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Effectiveness of Myofascial Release with Foam Roller Versus Static Stretching in Healthy Individuals with Hip Adductor Tightness: A Randomized Clinical Trial

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Abstract (2. Language): 
Background: Hip adductors are a group of muscles that stabilize the pelvis during weight transfer in lower limbs in a gait cycle. This muscle group commonly goes into tightness as the full available range of motion is scarcely used which in turn may be a predisposing factor in the development of knee and low back pain. Aim: Traditional method of static stretching has proved to be effective in reducing tightness. Foam roller is an upcoming method used for stretching of various muscle groups which has shown superior results. The aim of the study was to compare the treatment methods. Methods: Thirty young healthy individuals were selected after screening for bilateral hip adductor tightness using smartphone inclinometer for hip abduction range of motion. They were randomized to either the foam roller or static stretching group. Subjects attended a baseline session, followed by 5 days intervention, and reassessment on the 5th day post intervention. Outcome measures used were hip abduction range of motion using smartphone inclinometer, single leg hop test and 8 direction star excursion balance test for dynamic postural stability. Results: Both the groups showed significant improvements in hip abduction range of motion, single leg hop test and SEBT. When compared, the foam roller group showed marginally better results than static stretching. The results also showed significant prepost differences within the respective groups. Conclusion: Treatments have shown significant results in both groups however, myofascial release with foam roller has proved to be marginally more effective than static stretching in releasing hip adductor tightness, increasing hip abduction range of motion and improving dynamic balance.
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REFERENCES

References: 

[1] Hertling, Darlene. “Myofascial Considerations.” Management of Common Musculoskeletal Disorders: Physical
Therapy Principles and Methods. 4th ed., Darlene Hertling, Randolph M. Kessler. Lippincott Williams &
Wilkins, 2006, p. 129.
[2] Kisner, Carolyn and Lynn Allen Colby. “Stretching for Impaired Mobility.” Therapeutic Exercise: Foundations
and Techniques. F.A. Davis, 2012, pp. 72-118.
[3] Oatis, Carol A. “Mechanics and Pathomechanics of Muscle Activity at the Hip.” Kinesiology: The Mechanics
and Pathomechanics of Human Movement. Lippincott Williams & Wilkins, 2016, p.693.
[4] Renström, P.A.F.H., and L. Peterson. “Groin injuries in athletes.” British Journal of Sports Medicine Vol. 14,
No. 1, 1980, p. 30.
[5] Ibrahim, A., G.A.C. Murrell, and P. Knapman. “Adductor strain and hip range of movement in male professional
soccer players.” Journal of Orthopaedic Surgery Vol. 15, No. 1, 2007, pp. 46-49.
[6] RobRoy L. Martin PT & Ben Kivlan. “The Hip Complex.” Joint Structure and Function: A Comprehensive
Analysis, 4th ed., Pamela K. Levangie, Cynthia C. Norkin. F.A. Davis Company, 2011, p. 375.
[7] Mascal, Catherine L., Robert Landel, and Christopher Powers. “Management of patellofemoral pain targeting
hip, pelvis, and trunk muscle function: 2 case reports.” Journal of Orthopaedic & Sports Physical Therapy Vol.
33, No. 11, 2003, pp. 647-60.
[8] Ruas CV, Vieira A. “Do muscle strength imbalances and low flexibility levels lead to low back pain: A brief
review.” Journal of Functional Morphology and Kinesiology Vol. 2, No. 3, 2017, p. 29.
[9] Edelstein, Joan E., and Christopher Kevin Wong. “Orthotics.” Physical Rehabilitation. Susan B O’Sullivan,
Thomas J Schmitz and George Fulk. F.A. Davis, 2013, p. 1325.
[10] Bali, Seveka. Effect of static stretching and mulligan stretching on hip adductor flexibility in athletes. 2012.
Rajiv Gandhi University of Health Sciences, Mangalore, India, Master thesis.
[11] Rubini, Ercole C., et al. “Immediate effect of static and proprioceptive neuromuscular facilitation stretching on
hip adductor flexibility in female ballet dancers.” Journal of Dance Medicine & Science Vol. 15, No. 4, 2011,
pp. 177-181.
[12] Shah, Salvi, and Akta Bhalara. “Myofascial release.” International Journal of Health Sciences and Research
Vol. 2, No. 2, 2012, pp. 69-77.
[13] Tyler, Timothy F., et al. “The association of hip strength and flexibility with the incidence of adductor muscle
strains in professional ice hockey players.” The American Journal of Sports Medicine Vol. 29, No. 2, 2001, pp.
124-28.
Kage, et al. Int J Med Res Health Sci 2017, 6(12): 35-41
41
[14] MacDonald, Graham, et al. “An Acute Bout of Self Myofascial Release Increases Range of Motion Without a
Subsequent Decrease in Muscle Activation or Force.” Journal of Strength and Conditioning Research Vol. 7,
No. 23, 2013, pp. 812-21.
[15] Roylance, Derek S., et al. “Evaluating acute changes in joint range-of-motion using self-myofascial release,
postural alignment exercises, and static stretches.” International Journal of Exercise Science Vol. 6, No. 4, 2013,
p. 6.
[16] Davis, D. Scott, et al. “The effectiveness of 3stretching techniques on hamstring flexibility using consistent
stretching parameters.” The journal of Strength & Conditioning Research Vol. 19, No. 1, 2005, pp. 27-32.
[17] Rubini, Ercole C., et al. “Immediate effect of static and proprioceptive neuromuscular facilitation stretching on
hip adductor flexibility in female ballet dancers.” Journal of Dance Medicine & Science Vol. 15, No. 4, 2011,
pp. 177-181.
[18] Solanki, Dharmesh, and Vijay Kage. “A Comparative Study on Immediate effect of Adductor Stretch
MWM Versus MET in Subjects with Hip Adductor Tightness-Randomized Clinical Trial.” Indian Journal of
Physiotherapy & Occupational Therapy Vol. 6, No. 4, 2012.

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