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Clinical Foundations and Applications for Self-Myofascial Release with Balls, Rollers, and Tools
Published in David Lesondak, Angeli Maun Akey, Fascia, Function, and Medical Applications, 2020
A systematic review of SMFR papers published prior to 2015 reveals “SMFR with a foam roll or roller massager appears to have short-term effects on increasing joint ROM without negatively affecting muscle performance and may help attenuate decrements in muscle performance and DOMS after intense exercise. Short bouts of SMFR prior to exercise do not appear to effect muscle performance”.35
Other flexibility-enhancing techniques
Published in David G. Behm, The Science and Physiology of Flexibility and Stretching, 2018
Rolling involves small undulations back and forth over the affected muscle with a dense foam roller, typically starting at the proximal portion of the muscle, working down to the distal portion of the muscle, or vice versa. Foam rollers are quite diverse in their composition, with some made from poly(vinyl chloride) pipe surrounded by neoprene foam, whereas others may be made from closed cell foam. Roller massagers are typically composed of dense foam wrapping around a solid plastic cylinder. There are many variations, with some having a ridged design that is supposed to allow for both superficial and deep-tissue massage (2,7). The most recent modification is to have vibrating rollers.
Complications in Mohs Surgery
Published in Alexander Berlin, Mohs and Cutaneous Surgery, 2014
Jordan B. Slutsky, Scott W. Fosko
Ergonomics are an important and often overlooked aspect of Mohs surgery. Studies of Mohs surgeons indicate that musculoskeletal complaints, such as pain and stiffness of the neck, shoulders, and lower back, as well as headaches, are common and may begin early in a physician’s career.23 Despite the high prevalence of such complaints, many surgeons do not use ergonomic modifications in their practice.24 One should consider ergonomics in all aspects of a Mohs day: performing surgery, reading slides at the microscope, and working at a desk or computer workstation. Proper patient and lighting position, whether the surgeon is seated or standing, is important for facilitating safe and effective surgery. For microscopes that are shared, there is an option that allows variable positioning of the main eyepieces to accommodate surgeons of various heights and desired head and eye positioning. Supportive footwear and comfortable flooring can help prevent musculoskeletal strain.23 Ergonomic workstations with wrist rests for the keyboard and mouse, as well as lumbar support and footrests, are beneficial. The junior author has found considerable improvement from back strain and fatigue with the use of surgical loupes, which help maintain a comfortable working posture, as well as with daily stretches recommended by a physical therapist. These stretches utilize a high-density foam roller or bolster, which extends the spine and musculature to counteract the predominant daily working posture of flexion. Good nutrition and hydration are also important. The surgeon must remember to take care of him- or herself to ensure many years of successful practice and patient care.
Effects of an active intervention based on myofascial release and neurodynamics in patients with chronic neck pain: a randomized controlled trial
Published in Physiotherapy Theory and Practice, 2022
Irene Cabrera-Martos, Janet Rodríguez-Torres, Laura López-López, Esther Prados-Román, María Granados-Santiago, Marie Carmen Valenza
In the first two weeks, patients performed myofascial release exercises using foam rollers and foam balls. Foam rollers are roller massage bars that consist of a solid plastic cylinder with an outer covering of dense foam; foam balls are small balls of foam. With these devices, patients use their body weight to apply pressure to the soft tissues during rolling motion. In the first exercise, patients were positioned supine. The foam roller was placed under the upper cervical spine and participants were asked to maintain the position and, if there was no pain, to rotate the neck from one side to another in circles to massage the area. Fifteen minutes later, the foam roller was placed under the lower cervical spine and the sequence of movements started again. The second exercise was performed in supine position, using a foam ball placed at the most painful points of the upper back, first statically and later dynamically. In the last exercise, patients were positioned in a sitting position and massaged their neck muscles with the foam ball. Pressure was controlled by patients themselves.
Effects of foam rolling on hip pain in patients with hip osteoarthritis: a retrospective propensity-matched cohort study
Published in Physiotherapy Theory and Practice, 2022
Hisashi Ikutomo, Koutatsu Nagai, Keiichi Tagomori, Namika Miura, Kenichi Okamura, Takato Okuno, Norikazu Nakagawa, Kensaku Masuhara
All patients attended three individual outpatient physical therapy sessions consisting of education, manual therapy, muscle stretching, and activities of daily living conducted by one of five physical therapists with ≥ 10 years of clinical experience for about 3 months. All patients were instructed to perform appropriate home exercises selected by their physical therapists. The home exercise programs consisted mainly of FR, muscle strengthening, and stretching. FR is a self-applied massage using a foam roller (mini flex roller, HIROUN, Japan). The foam roller consisted of a soft cylinder composed of uniform ethylene vinyl acetate (10-cm diameter × 30-cm long) (Figure 1). Patients were instructed to use their body weight to apply pressure by a rolling motion to the paining soft tissue. The patient’s hands and arms were set on the floor and did not move during the rolling motion in the long sitting, half-side lying, and prone positions (Figure 2a–c). The body shifted back and forth at a self-paced cadence, with the unaffected side leg acting as a stabilizer (Cheatham, Kolber, Cain, and Lee, 2015; Pearcey et al., 2015). Patients were instructed to perform FR for more than 10 min once a day. The muscle strengthening of home exercises consisted of single-leg bridging, hip abduction, and extension using a training tube in a supine position, hip abduction, and clamshell exercise in a side-lying position. The stretching of home exercises consisted of gluteus muscle group in a sitting position and rectus femoris muscle in a prone position. Each strengthening program consisted of 1–2 sets of 20–30 repetitions until fatigue, and each stretching program consisted of more than 3 min for each stretching exercise. Patients in the FR group were instructed to perform FR in addition to other home exercises. Patients in the non-FR group were instructed to perform home exercise programs other than FR.
Exploring physiotherapy practice within hospital-based interprofessional chronic pain clinics in Ontario
Published in Canadian Journal of Pain, 2021
Linnea Thacker, Robert M. Walsh, Gabriella Shinyoung Song, Hammad A. Khan, Prem Parmar, Kaitlin T. Vance, Gillian Grant, Giulia Mesaroli, Judith Hunter, Kyle Vader
Participants described how they often provide their patients with physically based self-management strategies: I mean, and some of the exercises I show people how to do their own myofascial release. Like, you know, using a foam roller, a soft foam roller or massage balls, I show them how to do their own muscle release techniques. (P06)