Wp. Hanten et Sd. Chandler, EFFECTS OF MYOFASCIAL RELEASE LEG PULL AND SAGITTAL PLANE ISOMETRIC CONTRACT-RELAX TECHNIQUES ON PASSIVE STRAIGHT-LEG RAISE ANGLE, The Journal of orthopaedic and sports physical therapy, 20(3), 1994, pp. 138-144
Experimental evidence does not currently exist to support the claims o
f clinical effectiveness for myofascial release techniques. This prese
nts an obvious need to document the effects of myofascial release. The
purpose of this study was to compare the effects of two techniques, s
agittal plan isometric contract-relax and myofascial release leg pull
for increasing hip flexion range of motion (ROM) as measured by the an
gle of passive straight-leg raise. Seventy-five nondisabled, female su
bjects 18-29 years of age were randomly assigned to contract-relax, le
g pull, or control groups. Pretest hip flexion ROM was measured for ea
ch subject's right hip with a passive straight-leg raise test using a
fluid-filled goniometer. Subjects in the treatment groups received eit
her contract-relax or leg pull treatment applied to the right lower ex
tremity; subjects in the control group remained supine quietly for 5 m
inutes. Following treatment, posttest straight-leg raise measurements
were performed. A one-way analysis of variance followed by a Newman-Ke
uls post hoc comparison of mean gain scores showed that subjects recei
ving contract-relax treatment increased their ROM significantly more t
han those who received leg pull treatment, and the increase in ROM of
subjects in both treatment groups was significantly higher than those
of the control group. The results suggest that while both contract-rel
ax and leg pull techniques can significantly increase hip flexion ROM
in normal subjects, contract-relax treatment may be more effective and
efficient than leg pull treatment.