Tissue Flossing: Difference between revisions

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'''Abbey Wright '''- Your name will be added here if you created the original content for this page.  
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== '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  &nbsp; Introduction ==
Tissue flossing (mainly known by brand names: RockFloss or Rogue Fitness Voodoo Floss) is an increasingly popular treatment modality. The term is often used simultaneously with [[Blood Flow Restriction training (BFRT)]].


[[File:Floss calf.JPG|left|thumb|267x267px|Calf flossing]][[File:Floss foot lateral.JPG|thumb|267x267px|Foot and ankle flossing]]
Currently, tissue flossing is not strongly supported by high levels of evidence. Athletes and sporting physiotherapists or practitioners that use tissue flossing techniques seek (currently unsubstantiated) benefits of:
[[File:Floss foot frontal.JPG|thumb|267x267px]]
* reduce pain
== Introduction ==
* increase range of movement
Tissue flossing (mainly known by brand names: RockFloss or Rogue Fitness Voodoo Floss) is an increasingly popular treatment modality. It has also been known as Blood Flow Restriction therapy/training (BFR).
* improved performance
 
* reduced post training muscle soreness & improved muscle recovery
Mainly used by athletes and sporting physiotherapists or practitioners to: reduce pain, increase range of movement (ROM) and improve flexibility.
[[File:Floss calf.JPG|left|400x400px|Calf flossing|frameless]]
[[File:Floss_foot_lateral.JPG|right|frameless|400x400px]]


Little evidence is currently known into how this works or why it leads to an increase in ROM or pain reduction<ref name=":0">Plocker D, Wahlquist B, Dittrich B. [https://digitalcommons.wku.edu/ijesab/vol12/iss1/37/ Effects of tissue flossing on upper extremity range of motion and power]. Ininternational journal of exercise Science: Conference proceedings 2015 (Vol. 12, No. 1, p. 37).</ref>. Although multiple blogs have been published theorizing the concept.
== The Theory ==
Most recent studies have looked at the following potential implications of this technique for:


== Theory ==
* improving muscle recovery following strength endurance training<ref>Gorny V, Stöggl T. Tissue flossing as a recovery tool for the lower extremity after strength endurance intervals. Sportverletzung Sportschaden: Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin. 2018 Feb.</ref>
On applying the band proximally or distally to the joint, under tension and holding this compression for 45-60 seconds while performing gentle ROM exercises, this causes compression and venous constriction<ref name=":1">Driller MW, Overmayer RG. [https://www.physicaltherapyinsport.com/article/S1466-853X(16)30213-9/abstract The effects of tissue flossing on ankle range of motion and jump performance]. Physical Therapy in Sport. 2017 May 1;25:20-4.</ref>. The effect of compression has also been theorised to help reduce oedema and aid excess fluid return into the lymphatic system.
* alternative treatment of [[Osgood-Schlatter's Disease|Osgood-Schlatter's]] disease<ref>Weber P. Flossing: An alternative treatment approach to Osgood-Schlatter's disease: Case report of an adolescent soccer player. Journal of Bodywork and Movement Therapies. 2018 Oct 1;22(4):860-1.</ref>
* reduction of [[Delayed onset muscle soreness (DOMS)|delayed onset muscle soreness]] (DOMS)<ref>Prill R, Schulz R, Michel S. Tissue flossing: a new short-duration compression therapy for reducing exercise-induced delayed-onset muscle soreness. A randomized, controlled and double-blind pilot cross-over trial. The Journal of sports medicine and physical fitness. 2018 Oct.</ref> 
* temporary, non-significant, small improvements in jump and sprint performance and ROM when used in the ankle <ref>Driller M, Mackay K, Mills B, Tavares F. Tissue flossing on ankle range of motion, jump and sprint performance: A follow-up study. Physical Therapy in Sport. 2017 Nov 1;28:29-33.</ref><ref>Driller MW, Overmayer RG. The effects of tissue flossing on ankle range of motion and jump performance. Physical Therapy in Sport. 2017 May 1;25:20-4.</ref>


After removing the compression the re-perfusion of the blood to the muscle tissue can theoretically improve ROM and decrease pain. <ref name=":1" />  
The application of the tissue flossing band under tension causes compression and venous constriction. After removing the compression the re-perfusion of the muscle tissue can theoretically improve ROM and decrease pain. <ref name=":1">Driller MW, Overmayer RG. [https://www.physicaltherapyinsport.com/article/S1466-853X(16)30213-9/abstract The effects of tissue flossing on ankle range of motion and jump performance]. Physical Therapy in Sport. 2017 May 1;25:20-4.</ref>  


On testing in male athletes with uninjured shoulders there found to be no significant clinical improvement in ROM or power output. <ref name=":0" />
On testing in male athletes with uninjured shoulders there found to be no significant clinical improvement in ROM or power output. <ref name=":0">Plocker D, Wahlquist B, Dittrich B. [https://digitalcommons.wku.edu/ijesab/vol12/iss1/37/ Effects of tissue flossing on upper extremity range of motion and power]. Ininternational journal of exercise Science: Conference proceedings 2015 (Vol. 12, No. 1, p. 37).</ref>


One study testing a larger cohort of male and female athletes found to be a clinical improvement in ankle ROM post treatment as well as an increase in single leg jump height and velocity<ref name=":1" />  
One study testing a larger cohort of male and female athletes found to be a clinical improvement in ankle ROM post treatment as well as an increase in single leg jump height and velocity<ref name=":1" />  

Revision as of 10:23, 19 November 2018

Abbey Wright - Your name will be added here if you created the original content for this page.

Top Contributors - Abbey Wright, Claire Knott, Kim Jackson, Rucha Gadgil, Admin and Tony Lowe   Introduction[edit | edit source]

Tissue flossing (mainly known by brand names: RockFloss or Rogue Fitness Voodoo Floss) is an increasingly popular treatment modality. The term is often used simultaneously with Blood Flow Restriction training (BFRT).

Currently, tissue flossing is not strongly supported by high levels of evidence. Athletes and sporting physiotherapists or practitioners that use tissue flossing techniques seek (currently unsubstantiated) benefits of:

  • reduce pain
  • increase range of movement
  • improved performance
  • reduced post training muscle soreness & improved muscle recovery
Calf flossing
Floss foot lateral.JPG

The Theory[edit | edit source]

Most recent studies have looked at the following potential implications of this technique for:

The application of the tissue flossing band under tension causes compression and venous constriction. After removing the compression the re-perfusion of the muscle tissue can theoretically improve ROM and decrease pain. [6]

On testing in male athletes with uninjured shoulders there found to be no significant clinical improvement in ROM or power output. [7]

One study testing a larger cohort of male and female athletes found to be a clinical improvement in ankle ROM post treatment as well as an increase in single leg jump height and velocity[6]

Application[edit | edit source]

This treatment can be applied to any appendage to have affect on a painful area or stiff joint. Such as the ankle:

[8]

It can also be applied to larger joints such as the shoulder:

[9]

The manufacturers recommend not using tissue flossing on back, neck, abdomen or head.

Clinical Implications[edit | edit source]

  • Can potentially increase ROM temporarily
  • Short lasting effect after application approximately 45 min[10]
  • Pain relief
  • Possible placebo affect
  • Additional adjunct to add to clinical treatments
  • Little evidence to show either positive or negative support for use of tissue flossing at present
  • At present there is little physiological understanding into how tissue flossing works

Resources[edit | edit source]

References[edit | edit source]

  1. Gorny V, Stöggl T. Tissue flossing as a recovery tool for the lower extremity after strength endurance intervals. Sportverletzung Sportschaden: Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin. 2018 Feb.
  2. Weber P. Flossing: An alternative treatment approach to Osgood-Schlatter's disease: Case report of an adolescent soccer player. Journal of Bodywork and Movement Therapies. 2018 Oct 1;22(4):860-1.
  3. Prill R, Schulz R, Michel S. Tissue flossing: a new short-duration compression therapy for reducing exercise-induced delayed-onset muscle soreness. A randomized, controlled and double-blind pilot cross-over trial. The Journal of sports medicine and physical fitness. 2018 Oct.
  4. Driller M, Mackay K, Mills B, Tavares F. Tissue flossing on ankle range of motion, jump and sprint performance: A follow-up study. Physical Therapy in Sport. 2017 Nov 1;28:29-33.
  5. Driller MW, Overmayer RG. The effects of tissue flossing on ankle range of motion and jump performance. Physical Therapy in Sport. 2017 May 1;25:20-4.
  6. 6.0 6.1 Driller MW, Overmayer RG. The effects of tissue flossing on ankle range of motion and jump performance. Physical Therapy in Sport. 2017 May 1;25:20-4.
  7. Plocker D, Wahlquist B, Dittrich B. Effects of tissue flossing on upper extremity range of motion and power. Ininternational journal of exercise Science: Conference proceedings 2015 (Vol. 12, No. 1, p. 37).
  8. Rock Tape Go stronger go longer. Rock Tape - RockFloss tutorial - Calf. Available from: https://www.youtube.com/watch?v=L6ygP7rWwb4 [last accessed 27/10/2017]
  9. Kinetic Sports Rehab. How to Voodoo Floss your shoulder. Available from: https://www.youtube.com/watch?v=YerDfsn1jcA [last accessed 14.07.2015]
  10. Driller M, Mackay K, Mills B, Tavares F. Tissue flossing on ankle range of motion, jump and sprint performance: A follow-up study. Physical Therapy in Sport. 2017 Nov 1;28:29-33.