths were measured using a hand-held dynamometer, flexibility was assessed using a standard sit-and-reach test, and pressure pain threshold was measured using an algometer.
Results: A statistically significant difference was found in abduction ROM in the dominant lower extremity (p˂0.05) in favour of SMR. The flexion and adduction ROM values were significantly higher in the nondominant lower extremity after SMR and SS interventions compared to the control session (p˂0.05).
Conclusion: It was found that SMR was as effective as SS in increasing ROM in the acute period. It is thought that SMR intervention to the piriformis muscle can be used safely in warm-up programs of athletes who need more range of motion and flexibility, and in preparation for rehabilitation exercises for individuals who experience movement limitations. Further investigation of its effects and underlying mechanisms is recommended.
Etik Beyan
The study was approved by the Clinical Researches Local Ethics Committee's decision no. 372, dated 29/12/2023
Destekleyen Kurum
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Teşekkür
We thank all the participants who contributed to the study.
Kaynakça
-
Ahmad Siraj, S., & Dadgal, R. (2022). Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release. Cureus, 14(12), e32952. https://doi.org/10.7759/cureus.32952
-
Beardsley, C., & Škarabot, J. (2015). Effects of self-myofascial release: A systematic review. Journal of Bodywork and Movement Therapies, 19(4), 747–758. https://doi.org/10.1016/j.jbmt.2015.08.007
-
Behm, D. G., Alizadeh, S., Daneshjoo, A., et al. (2023). Acute Effects of Various Stretching Techniques on Range of Motion: A Systematic Review with Meta-Analysis. Sports Medicine – Open, 9(1), 107. https://doi.org/10.1186/s40798-023-00652-x
-
Bryant, J., Cooper, D. J., Peters, D. M., & Cook, M. D. (2023). The effects of static stretching intensity on range of motion and strength: A systematic review. Journal of Functional Morphology and Kinesiology, 8(2), 37.
-
Cassidy, L., Walters, A., Bubb, K., Shoja, M. M., Shane Tubbs, R., & Loukas, M. (2012). Piriformis syndrome: Implications of anatomical variations, diagnostic techniques, and treatment options. Surgical and Radiologic Anatomy, 34(—), 479–486.
-
Chaabene, H., Behm, D. G., Negra, Y., & Granacher, U. (2019). Acute Effects of Static Stretching on Muscle Strength and Power: An Attempt to Clarify Previous Caveats. Frontiers in Physiology, 10, 1468. https://doi.org/10.3389/fphys.2019.01468
-
Cheatham, S. W., Kolber, M. J., Cain, M., & Lee, M. (2015). The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance: A systematic review. International Journal of Sports Physical Therapy, 10(6), 827–836.
-
Çankaya, M., Karakaya, İ. Ç., & Karakaya, M. G. (2019). Reliability and validity of the Turkish version of the Lower Extremity Functional Scale in patients with different lower limb musculoskeletal dysfunctions. International Journal of Therapy and Rehabilitation, 26(9), 1–14.
-
de Souza, A., Sanchotene, C. G., da Silva Lopes, C. M., Beck, J. A., da Silva, A. C. K., & Pereira, S. M., et al. (2019). Acute effect of two self-myofascial release protocols on hip and ankle range of motion. Journal of Sport Rehabilitation, 28(2), 159–164.
-
Halperin, I., Aboodarda, S. J., Button, D. C., Andersen, L. L., & Behm, D. G. (2014). Roller massager improves range of motion of plantar flexor muscles without subsequent decreases in force parameters. International Journal of Sports Physical Therapy, 9(1), 92–102.
-
Itsuda, H., Yagi, M., Yanase, K., Umehara, J., Mukai, H., & Ichihashi, N. (2024). Effective Stretching Positions of the Piriformis Muscle Evaluated Using Shear Wave Elastography. Journal of Sport Rehabilitation, 33(4), 282–288.
-
Jung, J., Choi, W., Lee, Y., Kim, J., Kim, H., Lee, K., et al. (2017). Immediate effect of self-myofascial release on hamstring flexibility. Physical Therapy Rehabilitation Science, 6(1), 45–51.
-
Kalichman, L., & David, C. B. (2017). Effect of self-myofascial release on myofascial pain, muscle flexibility, and strength: A narrative review. Journal of Bodywork and Movement Therapies, 21(2), 446–451. https://doi.org/10.1016/j.jbmt.2016.11.006
-
Keskula, D. R., & Tamburello, M. (1992). Conservative management of piriformis syndrome. Journal of Athletic Training, 27(2), 102–110.
-
Keys, P. M. (2014). The Effects of Myofascial Release vs Static Stretching on Hamstrings Range of Motion (Master’s thesis). Southern Illinois University Carbondale.
-
Konrad, A., Tilp, M., & Nakamura, M. (2021). A comparison of the effects of foam rolling and stretching on physical performance: A systematic review and meta-analysis. Frontiers in Physiology, 12, 720531. https://doi.org/10.3389/fphys.2021.720531
-
Kukadia, H. A., Malshikare, A., & Palekar, T. J. (2019). Effect of passive stretching vs. myofascial release in improving piriformis flexibility in females – A comparative study. Indian Journal of Physiotherapy and Occupational Therapy, 13(457), [Sayfa bilgisi yok]. https://doi.org/10.5958/0973-5674.2019.00132.1
-
Larionov, A., Yotovski, P., & Filgueira, L. (2022). Novel anatomical findings with implications on the etiology of the piriformis syndrome. Surgical and Radiologic Anatomy, 44(10), 1397–1407. https://doi.org/10.1007/s00276-022-03023-5
-
Mohr, A. R., Long, B. C., & Goad, C. L. (2014). Effect of foam rolling and static stretching on passive hip-flexion range of motion. Journal of Sport Rehabilitation, 23(4), 296–299.
-
Mookerjee, S., & McMahon, M. J. (2014). Electromyographic analysis of muscle activation during sit-and-reach flexibility tests. Journal of Strength and Conditioning Research, 28(12), 3496–3501.
-
Nehring, A., Serafim, T. T., Silva, E. R., de Menezes, F. S., Maffulli, N., Sanada, L. S., et al. (2021). Effects of myofascial self-release on range of motion, pressure pain threshold, and hamstring strength in asymptomatic individuals: A randomized, controlled, blind clinical trial. Journal of Sport Rehabilitation, 30(6), 920–925.
-
Penichet-Tomas, A., Pueo, B., Abad-Lopez, M., & Jimenez-Olmedo, J. M. (2021). Acute comparative effect of foam rolling and static stretching on range of motion in rowers. Sustainability, 13(7), 3631. https://doi.org/10.3390/su13073631
-
Perez, J. A., & Bliss, M. V. (Eds.). (2016). The Acute Effects of Self-Myofascial Release on Range of Motion and Fatigue Rate in the Lower Extremities. International Journal of Exercise Science: Conference Proceedings.
-
Queiroga, M. R., Lima, L. S., de Oliveira, L. E. C., Fernandes, D. Z., Weber, V. M. R., Ferreira, S. A., et al. (2021). Effect of myofascial release on lower limb range of motion, sit and reach and horizontal jump distance in male university students. Journal of Bodywork and Movement Therapies, 25, 140–145.
-
Rajendran, S., & Sundaram, S. S. (2020). The effectiveness of myofascial release over stretching on pain and range of motion among female college students with piriformis syndrome. Malaysian Journal of Movement Health & Exercise, 9(2), 45–56.
-
Roylance, D. S., George, J. D., Hammer, A. M., Rencher, N., Fellingham, G. W., Hager, R. L., et al. (2013). Evaluating acute changes in joint range-of-motion using self-myofascial release, postural alignment exercises, and static stretches. International Journal of Exercise Science, 6(4), 6–16.
-
Siddiq, M. A. B., Hossain, M. S., Uddin, M. M., Jahan, I., Khasru, M. R., Haider, N. M., et al. (2017). Piriformis syndrome: A case series of 31 Bangladeshi people with literature review. European Journal of Orthopaedic Surgery & Traumatology, 27(2), 193–203.
-
Su, H., Chang, N. J., Wu, W. L., Guo, L. Y., & Chu, I. H. (2017). Acute Effects of Foam Rolling, Static Stretching, and Dynamic Stretching During Warm-ups on Muscular Flexibility and Strength in Young Adults. Journal of Sport Rehabilitation, 26(6), 469–477.
-
Sulowska-Daszyk, I., & Skiba, A. (2022). The Influence of Self-Myofascial Release on Muscle Flexibility in Long-Distance Runners. International Journal of Environmental Research and Public Health, 19(1), 457. https://doi.org/10.3390/ijerph19010457
-
Tabatabaiee, A., Takamjani, I. E., Sarrafzadeh, J., Salehi, R., & Ahmadi, M. (2020). Pressure pain threshold in subjects with piriformis syndrome: Test–retest, intrarater, and interrater reliability, and minimal detectible change. Archives of Physical Medicine and Rehabilitation, 101(5), 781–788.
-
Thorborg, K., Petersen, J., Magnusson, S. P., & Hölmich, P. (2010). Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scandinavian Journal of Medicine & Science in Sports, 20(3), 493–501. https://doi.org/10.1111/j.1600-0838.2009.01045.x
Sağlıklı Bireylerde Self-Miyofasyal Gevşetme ve Statik Germenin Piriformis Kası Üzerine Akut Etkilerinin Karşılaştırılması
Yıl 2025,
Cilt: 8 Sayı: 2, 93 - 108, 28.08.2025
Emine İrem Şahin
,
Melahat Mehrioğlu
,
Tuğba Şimşek
,
Görkem Kıyak
,
Ahmet Said Uyan
,
Zeliha Başkurt
,
Sabriye Ercan
Öz
Amaç: Bu çalışma, self-miyofasyal gevşetme (SMG) ve statik germenin (SG), kalça eklem hareket açıklığı (EHA), kalça kuvveti, esneklik ve basınç ağrı eşiği üzerine akut etkilerini incelemek amacıyla yapılmıştır.
Yöntem: Bu çalışma çapraz randomize kontrollü çalışmadır. Toplam 20 katılımcı (ortalama yaş=23,25±1,97) ikişer gün arayla toplam 3 gün SMG (3 set x 30 saniye), SS (3 set x 30 saniye) ve kontrol uygulamalarına katılmıştır. Kalça EHA gonyometre, kas kuvveti ölçümleri el dinamometresi, esneklik standardize otur-uzan testi ve basınç ağrı eşiği algometre kullanılarak değerlendirilmiştir.
Bulgular: Dominant ekstremitede abduksiyon EHA açısından SMG lehine istatistiksel olarak anlamlı fark bulunmuştur (p˂0,05). Nondominant alt ekstremitede fleksiyon ve adduksiyon EHA, kontrol ile karşılaştırıldığında SMG ve SG uygulamalarından sonra anlamlı olarak daha yüksek bulunmuştur (p˂0,05).
Sonuç: Akut dönemde EHA'yı artırmada SMG’nin SS kadar etkili olduğu bulunmuştur. Piriformise SMR uygulamalarının daha fazla hareket açıklığı ve esnekliğe ihtiyacı olan atletlerin ısınma programlarında ve hareket limitasyonu olan bireylerde rehabilitasyon egzersizlerine hazırlık için güvenle kullanılabileceği düşünülmektedir. Etkilerinin ve altta yatan mekanizmaların daha fazla araştırılması önerilmektedir.
Kaynakça
-
Ahmad Siraj, S., & Dadgal, R. (2022). Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release. Cureus, 14(12), e32952. https://doi.org/10.7759/cureus.32952
-
Beardsley, C., & Škarabot, J. (2015). Effects of self-myofascial release: A systematic review. Journal of Bodywork and Movement Therapies, 19(4), 747–758. https://doi.org/10.1016/j.jbmt.2015.08.007
-
Behm, D. G., Alizadeh, S., Daneshjoo, A., et al. (2023). Acute Effects of Various Stretching Techniques on Range of Motion: A Systematic Review with Meta-Analysis. Sports Medicine – Open, 9(1), 107. https://doi.org/10.1186/s40798-023-00652-x
-
Bryant, J., Cooper, D. J., Peters, D. M., & Cook, M. D. (2023). The effects of static stretching intensity on range of motion and strength: A systematic review. Journal of Functional Morphology and Kinesiology, 8(2), 37.
-
Cassidy, L., Walters, A., Bubb, K., Shoja, M. M., Shane Tubbs, R., & Loukas, M. (2012). Piriformis syndrome: Implications of anatomical variations, diagnostic techniques, and treatment options. Surgical and Radiologic Anatomy, 34(—), 479–486.
-
Chaabene, H., Behm, D. G., Negra, Y., & Granacher, U. (2019). Acute Effects of Static Stretching on Muscle Strength and Power: An Attempt to Clarify Previous Caveats. Frontiers in Physiology, 10, 1468. https://doi.org/10.3389/fphys.2019.01468
-
Cheatham, S. W., Kolber, M. J., Cain, M., & Lee, M. (2015). The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance: A systematic review. International Journal of Sports Physical Therapy, 10(6), 827–836.
-
Çankaya, M., Karakaya, İ. Ç., & Karakaya, M. G. (2019). Reliability and validity of the Turkish version of the Lower Extremity Functional Scale in patients with different lower limb musculoskeletal dysfunctions. International Journal of Therapy and Rehabilitation, 26(9), 1–14.
-
de Souza, A., Sanchotene, C. G., da Silva Lopes, C. M., Beck, J. A., da Silva, A. C. K., & Pereira, S. M., et al. (2019). Acute effect of two self-myofascial release protocols on hip and ankle range of motion. Journal of Sport Rehabilitation, 28(2), 159–164.
-
Halperin, I., Aboodarda, S. J., Button, D. C., Andersen, L. L., & Behm, D. G. (2014). Roller massager improves range of motion of plantar flexor muscles without subsequent decreases in force parameters. International Journal of Sports Physical Therapy, 9(1), 92–102.
-
Itsuda, H., Yagi, M., Yanase, K., Umehara, J., Mukai, H., & Ichihashi, N. (2024). Effective Stretching Positions of the Piriformis Muscle Evaluated Using Shear Wave Elastography. Journal of Sport Rehabilitation, 33(4), 282–288.
-
Jung, J., Choi, W., Lee, Y., Kim, J., Kim, H., Lee, K., et al. (2017). Immediate effect of self-myofascial release on hamstring flexibility. Physical Therapy Rehabilitation Science, 6(1), 45–51.
-
Kalichman, L., & David, C. B. (2017). Effect of self-myofascial release on myofascial pain, muscle flexibility, and strength: A narrative review. Journal of Bodywork and Movement Therapies, 21(2), 446–451. https://doi.org/10.1016/j.jbmt.2016.11.006
-
Keskula, D. R., & Tamburello, M. (1992). Conservative management of piriformis syndrome. Journal of Athletic Training, 27(2), 102–110.
-
Keys, P. M. (2014). The Effects of Myofascial Release vs Static Stretching on Hamstrings Range of Motion (Master’s thesis). Southern Illinois University Carbondale.
-
Konrad, A., Tilp, M., & Nakamura, M. (2021). A comparison of the effects of foam rolling and stretching on physical performance: A systematic review and meta-analysis. Frontiers in Physiology, 12, 720531. https://doi.org/10.3389/fphys.2021.720531
-
Kukadia, H. A., Malshikare, A., & Palekar, T. J. (2019). Effect of passive stretching vs. myofascial release in improving piriformis flexibility in females – A comparative study. Indian Journal of Physiotherapy and Occupational Therapy, 13(457), [Sayfa bilgisi yok]. https://doi.org/10.5958/0973-5674.2019.00132.1
-
Larionov, A., Yotovski, P., & Filgueira, L. (2022). Novel anatomical findings with implications on the etiology of the piriformis syndrome. Surgical and Radiologic Anatomy, 44(10), 1397–1407. https://doi.org/10.1007/s00276-022-03023-5
-
Mohr, A. R., Long, B. C., & Goad, C. L. (2014). Effect of foam rolling and static stretching on passive hip-flexion range of motion. Journal of Sport Rehabilitation, 23(4), 296–299.
-
Mookerjee, S., & McMahon, M. J. (2014). Electromyographic analysis of muscle activation during sit-and-reach flexibility tests. Journal of Strength and Conditioning Research, 28(12), 3496–3501.
-
Nehring, A., Serafim, T. T., Silva, E. R., de Menezes, F. S., Maffulli, N., Sanada, L. S., et al. (2021). Effects of myofascial self-release on range of motion, pressure pain threshold, and hamstring strength in asymptomatic individuals: A randomized, controlled, blind clinical trial. Journal of Sport Rehabilitation, 30(6), 920–925.
-
Penichet-Tomas, A., Pueo, B., Abad-Lopez, M., & Jimenez-Olmedo, J. M. (2021). Acute comparative effect of foam rolling and static stretching on range of motion in rowers. Sustainability, 13(7), 3631. https://doi.org/10.3390/su13073631
-
Perez, J. A., & Bliss, M. V. (Eds.). (2016). The Acute Effects of Self-Myofascial Release on Range of Motion and Fatigue Rate in the Lower Extremities. International Journal of Exercise Science: Conference Proceedings.
-
Queiroga, M. R., Lima, L. S., de Oliveira, L. E. C., Fernandes, D. Z., Weber, V. M. R., Ferreira, S. A., et al. (2021). Effect of myofascial release on lower limb range of motion, sit and reach and horizontal jump distance in male university students. Journal of Bodywork and Movement Therapies, 25, 140–145.
-
Rajendran, S., & Sundaram, S. S. (2020). The effectiveness of myofascial release over stretching on pain and range of motion among female college students with piriformis syndrome. Malaysian Journal of Movement Health & Exercise, 9(2), 45–56.
-
Roylance, D. S., George, J. D., Hammer, A. M., Rencher, N., Fellingham, G. W., Hager, R. L., et al. (2013). Evaluating acute changes in joint range-of-motion using self-myofascial release, postural alignment exercises, and static stretches. International Journal of Exercise Science, 6(4), 6–16.
-
Siddiq, M. A. B., Hossain, M. S., Uddin, M. M., Jahan, I., Khasru, M. R., Haider, N. M., et al. (2017). Piriformis syndrome: A case series of 31 Bangladeshi people with literature review. European Journal of Orthopaedic Surgery & Traumatology, 27(2), 193–203.
-
Su, H., Chang, N. J., Wu, W. L., Guo, L. Y., & Chu, I. H. (2017). Acute Effects of Foam Rolling, Static Stretching, and Dynamic Stretching During Warm-ups on Muscular Flexibility and Strength in Young Adults. Journal of Sport Rehabilitation, 26(6), 469–477.
-
Sulowska-Daszyk, I., & Skiba, A. (2022). The Influence of Self-Myofascial Release on Muscle Flexibility in Long-Distance Runners. International Journal of Environmental Research and Public Health, 19(1), 457. https://doi.org/10.3390/ijerph19010457
-
Tabatabaiee, A., Takamjani, I. E., Sarrafzadeh, J., Salehi, R., & Ahmadi, M. (2020). Pressure pain threshold in subjects with piriformis syndrome: Test–retest, intrarater, and interrater reliability, and minimal detectible change. Archives of Physical Medicine and Rehabilitation, 101(5), 781–788.
-
Thorborg, K., Petersen, J., Magnusson, S. P., & Hölmich, P. (2010). Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scandinavian Journal of Medicine & Science in Sports, 20(3), 493–501. https://doi.org/10.1111/j.1600-0838.2009.01045.x