Immediate effect of myofascial release on range of motion, pain and biceps and rectus femoris muscle activity after total knee replacement

Immediate effect of myofascial release on range of motion, pain and biceps and rectus femoris muscle activity after total knee replacement

The role of a myofascial release (MFR) on flexion contractures after total knee arthroplasty (TKA) has not yet been elucidated. Therefore, the purpose of this study was to determine its immediate effect on such patients. In this A-B single subject experimental study, 33 TKA's patients with knee...

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Bibliographic Details
Published in:Journal of bodywork and movement therapies Vol. 22; no. 4; pp. 930 - 936
Main Authors: e Silva, Danielle Cristine Carvalho Muniz, de Andrade Alexandre, Dângelo José, Silva, Júlio Guilherme
Format: Journal Article
Language:English
Published: United States Elsevier Ltd 01-10-2018
Subjects:
Aged
Arthroplasty
Arthroplasty, Replacement, Knee - rehabilitation
Articular
Electromyography
Fascia
Fascia - physiopathology
Female
Hamstring Muscles - physiopathology
Humans
Knee
Male
Manual therapies
Middle Aged
Pain - rehabilitation
Range of motion
Range of Motion, Articular - physiology
Replacement
Therapy, Soft Tissue - methods
Trigger Points
Knee
Range of motion
Arthroplasty
Replacement
Articular
Electromyography
Fascia
Manual therapies
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Summary:The role of a myofascial release (MFR) on flexion contractures after total knee arthroplasty (TKA) has not yet been elucidated. Therefore, the purpose of this study was to determine its immediate effect on such patients. In this A-B single subject experimental study, 33 TKA's patients with knee flexion contracture had their gluteal, posterior fascia lata, posterior crural and plantar fasciae released. Patients' knee range of motion (KROM), pain and muscle electric activity were assessed pre- and post-intervention. An increase in electric activity of the biceps femoris muscle was identified after treatment (pre RMS = 0.087 ± 0.066 V; post RMS = 0.097 ± 0.085 V; p = 0.037). Mean gain of KROM was 5.72 ± 6.27, correspondent to an 11.9% improvement (p = 0.01). Eight subjects had their pain decreased on 56.9% (p = 0.04). MFR increased muscle activity, reduced pain and improved the KROM of TKA patients. Thus, MFR is a useful resource of rehabilitation after TKA.
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ISSN:1360-8592
1532-9283
DOI:10.1016/j.jbmt.2017.12.003