Floss bands increase ankle joint range of motion

NewsBot · Dec 13, 2016

Members do not see these Ads. Sign Up.
The effects of tissue flossing on ankle range of motion and jump performance
Matthew W. Driller, Ryan G. Overmayer
Phys Ther Sport; Article in Press

Highlights
•Floss bands applied to the ankle for ∼2 mins increase dorsiflexion and plantarflexion ROM.
•Application of a floss band to the ankle may improve subsequent single-leg jump performance.
•Floss band use during a warm-up may reduce risk of injury and improve performance in athletes.
Click to expand...

Objectives
Tissue compression and partial vascular occlusion using band flossing results in re-perfusion of blood to the muscle tissue that may ultimately increase range of motion (ROM) and reduce risk of injury. However, the effect of band flossing on ankle ROM and jump performance is yet to be evaluated.

Design
In a crossover design, participants performed a number of tests pre and post the application of a floss band to one ankle (FLOSS), with the contralateral ankle acting as the control (CON).

Setting
University laboratory.

Participants
52 recreational athletes (29 male/23 female).

Main outcome measures
Pre and post measures included a weight-bearing lunge test (WLBT), ankle dorsiflexion (DF) and plantarflexion (PF) ROM, and single leg vertical jump height and velocity.

Results
FLOSS resulted in significant enhancements in all test measures pre to post (p < 0.01), with no significant changes pre to post for CON (p > 0.05). All pre to post changes were associated with small effect sizes for FLOSS compared to CON.

Conclusion
Floss bands applied to the ankle increase dorsiflexion and plantarflexion ROM and improve single-leg jump performance in recreational athletes. The results from this study suggest that floss bands may be used for injury prevention and athletic performance.
Click to expand...

NewsBot · Dec 13, 2016

This is what they are:

NewsBot · Aug 24, 2017

Tissue flossing on ankle range of motion, jump and sprint performance: A follow-up study
Matthew Driller et al
Phys Ther Sport; Article in Press

Highlights
•Floss bands applied to the ankle for 2 min resulted in small improvements in ROM.
•Floss bands resulted in small improvements in jump and sprint performance.
•Beneficial effects of floss bands lasted up to 45 min following application.
•Floss band use during a warm-up may reduce risk of injury and improve performance.
•This study extends our previous findings by including a time-course investigation.
Click to expand...

Objectives
Previous results from our laboratory suggest that band flossing results in increased ankle range of motion (ROM) and jump performance 5-min following application. However, the time-course of such benefits is yet to be examined.

Design
Parallel group design.

Setting
University laboratory.

Participants
69 recreational athletes (32 male/37 female).

Main outcome measures
Participants performed a weight-bearing lunge test (WBLT), a counter-movement jump (CMJ) and a 15 m sprint test (SPRINT) pre and up to 45-min post application of a floss band to both ankles (FLOSS) or without flossing of the ankle joints (CON).

Results
There was a significant intervention × time interaction in favour of FLOSS when compared to CON for the WBLT (p < 0.05). These results were associated with trivial to small effect sizes at all time points. Small, but non-significant (p > 0.05) benefits were seen for FLOSS when compared to CON for CMJ force (mean ± 90%CI: 89 ± 101 N) and 15 m SPRINT times (−0.06 ± 0.04 s) at 45-min post.

Conclusion
There is a trend towards a benefit for the use of floss bands applied to the ankle joint to improve ROM, jump and sprint performance in recreational athletes for up to 45-min following their application.
Click to expand...

NewsBot · Aug 15, 2018

The effect of tissue flossing on ankle range of motion, jump and sprint performance in elite rugby union athletes
Mills, B. S.
Thesis, Master of Health, Sport and Human Performance (MHSHP)). The University of Waikato, Hamilton, New Zealand. 2018

The anecdotal use of floss bands amongst athletic populations is becoming a popular strategy to increase joint range of motion (ROM), enhance both injury prevention and rehabilitation and improve overall athletic performance, despite limited evidence for its efficacy. Such a technique has been described as ‘tissue flossing’ and involves wrapping a thick band of rubber (floss band) tightly around a joint or muscle group, to partially occlude blood flow to the area. Recently, research has been conducted regarding the use of tissue flossing to acutely enhance the athletic qualities of ankle mobility and jumping and sprinting performance in a recreationally trained population. Research from our laboratory (see appendices), expanded on this work by investigating the time-course of potential benefits following floss band application, also in recreationally trained athletes. The work in this thesis aimed to add knowledge to current literature and to further investigate the use of tissue flossing for improved sport performance in an elite-athlete setting.
The study contained in Chapter 2 of this thesis is the first to investigate the use of tissue flossing on athletic performance in an elite setting. As part of the study, a counterbalanced crossover design was implemented whereby fourteen professional rugby union athletes (age [mean ± SD)] 24 ± 2 years) performed two experimental trials separated by one week. Each trial assessed measures of ankle dorsiflexion using a unilateral weight bearing lunge test (WBLT), bilateral countermovement jump (CMJ) height and 20m sprint times. These assessments were made at baseline and at 5 and 30 minutes following the application of floss bands on both ankles.
Analysis revealed that there were no statistically significant interactions between treatment (FLOSS or CON) and time (pre / 5 min post / 30 min post) for any of the measured variables (p > 0.05). Effect size analysis revealed small benefits for the FLOSS condition in comparison to CON for CMJ performance 5 mins post and for 10m and 15m sprint time, 30 mins post. All other measures resulted in trivial or unclear effect sizes. In conclusion, the findings from this study suggest limited support for the use of tissue flossing for improved athletic performance measures, for up to 30 minutes post application in a professional rugby union population
Click to expand...

NewsBot · Feb 3, 2019

THE EFFICACY OF UTILIZING A VOODOO FLOSS TECHNIQUE TO
CREATE A POSTERIOR TALAR GLIDE AND IMPROVE
DORSIFLEXION RANGE OF MOTION
Patrick Ives
A capstone project submitted to the
School of Behavioral and Applied Sciences
in partial fulfillment of the requirements
for the degree Doctor of Physical Therapy

Background. Research has shown that decreased ankle dorsiflexion range of motion is
detrimental to most acts of daily living. Physical therapy clinician-applied techniques to
improve arthrokinematic motion are numerous, but research on home exercise programs
focused on arthokinematic motion of the talus are limited. The purpose of this study was
to evaluate the dorsiflexion range of motion in an active individual and determine if a
voodoo flossing technique was effective at increasing joint limited range of motion.
Literature review. Current literature has provided abundant interventions to improve
joint-limited dorsiflexion within clinic, but it has failed to provide adequate home
exercise programs that patients can perform on their own at home. Case description. The
patient was a 26-year-old male active individual who wanted to work on ankle
dorsiflexion to improve his performance and decrease his likelihood of injury.
Discussion. Inadequate ankle dorsiflexion range of motion is detrimental to performing
activities of daily living and particularly when performing high intensity activities such as
running. If dorsiflexion is lacking, patients may compensate and eventually sustain an
injury. This paper demonstrated one method to increase ankle dorsiflexion range of
motion through voodoo flossing. This method is thought to require minimal explanation
and be simple enough for the patient to utilize as a home exercise program.
Click to expand...

NewsBot · Jun 14, 2019

Acute Effects of The Voodoo Flossing Band on Ankle Range of Motion
Philip J. Stevenson, Richelle K. Stevenson, Kyle W. Duarte
Journal of Medical Biomedical and Applied Sciences Vol 7 No 6 (2019)

Objective: Whilst voodoo floss bands are thought to increase range of motion through tissue compression, partial occlusion and fascial deformation, this has not been demonstrated. Consequently, this study aimed to investigate the short-term effects of using floss bands on range of motion in the ankle.
Design: This crossover design had participants go through range of motion tests prior to the application of the floss band. After the floss band was applied, participants were required to perform various non-weight bearing and body weight exercises, followed by post-intervention range of motion testing. In this study, one ankle served as the intervention (FLOSS) leg whilst the contralateral ankle served as the control (CON).
Setting: The Bangor University School of Sport, Health and Exercise Sciences (SSHES) Laboratory.
Participants: 5 recreational male athletes.
Main outcome measures: Pre and post measures included handheld goniometry for dorsiflexion (DF) and plantarflexion (PF), weight bearing lunge test (WBLT) performed with straight leg (SL) and bent leg (BL) and a subjective tightness rating (TIGHT).
Results: FLOSS resulted in one significant (p < .05) enhancement across the outcome measures as compared to CON in dorsiflexion (p < .032). However, there is a trend toward significant improvement and clinical meaningfulness (p < .15) in favor of FLOSS over CON in bent leg weight bearing lunge test (p < .145).
Conclusion: Applying floss bands to extremities to achieve an increase in range of motion is a plausible and potentially helpful treatment alternative. This study was limited by a small sample
Click to expand...

NewsBot · Feb 9, 2020

THE EFFECT OF COMPRESSION TACK AND FLOSS TECHNIQUE FOR
ACHILLES TENDONITIS
Kevin Moran
Doctor of Physical Therapy, 2019
Azusa Pacific University

Background. Research has shown that a lack of shock absorption due to limited ankle
dorsiflexion and decreased plantar flexion strength can contribute to Achilles tendonitis.
Literature review. Twelve articles were chosen for review based on their investigation of the
population and treatment, quality assessment, and level of evidence. Current literature supports
the use of combining soft tissue and joint mobilization with the eccentric loading protocol in
treating Achilles tendonitis. Limited evidence suggests that a compression tack and floss
technique can be used to improve sliding surfaces of both muscles and joints to increase range of
motion. It is unclear whether this autonomous intervention combined with eccentric loading could
lead to quicker improvements in ankle dorsiflexion as well as Achilles tendon function and pain.
Purpose. The purpose of this study was to evaluate an individual with symptoms of insertional
Achilles tendonitis and determine if improving ankle dorsiflexion range of motion using a
compression tack and floss technique in addition to the eccentric loading protocol led to a faster
recovery in Achilles tendon pain and function than the eccentric loading protocol alone. Case
description. The patient was a 28-year-old man reporting symptoms of Achilles tendonitis after 2
weeks of running. The patient applied the Voodoo floss band once a day for six weeks
performing non-weight-bearing and weight-bearing dorsiflexion in addition to the eccentric
protocol. The intervention’s outcomes included improved ankle dorsiflexion range of motion,
reduced Numerical Pain Rating Scale scores, and an improved Victorian Institute of Sport
Assessment- Achilles (VISA-A) questionnaire score. Discussion. This case study, in addition to
the literature, suggests that facilitating muscle and joint mobilization through a daily compression
tack and floss technique in addition to eccentric loading may improve weight-bearing
dorsiflexion, resulting in improved Achilles tendon pain and function.
Click to expand...

NewsBot · Feb 27, 2020

This clinical trial was just registered:
Physiotherapy Intervention With Flossing Conditioned by Verbal Suggestion About Ankle Functionality in Amateur Runners

Limited ankle functionality is one of the main causes of runner injuries. The use of flossing techniques are used to improve functionality. The administration of an expectation can modulate corticospinal excitability, improving the therapeutic response.

The objective of the study is to evaluate the effect of inducing a positive expectation along with the application of flossing on the ankle functionality in healthy amateur runners.

Randomized clinical study, single blind, with follow-up period. 20 runners will be randomized to the two study groups: experimental (flossing technique with a positive expectation) and control (flossing technique with a neutral expectation). The study variables will be: dorsal ankle flexion (Weigh Bearing Lunge Test), isometric force in plantar ankle flexion (dynamometry), elastic-explosive force (Countermovement Jump) and stability (Y Balance Test). Using a Shapiro-Wilks analysis, the sample distribution will be calculated. The changes after each evaluation will be analyzed with the t-student test of related samples and through an ANOVA of repeated measures the intra and intersubject effect will be observed. The effect size will be calculated using Cohen's formula.

It is expected to obtain changes in the variables between both groups and in the group / time interaction, which suggest an effect of the expectation on corticospinal excitability in healthy athletes.
Click to expand...

NewsBot · Apr 29, 2020

Acute Effects of Tissue Flossing on Ankle Range of Motion and Tensiomyography Parameters
Matjaž Vogrin, Fiona Novak, Teja Licen, Nina Greiner, Samo Mikl and Miloš Kalc
in Journal of Sport Rehabilitation

Context: Recently, a few papers have suggested that tissue flossing (TF) acutely improves range of motion (ROM) and neuromuscular performance. However, the effects of TF on muscle contractile properties are yet to be defined. Objective: To investigate the acute effects of TF on ankle ROM and associated muscle gastrocnemius medialis displacement and contraction time assessed with tensiomyography. Design: Crossover design in a single session. Setting: University laboratory. Participants: Thirty recreationally trained volunteers (age 23.00 [4.51] y). Intervention: Active ankle plantar flexion and dorsiflexion were performed for the duration of 2 minutes (3 sets, 2-min rest between sets), while a randomly selected ankle was wrapped using TF elastic band (BAND) and the other ankle served as a control condition (CON). Main Outcome Measures: Participants performed an active ankle plantar flexion and dorsiflexion ROM test and muscle gastrocnemius medialis tensiomyography displacement and contraction time measurement pre, 5, 15, 30, and 45 minutes after the floss band application. Results: There were no statistically significant differences between BAND and CON conditions (active ankle plantar flexion ROM: P = .09; active ankle dorsiflexion ROM: P = .85); however, all ROM measurements were associated with medium or large effect sizes in favor of BAND compared with CON. No significant changes were observed in the tensiomyography parameters. Conclusions: The results of this study suggest that TF applied to the ankle is a valid method to increase ROM and at the same time maintaining muscular stiffness.
Click to expand...

NewsBot · Jul 25, 2020

Meta-analyses of the effect of flossing
on ankle range of motion and power
jump performance
Anna Pisz et al
Balt J Health Phys Act. 2020;1

Decreased ankle range of motion (ROM) leads to many disorders, ranging in severity from gait
abnormalities to knee and pelvis injuries. Therefore, maintaining full ankle ROM is very important,
especially for athletes, for whom ankle ROM may affect their results during competitions. Medical
flossing is a technique used by physiotherapists to improve ROM. The aim of this review was to
investigate the effect of medical flossing on ankle ROM according to the results in previous studies.
‪The search was conducted with the following key words individually and/or in combinations: range of
motion, flossband, mobility bands, vascular occlusion, flossing bands, compression, voodoo floss, and
tack floss.
‪From the identified 5600 articles, only 4 studies were included in this systematic review. The results showed
that the mean difference in ROM after treatment was 1.20 cm (Hedge’s g = 0.31, p < 0.01, I2= 89%).
‪There is evidence showing that the application of flossing can be beneficial to increase the ROM.
Moreover, some of the studies confirmed a positive impact of flossing on jump performance;
nonetheless, data to confirm this effect in this review are insufficient.
Click to expand...

NewsBot · Oct 10, 2020

Application of a floss band at differing pressure levels: Effects at the ankle joint.
Galis, J and Cooper, DJ.
J Strength Cond Res XX(X): 000–000, 2020

The study aimed to examine the effects of different levels of pressure on ankle range of motion (ROM), strength, and power performance. A parallel-group design was used, and subjects were divided into 3 groups. After a warm-up and preintervention testing (ankle goniometry using a manual handheld goniometer and isokinetic dynamometry using a HUMAC NORM isokinetic dynamometer), subjects had underwrap (control) or a tissue flossing band, at 150 mm Hg (FLOSS150) or 200 mm Hg (FLOSS200) applied to one of their calves, followed by postintervention testing. Thirty university students participated and completed the testing in a university laboratory: dorsiflexion ROM (DFROM) and plantarflexion ROM (PFROM), peak torque, and power. A repeated-measures analysis of variance with Tukey post hoc showed no statistically significant differences (p > 0.05) preintervention to postintervention between each group, except for DFROM in FLOSS150 (p < 0.05). Medium and small effect sizes preintervention to postintervention were associated with improvements of DFROM (0.61; 95% confidence interval [CI] 0.39–0.83) and dorsiflexion power (0.29; 95% CI −0.13 to 0.72), respectively, in FLOSS150, while the effect size of PFROM preintervention to postintervention was −0.35 (95% CI −0.85 to 0.15) in FLOSS200. Tissue flossing of the ankle joint may be a useful intervention for increasing dorsiflexion ROM and power, which can be useful for injury prevention, enhancing performance and improving functional ability; however, the potentially harmful effects of the technique should be considered.
Click to expand...

NewsBot · Oct 25, 2020

Changes of Ankle Dorsiflexion Using Compression Tissue Flossing: A Systematic Review and Meta-Analysis
Devin S. Kielur and Cameron J. Powden
Journal of Sport Rehabilitation

Context: Impaired dorsiflexion range of motion (DFROM) has been established as a predictor of lower-extremity injury. Compression tissue flossing (CTF) may address tissue restrictions associated with impaired DFROM; however, a consensus is yet to support these effects. Objectives: To summarize the available literature regarding CTF on DFROM in physically active individuals. Evidence Acquisition: PubMed and EBSCOhost (CINAHL, MEDLINE, and SPORTDiscus) were searched from 1965 to July 2019 for related articles using combination terms related to CTF and DRFOM. Articles were included if they measured the immediate effects of CTF on DFROM. Methodological quality was assessed using the Physiotherapy Evidence Database scale. The level of evidence was assessed using the Strength of Recommendation Taxonomy. The magnitude of CTF effects from pre-CTF to post-CTF and compared with a control of range of motion activities only were examined using Hedges g effect sizes and 95% confidence intervals. Randomeffects meta-analysis was performed to synthesize DFROM changes. Evidence Synthesis: A total of 6 studies were included in the analysis. The average Physiotherapy Evidence Database score was 60% (range = 30%–80%) with 4 out of 6 studies considered high quality and 2 as low quality. Meta-analysis indicated no DFROM improvements for CTF compared with range of motion activities only (effect size = 0.124; 95% confidence interval, −0.137 to 0.384; P = .352) and moderate improvements from pre-CTF to post-CTF (effect size = 0.455; 95% confidence interval, 0.022 to 0.889; P = .040). Conclusions: There is grade B evidence to suggest CTF may have no effect on DFROM when compared with a control of range of motion activities only and results in moderate improvements from pre-CTF to post-CTF. This suggests that DFROM improvements were most likely due to exercises completed rather than the band application.
Click to expand...

NewsBot · Jun 22, 2021

Tissue Compression Flossing
- A systematic review
Gustav Gabrielsson
Source

Background: Compression Tissue Flossing (CTF) is getting more and more popular. However,
it is still unclear about the usability and function of CTF. Objective: The main objective was to
investigate the current evidence on the function and usability of CTF by doing a systematic
review. Methods: A PRISMA checklist was used to write this systematic review. Inclusion
criteria; studies that examined CTF and its different effects published 2013-2021. The
exclusion criteria were studies that were not published in English. The information sources
used in this systematic review was done on PubMed and EBSCO (MEDLINE, CINAHL,
SPORTDiscus) and as a hand research. The methodological quality was assessed using the
Physiotherapy Evidence Database scale and the AMSTAR. The method used to present the
results is by organized tables where the study results are shown.
Results: A total of 25 articles was included in the review. A total of 509 participants (mean age
22,6) was included. The average physiotherapy database score was 56% (range= 18,1%-
81,8%). 15 studies were considered as high quality, 10 as low quality. Compression Tissue
Flossing showed many different significant effects as increased range of motion, counter
movement jump, rate of force development, increased torque, jump height, jump velocity,
reduced muscle contraction time and perception of flexibility. Conclusions: The results of this
study suggest that compression tissue flossing has a good potential to be used in different
contexts of sports performance/medicine. More studies are needed to validate the use of
different floss bands and use them in bigger epidemiological settings as it right now seems to
lack in its consistency depending on the pressure and application.
Click to expand...

NewsBot · Jul 9, 2022

The Long-Term Effects of Tissue Flossing on Ankle Dorsiflexion Range of Motion in Athletes
With Chronic Ankle Instability"
Rosier, Erin,
2022 Theses and Dissertations.

Context: Ankle sprains are one of the most common sport related injuries. Recurrent
ankle sprains can lead to chronic ankle instability (CAI) which can cause many deficits in ankle
function including decreased dorsiflexion range of motion (DF-ROM). Multiple manual therapy
techniques have been studied and proven to increase DF-ROM. Tissue flossing is an additional
technique which as shown short term increases in DF-ROM. More research must be conducted
to identify the long-term effects on DF-ROM. Objective: To identify the effectiveness of tissue
flossing on increasing DF-ROM in athletes with CAI. Participants: 24 college-aged athletes
(36 limbs) on a varsity roster at one Division III institution with CAI as determined by the
FAAM and FAAM sport scores. Intervention: Participants were randomly assigned to the
placebo or tissue flossing group. Both groups completed the same intervention exercise program
for eight treatment sessions over four weeks. The tissue flossing group completed the exercises
with the floss band applied and the placebo group completed the exercises with a sham tissue
flossing band applied. Main Outcome Measures: The weight bearing lunge test (WBLT) and
modified WBLT were used to measure DF-ROM at the baseline, 72 hours post the last
intervention, and one week post the last intervention. Results: The tissue flossing group was
significantly different than the placebo group for both the WBLT and Modified WBLT at both
the 72-hour measurement and one week measurement. Conclusion: Tissue flossing improved
short and long-term DF-ROM in patients with CAI. Clinicians should consider adding tissue
flossing to CAI treatment.
Click to expand...

NewsBot · May 16, 2023

This clinical trial was just registered:
Flossing Protocol and Manual Therapy in Young Subjects With Recurrent Ankle Sprains

The most frequent lateral ankle sprain mechanism consists of talocrural plantarflexion added to a subtalar inversion. The anterior talofibular ligament, in plantar flexion, suffers maximum stress, being very sensitive to injury mechanisms with inversion of the foot, being the cause of up to 70% of sprains. The risk of injury recurrence must be taken into account. In sports practice, this percentage of recurrence is especially relevant.

Randomized clinical study. Participants will be randomized to a control or experimental group. The dependent variable will be the range of motion in ankle dorsiflexion. Secondary variables will be pressure pain threshold, and stability of the foot and ankle. Three evaluations will be carried out: before the start of the study (T0), after the intervention (T1) and after a 4-week follow-up period (T2). All evaluations will be performed by one evaluator, blinded to player assignment The intervention consists of the application of a treatment protocol based on an initial active warm-up consisting of 3 active exercises, walking for 1 minute performing slow and controlled movement of the ankle, raising the heels, 15 repetitions, dorsiflexion of the ankle in the standing position. gentleman, 15 reps. Subsequently, the floss band will be placed, performing again the 3 active warm-up exercises with the band on. After this, the passive manual techniques will be carried out for the remaining time, removing the flossing at the end of the latter, and actively mobilizing again.
Click to expand...

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Attached Files:

floss.jpg

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

External rotation bands to control rearfoot eversion

Calf/Bicep bands

my husbands ankle...

Identification of myofascial taut bands

Share This Page