Effects of myofascial release or self-myofascial release and control position exercises on lower back pain in idiopathic scoliosis: A systematic review

López-Torres, Olga; Mon‐López, Daniel; Gomis-Marzá, Carlos; Calvo, Jorge Lorenzo; Guadalupe‐Grau, Amelia

doi:10.1016/j.jbmt.2021.02.017

Cited by 14 publications

(8 citation statements)

References 36 publications

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“…MFR is a variety of manual therapy techniques in which pressure is applied to muscle and fascia to soften the myofascial complex with low-load and long-duration stretch, intended to restore optimal length, decrease pain, and improve function. 14,15 Previous studies have demonstrated that 16,17 the MFR was better than manual therapy for improving the cervical range of motion and ADL in patients with MNP. Moreover, MFR was also effective to release the area of impaired sliding fascial mobility and improve pain perception in the short term.…”

Section: Introductionmentioning

confidence: 99%

Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials

Guo

Zhou

et al. 2022

Clin Rehabil

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Objective To explore the effects of myofascial release (MFR) on pain and dysfunction in individuals with chronic mechanical neck pain (MNP). Data sources PubMed, Embase, Medline, Wiley Online Library, Web of Science, CNKI, VIP, WanFang Data, and the Cochrane Library were searched until 12 September 2022. Review methods This study was registered in PROSPERO (CRD42022302485). Methodological quality was assessed using Cochrane risk of bias assessment, and the quality of the evidence followed the GRADE recommendation. The outcomes pain, cervical mobility (Flexion, Extension, Rotation, lateral flexion), trapezius and suboccipital pressure pain thresholds (PPT), neck disability index (NDI), and adverse effects were extracted. Results After screening of 346 studies, 13 studies and 601 participants met the inclusion criteria. All studies were of moderate methodological quality. Compared with the control group, the participants in the MFR group showed significantly greater improvements trapezius PPT SMD 0.41 (95% CI 0.11–0.72), suboccipital PPT SMD 0.47 (95% CI 0.21–0.72), respectively. The differences were not significant to support the MFR treatment on pain, flexion, extension, rotation, lateral flexion angle, and NDI. None of the studies reported any adverse events. Conclusion This systematic review suggests that MFR is an effective treatment for the improvement of PPT of trapezius and suboccipital muscle in patients with chronic MNP. However, there is low to moderate evidence and may change over time.

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Section: Introductionmentioning

confidence: 99%

Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials

Guo

Zhou

et al. 2022

Clin Rehabil

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“…Some authors add that if in excess, muscular strength may be a leading cause of back pain in youth [ 53 , 54 , 55 ]. In support to the latter, the association between muscular imbalance (i.e., when the strength/size of muscles that are supposed to work synchronically is not well balanced) and back pain has been suggested in previous studies [ 56 , 57 , 58 ]. The fact that adolescence is a phase of growth, and that development may at times not be gradual but show sudden peaks, may contribute to asymmetric muscle growth, muscular imbalance, and consequently, higher risk of back pain.…”

Section: Discussionmentioning

confidence: 68%

Relation between Physical Fitness Components and the Occurrence and Subjective Intensity of Back Pain in Secondary School Adolescents

Cocca

Greier

Drenowatz

et al. 2022

Behavioral Sciences

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Despite the well documented benefits of physical fitness (PF) on general health, its role in back pain (BP) is still unclear. The objective of this study was to assess the association between different PF profiles and BP in a sample of adolescents. The study assessed PF and BP in a sample of 919 youth (age = 15.5 ± 1.3 years) from North and South Tyrol. A total of 531 participants (57.8%) reported no BP, whereas 4.7% (n = 43) reported severe BP. A two-step cluster analysis detected three main groups: the “less fit”, with significantly lower scores in all PF tests (p < 0.001); the “strong sprinters”, with higher speed and muscular strength than the others (p < 0.001); and the “flexible marathoners”, with higher flexibility and cardiorespiratory fitness (p < 0.001). The “flexible marathoners” showed significantly better BP scores than the “less fit” (p = 0.029). Cardiorespiratory fitness and trunk flexibility are potential preventive components of BP in adolescents. Since the decline in flexibility starts very early in life, it is recommended to put a particular emphasis on this component of PF. The role of other components of PF should be further investigated in the future.

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“…Furthermore, the success or failure of bracing is not solely dependent on spinal flexibility; other influential factors, such as skeletal maturity, curve patterns, and curve location, should be taken into account accordingly [ 45 , 46 ]. In addition, research has found that elastic scapular taping [ 47 ], myofascial release [ 48 ], and exercises [ 49 – 52 ] could improve flexibility for patients with scoliosis, so adopting suitable strategies to improve spinal flexibility, thereby improving the corrective effect of bracing, should be further explored.…”

Section: Discussionmentioning

confidence: 99%

Associations between spinal flexibility and bracing outcomes in adolescent idiopathic scoliosis: a literature review

Luo,

Ma,

Zou

et al. 2023

J Orthop Surg Res

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Objectives To identify the existing assessment methods used to measure the spinal flexibility of adolescents with idiopathic scoliosis before bracing and to evaluate the predictive effect of spinal flexibility on bracing outcomes. Methods A broad literature search was performed in the PubMed, Web of Science, EMBASE, CINAHL, Scopus, and Cochrane Library databases to obtain relevant information about spinal flexibility and bracing outcomes. All literature was retrieved by October 14, 2023. The inclusion and exclusion criteria were meticulously determined. The quality of each included study and the level of evidence were evaluated by the Quality in Prognosis Studies (QUIPS) method and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system, respectively. Results After screening 1863 articles retrieved from databases, a total of 14 studies with 2261 subjects were eligible for the final analysis in this review. Overall, nine methods of flexibility assessment were identified, including supine radiographs, supine lateral bending radiographs, lateral bending radiographs but without clear positions, hanging radiographs, fulcrum bending physical method, and ultrasound imaging in the positions of supine, prone, sitting with side bending and prone with side bending. In addition, five studies demonstrated that flexibility had a strong correlation with in-brace correction, and eleven studies illustrated that spinal flexibility was a predictive factor of the bracing outcomes of initial in-brace Cobb angle, initial in-brace correction rate, curve progression, and curve regression. The results of GRADE demonstrated a moderate-evidence rating for the predictive value of spinal flexibility. Conclusion Supine radiography was the most prevalent method for measuring spinal flexibility at the pre-brace stage. Spinal flexibility was strongly correlated with the in-brace Cobb angle or correction rate, and moderate evidence supported that spinal flexibility could predict bracing outcomes.

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Effects of myofascial release or self-myofascial release and control position exercises on lower back pain in idiopathic scoliosis: A systematic review

Cited by 14 publications

References 36 publications

Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials

Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials

Relation between Physical Fitness Components and the Occurrence and Subjective Intensity of Back Pain in Secondary School Adolescents

Associations between spinal flexibility and bracing outcomes in adolescent idiopathic scoliosis: a literature review

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