The Effect of Active Release Technique on Hamstring Extensibility: A Critically Appraised Topic.

IF 1.3 4区 医学 Q3 REHABILITATION
Journal of Sport Rehabilitation Pub Date : 2024-01-30 Print Date: 2024-03-01 DOI:10.1123/jsr.2023-0229
Mikala Palermo, Sierra Reich, Mika Rives
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引用次数: 0

Abstract

Clinical scenario: Hamstring extensibility plays a significant role in maintaining postural alignment essential for a functional musculoskeletal system. When hamstring extensibility is lacking, individuals are placed at a higher risk for developing various lumbar spine, pelvis, knee, and foot dysfunctions. Limited hamstring extensibility is common, occurring in as much as 40% of college students and 86% of the adult population. Therefore, it is essential to maintain hamstring extensibility, which can be aided by understanding intervention effectiveness for improving flexibility.

Purpose: To critically appraise the literature on the effectiveness of Active Release Technique (ART) for the treatment of hamstring extensibility deficits.

Clinical question: What is the effect of ART in a healthy population with or without hamstring extensibility deficits?

Summary of key findings: Three studies were included for critical appraisal. Two studies concluded a single treatment session of ART that individuals possessing limited straight leg raise range of motion experienced improved active knee extension, popliteal angle, and sit-and-reach test measures. In the third study, a single session of ART was effective at improving hamstring extensibility in males without hamstring extensibility dysfunction.

Clinical bottom line: Based on the current level 1 and level 3 evidence, ART may be an effective treatment to produce acute increases in hamstring extensibility. Future research is still needed.

Strength of recommendation: Level B evidence exists to support the use of ART to improve hamstring extensibility in the healthy population.

主动松解技术对腘绳肌伸展性的影响:一个值得批判的话题。
临床情景:腘绳肌的伸展性在保持姿势对齐方面起着重要作用,而姿势对齐对肌肉骨骼系统的功能至关重要。如果腘绳肌缺乏伸展性,就会增加患各种腰椎、骨盆、膝关节和足部功能障碍的风险。腘绳肌伸展性受限很常见,多达 40% 的大学生和 86% 的成年人都会出现这种情况。因此,保持腘绳肌的伸展性至关重要,而了解改善柔韧性的干预效果有助于保持腘绳肌的伸展性。目的:批判性评估有关主动松解技术(ART)治疗腘绳肌伸展性缺陷效果的文献:临床问题:在有或没有腘绳肌伸展性缺陷的健康人群中,ART 的效果如何?共纳入三项研究进行严格评估。其中两项研究得出结论:ART 一个疗程后,直腿抬高活动范围受限的患者的主动伸膝、腘绳肌角度和坐立测试指标均有所改善。在第三项研究中,对于没有腘绳肌伸展功能障碍的男性,单次 ART 治疗可有效改善腘绳肌的伸展性:临床结论:根据目前的 1 级和 3 级证据,ART 可能是一种有效的治疗方法,能急性增加腘绳肌的伸展性。仍需进行进一步研究:B级证据支持使用ART改善健康人群的腘绳肌伸展性。
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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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