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Instrument assisted soft tissue mobilization (IASTM) versus stretching: A comparison in effectiveness on hip active range of motion,muscle torque and power in people with hamstring tightness
Affiliation:1. Department of Medicine, Lillehei Heart Institute, University of Minnesota, 4-128 CCRB, 2231 6th Street South East, Minneapolis, MN 55455, USA;2. Department of Pediatrics, Lillehei Heart Institute, University of Minnesota, Minneapolis, MN 55455, USA;3. Center for Stem Cell and Regenerative Medicine, The Brown Foundation Institute of Molecular Medicine for the Prevention of Human Diseases, University of Texas Health Science Center at Houston, Houston, TX 77030, USA;1. Post-Graduate Program in Rehabilitation Sciences, Augusto Motta University (UNISUAM), Rio de Janeiro, Brazil;2. Almirante Adalberto Nunes Physical Education Center (CEFAN), Navy of Brazil, Brazil;3. Federal University of Rio de Janeiro - Medical School - Physiotherapy Department, Rio de Janeiro, Brazil;4. Post-Graduate Program in Exercise Science and Sports University of Rio de Janeiro State (UERJ), Rio de Janeiro, Brazil;1. Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima City, Fukushima, Japan;2. Department of Sports Medicine, Fukushima Medical University School of Medicine, Koriyama City, Japan;1. Department of Kinesiology and Sport Management, Texas Tech University, Lubbock, TX, United States;2. Department of Health and Human Performance, Oklahoma State University, Stillwater, OK, United States;3. Department of Kinesiology and Health Science, Utah State University, Logan, UT, United States;4. Department of Nutrition and Health Sciences, University of Nebraska-Lincoln, Lincoln, NE, United States
Abstract:BackgroundInstrument-assisted soft tissue mobilization (IASTM) is a new technique that has been known to be effective in reducing muscle tightness in athletics. However, little is known about its effect on the range of motion, muscle power, and torque compared to manual stretching among non-athletics. Thus, the study was aimed to compare the effectiveness between IASTM and manual stretching in improving hip flexion active range of motion (ROM), muscle torque and power on hamstring muscle complex (HMC) tightness in one session.MethodTwenty-three young male college students with unilateral hamstring tightness measured via straight leg raising (SLR) test (<65°) were randomly assigned to one of two groups. Twelve participants received the application of IASTM (group 1), and eleven received manual stretching (group 2). Hip flexion active ROM was measured via goniometer, the torque & power of the hamstring muscle were measured using Humac isokinetic dynamometer, before and after both interventions. (ISRCTN17693345).ResultsThere was no significant difference in the improvement of hip flexion active ROM (69.6 ± 6.6 vs 72.5 ± 7.9, p = .34), HMC torque (63.7 ± 14.5 vs 53.2 ± 16.3, p = .14), and HMC power (47.8 ± 11.8 vs 40.9 ± 16.3, p = .34) between group 1 and group 2 respectively. When a comparison was made within each group, significant improvements in hip active flexion ROM was found in both groups (p's < .001), and HMC power was significantly improved in group 1 (p = .04) but not in group 2.ConclusionThe current study findings demonstrate that IASTM was as effective as manual stretching in improving hip flexion active ROM, muscle torque and power among non-athletic people with HMC tightness.
Keywords:IASTM  Hamstring muscle complex  Stretching  Isokinetic testing  Muscle power
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