Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Effects of dynamic myofascial release on trunk mobility and standing balance in persons with chronic nonspecific low back pain

  • Lee, Dong-Woo (Department of Physical Therapy, Graduate School, Daegu Catholic University) ;
  • Shin, Hwa-Kyung (Department of Physical Therapy, Graduate School, College of Bio and Medical Science, Daegu Catholic University) ;
  • Kim, Kwang-Su (Department of Physical Therapy, Graduate School, Daegu Catholic University)
  • Received : 2019.05.01
  • Accepted : 2019.06.11
  • Published : 2019.06.30
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Abstract

Objective: Myofascial release (MFR) is used to restore tissue extensibility of the fascia tissue and is considered to be useful in a number of clinical settings, such as low back pain (LBP). Dynamic myofascial release (DMFR) is the manual therapy, which combined the conventional MFR with the joint mobilization. The purpose of this study was to investigate the effects of the DMFR on trunk mobility, and furthermore, whether the increase of trunk mobility can carry over the improvement of dynamic standing balance in persons with chronic nonspecific LBP. Design: Randomized controlled trial. Methods: Thirty persons with chronic non-specific LBP participated in the study and were randomly assigned to the DMFR group (n=15) or the control group (n=15). DMFR was performed for two sessions (15 minutes/session) per week for four weeks for the treatment group. Both the DMFR and control groups were allowed to perform low-intensity physical activities during the treatment period. The Modified-modified $Sch{\ddot{o}}ber$ test (MMST) for trunk mobility and the Functional Reach Test (FRT) for dynamic standing balance were measured before and after the treatment period in both the DMFR group and the control group. Results: The MMST value of DMFR group increased significantly in all trunk range of motion (flexion, extension, lateral flexion, and rotation) after treatment, compared with the control group (p<0.05). Additionally, the FRT value of the DMFR group improved significantly after treatment, compared with the control group (p<0.05). Conclusions: We suggest that DMFR have a positive effect on trunk mobility and standing balance in persons with chronic LBP.

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References

  1. Ha SY, Han JH, Sung YH. Effects of ankle strengthening exercise program on an unstable supporting surface on proprioception and balance in adults with functional ankle instability. J Exerc Rehabil 2018;14:301-5. https://doi.org/10.12965/jer.1836082.041
  2. Hemming R, Sheeran L, van Deursen R, Sparkes V. Non-specific chronic low back pain: differences in spinal kinematics in subgroups during functional tasks. Eur Spine J 2018;27:163-70. https://doi.org/10.1007/s00586-017-5217-1
  3. Stanek J, Sullivan T, Davis S. Comparison of compressive myofascial release and the Graston Technique for improving ankle-dorsiflexion range of motion. J Athl Train 2018;53:160-7. https://doi.org/10.4085/1062-6050-386-16
  4. Climent JM, Kuan TS, Fenollosa P, Martin-Del-Rosario F. Botulinum toxin for the treatment of myofascial pain syndromes involving the neck and back: a review from a clinical perspective. Evid Based Complement Alternat Med 2013. doi: 10.1155/2013/381459. [Epub ahead of print]
  5. Cathcart E, McSweeney T, Johnston R, Young H, Edwards DJ. Immediate biomechanical, systemic, and interoceptive effects of myofascial release on the thoracic spine: a randomised controlled trial. J Bodyw Mov Ther 2019;23:74-81. https://doi.org/10.1016/j.jbmt.2018.10.006
  6. Rajasekar S, Marchand AM. Fascial Manipulation for persistent knee pain following ACL and meniscus repair. J Bodyw Mov Ther 2017;21:452-8. https://doi.org/10.1016/j.jbmt.2016.08.014
  7. MacDonald N, Baker R, Cheatham SW. The effects of instrument assisted soft tissue mobilization on lower extremity muscle performance: a randomized controlled trial. Int J Sports Phys Ther 2016;11:1040-7.
  8. Clarkson HM. Musculoskeletal assessment: joint motion and muscle testing. 3rd ed. Philadelphia (PA): Wolters Kluwer Lippincot Williams & Wilkins; 2013.
  9. Tousignant M, Poulin L, Marchand S, Viau A, Place C. The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change. Disabil Rehabil 2005;27:553-9. https://doi.org/10.1080/09638280400018411
  10. Williams R, Binkley J, Bloch R, Goldsmith CH, Minuk T. Reliability of the modified-modified Schober and double inclinometer methods for measuring lumbar flexion and extension. Phys Ther 1993;73:33-44.
  11. Khalifeloo M, Naghdi S, Ansari NN, Akbari M, Jalaie S, Jannat D, et al. A study on the immediate effects of plantar vibration on balance dysfunction in patients with stroke. J Exerc Rehabil 2018;14:259-66. https://doi.org/10.12965/jer.1836044.022
  12. Rosa MV, Perracini MR, Ricci NA. Usefulness, assessment and normative data of the Functional Reach Test in older adults: a systematic review and meta-analysis. Arch Gerontol Geriatr 2019;81:149-70. https://doi.org/10.1016/j.archger.2018.11.015
  13. Katz-Leurer M, Fisher I, Neeb M, Schwartz I, Carmeli E. Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke. Disabil Rehabil 2009;31:243-8. https://doi.org/10.1080/09638280801927830
  14. Taniguchi M, Tateuchi H, Ibuki S, Ichihashi N. Relative mobility of the pelvis and spine during trunk axial rotation in chronic low back pain patients: a case-control study. PLoS One 2017;12:e0186369. https://doi.org/10.1371/journal.pone.0186369
  15. Yoo WG. Effect of thoracic movement-mediated training on back pain and trunk range of motion in a patient with lower back pain. J Phys Ther Sci 2015;27:2665-6. https://doi.org/10.1589/jpts.27.2665
  16. LeBauer A, Brtalik R, Stowe K. The effect of myofascial release (MFR) on an adult with idiopathic scoliosis. J Bodyw Mov Ther 2008;12:356-63. https://doi.org/10.1016/j.jbmt.2008.03.008
  17. Sung YB, Lee JH, Park YH. Effects of thoracic mobilization and manipulation on function and mental state in chronic lower back pain. J Phys Ther Sci 2014;26:1711-4. https://doi.org/10.1589/jpts.26.1711
  18. Schleip R. Fascial plasticity-a new neurobiological explanation: part 1. J Bodyw Mov Ther 2003;7:11-9. https://doi.org/10.1016/S1360-8592(02)00067-0
  19. Ito T, Sakai Y, Morita Y, Yamazaki K, Igarashi K, Nishio R, et al. Proprioceptive weighting ratio for balance control in static standing is reduced in elderly patients with non-specific low back pain. Spine (Phila Pa 1976) 2018;43:1704-9. https://doi.org/10.1097/BRS.0000000000002817
  20. Park DJ, Hwang YI. A pilot study of balance performance benefit of myofascial release, with a tennis ball, in chronic stroke patients. J Bodyw Mov Ther 2016;20:98-103. https://doi.org/10.1016/j.jbmt.2015.06.009
  21. Myers TW. Anatomy trains: myofascial meridians for manual and movement therapists. 3rd ed. Edinburgh: Churchill Livingstone/Elsevier; 2014.

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