Network Magazine Spring 2017 | Page 44

AUTHOR OF THE YEAR RESEARCH REVIEW SELF-MASSAGE PAIN FOR GAIN? Foam rolling has become ubiquitous on gym floors across the land – so is all that grimacing in the stretching corner really achieving results? Review by Associate Professor Mike Climstein PhD & Dr Joe Walsh Title: Is self-massage an effective range of motion strategy? A pilot study Authors: Dr’s Monteiro and colleagues. (Federal University (Brazil) and Memorial University of Newfoundland (Canada)) Source: Journal of Bodywork & Movement Therapies (2017). 21: 223-226. Introduction: I have two personalities when I go to the gym to train. First, there’s the somewhat relaxed, social persona that trains after work. Because I’m not rushing, these workouts are generally less stressful and I can add extra sets/reps or cardio time as I like. Then there’s the stressed, antisocial neurotic who has hotfooted it to the gym between patients, so has little to no time for idle chit chat and must move like a gazelle between cardio, stretching and weights, while also ensuring there’s enough time to shower and fly back to the clinic for the next patient. Stressful from woe to go, to say the least. On a positive note, using gaps between patients to get a gym (or swim) training session in is very good time management. On the negative, anti-social behaviour is never well received. Rumour has it they think I have a split personality… Regardless of my personality on the day, my training regime stipulates stretching and abs immediately following cardio, otherwise these exercises simply will not get done. Sounds easy enough, but over the past year or so, my back-slab training (as I like to refer to it) has become progressively more difficult. Not due to my ageing or lack or abdominal fitness, but because the stretching zone is increasingly inundated with people using foam rollers on every imaginable body part! What the h*ll is going on? Joe and I discussed this phenomenon 44 | NETWORK SPRING 2017 and he agreed that they may be being over- used, and in many instances may not be reaping results in exchange for the pain and effort. Used for myofascial release, in effect self-massage is believed to break up adhesions on the fibrous connective tissue (i.e. fascia) surrounding muscles. As regards the efficacy of foam rollers, we thought this instalment of Research Review was an ideal place to address one aspect of this topic, gains in flexibility. We are all aware that joint function and muscle flexibility is important for athletic and physical performance, and to some degree reduces the risk of injury. Therefore, any technique or method that can potentially enhance joint function and flexibility is worthy of investigation, and that is exactly what Dr Monteiro and his colleagues did as they compared the effectiveness of self-massage foam rolling versus self-roller massage on hamstring flexibility. Methods: As this was a pilot study (a small scale preliminary research project) there were only 10 participants, all of them young (average age 27 years) healthy males, free from musculoskeletal injury or pain. The researchers used a randomised, counter- balanced cross-over design, meaning that all subjects completed all four of the self- massage interventions, which consisted of: • foam roll ing for 60 seconds • foam rolling for 120 seconds • roller massage for 60 seconds • roller massage for 120 seconds. The foam rolling was completed by the participants sitting with their dominant leg hamstrings on top of the foam roller (from Foam Roller Brazil) and their non-dominant leg relaxed (hip and knee flexed, foot flat on the floor). Participants then rolled themselves with CEC ARTICLE