4. Discussion
migraine, Myofascial self-release, rupture
MIGRAINE, SCAR, ADHESIONS
The aim of this study was to compare the effects of myofascial release with Foam Roller and Findings-Oriented Manual Therapy on ROM, strength, muscle power and dynamic flexibility of lower limbs of university athletes. The results of this randomized controlled study showed a statistically significant increase in ROM (left HF: A review of the current literature presents a panorama in which OMT is applied mainly at the clinical level, being usually used in treatments for migraine [Improvements in range of motion from myofascial release using manual therapy have been described in joints, such as the temporomandibular joint, where the increase in ROM generated is equal to the use of botulinum toxin [Myofascial self-release techniques are widely used with the aim of improving ROM in athletes, due to their ability to break up scar tissue and adhesions, as well as promoting collagen synthesis and favoring tissue remodeling [Different studies have stated that the effects of myofascial release on flexibility and ROM are achieved without affecting the muscle’s ability to produce strength [The increase in strength resulting from myofascial release intervention from OMT and FR could be explained by the resting length and the optimal joint angle. Resting length is then defined as the muscle length where the greatest amount of force can be generated due to the ideal relationship between actin and myosin filaments [One of the most commonly employed methods to improve flexibility is static stretching; however, the current literature suggests that this type of intervention produces negative effects on muscle strength and power [Considering that FR is a self-applied technique, its effects depend on multiple factors associated with the subject, one of the most important is weight, since it directly influences the load exerted on the tissue and, therefore, can limit the rupture of adhesions [This study has certain limitations. Some of the tests used depend directly on the athlete’s knowledge of the gesture, such as the RM and CMJ, which can negatively impact the results when they are not practiced consistently, as is the case in this study. Even with familiarization sessions, participants did not fully adapt to the techniques. Additionally, some tests could interfere with the results of the others, so a protocol was established to decrease this risk, starting with the ROM measurement, followed by the Sit and Reach (V) test, ending with the CMJ and the RM measurement, each test was performed with a 5 min rest period in between. Another limitation is that findings-oriented interventions require a great degree of expertise on the part of the manual therapist. Finally, it is important to highlight that the subjects were not blinded to their intervention, which could have led to changes in the measurements, so it is suggested that placebos should be used in future studies.