Effects Of Remote Myofascial Release Of Sub-Occipital Region In Asymptomatic Individuals With Hamstrings Tightness

Remote Myofascial Release Of Sub-Occipital Region

Authors

  • Irfan Ahmad Central Park Medical College, Lahore, Pakisan
  • Tabassum Manzoor Muzaffar Abad General Hospital, Muzaffar Abad, Azad Jammu & Kashmir, Pakistan
  • Saima Riaz Ripha College of Rehabilitation Sciences, Ripha International University Lahore, Lahore, Pakistan
  • Muhammad Zeeshan THQ Hospital Jampur, Pakistan
  • Mehboob Ali Central Park Medical College, Lahore, Pakisan
  • Uzma Faiz Zoology Department, Ghazi University, D.G.Khan

DOI:

https://doi.org/10.54393/pbmj.v4i2.101

Abstract

The purpose of this study was to research the effect of performing Remote myofascial release of sub occipital region in asymptomatic individual with hamstring tightness. Keeping these muscles loose is important. If muscles have tightened up then muscles are working at less than 100 % of capacity and performance will be down as a result.

Objective: The objective of this study was to find out the effect of performing Remote myofascial release of sub occipital region in asymptomatic individual with hamstring tightness.

Methods: The study was a Quasi experimental trial and was conducted in Physiotherapy center for arthritis. 64participant in this research & divided into 2 Groups. (Group A was   treated with static Stretching exercises of hamstrings and Group B was treated with remote Myofascial release of sub occipital region and static Stretching exercises). For analysis we were used Knee Extension angle and Sit to reach test at baseline and after 2 weeks of treatment in both groups. Data analysis was done by SPSS.

Results: p value of within the group comparison for  knee extension angle and Sit to reach test score was significant i.e. <0.001.Mayofascial Release of sub occipital region and static stretch give us best result.IN group A Pre-treatment knee extension angle was 14.68 & post treatment 10.87 with mean difference 3.81 P <0.01.In Group B pre-treatment knee extension angle 14.78.& post-treatment   knee extension angle 13.75 with mean difference 11.03 & p<0.001 which concludes that remote myofascial release of sub-occipital region improve the flexibility of hamstring tightness.

Conclusion: The current study concludes that myofascial release of sub occipital region along with static stretching and static stretching alone, both are effective in improving flexibility in patients with hamstring tightness. However, myofascial release of sub occipital region along with static stretching is more effective than static stretching alone.

References

Starring DT, Gossman MR, Nicholson GG, Lemons J. Comparison of cyclic and sustained passive stretching using a mechanical device to increase resting length of hamstring muscles. Phy. Ther.; (1988) 68(3): 314-20. doi: 10.1093/ptj/68.3.314

https://doi.org/10.1093/ptj/68.3.314

Wendell L. Unresolved controversies in back management. J. Orthop. Spo. Phy. Ther. (1988) 9(7):1213-6. doi/10.2519/jospt.1988.9.7.239

https://doi.org/10.2519/jospt.1988.9.7.239

Davis DS, Ashby PE, McCale KL, McQuain JA, Wine JM. The effectiveness of 3stretching techniques on hamstring flexibility using consistent stretching parameters. J. stren. cond. res. (2005) 19(1):27-32.

https://doi.org/10.1519/00124278-200502000-00006

Aparicio ÉQ, Quirante LB, Blanco CR, Sendín FA. Immediate effects of the suboccipital muscle inhibition technique in subjects with short hamstring syndrome. J. Manip. Phy. Therap. (2009) 32(4):262-9. doi: 10.1016/j.jmpt.2009.03.006

https://doi.org/10.1016/j.jmpt.2009.03.006

Ball TM. Structural integration-based fascial release efficacy in systemic lupus erythematosus (SLE): two case studies. J. Bodywork Movement Therapies. (2011) 15(2):217-25. doi: 10.1016/j.jbmt.2010.10.006

https://doi.org/10.1016/j.jbmt.2010.10.006

Beardsley C, Škarabot J. Effects of self-myofascial release: a systematic review. J. Bodyw. Movement Therap. (2015) 19(4):747-58. doi: 10.1016/j.jbmt.2015.08.007

https://doi.org/10.1016/j.jbmt.2015.08.007

Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason functional movement screen? N. Amer. J. Spo. Phy. Thera.: NAJSPT. (2007) 2(3):147. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953296/

Gnat R, Kuszewski M, Koczar R, Dziewońska A. Reliability of the passive knee flexion and extension tests in healthy subjects. J. Manip. Physio. Therap. (2010) 33(9):659-65. doi: 10.1016/j.jmpt.2010.09.001

https://doi.org/10.1016/j.jmpt.2010.09.001

Staubesand J, Li Y. Zum Feinbau der Fascia cruris mit besonderer Berücksichtigung epi-und intrafaszialer Nerven. Manuelle Medizin. (1996) 34(34):196-200.

Sheffield K and Cooper N. The immediate effects of self-myofascial release on female footballers. SportEX Dynamics. (2013) (38). https://www.co-kinetic.com/content/the-immediate-effects-of-self-myofascial-release-smr-on-female-footballers

Yahia LH, Rhalmi S, Newman N, Isler M. Sensory innervation of human thoracolumbar fascia: an immunohistochemical study. Acta Orthopaedica Scandinavica. (1992) 63(2):195-7. doi: 10.3109/17453679209154822

https://doi.org/10.3109/17453679209154822

Smith CA. The warm-up procedure: to stretch or not to stretch. A brief review. J. Ortho. & Spo. Phy. Therapy. (1994) 19(1):12-7. doi: 10.2519/jospt.1994.19.1.12

https://doi.org/10.2519/jospt.1994.19.1.12

Hack GD, Koritzer RT, Robinson WL, Hallgren RC, Greenman PE. Anatomic relation between the rectus capitis posterior minor muscle and the dura mater. Spine. (1995) 20(23):2484-6. doi: 10.1097/00007632-199512000-00003

https://doi.org/10.1097/00007632-199512000-00003

Krause F, Wilke J, Vogt L, Banzer W. Intermuscular force transmission along myofascial chains: a systematic review. J. Anat. (2016) 228(6):910-8. doi: 10.1111/joa.12464

https://doi.org/10.1111/joa.12464

Hodgson D. Additional roller massage applied at ten-minute intervals can prolong hip and knee flexion range of motion improvements up to 30-minutes post warmup without impairing neuromuscular performance: Mem. Uni. Newfoundland; (2017) https://research.library.mun.ca/12669/1/thesis.pdf

Bandy WD, Irion JM. The effect of time on static stretch on the flexibility of the hamstring muscles. Physical therapy. (1994) 74(9):845-50. doi: 10.1093/ptj/74.9.845

https://doi.org/10.1093/ptj/74.9.845

Goldspink G, Tabary C, Tabary J, Tardieu C, Tardieu G. Effect of denervation on the adaptation of sarcomere number and muscle extensibility to the functional length of the muscle. J. Physio. (1974) 236(3):733-42. doi: 10.1113/jphysiol.1974.sp010463

https://doi.org/10.1113/jphysiol.1974.sp010463

Anderson B, Burke ER. Scientific, medical, and practical aspects of stretching. Clinics in Sports Medicine. (1991) 10(1):63-86. https://pubmed.ncbi.nlm.nih.gov/2015647/

https://doi.org/10.1016/S0278-5919(20)30658-X

Murphy D. Dynamic range of motion training: An alternative to static stretching. Chiropractic sports medicine. (1994) 8:59.

Ricard F. Tratado de osteopatía craneal, análisis ortodóntico, diagnóstico y tratamiento manual de los síndromes craneomandibulares: pincipios y tratamientos en osteopatía, fisioterapia y reeducación de los trastornos oclusales, posturales y traumáticos. (2002) https://www.worldcat.org/title/tratado-de-osteopatia-craneal-analisis-ortodontico-diagnostico-y-tratamiento-manual-de-los-sindromes-craneomandibulares-principios-y-tratamientos-en-osteopatia-fisioterapia-y-reeducacion-de-los-trastornos-oclusales-posturales-y-traumaticos/oclc/807525559

Lew P, Morrow C, Lew A. The effect of neck and leg flexion and their sequence on the lumbar spinal cord: implications in low back pain and sciatica. Spine. (1994) 19(21):2421-4. doi: 10.1097/00007632-199411000-00009

https://doi.org/10.1097/00007632-199411000-00009

Sullivan KM, Silvey DB, Button DC, Behm DG. Roller‐massager application to the hamstrings increases sit‐and‐reach range of motion within five to ten seconds without performance impairments. Int. J. Spo. Phy. Ther. (2013) 8(3):228. https://pubmed.ncbi.nlm.nih.gov/23772339

Ajimsha M, Al-Mudahka NR, Al-Madzhar J. Effectiveness of myofascial release: systematic review of randomized controlled trials. J. bodywork mov. ther. (2015) 19(1):102-12. doi: 10.1016/j.jbmt.2014.06.001

https://doi.org/10.1016/j.jbmt.2014.06.001

Joshi DG, Balthillaya G, Prabhu A. Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals-A randomized clinical trial. J. bodywork mov. ther. (2018) 22(3):832-7. doi: 10.1016/j.jbmt.2018.01.008

https://doi.org/10.1016/j.jbmt.2018.01.008

Kuan CS, Haslan Y. Immediate effect of suboccipital muscle stretching on hamstring flexibility among young adults. Healthscope: The Official Research Book of Faculty of Health Sciences, UiTM. (2019). http://healthscopefsk.com/index.php/research/article/view/68

Kalichman L, David CB. Effect of self-myofascial release on myofascial pain, muscle flexibility, and strength: a narrative review. J. Bodywork Mov. Ther. (2017) 21(2):446-51. doi: 10.1016/j.jbmt.2016.11.006

https://doi.org/10.1016/j.jbmt.2016.11.006

Curran PF, Fiore RD, Crisco JJ. A comparison of the pressure exerted on soft tissue by 2 myofascial rollers. J. spo. rehab. (2008) 17(4):432-42. doi: 10.1123/jsr.17.4.432

https://doi.org/10.1123/jsr.17.4.432

Page P. Current concepts in muscle stretching for exercise and rehabilitation. Int. J. Spo. Phy. Ther. (2012) 7(1):109. https://pubmed.ncbi.nlm.nih.gov/22319684/

Downloads

Published

2021-12-10
CITATION
DOI: 10.54393/pbmj.v4i2.101
Published: 2021-12-10

How to Cite

Ahmad, I. ., Manzoor, T. ., Riaz, S. ., Zeeshan, M., Ali, M. ., & Faiz, U. . (2021). Effects Of Remote Myofascial Release Of Sub-Occipital Region In Asymptomatic Individuals With Hamstrings Tightness: Remote Myofascial Release Of Sub-Occipital Region. Pakistan BioMedical Journal, 4(2), 113–118. https://doi.org/10.54393/pbmj.v4i2.101

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)