The Role of Structured Foam Rolling Programs in Improving Hamstring Flexibility: A Critically Appraised Topic

2020 ◽  
pp. 1-5
Author(s):  
Irfan A. Khan ◽  
Kelley Henderson
Keyword(s):  
Clinical Question ◽  
Hamstring Muscle ◽  
Bottom Line ◽  
Significant Evidence ◽  
Foam Rolling ◽  
Hamstring Flexibility ◽  
Active Adults

Focused Clinical Question: What is the efficacy of structured foam rolling protocols at increasing hamstring muscle flexibility in active adults when compared with just maintaining regular levels of activity? Clinical Bottom Line: There is significant evidence to support the use of structured foam rolling programs in active adults to improve hamstring flexibility.

scholarly journals The Effectiveness of Whole-Body-Vibration Training in Improving Hamstring Flexibility in Physically Active Adults

2015 ◽  
Vol 24 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Megan N. Houston ◽  
Victoria E. Hodson ◽  
Kelda K.E. Adams ◽  
Johanna M. Hoch
Keyword(s):  
Young Adults ◽  
Whole Body Vibration ◽  
Intervention Group ◽  
Whole Body ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Bottom Line ◽  
Physically Active ◽  
Hamstring Flexibility ◽  
Active Adults

Clinical Scenario:Hamstring tightness is common among physically active individuals. In addition to limiting range of motion and increasing the risk of muscle strain, hamstring tightness contributes to a variety of orthopedic conditions. Therefore, clinicians continue to identify effective methods to increase flexibility. Although hamstring tightness is typically treated with common stretching techniques such as static stretching and proprioceptive neuromuscular facilitation, it has been suggested that whole-body-vibration (WBV) training may improve hamstring flexibility.Clinical Question:Can WBV training, used in isolation or in combination with common stretching protocols or exercise, improve hamstring flexibility in physically active young adults?Summary of Key Findings:Of the included studies, 4 demonstrated statistically significant improvements in hamstring flexibility in the intervention group, and 1 study found minor improvements over time in the intervention group after treatment.Clinical Bottom Line:There is moderate evidence to support the use of WBV training to improve hamstring flexibility in physically active young adults.Strength of Recommendation:There is grade B evidence that WBV training improves hamstring flexibility in physically active adults. The Centre of Evidence Based Medicine recommends a grade of B for level 2 evidence with consistent findings.

The Role of Myofascial Release in Treating Patients with Tension-Type Headaches: A Critically Appraised Topic

2020 ◽  
pp. 1-5
Author(s):  
Irfan A. Khan ◽  
Kelley Henderson
Keyword(s):  
Trigger Point ◽  
Clinical Question ◽  
Bottom Line ◽  
Significant Evidence ◽  
Myofascial Release ◽  
Trigger Point Therapy ◽  
Tension Type Headaches

Clinical Question: What is the efficacy of myofascial release, combined with trigger point therapy, in treating pain in patients with tension-type headaches? Clinical Bottom Line: There is significant evidence to support the use of myofascial release and trigger point therapy in patients with pain from tension-type headaches.

Self-Mobilization Using a Foam Roller Versus a Roller Massager: Which Is More Effective for Increasing Hamstrings Flexibility?

2017 ◽  
Vol 26 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Danielle M. DeBruyne ◽  
Marina M. Dewhurst ◽  
Katelyn M. Fischer ◽  
Michael S. Wojtanowski ◽  
Chris Durall
Keyword(s):  
Therapeutic Benefit ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Duration Of Treatment ◽  
Bottom Line ◽  
Physically Active ◽  
Foam Rolling ◽  
Treatment Data ◽  
Active Adults ◽  
Level 2

Clinical Scenario:Increasing the length of the muscle–tendon unit may prevent musculotendinous injury. Various methods have been proposed to increase muscle–tendon flexibility, including self-mobilization using foam rollers or roller massagers, although the effectiveness of these devices is uncertain. This review was conducted to determine if the use of foam rollers or roller massagers to improve hamstrings flexibility is supported by moderate- to high-quality evidence.Clinical Question:Are foam rollers or roller massagers effective for increasing hamstrings flexibility in asymptomatic physically active adults?Summary of Key Findings:The literature was searched for studies on the effects of using foam rollers or roller massagers to increase hamstrings flexibility in asymptomatic physically active adults. Four randomized controlled trials were included; 2 studies provided level 2 or 3 evidence regarding foam rollers and 2 studies provided level 2 or 3 evidence regarding roller massagers. Both roller-massager studies reported increases in hamstrings flexibility after treatment. Data from the foam-roller studies did not demonstrate a statistically significant increase in hamstrings flexibility, but 1 study did demonstrate a strong effect size.Clinical Bottom Line:The reviewed moderate-quality studies support the use of roller massagers but provide limited evidence on the effectiveness of foam rolling to increase hamstrings flexibility in asymptomatic physically active adults. Flexibility gains may be improved by a longer duration of treatment and administration by a trained therapist. Gains appear to decline rapidly postrolling. Neither device has been shown to confer a therapeutic benefit superior to static stretching, and the effectiveness of these devices for preventing injury is unknown.Strength of Recommendation:Grade B evidence supports the use of roller massagers to increase hamstrings flexibility in asymptomatic physically active adults.

The Effects of Self-Myofascial Release Foam Rolling on Muscle Soreness or Pain After Experiencing Delayed Onset Muscle Soreness: A Critically Appraised Topic

2020 ◽  
Vol 25 (6) ◽  
pp. 294-298
Author(s):  
Corall S. Hjert ◽  
Cynthia J. Wright
Keyword(s):  
Physical Activity ◽  
Muscle Soreness ◽  
Delayed Onset Muscle Soreness ◽  
Clinical Question ◽  
Bottom Line ◽  
Acute Bout ◽  
Foam Rolling ◽  
Myofascial Release ◽  
Delayed Onset ◽  
Quality Evidence

Focused Clinical Question: Does an acute bout of foam rolling (FR) help reduce delayed onset muscle soreness (DOMS)-related muscle soreness or pain in the first 0–72 hr? Clinical Bottom Line: There is moderate quality evidence to support the use of FR to reduce DOMS-related muscle soreness or pain at 24, 48, and 72 hr post DOMS. There is no evidence to support FR to reduce DOMS-related muscle soreness immediately after physical activity, or that FR before physical activity can prevent muscle soreness or pain.

Changes in Hamstring Range of Motion After Neurodynamic Sciatic Sliders: A Critically Appraised Topic

2017 ◽  
Vol 26 (4) ◽  
pp. 311-315
Author(s):  
Robert J. Bonser ◽  
Christy L. Hancock ◽  
Bethany L. Hansberger ◽  
Rick A. Loutsch ◽  
Eric K. Stanford ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Neural System ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Static Stretching ◽  
Common Condition ◽  
Bottom Line ◽  
Active Population ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Hamstring Flexibility

Clinical Scenario:Hamstring tightness is a common condition leading to dysfunctional or restricted movement that is often treated with stretching. Neurodynamics has been proposed as an alternative to stretching by targeting the neural system rather than muscle tissue.Focused Clinical Question:In an active population, what is the effect of using neurodynamic sliders compared with stretching on traditional measures of range of motion (ROM)?Summary of Key Findings:The authors of a well-designed study found that neurodynamic sliders were more effective than static stretching, while the authors of 2 less-well-designed studies reported no difference with static stretching or that proprioceptive neuromuscular facilitation stretching was more effective than neurodynamic sliders.Clinical Bottom Line:Evidence exists to support the use of neurodynamic sliders to increase measures of hamstring ROM in patients who present with limited hamstring flexibility; however, the effectiveness of neurodynamic sliders compared with traditional stretching is inconclusive.Strength of Recommendation:Grade B evidence exists that neurodynamic sliders perform as well as traditional stretching techniques at increasing measures of hamstring ROM in patients with limited hamstring flexibility.

The Effects of Cold Water Immersion on Postexercise Muscle Soreness and Fatigue

2016 ◽  
Vol 21 (2) ◽  
pp. 4-11
Author(s):  
Christina J. Lorete ◽  
Riley N. Fontaine ◽  
Lauren A. Welsch ◽  
Johanna M. Hoch
Keyword(s):  
Muscle Fatigue ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Clinical Question ◽  
Bottom Line ◽  
Physically Active ◽  
Postexercise Recovery ◽  
Active Adults ◽  
Quality Evidence

Clinical Question:Is there evidence to suggest continuous cold water immersion (CWI) as a postexercise recovery intervention is more effective at reducing perceived muscle fatigue or soreness as measured using a Visual Analog Scale (VAS) when compared with passive rest in physically active adults?Summary of Key Findings:A systematic search of the literature produced 124 studies, with two randomized controlled trials and two cross-over studies meeting the inclusion criteria.Clinical Bottom Line:There is inconsistent, limited-quality evidence to support that the use of CWI postexercise is more effective at reducing perceived muscle fatigue or soreness in physically active adults when compared with passive rest. The results of the included studies were inconsistent regarding the application of continuous CWI for 10–14 min to reduce perceived muscle fatigue and soreness when compared with passive rest. The good-quality evidence found no difference between conditions and the three limited-quality studies identified differences between the conditions.

Immediate Effects of Proprioceptive Neuromuscular Facilitation Stretching Programs Compared With Passive Stretching Programs for Hamstring Flexibility: A Critically Appraised Topic

2017 ◽  
Vol 26 (6) ◽  
pp. 567-572 ◽  
Author(s):  
Kristian J. Hill ◽  
Kendall P. Robinson ◽  
Jennifer W. Cuchna ◽  
Matthew C. Hoch
Keyword(s):  
Effective Means ◽  
Current Evidence ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Static Stretching ◽  
Bottom Line ◽  
Physically Active ◽  
Hamstring Injuries ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Hamstring Flexibility

Clinical Scenario:Increasing hamstring flexibility through clinical stretching interventions may be an effective means to prevent hamstring injuries. However the most effective method to increase hamstring flexibility has yet to be determined.Clinical Question:For a healthy individual, are proprioceptive neuromuscular facilitation (PNF) stretching programs more effective in immediately improving hamstring flexibility when compared with static stretching programs?Summary of Key Findings:A thorough literature search returned 195 possible studies; 5 studies met the inclusion criteria and were included. Current evidence supports the use of PNF stretching or static stretching programs for increasing hamstring flexibility. However, neither program demonstrated superior effectiveness when examining immediate increases in hamstring flexibility.Clinical Bottom Line:There were consistent findings from multiple low-quality studies that indicate there is no difference in the immediate improvements in hamstring flexibility when comparing PNF stretching programs to static stretching programs in physically active adults.Strength of Recommendation:Grade B evidence exists that PNF and static stretching programs equally increase hamstring flexibility immediately following the stretching program.

Diversity and Bottom-Line Performance: The Moderating Role of Leader-Member Exchanges

2004 ◽  
Author(s):  
Lisa H. Nishii ◽  
David M. Mayer ◽  
Harold W. Goldstein ◽  
Orly Dotan
Keyword(s):  
Bottom Line ◽  
Moderating Role

The Use of Breathing Exercises in the Treatment of Chronic, Nonspecific Low Back Pain

2017 ◽  
Vol 26 (5) ◽  
pp. 452-458 ◽  
Author(s):  
Barton E. Anderson ◽  
Kellie C. Huxel Bliven
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Lung Function ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Low Back ◽  
Bottom Line ◽  
Breathing Exercises

Clinical Scenario:Research has shown a link between poor core stability and chronic, nonspecific low back pain, with data to suggest that alterations in core muscle activation patterns, breathing patterns, lung function, and diaphragm mechanics may occur. Traditional treatment approaches for chronic, nonspecific low back pain focus on exercise and manual therapy interventions, however it is not clear whether breathing exercises are effective in treating back pain.Focused Clinical Question:In adults with chronic, nonspecific low back pain, are breathing exercises effective in reducing pain, improving respiratory function, and/or health related quality of life?Summary of Key Findings:Following a literature search, 3 studies were identified for inclusion in the review. All reviewed studies were critically appraised at level 2 evidence and reported improvements in either low back pain or quality of life following breathing program intervention.Clinical Bottom Line:Exercise programs were shown to be effective in improving lung function, reducing back pain, and improving quality of life. Breathing program frequencies ranged from daily to 2–3 times per week, with durations ranging from 4 to 8 weeks. Based on these results, athletic trainers and physical therapists caring for patients with chronic, nonspecific low back pain should consider the inclusion of breathing exercises for the treatment of back pain when such treatments align with the clinician’s own judgment and clinical expertise and the patient’s preferences and values.Strength of Recommendation:Grade B evidence exists to support the use of breathing exercises in the treatment of chronic, nonspecific low back pain.

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