Comparison of the Acute Effects of Self-Myofascial Release and Static Stretching on the Piriformis Muscle in Healthy Individuals
Abstract
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.
Keywords
piriformis muscle , muscle stretching exercises , physical fitness
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.