The Influence of Self-Myofascial Release on Muscle Flexibility in Long-Distance Runners

During long-distance running, athletes are exposed to repetitive loads. Myofascial structures are liable to long-term work, which may cause cumulating tension within them. The aim of this study was to evaluate the acute effect of self-myofascial release on muscle flexibility in long-distance runners. The study comprised 62 long-distance, recreationally running participants between the age of 20 and 45 years. The runners were randomly divided into two groups: Group 1 (n = 32), in which subjects applied the self-myofascial release technique between baseline and the second measurement of muscle flexibility, and Group 2 (n = 30), without any intervention. The self-myofascial release technique was performed according to standardized foam rolling. Assessment of muscle flexibility was conducted according to Chaitow’s proposal. After application of the self-myofascial release technique, higher values were noted for the measurements of the following muscles: piriformis, tensor fasciae latae muscles and adductor muscles. Within the iliopsoas and rectus femoris muscles, lower values were observed in the second measurement. These changes were statistically significant (p < 0.05) within the majority of muscles. All these outcomes indicate improvement related to larger muscle flexibility and also, an increase in range of motion. In the control group (Group 2), significant improvement was observed only in measurements for the iliopsoas muscles. The single application of self-myofascial release techniques with foam rollers may significantly improve muscle flexibility in long-distance runners. Based on these results, the authors recommend the self-myofascial release technique with foam rollers be incorporated in the daily training routine of long-distance runners, as well as athletes of other sport disciplines.

An Experimental Study to determine the Impact of Active Release Technique, Core Strengthening on Pain, Muscle Stiffness, Hardness and Quality of Life on Non- Specific Low Back Pain

Introduction: Active Release Technique (ART), works by releasing adhesions and repairing the integrity of soft tissue, thereby extending and restoring functional flexibility entirely. Core stabilization workout (CSE) aims to treat back pain by boosting your muscular strength and stamina, strengthening muscle motor patterns to relieve low-back pain. Aim: Aim of the study was to evaluate impact of active release technique and core strengthening on pain, mobility and quality of life on non-specific low-back pain. Study Design: Simple random convenient sampling, envelope method Place and Duration: A study of 40 people with non-specific low back pain and aging between 18 and 25 years was conducted at Musculoskeletal OPD, Ravi Nair Physiotherapy College, DMIMS(DU), Sawangi (Meghe), and Wardha in the duration of one year. Procedure: In this experimental investigation, the influence of active released and impacting non-specific low back pain on suffering, muscular soreness, hardness, strength, ODI, and quality of life was determined. Both groups received hot fomentation and core strengthening, but only the ART group was actively released. The findings have been obtained from NPRS to algometer, durometer, press biofeedback, ODI, and EQ-5D-5L in pre-treatment, post-treatment, and after four weeks of data to analysed impacts. Results: in this study both the groups showed reduction in pain, muscle tenderness, muscle hardness as well as increase in core strength and quality of life. When compared ART group shows significant improvement with p value of 0.001. Conclusion: In this study we find that the pain threshold, muscular hardness, muscle tenderness, deficiency and quality of life of both groups improved. The ART group was proven to be more effective than the Hpk group when the two groups were compared. In the two groups, the core strength did not change greatly, perhaps after four weeks, from pre- treatment to post- treatment to 4 weeks after.

Effects of Different Doses of Gamma Rays on The Dispersal and Flight Ability Index of Mediterranean Fruit Fly Ceratitis Capitata (Wiedmann) (Diptera: Tephritidae)

This investigation concentrated on studying the effect of gamma rays on the flight ability index and on the dispersal of irradiated males because these two parameters were very important for applying the sterile male release technique. The results of this study showed that the flight ability index of irradiated males as pupae of 3, 4 and 5 days with doses ranged from 60 to 120 Gy were highly significant p<0.05 compared with control treatment during an experiment carried out under field conditions. The results showed that there were a reverse relationship between flight ability index and gamma rays doses. Furthermore, the results of this investigation also showed that there were a reverse relationship between the mean average of males captured by the pheromone traps and gamma rays doses after 1,2,3, and 4 days from the release.

Efficacy of Self Myofascial Release Technique to Reduce Frequency and Severity of Noctural Leg Cramp in Older Adults

Background: Nocturnal leg cramps (NLC) are involuntary muscle contractions of the calf muscles, hamstrings, or foot muscles that occur unexpectedly, episodically, and are unpleasant. Night time cramping affects about one-third of adults. Leg cramps can strike anyone at any age, although they are more widespread and often more severe as grow older. The majority of cramps are idiopathic, and the physiological cause behind them is unknown. Muscle cramps appear to be triggered by neuromuscular structures in muscle, tendons, and nerve fibres, according to some writers. Musculoskeletal issues linked to a sedentary lifestyle, as well as job postures, prolonged standing, and the western habit of sitting rather than squatting, have been implicated of generating cramps, particularly NLC. Patients with cramps have a higher risk of peripheral vascular disease than individuals without cramps. Stretching before bedtime can help older persons lessen the frequency and severity of nocturnal leg cramps. Stretching treatments, like as Myofacial Release, can help relieve NLC. Self-Myofacial release (SMFR) is a sort of Myofacial release (MFR) that is accomplished by the person rather than a therapist, and it is usually done with the help of a tool. Self-MFR is a low-cost, easily accessible approach for people to relieve muscle and fascia pain while also maintaining flexibility. Foam rollers and roller massage are two of the most used devices for self-MFR. MFR is used to treat a wide range of musculoskeletal disorders; it is used to treat a wide range of problems, and many types of treatment, such as trigger-point therapy and proprioceptive neuromuscular facilitation, fall under the myofascial umbrella. Aim and Objectives: To study the main impact of Self Myofascial Release (SMFR) to decreasing the duration of pain and improving Quality of Life in patients with NLC. Methodology: In this study total 30 patient with nocturnal leg cramps will receive Self Myofascial Release technique (SMFR), it will be including exercise which will be performed for 4 weeks twice a day and each for 5-10 mins. Discussion: This study is done to find out the effectiveness of Self Myofacial release in individual with nocturnal leg cramps (NLC). Conclusion: Conclusion of the study can be made based on the effect of Self Myofascial Release technique on patient with nocturnal leg cramps.

Side press-and-release technique in endothelium-in descemet membrane endothelial keratoplasty(DMEK): A novel technique

Purpose To describe a novel technique in unfolding an endothelium-in Descemet membrane (DM) graft. Methods New surgical technique description Results We describe a novel technique that allows immediate and controlled unfolding of the endothelium-in Descemet membrane graft that was successful in 5 of our DMEK patients. It is essential to acquire this “side press-and-release” technique when the graft does not unfold spontaneously as expected. Conclusions This controlled and simple manoeuvre is an efficient and safe method of unfolding an endothelium-in DM graft.

Effect of Myofascial Release Technique Verses Conventional Therapy in Tension Neck Syndrome: A Research Protocol

Background: A pain in the neck and shoulder region is referred to as tension neck syndrome. Symptoms include neck and shoulder muscular discomfort, pain, tiredness, and stiffness, as well as headaches. Palpable stiffening patches, sensitive sots, and spasms on the trapezius or sternocleidomastoid muscles may be identified during the physical examination, which are commonly coupled with neck pain on the opposing side, as well as a decreased range of flexion, extension, or rotation. Tension neck syndrome is a prevalent occurrence among computer users. Methods: The participants (n=30) will be recruited in the study suffering from tension neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated by myofascial release technique whereas group B will be treated by conventional therapy. The protocol will cover 2 weeks of treatment. Regular assessment will be carried out. In the rehabilitation period, we will evaluate activity of daily living. Our outcome measures will be Neck Disability Index (NDI) and Visual Analogue Scale (VAS). Discussion: Tension neck syndrome is more common in women than in men, and it is linked to computer users including office professionals, students, and others. Efficacy of the myofascial release technique verses conventional therapy will be evaluated by using Neck Disability Index (NDI) and Visual Analogue Scale (VAS). The result of the study will significantly provide affirmation on using myofascial release technique verses conventional therapy in tension neck syndrome patients.

Comparison between the Immediate Effects of Instrument Assisted Soft Tissue Mobilization and Active Release Technique in Individuals Wearing High Heels

Background: Wearing high heels regularly places muscle-tendon units (MTUs) in a shortened position. In this condition the length of the calf MTU (gastrocnemius-soleus) is reduced by the continuous ankle plantar flexion cause by the heel lift imposed by the high heels, which leads to concomitant inflexibility of these muscles. Tightness of these muscles inturns leads to formation of trigger points within the muscles. Instrument-assisted soft tissue mobilization (IASTM) is an approach to soft tissue manipulation that uses concave and convex stainless steel instruments to release scar tissue, break soft tissue adhesions, and remove fascial restrictions. Active Release Techniques, or ART, is a soft tissue treatment method that focuses on relieving tissue tension via the removal of fibrosis/adhesion that develops in tissue that is overloaded with repetitive use. Objective: To compare the immediate effect of Instrument Assisted Soft Tissue Mobilization and Active Release Technique for gastrosoleus muscle in individuals wearing high heels using VAS and active dorsiflexion using universal goniometer. Method: 30 subjects were selected as per inclusion and exclusion criteria and were randomly allocated into two groups of 15 each. Group A received Instrument Assisted soft tissue mobilization and Group B received Active Release Technique for Gastro-soleus muscle. Pre and Post intervention Dorsiflexion range of motion and VAS scores were analysed. Result: The statistical analyses showed that there is signification increase in dorsiflexion range of motion and significant reduction in pain in both the groups. (p<0.0001). However, inter group analysis showed that Group A is much more effective in improving the range of motion and reducing pain scores. Conclusion: The present study concluded that Instrument Assisted Soft Tissue Mobilization is a better intervention for the release of trigger points as it shows greater increase in ankle dorsiflexion range of motion and a significant pain reduction when compared to Active Release Technique. Key words: Instrument Assisted Soft Tissue Mobilization(IASTM), Active Release Technique(ART), Range of Motion, pain, High Heels, Calf Muscles.

Transversus Abdominis Muscle Release (TAR) for Posterior Component Separation during Major Abdominal Wall Reconstruction

Background Ventral hernia repair is one of the most common operations performed today, yet when complex and huge it presents a true challenge for the surgical team. Aim of the Work To assess the feasibility, safety and efficacy of Transversus Abdominis release technique in management of ventral hernia with large defects. Patients and Methods This study is a prospective interventional study conducted at Ain Shams University Hospitals on 40 patients diagnosed as having ventral hernia with a defect equal to or more than 10cm in width and operated upon between October 2018 and October 2019 with minimal follow up of 6 months postoperatively. Results 40 ventral hernia patients were enrolled in the study. Mean operative time (in minutes) in TAR patient is 268.5min (4hr 28min) with SD ± 47.4. Postoperative pain evaluation using the visual analogue scale (VAS) score, the postoperative pain was assessed 48hrs postoperatively, the mean VAS score for TAR patient being (6.77 ± 1.70). Early Postoperative wound complications 10 (25.0%). Conclusion After this TAR technique are effective and reliable method in experienced hands.

Impact of Therapeutic Ultrasound and Myofascial Release Technique on Quality of Life of Students Having Neck Pain Following Virtual Learning

Background: Neck pain is a ubiquitous complaint leading to work place absenteeism, disabilities and disturbed sleep wake cycle in many young working and studying people. In ongoing covid scenario, since there is increased use of laptops and mobile phones facilitating work from home for employee and virtual learning for students, there has been increased prevalence of non-specific neck pain among the people due to prolonged fixed flexion posture. Neck pain has become the condition of major consideration since 45% of UG students had experienced neck pain in last 12 months. Aims and Objectives: to evaluate combined and individual effects of Therapeutic Ultrasound and Myofascial Release Technique on Quality of Life of students suffering from neck pain owing to virtual learning. Methods: The participant (n=33) will be recruited in study experiencing non-specific neck pain and meeting the inclusion criteria. Three groups will be formed such that the patient in Group A will receive treated with therapeutic ultrasound. Group B will be receiving treatment using Myofascial Release Technique and Group C will be treated using combined use of both Therapeutic Ultrasound and Myofascial release Technique. The protocol will cover 1 week of treatment. Regular assessment at 0,3rd and 7th day of week will be carried out. We will evaluate using Numerical Pain Rating Scale (NPRS), Neck Disability Index (NDI), and Range of motion of neck and Manual Muscle testing of cervical musculature. Results: The result of the study will provide affirmation on using combination therapy of Therapeutic Ultrasound and Myofascial Release Technique in people having nonspecific neck pain.

COMPREHENSIVE REHABILITATION OF A PATIENT WITH UPPER CROSSED SYNDROME

Background: In upper cross syndrome (UCS), weaker neck flexors, anterior and middle serratus and lower trapezius along with rhomboids usually develop, and stiffness of the levator scapulae, pectoralis major as well as upper trapezius are biomechanically adapted. Muscle imbalance is the primary cause for the upper cross syndrome between the tonic and phasic muscles. Individuals with upper cross syndrome may also exhibit any of the following issues text neck syndrome, round upper back, reduced thoracic spine mobility, winged scapulae. Active Release Technique (ART) helps to reduce discomfort and improve the range of movement. Also, Active Release Technique (ART) is a manual procedure which is also being used for other soft tissue rehabilitation as well as for the management of the scar tissues. UCS and neck pain is common with uncomfortable job postures as well as in stress and anxiety, due to which muscle dysfunction starts which can further followed by altered posture around the neck. Active Release Technique was also used earlier for muscle dysfunction and for scar tissue mobilization. Changes in musculature structure may exhibit chronic headaches among the patients of upper cross syndrome also unbalanced soft tissue near the neck may create barriers for the head’s range of motion (ROM). Patients complaints were pain, decreased job efficiency for which he was later diagnosed as a case of upper cross syndrome. The patient showed great co-operation during the treatment and now the patient is able to perform his job-related tasks without discomfort