Roller Massage: Difference in Knee Joint Range of Motion and Pain Perception Among Experienced and Nonexperienced Individuals After Following a Prescribed Program

2020 ◽  
Vol 29 (2) ◽  
pp. 148-155 ◽  
Author(s):  
Scott W. Cheatham ◽  
Kyle R. Stull

Context: Roller massage (RM) is a popular myofascial intervention. To date, no research has investigated the effects of RM on experienced and nonexperienced individuals and if there are differences between a prescribed RM program and a self-preferred program. Objective: The main objective was to measure the effects of a prescribed RM program with a foam roller on knee passive range of motion (ROM) and pressure pain threshold (PPT) among experienced and nonexperienced individuals. A secondary objective was to determine if there are differences between a prescribed RM program and a self-preferred program in experienced individuals. Design: Pretest and posttest observational study. Setting: University kinesiology laboratory. Participants: A total of 60 healthy adults (age = 26 [5.3] y) were allocated into 3 groups of 20 subjects: experienced, nonexperienced, and control. The experienced and nonexperienced groups followed a prescribed 2-minute RM intervention. The control group did their own 2-minute self-preferred program. Main Outcome Measures: Knee passive ROM and PPT. Results: For the experienced and nonexperienced, the between-group analysis revealed a statistically significant difference for ROM and PPT (P < .001). Within-group analysis revealed a posttest knee passive ROM increase of 8° for experienced and 7° for the nonexperienced. For PPT, there was a posttest increase of 180 kPa for the experienced and 169 kPa for the nonexperienced. For the prescribed versus self-preferred program, the between-group analysis (experienced vs control) revealed a statistically significant difference (P < .001). The within-group analysis revealed a posttest knee passive ROM increase of 8° for the prescribed and 5° for the self-preferred program. For PPT, there was a posttest increase of 180 kPa for the prescribed program and 137 kPa for the self-preferred program. Conclusion: These findings suggest that experienced and nonexperienced individuals have similar responses to a prescribed RM program. A prescribed RM program may produce better outcomes than a self-preferred program.

2019 ◽  
Vol 28 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Scott W. Cheatham ◽  
Kyle R. Stull ◽  
Morey J. Kolber

Background: Roller massage (RM) has become a common intervention among health and fitness professionals. Recently, manufacturers have merged the science of vibration therapy and RM with the development of vibration rollers. Of interest, is the therapeutic effects of such RM devices. Purpose: The purpose of this study was to compare the effects of a vibration roller and nonvibration roller intervention on prone knee-flexion passive range of motion (ROM) and pressure pain threshold (PPT) of the quadriceps musculature. Methods: Forty-five recreationally active adults were randomly allocated to one of 3 groups: vibration roller, nonvibration roller, and control. Each roller intervention lasted a total of 2 minutes. The control group did not roll. Dependent variables included prone knee-flexion ROM and PPT measures. Statistical analysis included parametric and nonparametric tests to measure changes among groups. Results: The vibration roller demonstrated the greatest increase in PPT (180 kPa, P < .001), followed by the nonvibration roller (112 kPa, P < .001) and control (61 kPa, P < .001). For knee flexion ROM, the vibration roller demonstrated the greatest increase in ROM (7°, P < .001), followed by the nonvibration roller (5°, P < .001) and control (2°, P < .001). Between groups, there was a significant difference in PPT between the vibration and nonvibration roller (P = .03) and vibration roller and control (P < .001). There was also a significant difference between the nonvibration roller and control (P < .001). For knee ROM, there was no significant difference between the vibration and nonvibration roller (P = .31). A significant difference was found between the vibration roller and control group (P < .001) and nonvibration roller and control group (P < .001). Conclusion: The results suggest that a vibration roller may increase an individual’s tolerance to pain greater than a nonvibration roller. This investigation should be considered a starting point for future research on this technology.


2020 ◽  
Vol 8 (4) ◽  
pp. 1
Author(s):  
Om Elhana Kamel Abo Shehata ◽  
Omima Said M.H. Shehata ◽  
Seham Mohamed Abd elalem

Objective: Thyroidectomy is a surgery in which head and neck became extended during operation to facilitate surgical performance. Patients experience neck pain and limitation to the range of motion following surgery. The study’s aim was to assess the effect of neck range of motion exercises on neck disability and pain among patients undergoing thyroidectomy.Methods: A quasi-experimental research design was utilized, the research was carried out at the surgical department in Shebin Emergency Hospital, at Shebin El-Kom District, Menoufia Governorate, Egypt. Sample; 90 adult subjects undergoing thyroidectomy and are welcoming to participate in the current research. Four Instruments for data collection: Instrument (1): Interview questionnaire sheet consists of two parts to assess subjects’ socio-demographic and medical data. Instrument (2): Visual analog pain scale to rate the patients’ level of pain intensity. Instrument (3): Neck disability index to assess neck pain and its effect on patients’ ability to perform daily activities. Instrument (4): Compliance assessment sheet to follow the patient’s adherence with neck range of motion exercise.Results: There was no statistically significant difference found between study and control group socio-demographic characteristics and medical history while there was a statistically significant difference between study and control group concerning neck disability and pain after one week and four weeks post-operative thyroidectomy.Conclusions: Patient compliance with a range of motion exercises significantly improves neck movement in order to be able to carry out daily life activities and reducing pain for the study group in comparison with the control group.Recommendation: Nurses who work in the general surgery department should include a neck range of motion exercises in providing the care and follow up protocol for the patients undergoing thyroidectomy.


1996 ◽  
Vol 5 (4) ◽  
pp. 287-292
Author(s):  
George A. Arangio ◽  
Marie St. Amour-Myers ◽  
James Reed

Four hundred sixty-seven high school athletes were screened in apreparticipation athletic physical. Forty-six (9.8%) of these athletes presented with asymptomatic, nontraumatic unilateral hyperextension. Twenty-three athletes were reexamined and compared to a normal control group. A 2.5-cm, statistically significant heel-to-heel difference was recorded in the hyperextension group. Between the involved hyperextended and uninvolved legs, there were differences in average range of motion (132.04° vs. 130.74°, respectively), average manual anterior translation by KT-1000 (5.39 mm vs. 5.15 mm, respectively), average posterior translation (2.07 mm vs. 2.00 mm, respectively), average peak quadriceps torque (86.25 ft-lb vs. 84.06 ft-lb, respectively), and hamstring average peak torque (53.89 ft-lb vs. 52.93 ft-lb, respectively), though these differences were not statistically significant. In the control group, there was no heel-to-heel difference in the right versus the left knee. Heel-to-heel difference between the experimental and control groups was statistically significant. There was no statistically significant difference between range of motion, anterior translation, or posterior translation between the experimental and control groups.


2021 ◽  
Vol 11 (5) ◽  
pp. 333-340
Author(s):  
Mina Mohammadi ◽  
◽  
Seyedeh Zahra Alibakhshi ◽  

Background: Marital satisfaction is a basis of other social organization health. The aim of this study was to investigate the effectiveness of the self-differentiation training based on the Bowen Theory to increase marital satisfaction. Methods: The research method was semi-experimental and the pre-test-posttest design with the control group. In this intervention, the population of this study was selected by the convenience sampling method and 38 married women were randomly assigned to the experimental (n= 12) and control (n= 12) groups in Tehran in 2018. The Differentiation of Self Inventory (DSI) and Marital Satisfaction Inventory (MSI) were completed by married women. The control group received no training. The intervention included 10 sessions of self-differentiation training based on the Bowen theory. Twelve women participated in this semi-experimental project selected by convenience sampling as an experimental group and twelve women as a control group. The brief couple-based therapy was taught in 10 sessions based on techniques of Bowen therapy and four components of differentiation. The data were analyzed by SPSS v. 23 software. Results: There was a significant difference between the post-test scores of the experimental and control groups. In addition, training based on the DST approach could significantly increase marital satisfaction (t= 21.62, df= 22, P<0.001). Conclusion: The results indicated that there was a significant difference between the pre-test and post-test scores of the experimental group. Therefore, the training could significantly increase the self-differentiation of married women. These findings can be used to design interventional programs to improve conflict, adaptation, intimacy, and marital satisfaction of the couples.


2015 ◽  
Vol 1 (4) ◽  
pp. 183
Author(s):  
Angel Rajakumari G ◽  
Soli T. K ◽  
Malathy D

Aim: To evaluate the effectiveness of birth bal therapy in terms of level of pain perception and birth experience among primi gravida mothers.Participants and setting: The study was conducted in Nirmala Hospital, in Suryapet, Telugana, India in with 700 annual births. The primi gravida mothers were recruited and were allocated by non-probability purposive sampling technique into the two arms of the study, but only 20 in study and 20 in control group participants.Intervention: The study group received birth ball therapy was done using discomfort can often be helped by body positions that allow gravity to speed dilation, such as walking, squatting, kneeling forward on a chair or sitting on the birthing ball. The birth ball therapy was given by investigator for 20 minutes again the same step is repeated in a 10 minutes interval. Measurement and findings: In active stage of labour (3-6 cm of cervical dilatation) the women completed the demographic and obstetrical information and pain was measured by 0- 10 Modified combined numerical categorical pain intensity scale and labour outcome assessed by labour agentry scale(LAS). This study revealed that there was high significant difference found in pain at p<0.001level between study and control group.Conclusion: The study concluded that, clinical implementation of birth ball therapy usage during labour could be an effective non pharmacological intervention in reducing pain perception.


2019 ◽  
Vol 28 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Samantha J. Wilson ◽  
Bryan Christensen ◽  
Kara Gange ◽  
Christopher Todden ◽  
Harlene Hatterman-Valenti ◽  
...  

Context: Chronic plantarflexor (PF) stretching during ankle immobilization helps preserve calf girth, plantarflexion peak torque, and ankle dorsiflexion (DF) motion. Immobilization can lead to decreases in muscle peak torque, muscle size, and joint range of motion (ROM). Recurrent static stretching during a period of immobilization may reduce the extent of these losses. Objective: To investigate the effects of chronic static stretching on PF peak torque, calf girth, and DF ROM after 2 weeks of ankle immobilization. Design: Randomized controlled clinical trial. Setting: Athletic training facility. Participants: A total of 36 healthy college-aged (19.81 [2.48]) females. Interventions: Subjects were randomly assigned to one of 3 groups: control group, immobilized group (IM), and immobilized plus stretching (IM+S) group. Each group participated in a familiarization period, a pretest, and, 2 weeks later, a posttest. The IM group and IM+S group wore the Aircast Foam Pneumatic Walker for 2 weeks on the left leg. During this time, the IM+S group participated in a stretching program, which consisted of two 10-minute stretching procedures each day for the 14 days. Main Outcome Measures: One-way analysis of variance was used to determine differences in the change of ankle girth, PF peak torque, and DF ROM between groups with an α level of <.05. Results: A significant difference was noted between groups in girth (F2,31 = 5.64, P = .01), DF ROM (F2,31 = 26.13, P < .001), and PF peak torque (F2,31 = 7.74, P = .002). Post hoc testing also showed a significance difference between change in calf girth of the control group compared with the IM group (P = .01) and a significant difference in change of peak torque in the IM+S group and the IM group (P = .001). Also, a significant difference was shown in DF ROM between the control group and IM+S group (P = .01), the control group and the IM group (P < .001), and the IM+S group and the IM group (P < .001). Conclusion: Chronic static stretching during 2 weeks of immobilization may decrease the loss of calf girth, ankle PF peak torque, and ankle DF ROM.


2021 ◽  
Vol 16 (2) ◽  
pp. 76-98
Author(s):  
Narges Adibsereshki ◽  
Nikta Hatamizadeh ◽  
Anoshirvan Kazemnejad ◽  
Firoozeh Sajedi

Background: The importance of strong self-regulation (SR) abilities for academic and social success is known, yet relatively few studies examine students’ SR and how it can be promoted especially in adolescents with special needs, such as those students with hearing loss. The purpose of this study was to determine whether a resilience intervention program enhances SR in adolescents with hearing loss. Methods: This study was experimental with a pre-test, post-test, follow up and control group design. Participants included 122 students with hearing loss in mainstream settings randomly assigned to intervention and control groups (61 students in each group). The interventional group had training for six weeks (two times per week for 75 min). The Adolescent Self-Regulatory Inventory was used to measure the self-regulation of students. Results: The results indicated a significant difference between the control and interventional groups in SR, short SR, and Long SR after the intervention, at both the 6-week and 14-week measurements (p < 0.001). Conclusion: This study’s findings indicate that implementing resilience intervention programs can promote the self-regulation skills in adolescent students with hearing loss.


2021 ◽  
Vol 12 ◽  
Author(s):  
Lulu Yao ◽  
Kun Cai ◽  
Fanghua Mei ◽  
Xiaohua Wang ◽  
Chuangang Fan ◽  
...  

Parents raising children with autism spectrum disorder (ASD) usually carry on their daily life under tremendous stress, but limited empirical research has been devoted to this population. It is known that parents' health status directly impacts therapeutic outcome of ASD children. As an important regulator in cardiovascular, nervous and immune systems, nitric oxide (NO) levels haven't been reported in parents of ASD children yet. In this study, we measured urine nitrite and nitrate from 43 ASD parents (ASD-P), and 43 healthy adults in the same range of age (Control) who didn't have any ASD descendants. Comparison between the ASD-P and Control groups showed that NO2-, NO3-, and NO2-/NO3- were all significantly lower in the ASD-P group. Analysis on the interaction effect of sex and group indicated that urine NO3- of mothers in ASD-P was lower than that in females of the Control group, but no significant difference was observed between males in both groups. It is for the first time that urine nitric oxide metabolites (nitrite, nitrate) levels were precisely reported to differentiate parents of autistic children from other adults without ASD descendants. This phenomenon suggests that parents (especially mothers) of autistic children might have experienced more mental and physical stressors, which led to decreased NO levels during metabolism. Further investigations are necessary to uncover the etiology of low urine NO among parents of autistic children.


2021 ◽  
Vol 9 (5) ◽  
pp. 1294-1302
Author(s):  
Kirti Singh ◽  
◽  
Sonia Agnes Singh ◽  

STATEMENTA study to assess the effect of lavender oil massage on pain perception during first stage of labour among primi parturients admitted in selected hospital, Lucknow. Introduction: Pain in labor is a nearly universal experience for child bearing women. Labor pain is a challenging issue for nurses designing intervention protocols. Pain during labor is caused primarily by uterine muscle contractions and somewhat by pressure on the cervix. This pain manifests itself as cramping in the abdomen, groin, and back. Other causes of pain during labor include pressure on the bladder and bowels by the babys head and stretching of the birth canal and vagina. Labor events have got great psychological, emotional, and social impact to the women and her family. She experiences stress, physical pain, and fear of dangers. The care giver should be tactful, sensitive and respectful to her. Throughout labor she is given continued encouragement and emotional support and assurance are given to keep up the morale.Lavender oil used for aromatherapy is a very versatile essential oil that can be used throughout labour to promote relaxation. It provides a sedation effect to the central nervous system and relieves headache, nervous tension and balances mood swings. According to the American Pregnancy Association, lavender can help create a tranquil, relaxing atmosphere which can reduce pain and stimulate contraction of uterus Objectives Of The Study: 1. Assess the effect of lavender oil massage on pain perception during first stage of labour among primi parturients of experimental group. 2. Compare the post test level of pain perception between primi parturient of experimental group and control group. 3. Associate the level of pain during first stage of labour among primi parturients of experimental group with selected demographic variables. Research Methodology: This study was conducted using Quantitative approach at Integral Hospital, Lucknow. Quasi experimental research design (post test with control group design) was used in the study. The conceptual framework used in this study was Callista Roys Adaptation Model (1991). The total sample size was 30 (15 in experimental group and 15 in control group) selected by convenience sampling technique. Demographic variables were obtained by structured interview and the level of pain was assessed by modified visual analogue scale Reults: The data obtained are tabulated and analyzed using descriptive and inferential statistics. The statistical analysis of the data showed that the mean post test level of pain perception in control group is higher than the mean post test level of pain perception in experimental group. The mean score of experimental group is 2.2(68%) with SD0.41and mean score of control group is 2.8(88%) with SD 0.35 the mean difference is 0.4. The calculated t value is 4.31 at p<0.05 which is more than the table value at 0<0.05. Therefore the null hypothesis H01 is rejected. So the research hypothesis H1 was accepted Conclusion: The findings revealed that there was a significant difference between the level of pain perception among experimental group and control group. It also showed that there was no association of the level of pain during first stage of labour among primi parturients of experimental group with selected demographic variables.


Psichologija ◽  
2010 ◽  
Vol 42 ◽  
pp. 74-84
Author(s):  
A. Pačešiūnaitė ◽  
D. Čekuolienė

Siekiant išsiaiškinti sergančiųjų valgymo sutrikimais asmenybės konstruktų sistemos ypatumus, naudojant SELF-GRID repertuarinę gardelę buvo ištirta dešimt merginų, sergančių nervine anoreksija, dešimt nervine bulimija ir dvidešimt sveikų merginų (kontrolinė grupė). Tyrimo rezultatai parodė, kad sergančių valgymo sutrikimais merginų asmenybės konstruktų sistemos yra mažiau kognityviškai sudėtingos, naudojama mažiau skirtingų vertinimo parametrų įvairiems įvykiams aplinkoje paaiškinti, palyginti su kontrolinės grupės tiriamosiomis. Reikšmingiausių konstruktų analizė atskleidė, kad vienas svarbiausių valgymo sutrikimų grupės konstruktų yra „siekiantis tikslo“. Priešingai ankstesnių tyrimų rezultatams, tarp sergančiųjų valgymo sutrikimais pagrindinių asmenybės konstruktų nė karto nebuvo paminėti konstruktai, susiję su svoriu, kūno išvaizda ar maistu. Valgymo sutrikimais sergančiųjų asmenybės konstruktai, pasitelkus repertuarinę gardelę, Lietuvoje buvo analizuojami pirmą kartą.Pagrindiniai žodžiai: asmenybės konstruktai, valgymo sutrikimai.Personal constructs of patients with eatingdisordersPačešiūnaitė A., Čekuolienė D. SummaryObjective. To examine the personal constructs system in female patients with eating disorders.Method. All subjects were invited to take part in a semi-structured interview which included completion of a type of repertory grid known as SELF-GRID. The SELF-GRID was chosen as specifically suited to this study having been devised by E. Button (1993) with the aim of exploring personal constructs of patients with eating disorders. In this study, a repertory grid of 11 elements (five versions of oneself and six elements of other people) was presented to 20 female subjects suffering from anorexia nervosa and bulimia nervosa, and 20 matched control subjects.Results. The main difference between the two groups was found to be the greater tendency of patients with eating disorders to construe in a narrow “tight construing” manner utilising less multidimensional personal constructs than the control group. This means that these patients with eating disorders were less cognitively complex than the control subjects. On the total percentage of variance contributed by the first three principal components, there was a significant difference (eating disorder group 83.12 %; control group 78.24 %; t = 2.465; p < 0. 05). The use of narrower systems of personal constructs provides fewer alternatives for construing oneself and other people. Such a constriction of alternatives might arise from a desire for greater predictability and control. In this situation, people with more multidimensional constructs can be a source of danger to the narrower system of personal constructs, as they might challenge and invalidate these constructs. This may explain why patients with eating disorders can gradually withdraw from socialising. The content of constructs was also analysed. Surprisingly, no central constructs related to weight, eating or appearance were found. The further detailed work is needed to understand this finding, as this might reflect the denial of the problem or, on the contrary, indicate that disturbed eating is just a manifestation of other underlying problems such as restricted negative emotionality, perfectionism, and high levels of achievement. Results of this study provide some evidence of a shared underlying problem, “goal orientation” being the consistent strong main theme of the personal constructs of patients with eating disorders. Patients with eating disorders usually focus narrowly on getting thinner, perhaps in the naïve hope that this will solve their underlying problems.The number of constructs elicited by the SELF-GRID was compared between the groups, and there was no significant difference. Neither was there a significant difference between eating disorder and control groups in the measures of positivity / negativity of construing.Conclusions. The personal construct systems of patients with eating disorders were less cognitively complex as compared with control subjects, although there was no difference in the number of elicited constructs. The main topic of the personal constructs of patients with eating disorders was “goal orientation”.Keywords: personal constructs, eating disorders.


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