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Bernadetta Maria Wara Kushartanti1, Rachmah Laksmi Ambardini1

1Yogyakarta State University, Faculty of Sport Sciences, Yogyakarta, Indonesia

Deep Tissue Massage and Soft Tissue Release in the Management of Chronic Ankle Injury

Sport Mont 2020, 18(1), Ahead of Print | DOI: 10.26773/smj.200209

Abstract

Deep Tissue Massage and Soft Tissue Release have been widely applied for injury rehabilitation. Both types of massage aim to eliminate the muscle tension that precedes or follows an injury. It is not known how effective each method is, and whether a difference between the two exists in achieving a desirable outcome of injuries, especially ankle injuries, which often occur. With this rationale, this study will examine the effectiveness and the differences of the massage approaches in managing ankle injuries. An experimental method was used in this study, involving 40 research subjects with chronic ankle injuries. Convenience sampling was used to recruit subjects, following which informed consent was signed following sufficient explanation about the experiment. Before and after the treatment approaches were carried out, the degree of pain perceived by the subjects was assessed with the Visual Analog Scale (VAS), and the level of ankle function was measured with Adapted Foot and Ankle Ability Measurement (FAAM). Ordinal collected data were analysed with non-parametric Wilcoxon sign rank test to determine the effectiveness of each method, and the U Mann Whitney to estimate the differences between the two methods. The results showed that Deep Tissue Massage and Soft Tissue Release massage decreased pain and increased ankle function significantly (p=0.001), with the effectiveness of 67.5% and 61.1%, respectively ,for decreasing pain and 21% and 24.7%, respectively, for increasing ankle function. There was no significant difference in effectiveness between Deep Tissue Massage and Soft Tissue Release in the management of chronic ankle injuries.

Keywords

deep tissue massage, soft tissue release, ankle injury



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References

Abdurahman, M. (2015). Gambaran Cedera Olahraga Atlet Taekwondo pada Kompetisi Pra Pekan Olahraga Nasional 2015. Media Informasi RSON.

Anderson, M.K., & Parr, G.P. (2011). Fundamental of Sport Injury Management. Philadelphia: Lippincott Williams & Wilkins, Wolter Klemer.

Badekas, T., Papadakis, SA., Vergados, N., Galanakos, SP., Siapkara, A., & Forgrave, M. (2009). Foot and Ankle Injuries During The Athens 2004 Olympic Ganes. Journal of Foot and Ankle Research. https://doi.org/10.1186/1757-1146-2-9.

Elliott, S., Ellis, M., Combs, S., & Hunt Long, L. (2015). Ankle Injuries: Reduce the Risk by Using a Soccer-SpecificWarm-Up Routine. Strategies, 28(5), 34–39. https://doi.org/10.1080/08924562.2015.1066283

Farquhar, W. (2013). Muscle Spindle Traffic in Functionally Unstable Ankles During Ligamen Stress. Journal of Athletic Training, 48(2), 192-202.https://doi.org/10.4085/1062-6050-48.1.09

Fernandez, F. (2016). Deep Tissue Massage Treatment (A Handbook of Neuromuscular Therapy). Elsevier’s Health Sciences Rights Department in Philadelphia.

Field, T. (2018). Pain and Massage Therapy: A Narrative Review. Curr Res Complement Altern: CRAM-125. https://doi.org/10.29011/CRCAM-125/100025.

Golanó, P., Vega, J., de Leeuw, P.A.J., Malagelada, F., Manzanares, M.C., Götzens, V., & van Dijk, C. N. (2010). Anatomy of the ankle ligaments: a pictorial essay. Knee Surgery, Sports Traumatology, Arthroscopy, 18(5), 557–569. https://doi.org/10.1007/s00167-010-1100-x

Johnson, J. (2009). Soft Tissue Release (Step by Step Guide). Human Kinetics.

Johnson, J. (2011). Deep Tissue Massage (Hands-on Guides for Therapists). Human Kinetics.

Junge, A., & Dvorak, J. (2014). Injury Risk of Playing Football in Futsal World Cups. Br J Sport Med, 44(15), 1089-1092. https://doi.org/10.1136/bjsm.2010.076752

Kamal, W.I. (2016). Identifikasi Cedera Sepakbola Usia 12 tahun dalam pengaruh latihan dilihat dari Body Contact dan Non Body Contact. Skripsi, Yogyakarta. UNY.

Kisner, C., & Colby, L.A. (2007). Therapeutic Exercise: Foundation and Techniques. 5th Ed. Philadelphia: FA Davis Company.

Kisner, C., & Colby, LA. (2012). Therapeutic Exercise: Foundation and Techniques. 6th Ed. Philadelphia: FA Davis Company.

Lin, C.W.C., Hiller, C.E., & de Bie, R.A. (2010). Evidence-based treatment for ankle injuries: a clinical perspective. Journal of Manual & Manipulative Therapy, 18(1), 22–28. https://doi.org/10.1179/106698110x1259577084952

Namvar, H., Olyaei, G., Moghadam, A., & Hosseinifar, M. (2016). Effect of Myofascial Release Technique on pain disability, maximum isometric contraction on the extensor muscles, and pressure pain threshold in patients with chronic nonspesific neck pain: Double blinded randomized cliical trial. Int J Med Res Health Sci, 5(7), 500-506.

Park, J., Shim, J., Kim, S., Namgung, S., Ku, I., Cho, M., Lee, H., & Roh, H. (2017). Application of massage for ankle joint flexibility and balance. Journal of Physical Therapy Science, 29(5), 789–792. https://doi.org/10.1589/jpts.29.789

Pattanshetty, R.B., & Raikar, A.S. (2015). Immediate Effect of Three Soft Tissue Manipulation Techniques on Pain Response and Flexibility in Chronic Plantar Fascitis: A Randomized Control Trial. Int J Physiother Res, 3(1), 875-84. https://doi.org/10.16965/ijpr.2015.101

Prentice, W.E. (2008). Arnheim’s Principles of Athletic Training: A Competency-Based Approach (13th Ed). Boston, MA: McGraw-Hill.

Sanderson, M. & Odell, J. (2013). The Soft Tissue Release Handbook. North Atlantic Books, California.

Small, K. (2009). Ankle Sprain and Fracture in Adults. Journal Orthopaedic Essential, 28, 314-320.

Vegar, S. (2013). Causes and Management of Delayed Onset Muscle Soreness: A Review. Elixir Human Physio, 55, 13205-13211.

Walls, R.J., Ross, K.A., Fraser, E.J., Hodgkins, C.W., Smith, N.A., Egan, C.J., Calder, J., & Kennedy, J.G. (2016). Football Injuries of the Ankle: A Review of Injury Mechanisms, Diagnosis and Management. World Journal of Orthopedics, 7(1), 8-19.

Weerapong, P., Hume, P.A., & Kolt, G.S. (2005). Preventative strategies for exercise-induced muscle damage. Physical and Rehabilitation Medicine, 16, 133-150