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The effect of foam rolling on local and distant pain sensitivity assessed with pressure pain thresholds in healthy participants and musculoskeletal pain patients: A systematic review
The self-treatment with a foam roller is a popular form of myofascial release, although the underlying mechanisms, particularly on pain sensitivity, remain unclear. It is hypothesized that the hypoalgesic local effects are probably due to changes in fascial and muscle tissue, whereas remote effects...
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Published in: | Journal of bodywork and movement therapies 2024-10, Vol.40, p.786-796 |
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description | The self-treatment with a foam roller is a popular form of myofascial release, although the underlying mechanisms, particularly on pain sensitivity, remain unclear. It is hypothesized that the hypoalgesic local effects are probably due to changes in fascial and muscle tissue, whereas remote effects may be influenced by central endogenous pain modulation. This systematic review aimed to quantify the difference between local and remote hypoalgesic effects of the foam rolling intervention.
A systematic search was conducted in the databases Pubmed, Cochrane Library, Web of Science, and CINAHL. Published randomized controlled trials and non-randomized controlled trials investigating the effects of foam rolling on Pressure Pain Thresholds (PPTs) in healthy individuals and patients with musculoskeletal pain were included. Quality assessment and evidence synthesis were performed according to Cochrane Handbook recommendations. A meta-analysis was performed using standardized mean differences and 95% CIs.
Local PPTs changed after rolling in a pre-post comparison with a small effect size: SMD = −0.42 (95 % CI = −0.57 to −0.26); I2 = 1 %. Remote PPTs also changed after rolling in a pre-post comparison with a small effect size: SMD = −0.47 (95 % CI = −0.80 to −0.14); I2 = 0 %. Foam rolling showed no effect on local PPTs when compared with a control group: SMD = 0.10 (95 % CI = −0.19 to 0.39); I2 = 0 %.
No consistent effects of foam rolling on PPTs were demonstrated in healthy individuals.
•Foam rolling showed no consistent hypoalgesic effects•The applied pressure by foam rolling may not be sufficient to change fascial tissue•Changes in pain sensitivity at remote areas may be due to neurological mechanisms |
doi_str_mv | 10.1016/j.jbmt.2024.05.027 |
format | article |
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A systematic search was conducted in the databases Pubmed, Cochrane Library, Web of Science, and CINAHL. Published randomized controlled trials and non-randomized controlled trials investigating the effects of foam rolling on Pressure Pain Thresholds (PPTs) in healthy individuals and patients with musculoskeletal pain were included. Quality assessment and evidence synthesis were performed according to Cochrane Handbook recommendations. A meta-analysis was performed using standardized mean differences and 95% CIs.
Local PPTs changed after rolling in a pre-post comparison with a small effect size: SMD = −0.42 (95 % CI = −0.57 to −0.26); I2 = 1 %. Remote PPTs also changed after rolling in a pre-post comparison with a small effect size: SMD = −0.47 (95 % CI = −0.80 to −0.14); I2 = 0 %. Foam rolling showed no effect on local PPTs when compared with a control group: SMD = 0.10 (95 % CI = −0.19 to 0.39); I2 = 0 %.
No consistent effects of foam rolling on PPTs were demonstrated in healthy individuals.
•Foam rolling showed no consistent hypoalgesic effects•The applied pressure by foam rolling may not be sufficient to change fascial tissue•Changes in pain sensitivity at remote areas may be due to neurological mechanisms</description><identifier>ISSN: 1360-8592</identifier><identifier>ISSN: 1532-9283</identifier><identifier>EISSN: 1532-9283</identifier><identifier>DOI: 10.1016/j.jbmt.2024.05.027</identifier><identifier>PMID: 39593677</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Foam roll ; Humans ; Local ; Massage - methods ; Musculoskeletal Pain - physiopathology ; Myofascial release ; Pain Measurement - methods ; Pain Threshold - physiology ; PPT ; Pressure ; remote</subject><ispartof>Journal of bodywork and movement therapies, 2024-10, Vol.40, p.786-796</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c281t-9100c7d8f2945ba55caf265dbdbb55f875b8873dd43003ee4f0bd463167f856c3</cites><orcidid>0000-0002-7308-5469</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39593677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Habscheid, Christoph</creatorcontrib><creatorcontrib>Szikszay, Tibor M.</creatorcontrib><creatorcontrib>Luedtke, Kerstin</creatorcontrib><title>The effect of foam rolling on local and distant pain sensitivity assessed with pressure pain thresholds in healthy participants and musculoskeletal pain patients: A systematic review</title><title>Journal of bodywork and movement therapies</title><addtitle>J Bodyw Mov Ther</addtitle><description>The self-treatment with a foam roller is a popular form of myofascial release, although the underlying mechanisms, particularly on pain sensitivity, remain unclear. It is hypothesized that the hypoalgesic local effects are probably due to changes in fascial and muscle tissue, whereas remote effects may be influenced by central endogenous pain modulation. This systematic review aimed to quantify the difference between local and remote hypoalgesic effects of the foam rolling intervention.
A systematic search was conducted in the databases Pubmed, Cochrane Library, Web of Science, and CINAHL. Published randomized controlled trials and non-randomized controlled trials investigating the effects of foam rolling on Pressure Pain Thresholds (PPTs) in healthy individuals and patients with musculoskeletal pain were included. Quality assessment and evidence synthesis were performed according to Cochrane Handbook recommendations. A meta-analysis was performed using standardized mean differences and 95% CIs.
Local PPTs changed after rolling in a pre-post comparison with a small effect size: SMD = −0.42 (95 % CI = −0.57 to −0.26); I2 = 1 %. Remote PPTs also changed after rolling in a pre-post comparison with a small effect size: SMD = −0.47 (95 % CI = −0.80 to −0.14); I2 = 0 %. Foam rolling showed no effect on local PPTs when compared with a control group: SMD = 0.10 (95 % CI = −0.19 to 0.39); I2 = 0 %.
No consistent effects of foam rolling on PPTs were demonstrated in healthy individuals.
•Foam rolling showed no consistent hypoalgesic effects•The applied pressure by foam rolling may not be sufficient to change fascial tissue•Changes in pain sensitivity at remote areas may be due to neurological mechanisms</description><subject>Foam roll</subject><subject>Humans</subject><subject>Local</subject><subject>Massage - methods</subject><subject>Musculoskeletal Pain - physiopathology</subject><subject>Myofascial release</subject><subject>Pain Measurement - methods</subject><subject>Pain Threshold - physiology</subject><subject>PPT</subject><subject>Pressure</subject><subject>remote</subject><issn>1360-8592</issn><issn>1532-9283</issn><issn>1532-9283</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1TAQhiMEohd4ARbISzY5-BLngthUFVCkSmzK2nLsMfHBiYPHaXVejOfDp6ewRLJkj_3__2j8VdUbRneMsvb9frcf57zjlDc7KneUd8-qcyYFrwfei-flLFpa93LgZ9UF4p5SOjR8eFmdiUEOou268-r33QQEnAOTSXTERT2TFEPwyw8SFxKi0YHoxRLrMeslk1X7hSAs6LO_9_lANCKUZcmDzxNZUym2BCddnko5xWCRlGoCHfJ0KE8pe-PXEoeP2fOGZgsRf0KAXPo9eledPRTFB3JF8IAZ5nJhSIJ7Dw-vqhdOB4TXT_tl9f3zp7vrm_r225ev11e3teE9y_XAKDWd7R0fGjlqKY12vJV2tOMopes7OfZ9J6xtBKUCoHF0tE0rWNu5XrZGXFbvTrlrir82wKxmjwZC0AvEDZVgQjSs47IvUn6SmhQREzi1Jj_rdFCMqiMvtVdHXurIS1GpCq9ievuUv40z2H-Wv4CK4ONJAGXKMnlSaMq3GLA-FWbKRv-__D8IQqw6</recordid><startdate>202410</startdate><enddate>202410</enddate><creator>Habscheid, Christoph</creator><creator>Szikszay, Tibor M.</creator><creator>Luedtke, Kerstin</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7308-5469</orcidid></search><sort><creationdate>202410</creationdate><title>The effect of foam rolling on local and distant pain sensitivity assessed with pressure pain thresholds in healthy participants and musculoskeletal pain patients: A systematic review</title><author>Habscheid, Christoph ; Szikszay, Tibor M. ; Luedtke, Kerstin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c281t-9100c7d8f2945ba55caf265dbdbb55f875b8873dd43003ee4f0bd463167f856c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Foam roll</topic><topic>Humans</topic><topic>Local</topic><topic>Massage - methods</topic><topic>Musculoskeletal Pain - physiopathology</topic><topic>Myofascial release</topic><topic>Pain Measurement - methods</topic><topic>Pain Threshold - physiology</topic><topic>PPT</topic><topic>Pressure</topic><topic>remote</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Habscheid, Christoph</creatorcontrib><creatorcontrib>Szikszay, Tibor M.</creatorcontrib><creatorcontrib>Luedtke, Kerstin</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bodywork and movement therapies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Habscheid, Christoph</au><au>Szikszay, Tibor M.</au><au>Luedtke, Kerstin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of foam rolling on local and distant pain sensitivity assessed with pressure pain thresholds in healthy participants and musculoskeletal pain patients: A systematic review</atitle><jtitle>Journal of bodywork and movement therapies</jtitle><addtitle>J Bodyw Mov Ther</addtitle><date>2024-10</date><risdate>2024</risdate><volume>40</volume><spage>786</spage><epage>796</epage><pages>786-796</pages><issn>1360-8592</issn><issn>1532-9283</issn><eissn>1532-9283</eissn><abstract>The self-treatment with a foam roller is a popular form of myofascial release, although the underlying mechanisms, particularly on pain sensitivity, remain unclear. It is hypothesized that the hypoalgesic local effects are probably due to changes in fascial and muscle tissue, whereas remote effects may be influenced by central endogenous pain modulation. This systematic review aimed to quantify the difference between local and remote hypoalgesic effects of the foam rolling intervention.
A systematic search was conducted in the databases Pubmed, Cochrane Library, Web of Science, and CINAHL. Published randomized controlled trials and non-randomized controlled trials investigating the effects of foam rolling on Pressure Pain Thresholds (PPTs) in healthy individuals and patients with musculoskeletal pain were included. Quality assessment and evidence synthesis were performed according to Cochrane Handbook recommendations. A meta-analysis was performed using standardized mean differences and 95% CIs.
Local PPTs changed after rolling in a pre-post comparison with a small effect size: SMD = −0.42 (95 % CI = −0.57 to −0.26); I2 = 1 %. Remote PPTs also changed after rolling in a pre-post comparison with a small effect size: SMD = −0.47 (95 % CI = −0.80 to −0.14); I2 = 0 %. Foam rolling showed no effect on local PPTs when compared with a control group: SMD = 0.10 (95 % CI = −0.19 to 0.39); I2 = 0 %.
No consistent effects of foam rolling on PPTs were demonstrated in healthy individuals.
•Foam rolling showed no consistent hypoalgesic effects•The applied pressure by foam rolling may not be sufficient to change fascial tissue•Changes in pain sensitivity at remote areas may be due to neurological mechanisms</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>39593677</pmid><doi>10.1016/j.jbmt.2024.05.027</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-7308-5469</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Foam roll Humans Local Massage - methods Musculoskeletal Pain - physiopathology Myofascial release Pain Measurement - methods Pain Threshold - physiology PPT Pressure remote |
title | The effect of foam rolling on local and distant pain sensitivity assessed with pressure pain thresholds in healthy participants and musculoskeletal pain patients: A systematic review |
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