Superficial back line release versus trigger points release in chronic nonspecific low back pain patients
Abstract
The aim of this study was to investigate the effect of Superficial back line (SBL) release on pain, Pressure Pain Threshold (PPT), lumbar function, lumbar ROM, and balance in chronic nonspecific low back pain (CNSLBP) patients. Additionally, it aims to compare the effect of SBL release versus myofascial trigger points (MTrPs) release on the same variables. This was a Randomized Controlled Trial (RCT) involving forty-eight male and female patients with CNSLBP. They were randomized via an online randomization web service into 3 groups: group A (n=16) received SBL release and exercises, group B (n=16) received MTrPs release and exercises, while group C (n=16) received exercises only. There were statistically significant improvements in all outcomes post-treatment in comparison to pre-treatment within the three groups (p<0.05). After treatment, significant differences emerged between the groups in pain, PPT, lumbar extension ROM, and left anterior balance (p < 0.05). Group A showed the most favorable results in pain reduction, lumbar extension ROM, and left anterior balance compared to groups B and C, while Group B demonstrated the most favorable results in PPT compared to groups A and C. In conclusion, SBL release and MTrPs release are effective in improving pain, lumbar function, MTrPs PPT, lumbar ROM, and balance in patients with CNSLBP. SBL release is particularly effective for pain, lumbar extension ROM, and left anterior balance, while MTrPs release is most effective for improving PPT.
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Ajimsha, M. S. (2011). Effectiveness of direct vs indirect technique myofascial release in the management of tension-type headache. Journal of Bodywork and Movement Therapies, 15(4), 431–435. doi.org/10.1016/j.jbmt.2011.01.021
Alghadir, A. H., Gabr, S. A., Al-Eisa, E. S., & Alghadir, M. H. (2016). Correlation between bone mineral density and serum trace elements in response to supervised aerobic training in older adults. Clinical Interventions in Aging, 11, 265–273. doi.org/10.2147/CIA.S100566
Alshehre, Y., Alkhathami, K., Brizzolara, K., Weber, M., & Wang-Price, S. (2021). Reliability and Validity of the Y-balance Test in Young Adults with Chronic Low Back Pain. International Journal of Sports Physical Therapy, 16(3), 628–635. doi.org/10.26603/001c.23430
Alvarez, D. J., & Rockwell, P. G. (2002). Trigger points: diagnosis and management. American Family Physician, 65(4), 653–660.
Andersson, G. B. (1999). Epidemiological features of chronic low-back pain. The Lancet, 354(9178), 581–585. doi.org/10.1016/S0140-6736(99)01312-4
Antonaci, F., Sand, T., & Lucas, G. A. (1998). Pressure algometry in healthy subjects: inter-examiner variability. Scandinavian Journal of Rehabilitation Medicine, 30(1), 3–8. doi.org/10.1080/003655098444255
Avrahami, D., & Potvin, J. R. (2014). The clinical and biomechanical effects of fascial-muscular lengthening therapy on tight hip flexor patients with and without low back pain. The Journal of the Canadian Chiropractic Association, 58(4), 444–455.
Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. (2012). Non-specific low back pain. The Lancet, 379(9814), 482–491. doi.org/10.1016/S0140-6736(11)60610-7
Balasubramaniam, A., Mohangandhi, V., & Sambandamoorthy, A. K. (2014). Role of myofascial release therapy on pain and lumbar range of motion in mechanical back pain: an exploratory investigation of desk job workers. Ibnosina Journal of Medicine and Biomedical Sciences, 6(2), 75-80.
Barker, E., & Barker, W. (2018). Recommendation for key management, part 2: Best practices for key management organization (No. NIST Special Publication (SP) 800-57 Part 2 Rev. 1 (Draft)). National Institute of Standards and Technology.
Boff, T. A., Pasinato, F., Ben, Â. J., Bosmans, J. E., van Tulder, M., & Carregaro, R. L. (2020). Effectiveness of spinal manipulation and myofascial release compared with spinal manipulation alone on health-related outcomes in individuals with non-specific low back pain: randomized controlled trial. Physiotherapy, 107, 71–80. doi.org/10.1016/j.physio.2019.11.002
Cabak, A., Mielczarek, W., Kryszak, A., & Wiśniewski, D. (2021). The effect of myofascial self-relase therapy on changes in perficial back line flexibility. Polish Journal of Sports Medicine, 37(3), 159-164.
Carpentier, P. H., & Satger, B. (2009). Randomized trial of balneotherapy associated with patient education in patients with advanced chronic venous insufficiency. Journal of Vascular Surgery, 49(1), 163–170. doi.org/10.1016/j.jvs.2008.07.075
Chesterton, L. S., Sim, J., Wright, C. C., & Foster, N. E. (2007). Interrater reliability of algometry in measuring pressure pain thresholds in healthy humans, using multiple raters. The Clinical Journal of Pain, 23(9), 760–766. doi.org/10.1097/AJP.0b013e318154b6ae
Clarkson, C. R. (2013). Production data analysis of unconventional gas wells: Review of theory and best practices. International Journal of Coal Geology, 109, 101-146.
Clarkson, P. (2013). Transactional analysis psychotherapy: An integrated approach. Routledge.
Clay, J. H. (2008). Basic clinical massage therapy: integrating anatomy and treatment. Lippincott Williams & Wilkins.
Corrêa, J. B., Costa, L. O., de Oliveira, N. T., Sluka, K. A., & Liebano, R. E. (2015). Central sensitization and changes in conditioned pain modulation in people with chronic nonspecific low back pain: a case-control study. Experimental Brain Research, 233(8), 2391–2399. doi.org/10.1007/s00221-015-4309-6
Costa, C., Aguzzi, J., Menesatti, P., Antonucci, F., Rimatori, V., & Mattoccia, L. M. (2008). Shape analysis of different populations of clams in relation to their geographical structure. Journal of Zoology, 276(1), 71-80.
Cox, M. E., Asselin, S., Gracovetsky, S. A., Richards, M. P., Newman, N. M., Karakusevic, V., Zhong, L., & Fogel, J. N. (2000). Relationship between functional evaluation measures and self-assessment in nonacute low back pain. Spine, 25(14), 1817–1826. doi.org/10.1097/00007632-200007150-00013
Davidson, M., & Keating, J. L. (2002). A comparison of five low back disability questionnaires: reliability and responsiveness. Physical Therapy, 82(1), 8–24. doi.org/10.1093/ptj/82.1.8
Dayanır, I. O., Birinci, T., Kaya Mutlu, E., Akcetin, M. A., & Akdemir, A. O. (2020). Comparison of Three Manual Therapy Techniques as Trigger Point Therapy for Chronic Nonspecific Low Back Pain: A Randomized Controlled Pilot Trial. Journal of Alternative and Complementary Medicine, 26(4), 291–299. doi.org/10.1089/acm.2019.0435
de las Peñas, C. F., Campo, M. S., Carnero, J. F., & Page, J. C. M. (2005). Manual therapies in myofascial trigger point treatment: a systematic review. Journal of Bodywork and Movement Therapies, 9(1), 27-34.
Degenhardt, B. F., Johnson, J. C., Brooks, W. J., & Norman, L. (2018). Characterizing Adverse Events Reported Immediately After Osteopathic Manipulative Treatment. The Journal of the American Osteopathic Association, 118(3), 141–149. doi.org/10.7556/jaoa.2018.033
della Volpe, R., Popa, T., Ginanneschi, F., Spidalieri, R., Mazzocchio, R., & Rossi, A. (2006). Changes in coordination of postural control during dynamic stance in chronic low back pain patients. Gait & Posture, 24(3), 349–355. doi.org/10.1016/j.gaitpost.2005.10.009
Dhiman, N. R., Das, B., Mohanty, C., Singh, O. P., Gyanpuri, V., & Raj, D. (2021). Myofascial release versus other soft tissue release techniques along superficial back line structures for improving flexibility in asymptomatic adults: A systematic review with meta-analysis. Journal of Bodywork and Movement Therapies, 28, 450–457. doi.org/10.1016/j.jbmt.2021.06.026
Doğancali, U., Çil, E.T., & Subasi, F. (2023). Comparison of the Effects of Self-Myofascial Release and Combined Core Stabilization Exercises in Physiotherapy and Rehabilitation Students with Non-Specific Low Back Pain. International Journal of Disabilities Sports and Health Sciences, 6(1), 24-37. doi.org/10.5535/arm.2011.35.6.852
Eagan, T. S., Meltzer, K. R., & Standley, P. R. (2007). Importance of strain direction in regulating human fibroblast proliferation and cytokine secretion: a useful in vitro model for soft tissue injury and manual medicine treatments. Journal of Manipulative and Physiological Therapeutics, 30(8), 584–592. doi.org/10.1016/j.jmpt.2007.07.013
Engel, R. M., Brown, B. T., Swain, M. S., & Lystad, R. P. (2014). The provision of chiropractic, physiotherapy and osteopathic services within the Australian private health-care system: a report of recent trends. Chiropractic & Manual Therapies, 22(1), 3. doi.org/10.1186/2045-709X-22-3
Fousekis, K., Eid, K., Tafa, E., Gkrilias, P., Mylonas, K., Angelopoulos, P., Koumoundourou, D., Billis, V., & Tsepis, E. (2019). Can the application of the Ergon® IASTM treatment on remote parts of the superficial back myofascial line be equally effective with the local application for the improvement of the hamstrings' flexibility? A randomized control study. Journal of Physical Therapy Science, 31(7), 508–511. doi.org/10.1589/jpts.31.508
Fousekis, K., Eid, K., Tafa, E., Gkrilias, P., Mylonas, K., Angelopoulos, P., Koumoundourou, D., Billis, V., & Tsepis, E. (2019). Can the application of the Ergon® IASTM treatment on remote parts of the superficial back myofascial line be equally effective with the local application for the improvement of the hamstrings' flexibility? A randomized control study. Journal of Physical Therapy Science, 31(7), 508–511. doi.org/10.1589/jpts.31.508
Gebhardt, W. A. (1994). Effectiveness of training to prevent job-related back pain: a meta-analysis. The British Journal of Clinical Psychology, 33(4), 571–574. doi.org/10.1111/j.2044-8260.1994.tb01153.x
Gill, S. A., Noor, S., & Ahmed, E. (2019). Effect of Stretching Exercises on Flexibility of Male Athletes of Punjab University. Pakistan Social Sciences Review, 3(1), 627-632.
Glomsrød, B., Lønn, J. H., Soukup, M. G., Bø, K., & Larsen, S. (2001). "Active back school", prophylactic management for low back pain: three-year follow-up of a randomized, controlled trial. Journal of Rehabilitation Medicine, 33(1), 26–30. https://doi.org/10.1080/165019701300006506
Gomaa, A. M., Nino-Penaloza, A., Castillo, D., McCartney, E., & Mayor, J. (2016, February). Experimental investigation of particulate diverter used to enhance fracture complexity. In SPE International Conference and Exhibition on Formation Damage Control. OnePetro.
Gorman, P. P., Butler, R. J., Rauh, M. J., Kiesel, K., & Plisky, P. J. (2012). Differences in dynamic balance scores in one sport versus multiple sport high school athletes. International Journal of Sports Physical Therapy, 7(2), 148–153.
Gribble, P. A., Hertel, J., & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of Athletic Training, 47(3), 339–357. doi.org/10.4085/1062-6050-47.3.08
Grieve, R., Goodwin, F., Alfaki, M., Bourton, A. J., Jeffries, C., & Scott, H. (2015). The immediate effect of bilateral self myofascial release on the plantar surface of the feet on hamstring and lumbar spine flexibility: A pilot randomised controlled trial. Journal of Bodywork and Movement Therapies, 19(3), 544–552. doi.org/10.1016/j.jbmt.2014.12.004
Guermazi, A., Lafitte, F., Miaux, Y., Adem, C., Bonneville, J. F., & Chiras, J. (2005). The dural tail sign--beyond meningioma. Clinical Radiology, 60(2), 171–188. doi.org/10.1016/j.crad.2004.01.019
Hamaoui, A., Do, M. C., & Bouisset, S. (2004). Postural sway increase in low back pain subjects is not related to reduced spine range of motion. Neuroscience Letters, 357(2), 135–138. doi.org/10.1016/j.neulet.2003.12.047
Hanten, W. P., Olson, S. L., Butts, N. L., & Nowicki, A. L. (2000). Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Physical Therapy, 80(10), 997–1003.
Harrison, D. D., Harrison, S. O., Croft, A. C., Harrison, D. E., & Troyanovich, S. J. (2000). Sitting biomechanics, part II: optimal car driver's seat and optimal driver's spinal model. Journal of Manipulative and Physiological Therapeutics, 23(1), 37–47.
Harrison, D. D., Harrison, S. O., Croft, A. C., Harrison, D. E., & Troyanovich, S. J. (1999). Sitting biomechanics part I: review of the literature. Journal of Manipulative and Physiological Therapeutics, 22(9), 594–609. doi.org/10.1016/s0161-4754(99)70020-5
Hartvigsen, J., Hancock, M. J., Kongsted, A., Louw, Q., Ferreira, M. L., Genevay, S., Hoy, D., Karppinen, J., Pransky, G., Sieper, J., Smeets, R. J., Underwood, M., & Lancet Low Back Pain Series Working Group (2018). What low back pain is and why we need to pay attention. The Lancet, 391(10137), 2356–2367. doi.org/10.1016/S0140-6736(18)30480-X
Henry, S. M., Hitt, J. R., Jones, S. L., & Bunn, J. Y. (2006). Decreased limits of stability in response to postural perturbations in subjects with low back pain. Clinical Biomechanics (Bristol, Avon), 21(9), 881–892. doi.org/10.1016/j.clinbiomech.2006.04.016
Hides, J. A., Belavý, D. L., Cassar, L., Williams, M., Wilson, S. J., & Richardson, C. A. (2009). Altered response of the anterolateral abdominal muscles to simulated weight-bearing in subjects with low back pain. European Spine Journal, 18(3), 410–418. doi.org/10.1007/s00586-008-0827-2
Hides, J. A., Stanton, W. R., McMahon, S., Sims, K., & Richardson, C. A. (2008). Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. The Journal of Orthopaedic and Sports Physical Therapy, 38(3), 101–108. doi.org/10.2519/jospt.2008.2658
Hides, J., Gilmore, C., Stanton, W., & Bohlscheid, E. (2008). Multifidus size and symmetry among chronic LBP and healthy asymptomatic subjects. Manual Therapy, 13(1), 43–49. doi.org/10.1016/j.math.2006.07.017
Hides, J., Stanton, W., Freke, M., Wilson, S., McMahon, S., & Richardson, C. (2008). MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain. British Journal of Sports Medicine, 42(10), 809–813. doi.org/10.1136/bjsm.2007.044024
Hodges, P. W., Moseley, G. L., Gabrielsson, A., & Gandevia, S. C. (2003). Experimental muscle pain changes feedforward postural responses of the trunk muscles. Experimental Brain Research, 151(2), 262–271. doi.org/10.1007/s00221-003-1457-x
Hodges, P. W., Pengel, L. H., Herbert, R. D., & Gandevia, S. C. (2003). Measurement of muscle contraction with ultrasound imaging. Muscle & Nerve, 27(6), 682–692. doi.org/10.1002/mus.10375
Hou, C. R., Tsai, L. C., Cheng, K. F., Chung, K. C., & Hong, C. Z. (2002). Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Archives of Physical Medicine and Rehabilitation, 83(10), 1406–1414. doi.org/10.1053/apmr.2002.34834
Hyong, I. H., & Kang, J. H. (2013). The immediate effects of passive hamstring stretching exercises on the cervical spine range of motion and balance. Journal of Physical Therapy Science, 25(1), 113-116.
Hyong, I. H., & Kim, J. H. (2012). The effect of forward head on ankle joint range of motion and static balance. Journal of Physical Therapy Science, 24(9), 925-927.
Iglesias-González, J. J., Muñoz-García, M. T., Rodrigues-de-Souza, D. P., Alburquerque-Sendín, F., & Fernández-de-Las-Peñas, C. (2013). Myofascial trigger points, pain, disability, and sleep quality in patients with chronic nonspecific low back pain. Pain medicine, 14(12), 1964–1970. doi.org/10.1111/pme.12224
Jacobson, E. E., Meleger, A. L., Bonato, P., Wayne, P. M., Langevin, H. M., Kaptchuk, T. J., & Davis, R. B. (2015). Structural integration as an adjunct to outpatient rehabilitation for chronic nonspecific low back pain: a randomized pilot clinical trial. Evidence-Based Complementary and Alternative Medicine, (1) 1-19.
Karimi, N., Ebrahimi, I., Kahrizi, S., & Torkaman, G. (2008). Evaluation of postural balance using the biodex balance system in subjects with and without low back pain. Pakistan Journal of Medical Sciences, 24(3), 372-377.
Kisner, C., Colby, L. A., & Borstad, J. (2017). Therapeutic exercise: foundations and techniques. Fa Davis.
Langevin, H. M., Stevens-Tuttle, D., Fox, J. R., Badger, G. J., Bouffard, N. A., Krag, M. H., Wu, J., & Henry, S. M. (2009). Ultrasound evidence of altered lumbar connective tissue structure in human subjects with chronic low back pain. BMC Musculoskeletal Disorders, 10, 1-9. doi.org/10.1186/1471-2474-10-151
Le Bars, D., Dickenson, A. H., & Besson, J. M. (1979). Diffuse noxious inhibitory controls (DNIC). II. Lack of effect on non-convergent neurones, supraspinal involvement and theoretical implications. Pain, 6(3), 305–327. doi.org/10.1016/0304-3959(79)90050-2
LeBauer, A., Brtalik, R., & Stowe, K. (2008). The effect of myofascial release (MFR) on an adult with idiopathic scoliosis. Journal of Bodywork and Movement Therapies, 12(4), 356–363. doi.org/10.1016/j.jbmt.2008.03.008
Lee, D. W., Shin, H. K., & Kim, K. S. (2019). Effects of dynamic myofascial release on trunk mobility and standing balance in persons with chronic nonspecific low back pain. Physical Therapy Rehabilitation Science, 8(2), 74-78.
Lee, H. I., Song, J., Lee, H. S., Kang, J. Y., Kim, M., & Ryu, J. S. (2011). Association between Cross-sectional Areas of Lumbar Muscles on Magnetic Resonance Imaging and Chronicity of Low Back Pain. Annals of Rehabilitation Medicine, 35(6), 852–859.
MacDonald, G. Z., Penney, M. D., Mullaley, M. E., Cuconato, A. L., Drake, C. D., Behm, D. G., & Button, D. C. (2013). An acute bout of self-myofascial release increases range of motion without a subsequent decrease in muscle activation or force. Journal of Strength and Conditioning Research, 27(3), 812–821. doi.org/10.1519/JSC.0b013e31825c2bc1
Martin, M. M. (2009). Effects of the myofascial release in diffuse systemic sclerosis. Journal of Bodywork and Movement Therapies, 13(4), 320–327. doi.org/10.1016/j.jbmt.2008.04.042
Mavajian, M., Fakhari, Z., Naghdi, S., Bagheri, H., & Jalaie, S. (2020). A pilot study on the short-term effects of myofascial release and core stability exercises on balance in chronic low back pain. Auditory and Vestibular Research, 29(2), 109-116.
Meltzer, K. R., Cao, T. V., Schad, J. F., King, H., Stoll, S. T., & Standley, P. R. (2010). In vitro modeling of repetitive motion injury and myofascial release. Journal of Bodywork and Movement Therapies, 14(2), 162–171. doi.org/10.1016/j.jbmt.2010.01.002
Melzack, R., & Wall, P. D. (1965). Pain mechanisms: a new theory. Science, 150(3699), 971–979. doi.org/10.1126/science.150.3699.971
Myers, S. S., Zanobetti, A., Kloog, I., Huybers, P., Leakey, A. D., Bloom, A. J., Carlisle, E., Dietterich, L. H., Fitzgerald, G., Hasegawa, T., Holbrook, N. M., Nelson, R. L., Ottman, M. J., Raboy, V., Sakai, H., Sartor, K. A., Schwartz, J., Seneweera, S., Tausz, M., & Usui, Y. (2014). Increasing CO2 threatens human nutrition. Nature, 510(7503), 139–142. doi.org/10.1038/nature13179
Myers, T. W. (2009). Anatomy trains: myofascial meridians for manual and movement therapists. Elsevier Health Sciences.
Natour, J., Cazotti, L.deA., Ribeiro, L. H., Baptista, A. S., & Jones, A. (2015). Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clinical Rehabilitation, 29(1), 59–68. https://doi.org/10.1177/0269215514538981
Ndetan, H., Evans, M. W., Jr, Hawk, C., & Walker, C. (2012). Chiropractic or osteopathic manipulation for children in the United States: an analysis of data from the 2007 National Health Interview Survey. Journal of Alternative and Complementary Medicine, 18(4), 347–353. doi.org/10.1089/acm.2011.0268
Ong, C. K., Doll, H., Bodeker, G., & Stewart-Brown, S. (2004). Use of osteopathic or chiropractic services among people with back pain: a UK population survey. Health & Social Care in the Community, 12(3), 265–273. doi.org/10.1111/j.1365-2524.2004.00497.x
Ozsoy, G., Ilcin, N., Ozsoy, I., Gurpinar, B., Buyukturan, O., Buyukturan, B., Kararti, C., & Sas, S. (2019). The Effects of Myofascial Release Technique Combined with Core Stabilization Exercise in Elderly with Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study. Clinical Interventions in Aging, 14, 1729–1740. https://doi.org/10.2147/CIA.S223905
Padberg, M., De Bruijn, S. F. T. M., De Haan, R. J., & Tavy, D. L. J. (2004). Treatment of chronic tension-type headache with botulinum toxin: a double-blind, placebo-controlled clinical trial. Cephalalgia, 24(8), 675-680.
Pelfort, X., Torres-Claramunt, R., Sánchez-Soler, J. F., Hinarejos, P., Leal-Blanquet, J., Valverde, D., & Monllau, J. C. (2015). Pressure algometry is a useful tool to quantify pain in the medial part of the knee: an intra- and inter-reliability study in healthy subjects. Orthopaedics & Traumatology; Surgery & Research, 101(5), 559–563. doi.org/10.1016/j.otsr.2015.03.016
Panel, P. (2001). Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain. Physical Therapy, 81(10), 1641–1674.
Plisky, P. J., Gorman, P. P., Butler, R. J., Kiesel, K. B., Underwood, F. B., & Elkins, B. (2009). The reliability of an instrumented device for measuring components of the star excursion balance test. North American Journal of Sports Physical Therapy, 4(2), 92-99.
Richter, D., Karst, M., Buhck, H., & Fink, M. G. (2017). Efficacy of Fascial Distortion Model Treatment for Acute, Nonspecific Low-Back Pain in Primary Care: A Prospective Controlled Trial. Alternative Therapies in Health and Medicine, 23(5), 24-32.
Rodríguez-Huguet, M., Gil-Salú, J. L., Rodríguez-Huguet, P., Cabrera-Afonso, J. R., & Lomas-Vega, R. (2018). Effects of Myofascial Release on Pressure Pain Thresholds in Patients with Neck Pain: A Single-Blind Randomized Controlled Trial. American Journal of Physical Medicine & Rehabilitation, 97(1), 16–22. doi.org/10.1097/PHM.0000000000000790
Saur, P. M., Ensink, F. B., Frese, K., Seeger, D., & Hildebrandt, J. (1996). Lumbar range of motion: reliability and validity of the inclinometer technique in the clinical measurement of trunk flexibility. Spine, 21(11), 1332–1338. doi.org/10.1097/00007632-199606010-00011
Schleip, R. (2003). Fascial plasticity–a new neurobiological explanation: Part 1. Journal of Bodywork and Movement Therapies, 7(1), 11-19.
Schmidt, C. O., & Kohlmann, T. (2007). Rückenschmerzen in Deutschland-ein epidemiologischer Überblick-80-90% der Deutschen sind im Laufe ihres Lebens betroffen. Der Klinikarzt, 36(12), 680-684.
Shum, G. L., Crosbie, J., & Lee, R. Y. (2005). Effect of low back pain on the kinematics and joint coordination of the lumbar spine and hip during sit-to-stand and stand-to-sit. Spine, 30(17), 1998–2004. doi.org/10.1097/01.brs.0000176195.16128.27
Simons, T., Pelled, L. H., & Smith, K. A. (1999). Making use of difference: Diversity, debate, and decision comprehensiveness in top management teams. Academy of Management Journal, 42(6), 662-673.
Tak, S. J., Lee, G. C., Lee, Y. W., & Choi, W. J. (2013). The effects of active release technique on the gluteus medius for pain relief in persons with chronic low back pain. Physical Therapy Rehabilitation Science, 2(1), 27-30.
Tamartash, H., & Bahrpeyma, F. (2022). Evaluation of Lumbar Myofascial Release Effects on Lumbar Flexion Angle and Pelvic Inclination Angle in Patients with Non-Specific Low Back Pain. International Journal of Therapeutic Massage & Bodywork, 15(1), 15–22. doi.org/10.3822/ijtmb.v15i1.709
Tamartash, H., Bahrpeyma, F., & Dizaji, M. M. (2023). Effect of Remote Myofascial Release on Lumbar Elasticity and Pain in Patients with Chronic Nonspecific Low Back Pain: A Randomized Clinical Trial. Journal of Chiropractic Medicine, 22(1), 52–59. doi.org/10.1016/j.jcm.2022.04.002
Tozzi, P., Bongiorno, D., & Vitturini, C. (2012). Low back pain and kidney mobility: local osteopathic fascial manipulation decreases pain perception and improves renal mobility. Journal of Bodywork and Movement Therapies, 16(3), 381–391. doi.org/10.1016/j.jbmt.2012.02.001
Walton A. (2008). Efficacy of myofascial release techniques in the treatment of primary Raynaud's phenomenon. Journal of Bodywork and Movement Therapies, 12(3), 274–280. doi.org/10.1016/j.jbmt.2007.12.002
Wardle, J. L., Sibbritt, D. W., & Adams, J. (2013). Referrals to chiropractors and osteopaths: a survey of general practitioners in rural and regional New South Wales, Australia. Chiropractic & Manual Therapies, 21(1), 1-9. doi.org/10.1186/2045-709X-21-5
Whiteside, S. (2020). The Effects of Manual Suboccipital Release on Patients with Low Back Pain. [Doctoral Dissertation, Azusa Pacific University].
Wilke, J., Krause, F., Vogt, L., & Banzer, W. (2016). What Is Evidence-Based About Myofascial Chains: A Systematic Review. Archives of Physical Medicine and Rehabilitation, 97(3), 454–461. doi.org/10.1016/j.apmr.2015.07.023
Willard, F. H., Vleeming, A., Schuenke, M. D., Danneels, L., & Schleip, R. (2012). The thoracolumbar fascia: anatomy, function and clinical considerations. Journal of Anatomy, 221(6), 507–536. doi.org/10.1111/j.1469-7580.2012.01511.x
Williams, W., & Selkow, N. M. (2019). Self-Myofascial Release of the Superficial Back Line Improves Sit-and-Reach Distance. Journal of Sport Rehabilitation, 29(4), 400–404. doi.org/10.1123/jsr.2018-0306
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2. The papers and works are to be published in the digital edition of the Journal under the license Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 3.0 España (legal text). The copying, using, spreading, transmitting and publicly displaying of the papers, works or publication are permitted as long as: i) the authors and original sources (Journal, publisher and URL of the publication) are quoted; ii) it is not used for commercial benefit; iii) the existence and specifications of this users license are mentioned.
3. Conditions of Self-Archiving. It is permitted and encouraged that the authors spread electronically the pre-print (before printing) and/or post-print (the revised, evaluated and accepted) versions of their papers or works before their publication since this favors their circulation and early diffusion and therefore can help increase their citation and quotation, and also there reach through the academic community.
The works and papers that are published in this Journal are subject to the following terms:
1. The Publication Service of the University of Murcia (the publisher) has the Publication Rights (Copyright) to the published papers and works, and favors and permits the reusing of the same under the license indicated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2013
2. The papers and works are to be published in the digital edition of the Journal under the license Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 3.0 España (legal text). The copying, using, spreading, transmitting and publicly displaying of the papers, works or publication are permitted as long as: i) the authors and original sources (Journal, publisher and URL of the publication) are quoted; ii) it is not used for commercial benefit; iii) the existence and specifications of this users license are mentioned.
3. Conditions of Self-Archiving. It is permitted and encouraged that the authors spread electronically the pre-print (before printing) and/or post-print (the revised, evaluated and accepted) versions of their papers or works before their publication since this favors their circulation and early diffusion and therefore can help increase their citation and quotation, and also there reach through the academic community.
