Bohunicky S, Franklin R, Scribbans T D. Baseline Has no Effect on Change in Forward Shoulder Posture, Range of Motion, and Muscle Excitation Following Myofascial Release: A Velocity-dependent Investigation. PTJ 2023; 13 (4) :279-286
URL:
http://ptj.uswr.ac.ir/article-1-603-en.html
1- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Canada.
Abstract: (1985 Views)
Purpose: Rate dependence, where the initial value of a variable plays a crucial role in determining the extent and/or direction of change following an intervention, is a known factor contributing to an individual’s response to drug and non-drug interventions. Surprisingly, it is not known if there is a rate-dependent effect on outcomes following a massage therapy intervention. We assessed whether there is a rate-dependent effect on forward shoulder posture (FSP), pectoralis major length (PECL), and muscle excitation of the upper (UT), middle (MT), and lower trapezius (LT), and pectoralis major (PEC) following 4 minutes of myofascial release (MFR) to the pectoral fascia.
Methods: Fifty-nine right-handed participants (27±9 years, 30 females) with FSP, but otherwise asymptomatic shoulders with one MFR treatment administered by a registered massage therapist were recruited. FSP, PECL, and muscle excitation during a reaching task were measured before (PRE) and after the treatment (POST). Correlations were conducted on the difference between PRE and POST values and the sum of PRE and POST values divided by two for all variables.
Results: There were no significant correlations between change scores and the average PRE and POST scores for any variable.
Conclusion: There is no rate-dependent effect on FSP, PECL, and muscle excitation following a 4-minute MFR intervention. These results are the first to suggest that baseline characteristics do not influence individual responses to a massage intervention. Future work should aim to determine whether speed dependence varies with different doses and types of massage interventions and patient-reported outcomes (pain, anxiety, function, etc.) and muscle/tissue characteristics (stiffness, etc.).
Full-Text [PDF 1317 kb]
(542 Downloads)
| |
Full-Text (HTML) (346 Views)
• No rate-dependent effect on forward shoulder posture with myofascial release.
• No rate-dependent effect on pectoralis major length with myofascial release.
• No rate-dependent effect on shoulder muscle excitation with myofascial release.
Plain Language Summary
The value of something before a treatment or intervention (i.e. baseline) often influences how much and in what direction it will change following a treatment or intervention. While massage therapy is a widely used therapeutic intervention, it is not known if baseline values of variables before a massage influence how much they will change following a massage. It is important to understand this to assess the impact of massage interventions more accurately, which will allow for the design of effective treatment strategies to achieve desired outcomes. This study aimed to investigate whether baseline levels of forward shoulder posture, shoulder range of motion, and muscle activity influence how they each change after receiving a type of massage called myofascial release. We recruited 59 participants with forward shoulder posture who received a 4-minute myofascial release treatment to the tissue overlying their chest muscles (pectoral fascia). Forward shoulder posture, shoulder range of motion, and muscle activity were measured before and after the treatment. We found no significant relationship between the baseline values of forward shoulder posture, shoulder range of motion, and muscle activity and how each changed after treatment. This suggests that the baseline values of forward shoulder posture, shoulder range of motion, and muscle activity did not impact the effect of the treatment. Further research is needed to explore if baseline values influence responses to different types and amounts of massage and how this may affect patient-reported outcomes, such as pain and muscle and tissue characteristics, such as stiffness.
Type of Study:
Research |
Subject:
General Received: 2023/10/7 | Accepted: 2023/11/8 | Published: 2023/10/14