Foam Roller Versus Self-Performed Neurodynamic Sliding in People With Hamstring Tightness and Low Back Pain History
Effects of Self-Myofascial Release With Foam Roller Versus Self-Performed Neurodynamic Sliding on Hamstring Flexibility in People With Hamstring Tightness and a History of Low Back Pain: A Randomized Pilot Clinical Trial
This randomized crossover pilot clinical trial evaluated the effects of two self-administered physiotherapy techniques in people with hamstring tightness and a history of non-specific low back pain.
Participants were randomly assigned to one of two treatment sequences. One sequence performed self-myofascial release using a foam roller first, followed by a one-month washout period, and then performed a self-administered neurodynamic sliding technique. The other sequence performed the neurodynamic sliding technique first, followed by a one-month washout period, and then performed the foam roller intervention.
The main objective of the study was to compare the effects of both interventions on hamstring flexibility. Secondary outcomes included active knee extension range of motion, dynamic balance, pressure pain threshold, hamstring and gluteus maximus strength, and low back pain intensity.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Low back pain is a common musculoskeletal condition, and hamstring tightness has been proposed as a potential contributing factor due to its influence on pelvic and lumbar biomechanics. Different physiotherapy interventions may be used to improve hamstring flexibility, including self-myofascial release with a foam roller and neurodynamic sliding techniques.
This study was designed as a randomized, crossover, pilot clinical trial with two active interventions. Participants were people with hamstring tightness and a history of recurrent or chronic non-specific low back pain. Eligible participants were randomly assigned to one of two intervention sequences.
In one sequence, participants first performed self-myofascial release using a foam roller on the hamstring muscles. After a one-month washout period, they then performed the self-administered neurodynamic sliding technique. In the other sequence, participants first performed the self-administered neurodynamic sliding technique. After a one-month washout period, they then performed the self-myofascial release intervention using a foam roller.
The foam roller intervention consisted of bilateral self-myofascial release of the hamstring muscles for 2 minutes per leg over three consecutive days. The neurodynamic sliding intervention consisted of a seated self-administered neurodynamic sliding technique over three consecutive days, with 3 sets of 20 repetitions and 20 seconds of rest between sets.
Assessments were performed before and after each intervention period. The primary outcome was hamstring flexibility measured using the Straight Leg Raising test. Secondary outcomes included hamstring flexibility measured using the Active Knee Extension test, dynamic balance assessed with the Y-Balance Test, pressure pain threshold over myofascial trigger points, isometric strength of the hamstrings and gluteus maximus, and low back pain intensity measured with the Numeric Pain Rating Scale.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Sara Perpiña Martinez, PT, PhD
- Telefoonnummer: 1032 (+34) 910053661
- E-mail: sperpinama@upsa.es
Studie Locaties
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Madrid
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Madrid, Madrid, Spanje, 28015
- Clínica Universitaria Salus Infirmorum, Universidad Pontificia de Salamanca
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Contact:
- Sara Perpiña Martinez, PT, PhD
- Telefoonnummer: 1032 (+34) 910053661
- E-mail: sperpinama@upsa.es
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Men and women aged 16 years or older.
- History of non-specific low back pain during the previous three months and/or recurrent or chronic non-specific low back pain.
- Limited hamstring flexibility, defined as hamstring tightness with 75 degrees or less of hip flexion with knee extension during the Straight Leg Raise test.
- No previous surgery involving the spine or lower limb.
- No hamstring stretching exercises performed in the weeks prior to participation.
- Ability and willingness to provide informed consent.
- Availability to perform both self-administered physiotherapy techniques according to the study protocol.
Exclusion Criteria:
- Pregnancy or breastfeeding.
- History of hamstring muscle or tendon injury during the previous year.
- Lumbar or lower-limb neurological deficits.
- Lower-limb length discrepancy.
- Specific spinal pathology, including tumor, infection, fracture, or inflammatory disease.
- History of lumbar disc herniation.
- History of whiplash injury.
- Any contraindication to physical exercise.
- Menstrual pain at the time of assessment or intervention.
- Scheduled surgery during the intervention or follow-up period.
- History of cardiac disease.
- Incomplete or incorrectly completed questionnaires or missing assessment data.
- Refusal to complete part or all of the study intervention.
- Development of a low back pain episode during the study intervention.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Crossover-opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Foam Roller First, Then Neurodynamic Sliding
Participants assigned to this sequence will first perform self-myofascial release using a foam roller on the hamstring muscles.
After a one-month washout period, they will perform the self-administered neurodynamic sliding technique.
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Participants will perform bilateral self-myofascial release of the hamstring muscles using a foam roller.
The technique will be performed for 2 minutes per leg over three consecutive days.
Participants will perform a seated self-administered neurodynamic sliding technique over three consecutive days.
The intervention will consist of 3 sets of 20 repetitions, with 20 seconds of rest between sets.
|
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Experimenteel: Neurodynamic Sliding First, Then Foam Roller
Participants assigned to this sequence will first perform the self-administered neurodynamic sliding technique.
After a one-month washout period, they will perform self-myofascial release using a foam roller on the hamstring muscles.
|
Participants will perform bilateral self-myofascial release of the hamstring muscles using a foam roller.
The technique will be performed for 2 minutes per leg over three consecutive days.
Participants will perform a seated self-administered neurodynamic sliding technique over three consecutive days.
The intervention will consist of 3 sets of 20 repetitions, with 20 seconds of rest between sets.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Change in Hamstring Flexibility Measured With the Straight Leg Raise Test
Tijdsspanne: Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Hamstring flexibility will be assessed using the Straight Leg Raise test.
The test will be performed with the participant in the supine position, and hip flexion range of motion will be measured in degrees using a goniometer.
Higher values indicate greater hamstring flexibility.
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Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change in Hamstring Flexibility Measured With the Active Knee Extension Test
Tijdsspanne: Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Hamstring flexibility will be assessed using the Active Knee Extension test.
The knee extension angle will be measured in degrees using a goniometer, with the hip positioned at 90 degrees of flexion.
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Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Change in Dynamic Balance Measured With the Y-Balance Test
Tijdsspanne: Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Dynamic balance will be assessed using the Y-Balance Test.
Reach distances in the anterior, posteromedial, and posterolateral directions will be recorded in centimeters and normalized to lower limb length.
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Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Change in Pressure Pain Threshold
Tijdsspanne: Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Isometric strength of the hamstring muscles and gluteus maximus will be assessed using a handheld dynamometer.
Values will be recorded in Newtons, with higher values indicating greater muscle strength.
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Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Change in Low Back Pain Intensity
Tijdsspanne: Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Low back pain intensity will be assessed using the Numeric Pain Rating Scale, ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
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Baseline of each intervention period, 24 hours after completing each intervention, and 7 days after each intervention
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Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Sara Perpiña Martínez, PT, PhD, Pontifical University of Salamanca
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Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- UPSA_HAM_LBP
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