A soft massage tool is advantageous for compressing deep soft tissue with low muscle tension: Therapeutic evidence for self-myofascial release. (April 2019)

• Record Type: Journal Article
• Authors: Kim, Yushin; Hong, Youngki; Park, Hyung-Soon
• Is Part Of: Complementary therapies in medicine. Volume 43(2019)
• Page Start: 312
• Page End: 318
• Publication Date: 2019-04
• Subjects: Home program -- Self-care -- Myofascial pain syndrome -- Massage -- Neck pain -- Muscle; Alternative medicine -- Periodicals; Complementary Therapies -- Periodicals; Médecines parallèles -- Périodiques; Thérapeutique -- Périodiques; Alternative medicine; Electronic journals; Periodicals; 615.5
• DOI: 10.1016/j.ctim.2019.01.001
• Languages: English
• ISSNs: 0965-2299

Abstract

Highlights: The SIRB condition was found to be superior to the HMB condition for deep tissue pressure and muscle relaxation. The compressed soft tissue thickness in the SIRB condition was significantly lower than that in the HMB condition. Neck muscle activity in the HMB condition was significantly higher than that in the baseline and SIRB conditions. Relative rotation angles from C1 to C6 in the SIRB condition was the greatest in comparison with that of the baseline and HMB conditions. In the SIRB and HMB conditions, Numeric Rating Scale for pain was 0.2 ± 0.5 and 5.2 ± 1.4, respectively. Abstract: Objectives: This study aimed to compare the amount of deep tissue pressure and muscle relaxation between a soft inflatable rubber ball (SIRB) and a hard massage ball (HMB). Design: Crossover experimental design study. Interventions: Thirty participants with neck pain (age: 65.9 ± 3.4, Neck Disability Index score: 34.0% ± 15.2) pillowed a SIRB or an HMB beneath the suboccipital region in the supine position. For the baseline condition, participants pillowed a foam block without a ball. Main outcome measures: To quantify the amount of deep-tissue pressure by a ball, compressed soft tissue thickness was measured with lateral cervical radiographs. To assess muscle relaxation, the amount of muscle tension was determined using electromyography of the sternocleidomastoid and upper trapezius muscles. To monitor the cervical lordosis in each condition, the extension angles of the cervical vertebrae were quantified using the relative rotation angles. Results: The compressed soft tissue thickness in the SIRB condition was significantly lower than that in the HMB condition. The normalised muscle activities exhibited that right sternocleidomastoid muscle activity in the HMB condition was significantly higher than that in the baseline and SIRB conditions. In the SIRB and HMB conditions, Numeric Rating Scale for pain was 0.2 ± 0.5 and 5.2 ± 1.4, respectively. Conclusions: Our findings demonstrate that a SIRB is more advantageous than an HMB for pressing the soft tissue deeply. This finding would be related to reduced muscle tension and discomfort in the SIRB condition when compared with the HMB condition.