Int J Sports Med 2015; 36(03): 197-203
DOI: 10.1055/s-0034-1384543
Physiology & Biochemistry
© Georg Thieme Verlag KG Stuttgart · New York

Instrument-assisted Soft Tissue Mobilization: Effects on the Properties of Human Plantar Flexors

J. P. Vardiman
1   Health, Sport and Exercise Science, University of Kansas, Lawrence, United States
,
J. Siedlik
1   Health, Sport and Exercise Science, University of Kansas, Lawrence, United States
,
T. Herda
1   Health, Sport and Exercise Science, University of Kansas, Lawrence, United States
,
W. Hawkins
1   Health, Sport and Exercise Science, University of Kansas, Lawrence, United States
,
M. Cooper
2   Biomedical Science, University Kansas Medical Center, Kansas City, United States
,
Z. A. Graham
1   Health, Sport and Exercise Science, University of Kansas, Lawrence, United States
,
J. Deckert
1   Health, Sport and Exercise Science, University of Kansas, Lawrence, United States
,
P. Gallagher
1   Health, Sport and Exercise Science, University of Kansas, Lawrence, United States
› Author Affiliations
Further Information

Publication History



accepted after revision 28 May 2014

Publication Date:
27 October 2014 (online)

Abstract

The effect of instrument-assisted soft tissue mobilization (ISTM) on passive properties and inflammation in human skeletal muscle has not been evaluated. Passive properties of muscle, inflammatory myokines and subjective reporting of functional ability were used to identify the effects of ISTM on the plantar flexors. 11 healthy men were measured for passive musculotendinous stiffness (MTS), passive range of motion (PROM), passive resistive torque (PASTQ) and maximum voluntary contraction peak torque (MVCPT) for plantar flexor muscles of the lower leg. Interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) were measured from muscle biopsies from the gastrocnemius, and subjective measurements of functional ability were taken using the perception of functional ability questionnaire (PFAQ). MTS, PROM, PRT and MVCPT were measured in the treatment leg (TL) and control leg (CL) before, immediately after, 24 h, 48 h and 72 h following IASTM. Biopsies for IL-6 and TNF-α and PFAQ responses were collected before as well as 24 h, 48 h and 72 h after IASTM. There were no significant differences in MTS, PROM, PASTQ, MVCPT, IL-6 and TNF-α between the TL or CL. A significant decrease in the perception of function and a significant increase in pain for the TL were found following IASTM.

 
  • References

  • 1 Bergstrom J. Muscle electrolytes in man determined by neutron activation analysis on needle biopsy specimens. Scand J Clin Lab Invest 1962; 14: 1-110
  • 2 Butterfield TA, Zhao Y, Agarwal S, Haq F, Best TM. Cyclic compressive loading facilitates recovery after eccentric exercise. Med Sci Sports Exerc 2008; 40: 1289
  • 3 Cafarelli E, Flint F. The role of massage in preparation for and recovery from exercise. An overview. Sports Med 1992; 14: 1-9
  • 4 Conceicao MS, Libardi CA, Nogueira FR, Bonganha V, Gaspari AF, Chacon-Mikahil MP, Cavaglieri CR, Madruga VA. Effects of eccentric exercise on systemic concentrations of pro- and anti-inflammatory cytokines and prostaglandin (E2): comparison between young and postmenopausal women. Eur J Appl Physiol 2012; 112: 3205-3213
  • 5 Costa PB, Ryan ED, Herda TJ, Walter AA, Hoge KM, Cramer JT. Acute effects of passive stretching on the electromechanical delay and evoked twitch properties: a gender comparison. J Appl Biomech 2012; 28: 645-654
  • 6 Crane JD, Ogborn DI, Cupido C, Melov S, Hubbard A, Bourgeois JM, Tarnopolsky MA. Massage therapy attenuates inflammatory signaling after exercise-induced muscle damage. Sci Translational Med 2012; 4: 1-8 (119ra113)
  • 7 Crane JD, Ogborn DI, Cupido C, Melov S, Hubbard A, Bourgeois JM, Tarnopolsky MA. Massage therapy attenuates inflammatory signaling after exercise-induced muscle damage. Sci Translational Med 2012; 4: 119ra113
  • 8 Dannecker EA, Liu Y, Rector RS, Thomas TR, Fillingim RB, Robinson ME. Sex differences in exercise-induced muscle pain and muscle damage. J Pain 2012; 13: 1242-1249
  • 9 Davidson CJ, Ganion LR, Gehlsen GM, Verhoestra B, Roepke JE, Sevier TL. Rat tendon morphologic and functional changes resulting from soft tissue mobilization. Med Sci Sports Exerc 1997; 29: 313-319
  • 10 Delvaux F, Rochcongar P, Bruyere O, Bourlet G, Daniel C, Diverse P, Reginster JY, Croisier JL. Return-to-play criteria after hamstring injury: actual medicine practice in professional soccer teams. Br J Sports Med 2013; 47: e3
  • 11 Doran P, Gannon J, O’Connell K, Ohlendieck K. Proteomic profiling of animal models mimicking skeletal muscle disorders. Proteomics Clin Appl 2007; 1: 1169-1184
  • 12 Ebert JR, Joss B, Jardine B, Wood DJ. Randomized trial investigating the efficacy of manual lymphatic drainage to improve early outcome after total knee arthroplasty. Arch Phys Med Rehabil 2013; Epub ahead of print
  • 13 Garrido N, Oliveira G, Mendes R, Sousa N, Sousa M. Acute effects of muscle massage previous to strength training on biochemical markers of delayed onset muscle soreness. Br J Sports Med 2013; 47: e3
  • 14 Gehlsen GM, Ganion LR, Helfst R. Fibroblast responses to variation in soft tissue mobilization pressure. Med Sci Sports Exerc 1999; 31: 531-535
  • 15 George JW, Tunstall AC, Tepe RE, Skaggs CD. The effects of active release technique on hamstring flexibility: a pilot study. J Manipulative Physiol Ther 2006; 29: 224-227
  • 16 Girard O, Bishop DJ, Racinais S. Hot conditions improve power output during repeated cycling sprints without modifying neuromuscular fatigue characteristics. Eur J Appl Physiol 2013; 113: 359-369
  • 17 GrastonTechnique®. About Graston Technique (2012). In. Internet http://www.grastontechnique.com/AboutUs.html 2012
  • 18 Green M, Sinkus R, Gandevia S, Herbert R, Bilston L. Measuring changes in muscle stiffness after eccentric exercise using elastography. NMR Biomed 2012; 25: 852-858
  • 19 Haas C, Butterfield TA, Abshire S, Zhao Y, Zhang X, Jarjoura D, Best TM. Massage timing affects post-exercise muscle recovery and inflammation in a rabbit model. Med Sci Sports Exerc 2012;
  • 20 Haas C, Butterfield TA, Zhao Y, Zhang X, Jarjoura D, Best TM. Dose-dependency of massage-like compressive loading on recovery of active muscle properties following eccentric exercise: rabbit study with clinical relevance. Br J Sports Med 2013; 47: 83-88
  • 21 Harriss DJ, Atkinson G. Update – Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
  • 22 Herda TJ, Cramer JT, Ryan ED, McHugh MP, Stout JR. Acute effects of static versus dynamic stretching on isometric peak torque, electromyography, and mechanomyography of the biceps femoris muscle. J Strength Cond Res 2008; 22: 809
  • 23 Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol 2000; 10: 361-374
  • 24 Ingalls CP, Warren GL, Williams JH, Ward CW, Armstrong RB. E-C coupling failure in mouse EDL muscle after in vivo eccentric contractions. J Appl Physiol 1998; 85: 58-67
  • 25 Levine DW, Simmons BP, Koris M, Daltroy L, Hohl G, Fossel A, Katz J. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am 1993; 75: 1585-1585
  • 26 Loghmani MT, Warden SJ. Instrument-assisted cross-fiber massage accelerates knee ligament healing. J Orthop Sports Phys Ther 2009; 39: 506-514
  • 27 MacIntyre DL, Sorichter S, Mair J, Berg A, McKenzie DC. Markers of inflammation and myofibrillar proteins following eccentric exercise in humans. Eur J Appl Physiol 2001; 84: 180-186
  • 28 Magnusson SP, Simonsen EB, Aagaard P, Kjaer M. Biomechanical responses to repeated stretches in human hamstring muscle in vivo. Am J Sports Med 1996; 24: 622-628
  • 29 Magnusson SP, Simonsen EB, Aagaard P, Sorensen H, Kjaer M. A mechanism for altered flexibility in human skeletal muscle. J Physiol 1996; 497: 291-298
  • 30 Muir IW, Chesworth BM, Vandervoort AA. Effect of a static calf-stretching exercise on the resistive torque during passive ankle dorsiflexion in healthy subjects. J Orthop Sports Phys Ther 1999; 29: 106-113 discussion 114-105
  • 31 Neme Ide B, Alessandro Soares Nunes L, Brenzikofer R, Macedo DV. Time course of muscle damage and inflammatory responses to resistance training with eccentric overload in trained individuals. Mediat Inflamm 2013; Epub 2013 Jan 22
  • 32 Nordez A. Acute effects of static stretching on passive stiffness of the hamstring muscles calculated using different mathematical models. Clin Biomech (Bristol Avon) 2006; 7: 755-760
  • 33 Nosaka K, Newton M, Sacco P. Delayed-onset muscle soreness does not reflect the magnitude of eccentric exercise-induced muscle damage. Scand J Med Sci Sports 2002; 12: 337-346
  • 34 Papa JA. Conservative management of achilles tendinopathy: a case report. J Can Chiropr Assoc 2012; 56: 216-224
  • 35 Paulsen G, Mikkelsen UR, Raastad T, Peake JM. Leucocytes, cytokines and satellite cells: what role do they play in muscle damage and regeneration following eccentric exercise?. Exerc Immunol Rev 2012; 18: 42-97
  • 36 Peake J, Nosaka KK, Suzuki K. Characterization of inflammatory responses to eccentric exercise in humans. Exerc Immunol Rev 2005; 11: 64-85
  • 37 Pearson SJ, McMahon J. Lower limb mechanical properties: Determining factors and implications for performance. Sports Med 2012; 42: 929-940
  • 38 Petersen AM, Pedersen BK. The anti-inflammatory effect of exercise. J Appl Physiol 2005; 98: 1154-1162
  • 39 Preyde M. Effectiveness of massage therapy for subacute low-back pain: a randomized controlled trial. Can Med Assoc J 2000; 162: 1815-1820
  • 40 Riemann BL, DeMont RG, Ryu K, Lephart SM. The effects of sex, joint angle, and the gastrocnemius muscle on passive ankle joint complex stiffness. J Athl Train 2001; 36: 369-375
  • 41 Skaara HE, Moksnes H, Frihagen F, Stuge B. Self-reported and performance-based functional outcomes after surgical repair of proximal hamstring avulsions. Am J Sports Med 2013; Epub ahead of print
  • 42 Takekura H, Fujinami N, Nishizawa T, Ogasawara H, Kasuga N. Eccentric exercise-induced morphological changes in the membrane systems involved in excitation-contraction coupling in rat skeletal muscle. J Physiol 2004; 533: 571-583
  • 43 Tiidus PM, Shoemaker JK. Effleurage massage, muscle blood flow and long-term post-exercise strength recovery. Int J Sports Med 1995; 16: 478-483
  • 44 Tufano JJ, Brown LE, Coburn JW, Tsang KK, Cazas VL, LaPorta JW. Effect of aerobic recovery intensity on delayed onset muscle soreness and strength. J Strength Cond Res 2012; 26: 2777-2782
  • 45 Ursin H. Sensitization, somatization, and subjective health complaints. Int J Behav Med 1997; 4: 105-116
  • 46 Vaczi M, Racz L, Hortobagyi T, Tihanyi J. Dynamic contractility and efficiency impairments in stretch-shortening cycle are stretch-load dependent after training-induced muscle damage. J Strength Cond Res 2012; 27: 2171-2179
  • 47 Wang HK, Lin KH, Su SC, Shih TT, Huang YC. Effects of tendon viscoelasticity in Achilles tendinosis on explosive performance and clinical severity in athletes. Scand J Med Sci Sports 2012; 22: e147-e155
  • 48 Weerapong P, Hume PA, Kolt GS. The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med 2005; 35: 235-256
  • 49 White KE. High hamstring tendinopathy in 3 female long distance runners. J Chiropr Med 2011; 10: 93-99
  • 50 Winter D. Biomechanics and motor control of human movement. New York, NY: John Wiley & Sons Inc.; 1990
  • 51 Zainuddin Z, Newton M, Sacco P, Nosaka K. Effects of massage on delayed-onset muscle soreness, swelling, and recovery of muscle function. J Athl Train 2005; 40: 174-180