Effects of Long-term Foam Rolling Compared to Static Stretching on Hamstring Muscle Flexibility

NCT02808923 | Unknown

• 1 other identifier: 908292-1
• Study Type: interventional
• Target: 45
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study to to compare the long-term effects of foam rolling in comparison to static stretching and a control group on hamstring flexibility. The investigators hypothesize that participants in the foam rolling and static stretching group will demonstrate increased flexibility to the control group, but will a difference will not be observed between the foam rolling and static stretching groups.

Conditions

Muscle Hypertonia

Outcome Measures

Primary Outcomes (1)

• Change in 90/90 hamstring length

  Participant is supine, hip flexed to 90 degrees, knee extension range of motion measured actively from 90 degree starting position with a standard goniometer

  Baseline, 3 weeks, 6 weeks

Secondary Outcomes (3)

• Change in Active straight leg raise - Range of motion

  Baseline, 3 weeks, 6 weeks

• Change in Active straight leg raise - Functional Movement Screen

  Baseline, 3 weeks, 6 weeks

• Change in Sit-and-reach

  Baseline, 3 weeks, 6 weeks

Study Arms (3)

Foam rolling

EXPERIMENTAL

Participants in the foam rolling group will perform unilateral rolling of the hamstring musculature from ischial tuberosity to posterior knee in supine for 2 repetitions of 1 minute with 15 second rest between repetitions at a consistent cadence of 1 second superiorly and 1 second inferiorly. Subjects will be asked to adjust pressure as needed to maintain a consistent moderate pressure on the treatment area. Participants will use new and individually issued high density foam rollers that are 6" diameter x 36" length.

Other: Foam Rolling

Static stretching

EXPERIMENTAL

Participants in the static stretching group will perform sustained static hamstring stretching for 2 repetitions of 1 minute bouts for the same leg before switching sides using moderate pressure in supine against the wall. Subjects will rest for 15 seconds between repetitions and adjust distance from the wall to perceive moderate intensity.

Other: Static Stretching

Control

NO INTERVENTION

The control group will perform their regular baseline activities without the addition of a specific lower extremity flexibility program. If the subjects are currently performing stretching of any mode at baseline, they will be allowed to continue with that activity.

Interventions

Foam Rolling OTHER

Participants will perform unilateral hamstring rolling for 2 repetitions of 1 minute with 15 second rest breaks on each leg with a 6"x 36" foam roller.

Foam rolling

Static Stretching OTHER

Participants will perform supine static hamstring stretch on a wall for 2 repetitions of 1 minute with 15 second rest breaks on each leg. When the position no longer causes a moderate stretching sensation to the hamstring, subjects will move their bodies closer to the wall to intensify the stretch.

Static stretching

Eligibility Criteria

• Age: 19 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Active 90/90 hamstring length goniometric measurement of greater than 10 degrees at baseline
• Active straight leg raise of less than 90 degrees

You may not qualify if:

• History of lower extremity injury including but not limited to sprain, strain, fracture, or any surgical intervention that lead to a decrease in activity greater than two weeks within the last six months
• Current involvement in a lower extremity flexibility program outside of their regular activity

Sponsors & Collaborators

• Creighton University: lead

Related Publications (21)

• Mistry GS, Vyas NJ, Sheth, MS. Comparison of hamstrings flexibility in subjects with chronic low back pain versus normal individuals. J Clin Exp Res. 2014; 2(1): 85-88.

  BACKGROUND

• Barnes. The Basic Science Myofascial Release: Morphologic Change in Connective Tissue. Journal of Bodywork and Movement Therapies. 1997;1(4):231-238.

  BACKGROUND

• Cunha AC, Burke TN, Franca FJ, Marques AP. Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial. Clinics (Sao Paulo). 2008 Dec;63(6):763-70. doi: 10.1590/s1807-59322008000600010.

  PMID: 19060998 BACKGROUND

• Cheatham SW, Kolber MJ, Cain M, Lee M. THE EFFECTS OF SELF-MYOFASCIAL RELEASE USING A FOAM ROLL OR ROLLER MASSAGER ON JOINT RANGE OF MOTION, MUSCLE RECOVERY, AND PERFORMANCE: A SYSTEMATIC REVIEW. Int J Sports Phys Ther. 2015 Nov;10(6):827-38.

  PMID: 26618062 BACKGROUND

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  PMID: 22319684 BACKGROUND

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  PMID: 11252465 BACKGROUND

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  BACKGROUND

• MacDonald GZ, Penney MD, Mullaley ME, Cuconato AL, Drake CD, Behm DG, Button DC. An acute bout of self-myofascial release increases range of motion without a subsequent decrease in muscle activation or force. J Strength Cond Res. 2013 Mar;27(3):812-21. doi: 10.1519/JSC.0b013e31825c2bc1.

  PMID: 22580977 BACKGROUND

• Sullivan KM, Silvey DB, Button DC, Behm DG. Roller-massager application to the hamstrings increases sit-and-reach range of motion within five to ten seconds without performance impairments. Int J Sports Phys Ther. 2013 Jun;8(3):228-36.

  PMID: 23772339 BACKGROUND

• Pearcey GE, Bradbury-Squires DJ, Kawamoto JE, Drinkwater EJ, Behm DG, Button DC. Foam rolling for delayed-onset muscle soreness and recovery of dynamic performance measures. J Athl Train. 2015 Jan;50(1):5-13. doi: 10.4085/1062-6050-50.1.01. Epub 2014 Nov 21.

  PMID: 25415413 BACKGROUND

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  PMID: 25883869 BACKGROUND

• Peacock CA, Krein DD, Antonio J, Sanders GJ, Silver TA, Colas M. Comparing Acute Bouts of Sagittal Plane Progression Foam Rolling vs. Frontal Plane Progression Foam Rolling. J Strength Cond Res. 2015 Aug;29(8):2310-5. doi: 10.1519/JSC.0000000000000867.

  PMID: 25647651 BACKGROUND

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  PMID: 23588488 BACKGROUND

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  PMID: 24567860 BACKGROUND

• Junker DH, Stoggl TL. The Foam Roll as a Tool to Improve Hamstring Flexibility. J Strength Cond Res. 2015 Dec;29(12):3480-5. doi: 10.1519/JSC.0000000000001007.

  PMID: 25992660 BACKGROUND

• Miller MK, Ashley RM. Foam Rollers Show No Increase in the Flexibility of the Hamstring Muscle Group. Journal of Undergraduate Research. 2006; 10: 1-4.

  BACKGROUND

• Goldspink G. Cellular and molecular aspects of adaptation in skeletal muscle. In: Komi PV, editor. Strength and Power in Sports. Oxford: Blackwell, 1992:211-29.

  BACKGROUND

• Magnusson SP, Simonsen EB, Aagaard P, Sorensen H, Kjaer M. A mechanism for altered flexibility in human skeletal muscle. J Physiol. 1996 Nov 15;497 ( Pt 1)(Pt 1):291-8. doi: 10.1113/jphysiol.1996.sp021768.

  PMID: 8951730 BACKGROUND

• Jay K, Sundstrup E, Sondergaard SD, Behm D, Brandt M, Saervoll CA, Jakobsen MD, Andersen LL. Specific and cross over effects of massage for muscle soreness: randomized controlled trial. Int J Sports Phys Ther. 2014 Feb;9(1):82-91.

  PMID: 24567859 BACKGROUND

• Law RY, Harvey LA, Nicholas MK, Tonkin L, De Sousa M, Finniss DG. Stretch exercises increase tolerance to stretch in patients with chronic musculoskeletal pain: a randomized controlled trial. Phys Ther. 2009 Oct;89(10):1016-26. doi: 10.2522/ptj.20090056. Epub 2009 Aug 20.

  PMID: 19696119 BACKGROUND

• Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function-part 2. Int J Sports Phys Ther. 2014 Aug;9(4):549-63.

  PMID: 25133083 BACKGROUND

MeSH Terms

Conditions

Muscle Hypertonia

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Trevor Schongalla, DPT

  Creighton University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Trevor Schongalla, DPT

CONTACT

541-777-0686; trevorschongalla@creighton.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 15, 2016
• First Posted: June 22, 2016
• Study Start: June 1, 2016
• Primary Completion: August 1, 2016
• Last Updated: June 22, 2016

Record last verified: 2016-06

Data Sharing

• IPD Sharing: Will share