• Title/Summary/Keyword: Myofascial release technique

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Compairison of Effect of Manual Myofascial Release and Self Myofascial Release Technique Using a Foam Roller on Pain Thresholds and Body Schema in Subjects with Chronic Tension-type Headache (도수근막이완기법과 폼롤러를 이용한 자가근막이완기법이 만성 긴장성 두통 환자의 통증문턱값 및 신체 도식에 미치는 효과 비교)

  • Ju-Ri Eom;Kang-Hoon Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.147-155
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    • 2023
  • Purpose: Headache is a very common disease experienced at least once in daily life, and tension-type headaches have a high and increasing prevalence. Chronic headaches can cause functional damage and huge socioeconomic impacts. This study aimed to compare the effects of myofascial release technique with manual therapy and self-myofascial release technique using a foam roller on the pain threshold and body schema in patients with chronic tension-type headaches. Methods: The study was conducted on 20 patients living in Busan with chronic tension headaches. Myofascial release technique with manual therapy was performed on the suboccipital, sternocleidomastoid, scalene, and upper trapezius muscles. The self -myofascial release technique using a foam roller was applied to the cervical and thoracic muscles. A laterality test was performed using a recognized neck application developed to evaluate body schema ability. A pressure-pain threshold test was performed using an electronic pressure algometer to compare the results before and after the myofascial release technique. Results: After applying myofascial release with manual therapy and a foam roller, the pressure-pain threshold values showed significant changes in both groups (p<.05). As a result of the laterality test, myofascial release with manual therapy and a foam roller were applied to the painful area. The values showed significant changes in both groups (p<.05), but only the group using the foam roller showed a significant difference (p<.05) in painless areas. Conclusion: The myofascial release technique with manual therapy can be the primary treatment technique for pain control in painful areas. The self-muscle release technique using a foam roller can be an effective method when there is no pain or when maintenance is needed after pain control.

The Effects of Myofascial Release on Pain Threshold and Sympathetic Hyperactivity in Patients with Adhesive Capsulitis: Case Study (근막이완술이 유착성 관절낭염 환자의 통증 역치와 교감신경계 과활동에 미치는 효과: 사례연구)

  • Jeong, Seong-gwan;Lee, Ho-jun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.2
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    • pp.87-92
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    • 2021
  • Purpose: This study aimed to investigate the effects of myofascial release technique on pain threshold and hormonal changes in patients with adhesive capsulitis of the shoulder. Methods: Eight patients with adhesive capsulitis were treated with the myofascial release technique. Myofascial release is a form of manual therapy that involves the application of a low load, long duration stretch to the myofascial complex, intended to restore optimal length, decrease pain, and improve function. Blood tests and pressure pain threshold (PPT) examinations were performed on their first visit. On their second visit, the myofascial release technique was applied to the shoulder for 20 min. Then, blood tests and PPT were re-evaluated to determine the effects of the myofascial release technique on pain threshold and hormonal changes. Results: Pain threshold increased from 2.92 to 24.13 lb after treatment. Epinephrine decreased from .13 to .08 ng/mL whereas norepinephrine increased from .25 to .41ng/㎖ after treatment. Conclusion: Myofascial release technique in patients with adhesive capsulitis increased pain thresholds, norepinephrine and decreased epinephrine levels.

Can Myofascial Release Techniques Reduce Stress Hormones in the Subject of Short Hamstring Syndrome? A Pilot Study

  • Cho, Sunghak
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.4
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    • pp.2237-2243
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    • 2020
  • 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.

A Comparison of Myofascial Release and Ultrasound in Patients with Myofascial Pain Syndrome on Neck (경부근막동통증후군 환자에게 근막이완요법과 초음파치료의 비교)

  • Kim, Jong-Woo;Hyun, Sang-Wook;Seo, Hyun-Kyu
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.2
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    • pp.15-24
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    • 2009
  • Objectives : The purpose of this study is to compare the effectiveness between myofascial release technique and ultrasound in subjects with myofascial pain syndrome. Method : Twenty subjects with myofascial pain syndrome were randomly assigned to a myofascial release technique group(n=10) or an ultrsound group(n=10). The Cervical Range of Motion(C-ROM) instrument was used to measure cervical range of motion. Electromyography(EMG) was used to measure muscle power sternocleidomastoid and upper trapezius. Result : The result of this study shows there were no significant differences in ROM increase and muscle power increase between the myofascial release technique group and the ultrasound group. In the group with Myofascial Release Technique, the average score was $61.40{\pm}11.12$ in SCM flexion of C-ROM and $127.87{\pm}4.24$ in Rt. upper trapezius extension of EMG. In the group with ultra sound, the average score was $68.60{\pm}10.02$ in SCM flexion of C-ROM and $131.50{\pm}5.45$ in Rt. upper trapezius extension of EMG. Conclusion : The results suggest that there was no significant difference between two therapeutic techniques.

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Comparison of Effects of Different Myofascial Meridians Methods on Pain and Postural Control of College Students with Forward Head Posture

  • Song, Byeong-Hoon;Choi, Yoon-Hee;Cha, Yong-Jun
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.15-23
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    • 2019
  • PURPOSE: This study was conducted to investigate the effects of the myofascial meridians release technique on pain and postural control of college students with forward head posture and to compare the intervention effects of the Grastone massage and the Rollfing massage. METHODS: Thirty subjects with forward head posture were randomly and equally allocated to experimental group I (myofascial meridians release technique using Grastone massage, n=15) or experimental group II (myofascial meridians release using Rollfing massage, n=15). All subjects underwent 30 minutes of different myofascial meridians release techniques in addition to general physical therapy (hot pack: 15 min, interferential current therapy: 15 min, ultra sound: 5 min) three times a week for a total of 6 weeks. Outcome was measured before and after 4 weeks of intervention. RESULTS: In both groups, the numerical rating scale of pain was significantly decreased after intervention, with experimental group I showing a greater decrease than experimental group II. The neck disability index decreased significantly after intervention in both groups, with experimental group I showing a significantly greater decrease than the controls. The distance of the head forward displacement did not differ significantly between the two groups (p>.05). CONCLUSION: This study suggests that the Grastone method combined with the myofascial meridians release technique is a more effective intervention for improvement of pain and postural control in adults with moderate forward head posture.

Effect of Meridian Muscle Release and the Graston Technique on Pain and Functional Movement in Patients with Myofascial Pain Syndrome of the Shoulder Joint (경근 이완 기법과 그라스톤 기법이 어깨 관절 근막 통증 증후군 환자의 통증 및 기능 향상에 미치는 효과)

  • Heo, Hyo-Ryung;Jang, Ho-Young;Kim, Dong-Hoon;Kim, Ho-Young;Lee, Suk-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.85-94
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    • 2020
  • PURPOSE: This study examined the effects of the meridian muscle release technique on the pain and functional movement of patients with myofascial pain syndrome (MPS) of the shoulder joint. METHODS: The subjects of this study included 45 patients with MPS of the shoulder joint. The subjects were divided randomly into the following groups; the meridian muscle release technique group (n=15), the Graston technique group (n=15), and the control group (n=15). Both the meridian muscle release group and the Graston technique group received conventional therapy for 35 minutes initially and were then treated using the meridian muscle releases technique and Graston technique for 10 minutes, respectively. The control group received only conventional therapy for 35 minutes. All three groups underwent treatments three times a week for four weeks. Each subject was evaluated randomly using the VAS, PPT, SPADI and ROM both before and after treatment. RESULTS: The Graston technique group showed a significantly more substantial increase in functional movement (p<.05) than the meridian muscle release technique and control groups. The meridian muscle release technique group had significantly less pain (p<.05) compared to the Graston technique and control groups. CONCLUSION: These findings suggest that the meridian muscle release technique can be useful for decreasing pain and increasing the functional movement of patients with MPS of the shoulder joint.

Effects of Myofascial Release Technique with Preservation Physical Therapy on the Low Back Pain and Range of Motion and Body Function of Patients in Acute Traffic Accidents: A Randomized Controlled Trial (보존적 물리치료를 동반한 근막이완술이 급성기 교통사고 환자의 허리통증, 관절운동범위, 신체기능에 미치는 영향)

  • Kim, Young-Min;Kim, Tae-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.1
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    • pp.93-101
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    • 2021
  • PURPOSE: This study examined the effects of a myofascial release technique with preservation physical therapy on low back pain, range of motion, and physical function of patients in acute traffic accidents METHODS: Twelve patients with traffic accidents were divided randomly into two groups of six patients each who met the selection criteria. The training was conducted for 45 minutes each time, for two weeks and four times per week. The experimental group received four myofascial release techniques and with preservation physical therapy. The control group received only preservation physical therapy. RESULTS: The VAS test result was statistically significant after the intervention in both groups (p < .05). After the intervention, there was no significant difference between the experimental group and control group. The Schober test result was statistically significant after the intervention in both the experimental and control groups (p < .05), and there was a significant difference between the experimental group and control group after the intervention (p < .05). The KODI assessment result was significant after the intervention in both the experimental and control groups (p < .05), and there was a significant difference between the experimental group and control group after the intervention (p < .05). CONCLUSION: The myofascial release technique with preservation physical therapy had a positive effect on low back pain, range of motion, and body function in acute traffic accident patients.

Chuna Therapy and Myofascial Release Technique for the Pain Relief and Cobb's Angle Improvement in Patients with Scoliosis: Case Report (추나요법과 근막이완요법의 척추측만증 환자 4례에 대한 증례 보고)

  • Lee, Sang-Young;Kim, Gi-Deok;Park, Soo-Gon;Kim, Min-Seong;Huang, Chun-Ho;Cho, Hyung-Jun;Sul, Jae-Uk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.1
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    • pp.59-65
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    • 2012
  • Objectives: This study is designed to report the valid result of complex of Chuna Therapy and Myofascial Release Technique(MRT) on scoliosis patients. Methods: The correction program for scoliosis takes 3 month per case. Chuna Therapy and MRT were given once a week and other oriental medicine care was given twice a week to care the complications of scoliosis. The Cobb's angle(by X-ray, Full spine view) and Visual analogue scale(VAS) were evaluated before and after the treatments. Results: After the program, both of Cobb's angle and VAS decreased. Conclusions: Though it is a case report, we found Chuna Therapy and MRT might have valid effect on scoliosis patients. Further rigorous case series and controlled trials are warranted.

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Effects of Active Release Technique on Pain, Oswestry Disability Index and Pelvic Asymmetry in Chronic Low Back Pain Patients (능동이완기법이 만성 허리통증 환자의 통증, 요통장애지수 및 골반비대칭에 미치는 영향)

  • Lee, Seung-Hoo;Nam, Seung-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.133-141
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    • 2020
  • PURPOSE: This study examined the effects of active release technique on pain, Oswestry Disability Index, and pelvic asymmetry in chronic low back pain patients. METHODS: Thirty five outpatients diagnosed with chronic low back pain were enrolled in this study. The patients were divided randomly into an active release technique therapy group(experimental group; n=18) and myofascial release technique therapy group(control group; n=17). These groups performed their respective therapy for a 40-minute session occurring twice a week over six weeks. The Visual Analogue Scale(VAS) was used to measure the subjects' pain, and the Korean Oswestry Disability Index(KODI) was used to measure the subjects' dysfunction. To assess the patients' pelvic asymmetry, their pelvic tilt and pelvic rotation were measured using X-ray imaging. RESULTS: Both the experimental group and control group exhibited significant decreases in their VAS and KODI scores after the therapy(p<.05). The experimental group exhibited a significant decrease in their pelvic tilt and pelvic rotation after therapy(p<.05). A significant difference was observed between the experimental group and the control group (p<.05). CONCLUSION: These results suggest that active release technique is effective in decreasing the level of pain and dysfunction in chronic low back pain patients. In addition, the active release technique is considered to be more effective in improving the pelvic tilt and pelvic rotation than myofascial release technique. This can be an effective method for the non-pharmacological and non-surgical treatment of chronic low back pain.

Effects of Myofascial Release and Posture Correction Exercise on the Neck Movement and the Quality of Sleep in Patients with Chronic Tension-Type Headaches

  • Cho, Sunghak
    • Journal of International Academy of Physical Therapy Research
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    • v.10 no.4
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    • pp.1897-1902
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    • 2019
  • Background: Tension-type headaches, which make up the highest proportion of headaches, are prone to develop into chronic tension-type headaches (CTTH). The characteristic of CTTH in patients is that the active myofascial trigger point (ATrP) which causes pain in the muscles of the back of the head is increased, compared to the normal headache and moves the head position forward. Objective: The aim of this study was to investigate the effects of myofascial release (MFR) and posture correction in effectively improving neck function and sleep quality in the symptoms of CTTH patients. Design: Observer-blind study Methods: To reduce ATrP, MFR was applied and exercise was also applied to correct posture. The subjects of this study were 48 individuals randomly divided into three groups; The MFR group using the MFR technique; The MFR with exercise group subject to both the MFR technique and forward head position correction exercises (MFREx), and the control group. MFR and MFREx groups were given the relevant interventions twice a week for four consecutive weeks, and went through the number ATrPs, range of motion (ROM) of neck, Neck Disability Index (NDI) and the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. A physical therapist, who was fully familiar with the measuring methods of the equipment, was the measurer and not aware of the target's condition was blinded to take measurements only before and after intervention. Results: There was a significant improvement in the ATrP, Neck ROM, NDI and PSQI in the group of patients to whom the MFR technique and MFREx were applied. MFREx was more effective in increasing neck mobility. Conclusions: According to this study, the application of MFR is effective in improving neck movement and sleep quality in chronic tension headache patients.