Remote MFR Increases Hamstring Flexibility: Support for the Fascial Train Theory
-
Brayden Healey
Joshi DG, Balthillaya G, Prabhu A. Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals - a randomized clinical trial [published online February 17, 2018]. J Bodyw Mov Ther. doi:10.1016/j.jbmt.2018.01.008
The principle that all body structures are interconnected stands as a central concept in osteopathic medicine and is often used as a rationale when applying manual treatments. Recently, fascia and the anatomic trains created by its continuity have been of particular interest. As such, seemingly unrelated structures are theorized to have significant interplay with each other, affecting and influencing the health of individual organs and the body as a whole. Researchers from India evaluated the effect of remote myofascial release (MFR) on hamstring flexibility to demonstrate this phenomenon.
The researchers compared the effect of static stretching, remote MFR, or a combination of the 2 on hamstring flexibility. Static stretching involved directly stretching the hamstrings using hip flexion and knee extension. Distant MFR included direct, firm pressure suboccipital release and deep knuckle kneading on the plantar fascia. Fifty-eight randomly assigned participants received pre-intervention measurements of hamstring flexibility using the criterion standard Knee Extension Angle (KEA) and the Sit-and-Reach Test (SRT). A physical therapist applied the intervention(s) at 7 sessions over 10 days; hamstring flexibility was subsequently remeasured. Participants were then instructed to perform their particular intervention(s) as a home-exercise program for 2 weeks, after which final measurements were taken. Analyses were conducted for both the therapist and the self-administered treatment periods.
The results showed that therapist-administered interventions in all 3 groups led to statistically significant increases in both KEA and SRT measures of hamstring flexibility, with no statistically significant differences between groups. During the self-treatment period, SRT results revealed significant increases in the SS and combination groups, but KEA results were not significant in any groups.
These findings support the fascial train theory and validate its clinical application. Therapist-administered MFR at the plantar and suboccipital fascia yielded statistically significant improvements in hamstring flexibility in lieu of, and in combination with, SS. The limitations of this study include a small sample size, lack of home program standardization, and lack of a sham or control group. Nonetheless, it offers encouraging findings regarding the whole-body approach of osteopathic physicians and supports the concept of treating fascial trains.
© 2018 American Osteopathic Association
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Artikel in diesem Heft
- LETTERS TO THE EDITOR
- Response
- OMT MINUTE
- Osteopathic Lymphatic Pump Techniques
- STILL RELEVANT?
- The Rule of the Artery Is Supreme. Or, Is It?
- LETTERS TO THE EDITOR
- Progressive Infantile Scoliosis Managed With Osteopathic Manipulative Treatment
- AOA COMMUNICATION (REPRINT)
- Official Call: 2018 Annual Business Meeting of the American Osteopathic Association
- Proposed Amendments to the AOA Constitution, Bylaws, and Code of Ethics
- ORIGINAL CONTRIBUTION
- Medical Students’ Knowledge, Attitudes, and Behaviors With Regard to Skin Cancer and Sun-Protective Behaviors
- Lymphatic Pump Treatment Mobilizes Bioactive Lymph That Suppresses Macrophage Activity In Vitro
- JAOA/AACOM MEDICAL EDUCATION
- Oral Health Training in Osteopathic Medical Schools: Results of a National Survey
- CASE REPORT
- Perplexing Rash: Challenges to Diagnosis and Management of Mycosis Fungoides
- Laparoscopic Adjustable Gastric Band Erosion Into the Stomach and Colon
- THE SOMATIC CONNECTION
- Safety of Chiropractic Manipulation in Patients With Migraines
- Effect of HVLA on Chronic Neck Pain and Dysfunction
- Effects of Adding Cervicothoracic Treatments to Shoulder Mobilization in Subacromial Impingement Syndrome
- Manipulation Under Anesthesia Thaws Frozen Shoulder
- Treating Patients With Low Back Pain: Evidence vs Practice
- Reducing Low Back and Posterior Pelvic Pain During and After Pregnancy Using OMT
- Neuromuscular Manipulation Improves Pain Intensity and Duration in Primary Dysmenorrhea
- Reducing Cesarean Delivery Rates and Length of Labor by Addressing Pelvic Shape
- Remote MFR Increases Hamstring Flexibility: Support for the Fascial Train Theory
- CLINICAL IMAGES
- Minocycline-Induced Hyperpigmentation
- Massively Enlarged Leiomyomatous Uterus
Artikel in diesem Heft
- LETTERS TO THE EDITOR
- Response
- OMT MINUTE
- Osteopathic Lymphatic Pump Techniques
- STILL RELEVANT?
- The Rule of the Artery Is Supreme. Or, Is It?
- LETTERS TO THE EDITOR
- Progressive Infantile Scoliosis Managed With Osteopathic Manipulative Treatment
- AOA COMMUNICATION (REPRINT)
- Official Call: 2018 Annual Business Meeting of the American Osteopathic Association
- Proposed Amendments to the AOA Constitution, Bylaws, and Code of Ethics
- ORIGINAL CONTRIBUTION
- Medical Students’ Knowledge, Attitudes, and Behaviors With Regard to Skin Cancer and Sun-Protective Behaviors
- Lymphatic Pump Treatment Mobilizes Bioactive Lymph That Suppresses Macrophage Activity In Vitro
- JAOA/AACOM MEDICAL EDUCATION
- Oral Health Training in Osteopathic Medical Schools: Results of a National Survey
- CASE REPORT
- Perplexing Rash: Challenges to Diagnosis and Management of Mycosis Fungoides
- Laparoscopic Adjustable Gastric Band Erosion Into the Stomach and Colon
- THE SOMATIC CONNECTION
- Safety of Chiropractic Manipulation in Patients With Migraines
- Effect of HVLA on Chronic Neck Pain and Dysfunction
- Effects of Adding Cervicothoracic Treatments to Shoulder Mobilization in Subacromial Impingement Syndrome
- Manipulation Under Anesthesia Thaws Frozen Shoulder
- Treating Patients With Low Back Pain: Evidence vs Practice
- Reducing Low Back and Posterior Pelvic Pain During and After Pregnancy Using OMT
- Neuromuscular Manipulation Improves Pain Intensity and Duration in Primary Dysmenorrhea
- Reducing Cesarean Delivery Rates and Length of Labor by Addressing Pelvic Shape
- Remote MFR Increases Hamstring Flexibility: Support for the Fascial Train Theory
- CLINICAL IMAGES
- Minocycline-Induced Hyperpigmentation
- Massively Enlarged Leiomyomatous Uterus
