Ankle flossing alters periarticular stiffness and arterial blood flow in asymptomatic athletes

Pasurka M, Lutter C, Hoppe MW, Heiß R, Gaulrapp H, Ernstberger A, Engelhardt M, Grim C, Forst R, Hotfiel T (2020)

Publication Type: Journal article

Publication year: 2020

Journal

Journal of Sports Medicine and Physical Fitness Edizioni Minerva Medica

DOI: 10.23736/S0022-4707.20.10992-7

Abstract

BACKGROUND: Tissue flossing has been introduced to increase ROM and flexibility, to enhance prevention and rehabilitation, as well as to improve athletic performance; however, limited evidence exists for its efficacy. The aim of the present study was to evaluate the effects of ankle flossing on periarticular stiffness and perfusion via acoustic radiation force impulse (ARFI) elastography and Power Doppler Sonography (PDS). METHODS: Twenty-one healthy students (age: 24±2 years, BMI: 22±3 kg/m2) were recruited as participants. ARFI was performed to evaluate periarticular ankle stiffness involving the anterior ankle capsule (AC), the anterior talofibular ligament (ATFL) and the peroneus brevis muscle (PBM). Arterial blood flow was assessed in the dorsal pedal artery. Measurements were taken under resting conditions (T0) and twice after standardized ankle flossing (T1: 0 min., T2: 60 min. post intervention). RESULTS: The connective tissue stiffness decreased significantly after ankle flossing compared to baseline (T1: AC: -12%, p=0.009; ATFL: -12%, p=0.003; T2: AC: -8%, p=0.002; ATFL: - 9%, p=0.015). The PBM stiffness decreased by 3% (T1, p=0.304) and 4% (T2, p=0.029). The perfusion measures significantly increased by 30% at T1 compared to baseline (p=0.001); no significant changes were observed at T2 (p>0.492). CONCLUSIONS: This is the first study demonstrating decreased AC and ATFL stiffness and reactive hyperaemia to be key mechanisms of ankle flossing. Additional studies must be conducted to determine whether changes in biomechanical properties influence dynamic ankle stability.

Authors with CRIS profile

Rafael Heiß Institute of Radiology Raimund Forst Departement of Orthopaedic Surgery

Involved external institutions

Universität Leipzig DE Germany (DE) Universitätsmedizin Rostock DE Germany (DE) Klinikum Osnabrück DE Germany (DE)

How to cite

APA:

Pasurka, M., Lutter, C., Hoppe, M.W., Heiß, R., Gaulrapp, H., Ernstberger, A.,... Hotfiel, T. (2020). Ankle flossing alters periarticular stiffness and arterial blood flow in asymptomatic athletes. Journal of Sports Medicine and Physical Fitness. https://doi.org/10.23736/S0022-4707.20.10992-7

MLA:

Pasurka, Mario, et al. "Ankle flossing alters periarticular stiffness and arterial blood flow in asymptomatic athletes." Journal of Sports Medicine and Physical Fitness (2020).

BibTeX: Download