Myofascial release

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Myofascial release (MFR, self-myofascial release) is an alternative medicine therapy claimed to be useful for treating skeletal muscle immobility and pain by relaxing contracted muscles, improving blood and lymphatic circulation and stimulating the stretch reflex in muscles. [1]

Contents

Fascia is a thin, tough, elastic type of connective tissue that wraps most structures within the human body, including muscle. Fascia supports and protects these structures. Osteopathic practice holds that this soft tissue can become restricted due to psychogenic disease, overuse, trauma, infectious agents, or inactivity, often resulting in pain, muscle tension and corresponding diminished blood flow. [1]

Description and conceptual basis

Writing for Science-Based Medicine, Harriet Hall described myofascial release as an umbrella term for several types of physical manipulation, which might more simply be described as a kind of massage based on vaguely-defined scientific notions. [2]

Effectiveness

The American Cancer Society states that "There is little scientific evidence available to support proponents' claims that myofascial release relieves pain or restores flexibility" and cautions against using it as a substitute for conventional cancer treatment. [3] The poor quality of research into the use of myofascial release for orthopaedic conditions precludes any conclusions being drawn about its usefulness for this purpose. [4]

In 2011, the UK Advertising Standards Authority (ASA) upheld a complaint regarding the effectiveness claims published in an advertising leaflet produced by the Myofascial Release UK health care service. The ASA Council ruled that materials presented by Myofascial Release UK in support of the claims made in their ad were inadequate to establish a "body of robust scientific evidence" to substantiate Myofascial Release UK's range of claims. [2] [5] In addition, the ASA determined that the ad breached advertising rules by introducing a risk that readers might be discouraged from seeking other essential medical treatments.

Reviews published in 2013 and 2015 evaluating evidence for MFR efficacy found that clinical trials that had been conducted varied in quality, technique, outcome measurements and had mixed outcomes; the 2015 review noted: "it is time for scientific evidences on MFR to support its clinical use." [4] [6] Another review concluded that the use of foam rollers or a roller massager before or after exercise for self-myofascial release has been observed to decrease soreness due to DOMS and that self-myofascial release appears to have no negative effect on performance. However, the optimal timing and duration of use requires further study. [7]

History

The approach was promulgated as an alternative medicine concept by Andrew Taylor Still, inventor of osteopathy, and his early students. [8] The exact phrase "myofascial release" was coined in the 1960s by Robert Ward, an osteopath who studied with Ida Rolf, the originator of Rolfing. Ward, along with physical therapist John Barnes, are considered the two primary founders of Myofascial Release. [9] [10] Ward also suggests-in other sources-that the term "myofascial release" was coined in 1981, when it was used as the name of a course taught at Michigan State University. It was popularized and taught to therapists, massage therapists and occupational therapists by John F. Barnes through his seminars. [11]

See also

Related Research Articles

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Acupressure is an alternative medicine technique often used in conjunction with acupuncture or reflexology. It is based on the concept of life energy, which flows through "meridians" in the body. In treatment, physical pressure is applied to acupuncture points, or ashi trigger points, with the aim of clearing blockages in these meridians. Pressure may be applied by hand, by elbow, or with various devices.

<span class="mw-page-title-main">Massage</span> Manipulation of the body through stretching and pressure

Massage is the manipulation of the body's soft tissues. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet or a device. The purpose of massage is generally for the treatment of body stress or pain. In European countries, a person professionally trained to give massages is traditionally known as a masseur (male) or masseuse (female). In the United States, these individuals are often referred to as massage therapists, because they must be certified and licensed as "licensed massage therapists". In some provinces of Canada, they are called "registered massage therapists", as they are regulated health professionals.

<span class="mw-page-title-main">Osteopathy</span> Alternative medicine emphasizing muscle and bone manipulation

Osteopathy is a pseudoscientific system of alternative medicine that emphasizes physical manipulation of the body's muscle tissue and bones. In most countries, practitioners of osteopathy are not medically trained and are referred to as osteopaths.

Rolfing is a form of alternative medicine originally developed by Ida Rolf (1896–1979) as Structural Integration. Rolfing is marketed with unproven claims of various health benefits. It is based on Rolf's ideas about how the human body's "energy field" can benefit when aligned with the Earth's gravitational field.

<span class="mw-page-title-main">Effleurage</span> Type of massage stroke in Swedish massage

Effleurage, a French word meaning "to skim" or "to touch lightly on", is a series of massage strokes used in Swedish massage to warm up the muscle before deep tissue work using petrissage.

<span class="mw-page-title-main">Piriformis syndrome</span> Medical condition

Piriformis syndrome is a condition which is believed to result from compression of the sciatic nerve by the piriformis muscle. The largest and most bulky nerve in the human body is the sciatic nerve. Starting at its origin it is 2 cm wide and 0.5 cm thick. The sciatic nerve forms the roots of L4-S3 segments of the lumbosacral plexus. The nerve will pass inferiorly to the piriformis muscle, in the direction of the lower limb where it divides into common tibial and fibular nerves. Symptoms may include pain and numbness in the buttocks and down the leg. Often symptoms are worsened with sitting or running.

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Manual therapy, or manipulative therapy, is a physical treatment primarily used by physical therapists, physiotherapists, occupational therapists to treat musculoskeletal pain and disability; it mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation. It is also used by Rolfers, massage therapists, athletic trainers, osteopaths, and physicians.

<span class="mw-page-title-main">Myofascial trigger point</span> Medical condition

Myofascial trigger points (MTrPs), also known as trigger points, are described as hyperirritable spots in the skeletal muscle. They are associated with palpable nodules in taut bands of muscle fibers. They are a topic of ongoing controversy, as there is limited data to inform a scientific understanding of the phenomenon. Accordingly, a formal acceptance of myofascial "knots" as an identifiable source of pain is more common among bodyworkers, physical therapists, chiropractors, and osteopathic practitioners. Nonetheless, the concept of trigger points provides a framework which may be used to help address certain musculoskeletal pain.

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Myotherapy is a form of muscle therapy which focuses on the assessment, treatment and rehabilitation of musculoskeletal pain and associated pathologies. The term myotherapy was originally coined by Bonnie Prudden to describe a specific type of trigger point therapy which she developed in the 1970s based on the earlier work of Travell and Simons who researched the cause and treatment of pain arising from myofascial trigger points. While based on rational principles, there is little scientific research regarding the efficacy of this therapy, so it remains controversial within the medical and academic disciplines.

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<span class="mw-page-title-main">Foam roller</span> Therapeutic exercise device

A foam roller is a lightweight, cylindrical tube of compressed foam. It may be used for many reasons, including increasing flexibility, reducing soreness, and eliminating muscle knots. Foam rolling is a method of self-myofascial release. Foam rollers have a short term positive impact in the range of motion of joints, but long term performance or range of motion benefits are unknown. Combining foam rolling and stretching does not cause a significant impact in range of motion compared to only foam rolling or stretching, but does have a superior effect in performance only if stretching is done after foam rolling. A 2021 analysis of studies concluded that "evidence seems to justify the widespread use of foam rolling as a warm-up activity rather than a recovery tool" while arguing that post exercise or recovery rolling reduced muscle pain perception. A 2019 review concluded that 90 seconds of foam rolling per muscle group may be the minimum needed to achieve a reduction in muscle pain or soreness in the short term but that there is insufficient evidence for the optimal amount.

References

  1. 1 2 Spinaris T, DiGiovanna EL (2005). Chapter 12: Myofascial release. pp. 80–82. ISBN   978-0-7817-4293-1.{{cite book}}: |work= ignored (help)
  2. 1 2 Hall H (24 November 2014). "Can Airrosti Really Resolve Most Chronic Pain in Just Three Visits?". Science-Based Medicine.
  3. Ades, TB, ed. (2009). "Myofascial release". American Cancer Society Complete Guide to Complementary and Alternative Cancer Therapies (2nd ed.). American Cancer Society. pp.  226–228. ISBN   978-0-944235-71-3.
  4. 1 2 McKenney, K; Elder, AS; Elder, C; Hutchins, A (2013). "Myofascial release as a treatment for orthopaedic conditions: a systematic review". J Athl Train (Systematic review). 48 (4): 522–7. doi:10.4085/1062-6050-48.3.17. PMC   3718355 . PMID   23725488.
  5. "ASA Adjudication on Myofascial Release UK". Advertising Standards Authority (United Kingdom). 2011-03-16. Retrieved 2015-04-21.
  6. Ajimsha, M.S.; Al-Mudahka, Noora R.; Al-Madzhar, J.A. (January 2015). "Effectiveness of myofascial release: Systematic review of randomized controlled trials". Journal of Bodywork and Movement Therapies. 19 (1): 102–112. doi:10.1016/j.jbmt.2014.06.001. PMID   25603749.
  7. Schroeder, AN; Best, TM (2015). "Is self myofascial release an effective preexercise and recovery strategy? A literature review". Current Sports Medicine Reports. 14 (3): 200–8. doi: 10.1249/JSR.0000000000000148 . PMID   25968853. S2CID   5976175. There appears to be some basis for the use of the SMR technique via a foam roller or roller massager for preexercise, for maintenance, and to aid recovery following exercise. SMR has been observed to decrease soreness following DOMS, which may indirectly enhance performance by allowing the individual to exercise longer and harder. The direct effect of SMR on performance may be duration dependent and remains in question. At the very least, SMR appears to have no negative effect on performance, with a few studies showing increase in performance. Yet another benefit of SMR is its ability to increase ROM. There has been little published work on the mechanism of SMR; however, animal studies using MLL following EEX have shown that immediate MLL is more beneficial than delayed MLL but MLL duration has no significant effects on recovery. In conclusion, SMR via a foam roller or roller massager may be a valuable tool for exercising individuals, allowing the individuals to self-treat at a time (i.e., immediately following exercise) and a frequency (i.e., several times a day) convenient for him or her by eliminating the need for a massage therapist. Studies to date suggest that SMR may have beneficial effects on both recovery from EEX and precompetition.
  8. "Glossary of Osteopathic Terminology". American Association of Colleges of Osteopathic Medicine. April 2009. p. 28. Retrieved 25 August 2012.
  9. Stillerman, Elaine (2009). Modalities for Massage and Bodywork. Mosby. pp. 151–2. ISBN   978-0-323-05255-9.
  10. Knaster, Mirka (1996). Discovering the Body's Wisdom: A Comprehensive Guide to More Than Fifty Mind-Body Practices. Bantam. p. 208. ISBN   978-0-307-57550-0.
  11. Barnes, John F. (1990). Myofascial release : the search for excellence. [Place of publication not identified]: Rehabilitation Services. ISBN   1-929894-00-7. OCLC   555687719.