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Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review

There is a belief that tissue flossing can improve the range of motion or performance, speed up recovery, and decrease the pain caused by various diseases or injuries. As a result, many therapists, patients, and athletes are now using this technique. Consequently, in the last 5 years, a number of st...

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Autores principales: Konrad, Andreas, Močnik, Richard, Nakamura, Masatoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8176205/
https://www.ncbi.nlm.nih.gov/pubmed/34093228
http://dx.doi.org/10.3389/fphys.2021.666129
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author Konrad, Andreas
Močnik, Richard
Nakamura, Masatoshi
author_facet Konrad, Andreas
Močnik, Richard
Nakamura, Masatoshi
author_sort Konrad, Andreas
collection PubMed
description There is a belief that tissue flossing can improve the range of motion or performance, speed up recovery, and decrease the pain caused by various diseases or injuries. As a result, many therapists, patients, and athletes are now using this technique. Consequently, in the last 5 years, a number of studies have addressed these assumptions. The purpose of this scoping review is to introduce the application of a floss band and to summarize the existing evidence for the effect of floss band treatment on the range of motion, performance, recovery, and pain (due to disease or injuries). A further goal is to suggest what needs to be addressed in future studies. The online search was performed in PubMed, Scopus, and Web of Science databases. Any studies dealing with the effects of a floss band treatment on the range of motion, performance, recovery, or pain parameters in any population (e.g., patients, athletes) were included in this review. Twenty-four studies met the inclusion criteria, with a total of 513 participants. The included studies revealed that there is evidence that a single floss band treatment is able to increase the range of motion of the related joint and can positively affect jumping and strength performance. However, these findings show only small to moderate effect sizes. Although not yet clearly understood, a possible mechanism for such changes in the range of motion or performance is likely due to changed neuromuscular function, rather than changed mechanical properties, of the muscle (e.g., stiffness). All in all, there is a need to conduct long-term studies about the effects of flossing treatment on the range of motion and performance (e.g., strength or jumping parameters) and its related mechanism (e.g., pain tolerance). There is weak evidence that flossing can be of value for pain relief in the treatment of certain diseases and for speeding up recovery after exercise. Moreover, there is weak evidence that flossing might have a superior conditioning (warm-up) effect compared to stretching when the goal is to improve the range of motion or certain aspects of muscle strength, while no such superior effect has been reported when compared to foam rolling.
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spelling pubmed-81762052021-06-05 Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review Konrad, Andreas Močnik, Richard Nakamura, Masatoshi Front Physiol Physiology There is a belief that tissue flossing can improve the range of motion or performance, speed up recovery, and decrease the pain caused by various diseases or injuries. As a result, many therapists, patients, and athletes are now using this technique. Consequently, in the last 5 years, a number of studies have addressed these assumptions. The purpose of this scoping review is to introduce the application of a floss band and to summarize the existing evidence for the effect of floss band treatment on the range of motion, performance, recovery, and pain (due to disease or injuries). A further goal is to suggest what needs to be addressed in future studies. The online search was performed in PubMed, Scopus, and Web of Science databases. Any studies dealing with the effects of a floss band treatment on the range of motion, performance, recovery, or pain parameters in any population (e.g., patients, athletes) were included in this review. Twenty-four studies met the inclusion criteria, with a total of 513 participants. The included studies revealed that there is evidence that a single floss band treatment is able to increase the range of motion of the related joint and can positively affect jumping and strength performance. However, these findings show only small to moderate effect sizes. Although not yet clearly understood, a possible mechanism for such changes in the range of motion or performance is likely due to changed neuromuscular function, rather than changed mechanical properties, of the muscle (e.g., stiffness). All in all, there is a need to conduct long-term studies about the effects of flossing treatment on the range of motion and performance (e.g., strength or jumping parameters) and its related mechanism (e.g., pain tolerance). There is weak evidence that flossing can be of value for pain relief in the treatment of certain diseases and for speeding up recovery after exercise. Moreover, there is weak evidence that flossing might have a superior conditioning (warm-up) effect compared to stretching when the goal is to improve the range of motion or certain aspects of muscle strength, while no such superior effect has been reported when compared to foam rolling. Frontiers Media S.A. 2021-05-21 /pmc/articles/PMC8176205/ /pubmed/34093228 http://dx.doi.org/10.3389/fphys.2021.666129 Text en Copyright © 2021 Konrad, Močnik and Nakamura. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Physiology
Konrad, Andreas
Močnik, Richard
Nakamura, Masatoshi
Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review
title Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review
title_full Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review
title_fullStr Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review
title_full_unstemmed Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review
title_short Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review
title_sort effects of tissue flossing on the healthy and impaired musculoskeletal system: a scoping review
topic Physiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8176205/
https://www.ncbi.nlm.nih.gov/pubmed/34093228
http://dx.doi.org/10.3389/fphys.2021.666129
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