The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Immediate Effects of Foam Rolling and Proprioceptive Neuromuscular Facilitation Stretching on Hamstring Flexibility

  • Choi, Ji-eun (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Lee, Yul-Hee (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Lee, Dong Yeop (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Yu, Jae Ho (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Kim, Jin Seop (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Kim, Seung Gil (Department of Physical Therapy, College of Health Sciences, Sun Moon University) ;
  • Hong, Jiheon (Department of Physical Therapy, College of Health Sciences, Sun Moon University)
  • Received : 2022.05.25
  • Accepted : 2022.06.22
  • Published : 2022.06.30
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Abstract

Purpose: This study aimed to determine which interventions are effective in increasing hamstring flexibility due to changes in the range of motion (ROM) and pennation angle (PA) when foam rolling (FR) and proprioceptive neuromuscular facilitation (PNF) stretching were performed. Methods: A total of 24 healthy participants who agreed to participate in the study were randomly chosen. The participants were divided into three groups of eight people: Control, FR, and PNF stretching groups. The hip flexion angle (ROM) and PA of the hamstrings were measured before and after the experiment. The Wilcoxon signed-rank test was used to analyze the ROM and PA for each group by comparing the before and after results. The Kruskal-Wallis test and the Mann-Whitney U test were used to analyze the increase in hamstring flexibility between the groups. Results: A statistically significant difference was observed in the ROM and PA within all groups, and only the ROM was significant in the comparison between the three groups. In the comparison between the control and other two groups, a significant difference was noted in both the ROM and PA in the FR group and only the ROM in the PNF stretching group (p<0.05). In the comparison between the FR and PNF stretching groups, no significant difference was observed (p>0.05). Conclusion: These findings FR and PNF stretching increased the ROM; however, no change in PA was observed. Therefore, FR and PNF stretching were considered effective interventions in immediately increasing hamstring flexibility.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT)(2020R1C1C1012483).

References

  1. Hopper D, Deacon S, Das S et al. Dynamic soft tissue mobilisation increases hamstring flexibility in healthy male subjects. Br J Sports Med. 2005: 39(9):594-8. https://doi.org/10.1136/bjsm.2004.011981
  2. Page P. Current concepts in muscle stretching for exercise and rehabilitation. Int J Sports Phys Ther. 2012;7(1):109-19.
  3. Shadmehr A, Hadian MR, Naiemi S. Hamstring flexibility in young women following passive stretch and muscle energy technique. J Back Musculoskelet Rehabil. 2009;22(3):143-8. https://doi.org/10.3233/bmr-2009-0227
  4. Winters MV, Blake CG, Trost J et al. Passive versus active stretching of hip flexor muscles in subjects with limited hip extension: a randomized clinical trial. Phys Ther. 2004;84(9):800-7. https://doi.org/10.1093/ptj/84.9.800
  5. Cho HY, Kim MJ, Yoon SW. The effects of water exercise program on pennation angle of the lower limb muscle with women in their 20's. J Kor Phys Ther. 2010;22(3):55-9.
  6. Lee JH, Kim JY, Kim HS et al. Comparison of sit and reach test, straight leg raise test and visual analogue scale when applying static stretching and mulligan's two leg rotation in young adults with hamstring shortness. J Kor Phys Ther. 2019;31(5):266-72. https://doi.org/10.18857/jkpt.2019.31.5.266
  7. Jo YN, Kang MJ, Chae JW. Estimation of human lower-extremity muscle force under uncertainty while rising from a chair. KSME. 2014;38(10):1147-55. https://doi.org/10.3795/KSME-A.2014.38.10.1147
  8. Lim CH. Effects of static, dynamic, PNF stretching on the isokinetic peak torque. J Kor Phys Ther. 2011;23(6):37-42.
  9. Ribeiro Alvares JB, Marques VB, Vaz M. Four weeks of nordic hamstring exercise reduce muscle injury risk factors in young adults. J Strength Cond Res. 2018;32(5):1254-62. https://doi.org/10.1519/JSC.0000000000001975
  10. Franchi MV, Raiteri BJ, Longo S. Muscle architecture assessment: strengths, shortcomings and new frontiers of in vivo imaging techniques. Ultrasound Med Biol. 2018;44(12):2492-504. https://doi.org/10.1016/j.ultrasmedbio.2018.07.010
  11. Choi YI, Choi HS, Kim TH et al. The effects of the fifa 11+ and self-myofascial release complex training on injury, flexibility and muscle stiffness of high school football players. J Kor Phys Ther. 2022;34(1):38-44. https://doi.org/10.18857/jkpt.2022.34.1.38
  12. Williams DS, Welch LM. Male and female runners demonstrate different sagittal plane mechanics as a function of static hamstring flexibility. Braz J Phys Ther. 2015;19(5):421-8. https://doi.org/10.1590/bjpt-rbf.2014.0123
  13. Rabin A, Kozol Z, Spitzer E et al. Ankle dorsiflexion among healthy men with different qualities of lower extremity movement. J Athl Train. 2014;49(5):617-23. https://doi.org/10.4085/1062-6050-49.3.14
  14. Bae SS, Kim TY, Chung HA. A comprehensive kinematic approach to pelvis. J Kor Phys Ther. 1999;11(2):93-102.
  15. Ylinen JJ, Kautiainen HJ, Hakkinen AH. Comparison of active, manual and instrumental straight leg raise in measuring hamstring extensibility. J Strength Cond Res. 2010;24(4):972-7. https://doi.org/10.1519/JSC.0b013e3181d0a55f
  16. Kim JH, Kim TH. Immediate effects of stretching on hamstring stiffness. J Kor Phys Ther. 2010; 22(1):1-7.
  17. Zhou WS, Lin JH, Chen SC. Effects of dynamic stretching with different loads on hip joint range of motion in the elderly. J Sports Sci Med. 2019;18(1):52-7.
  18. Reid JC, Greene R, Young JD. The effects of different durations of static stretching within a comprehensive warm-up on voluntary and evoked contractile properties. Eur J Appl Physiol. 2018;118(7):1427-45. https://doi.org/10.1007/s00421-018-3874-3
  19. Opplert J, Paizis C, Papitsa A. Static stretch and dynamic muscle activity induce acute similar increase in corticospinal excitability. PLoS One. 2020;15(3):e0230388. https://doi.org/10.1371/journal.pone.0230388
  20. Matsuo S, Suzuki S, Iwata M. Acute effects of different stretching durations on passive torque, mobility, and isometric muscle force. J Strength Cond Res. 2013;27(12):3367-76. https://doi.org/10.1519/jsc.0b013e318290c26f
  21. Behm DG, Chaouachi A. A review of the acute effects of static and dynamic stretching on performance. Eur J Appl Physiol. 2011;111(11):2633-51. https://doi.org/10.1007/s00421-011-1879-2
  22. Matsuo S, Iwata M, Miyazaki M et al. Changes in flexibility and force are not different after static versus dynamic stretching. Sports Med Int Open. 2019;3(3):E89-95. https://doi.org/10.1055/a-1001-1993
  23. Mavromoustakos S, Beneka A, Malliou V et al. Effects of a 6-week proprioceptive neuromuscular facilitation intervention on pain and disability in individuals with chronic low back pain. J Phys Act Nutr Rehabil. 2015;1(1):1-13.
  24. Magalhaes FE, Junior AR, Meneses HT et al. Comparison of the effects of hamstring stretching using proprioceptive neuromuscular facilitation with prior application of cryotherapy or ultrasound therapy. J Phys Ther Sci. 2015;27(5):1549-53. https://doi.org/10.1589/jpts.27.1549
  25. Kim CH, Han JT. Comparison of Lumbopelvic motions during hip medial rotation depending on sex differences and chronic lower back pain. J Kor Phys Ther. 2019;31(2):117-21. https://doi.org/10.18857/jkpt.2019.31.2.117
  26. Yildirim MS, Ozyurek S, Tosun O. Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial. Biol Sport. 2016;33(1):89-94. https://doi.org/10.5604/20831862.1194126
  27. Beardsley C, Skarabot J. Effects of self-myofascial release: a systematic review. J Bodyw Mov Ther. 2015;19(4):747-58. https://doi.org/10.1016/j.jbmt.2015.08.007
  28. Ye X, Killen BS, Zelizney KL et al. Unilateral hamstring foam rolling does not impair strength but the rate of force development of the contralateral muscle. Peer J. 2019;7:e7028. https://doi.org/10.7717/peerj.7028
  29. Cheatham SW, Kolber MJ, Cain M. 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. Int J Sports Phys Ther. 2015;10(6):827-38.
  30. Madoni SN, Costa PB, Coburn JW et al. Effects of foam rolling on range of motion, peak torque, muscle activation, and the hamstrings-to-quadriceps strength ratios. J Strength Cond Res. 2018;32(7):1821-30. https://doi.org/10.1519/JSC.0000000000002468
  31. Mendiguchia J, Conceicao F, Edouard P et al. Sprint versus isolated eccentric training: comparative effects on hamstring architecture and performance in soccer players. PLoS One. 2020;15(2):e0228283. https://doi.org/10.1371/journal.pone.0228283
  32. Jo YN, Gang MJ. Estimation of human lower-extremity muscle force under uncertainty while rising from a chair. KSME. 2014;38(10):1147-55. https://doi.org/10.3795/KSME-A.2014.38.10.1147
  33. MacDonald GZ, Penney MD, Mullaley M et al. An acute bout of selfmyofascial release increases range of motion without a subsequent decrease in muscle activation or force. J Strength Cond Res. 2013;27(3):812-21. https://doi.org/10.1519/jsc.0b013e31825c2bc1
  34. Schleip R. Fascial plasticity-a new neurobiological explanation: part 2. J Bodyw Mov Ther. 2003;7(2):104-16. https://doi.org/10.1016/S1360-8592(02)00076-1
  35. Schleip R. Fascial plasticity-a new neurobiological explanation: part 1. J Bodyw Mov Ther. 2003; 7(1):11-9. https://doi.org/10.1016/S1360-8592(02)00067-0
  36. Lim KI, Nam HC, Jung KS. Effects on hamstring muscle extensibility, muscle activity, and balance on different stretching techniques. J Phys Ther Sci. 2014;26(2):209-13. https://doi.org/10.1589/jpts.26.209
  37. Farquharson C. MET versus PNF what, when and how. Sportex Dyn. 2010;25:12-6.
  38. Youdas JW, Haeflinger KM, Kreun MK et al. The efficacy of two modified proprioceptive neuromuscular facilitation stretching techniques in subjects with reduced hamstring muscle length. Physiother Theory Pract. 2010;26(4):240-50. https://doi.org/10.3109/09593980903015292