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The immediate effect of bilateral self myofascial release on the plantar surface of the feet on hamstring and lumbar spine flexibility: A pilot randomised controlled trial

Grieve, Rob; Grieve, Robert; Goodwin, Faye; Alfaki, Mostapha; Bourton, Amey Jay; Jeffries, Caitlin; Scott, Harriet

Authors

Rob Grieve

Rob Grieve Rob.Grieve@uwe.ac.uk
Senior Lecturer in Physiotherapy

Faye Goodwin

Mostapha Alfaki

Amey Jay Bourton

Caitlin Jeffries

Harriet Scott



Abstract

© 2015. Background: Self myofascial release (SMR) via a tennis ball to the plantar aspect of the foot is widely used and advocated to increase flexibility and range of movement further along the posterior muscles of a proposed "anatomy train". To date there is no evidence to support the effect of bilateral SMR on the plantar aspect of the feet to increase hamstring and lumbar spine flexibility. Aim: The primary aim was to investigate the immediate effect of a single application of SMR on the plantar aspect of the foot, on hamstring and lumbar spine flexibility. The secondary aim was to evaluate the method and propose improvements in future research. Design: A pilot single blind randomised control trial. Participants: Twenty four healthy volunteers (8 men, 16 women; mean age 28 years ± 11.13). Method: Participants underwent screening to exclude hypermobility and were randomly allocated to an intervention (SMR) or control group (no therapy). Baseline and post intervention flexibility was assessed by a sit-and-reach test (SRT). A one way between groups analysis of covariance (ANCOVA) was conducted to compare between group outcome SRT measurements. Baseline pre-intervention and control SRT measurements were used as the covariate in the analysis. Results: There was a significant increase (p = 0.03) in the intervention SRT outcome measurements compared to the control group, with a large effect size. Conclusion: An immediate clinical benefit of SMR on the flexibility of the hamstrings and lumbar spine was indicated and suggestions for methodological improvements may inform future research.

Journal Article Type Article
Publication Date Jul 1, 2015
Journal Journal of Bodywork and Movement Therapies
Print ISSN 1360-8592
Electronic ISSN 1532-9283
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 19
Issue 3
Pages 544-552
APA6 Citation Grieve, R., Grieve, R., Goodwin, F., Alfaki, M., Bourton, A. J., Jeffries, C., & Scott, H. (2015). The immediate effect of bilateral self myofascial release on the plantar surface of the feet on hamstring and lumbar spine flexibility: A pilot randomised controlled trial. Journal of Bodywork and Movement Therapies, 19(3), 544-552. https://doi.org/10.1016/j.jbmt.2014.12.004
DOI https://doi.org/10.1016/j.jbmt.2014.12.004
Keywords fascia, self myofascial release, anatomy trains, sit-and-reach test
Publisher URL http://dx.doi.org/10.1016/j.jbmt.2014.12.004

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