Self myofascial release (SMFR) is a method employed to aid in the release of soft-tissue that may have become restricted due to the formation of fascial adhesions, superficial scar tissue or myofascial trigger points.
SMFR techniques utilize an individual’s body weight and/or muscular force along with various devices.
Devices include:
Prior to utilizing this technique it is necessary to qualify the client. First you must check for all contraindications.
Contraindications include:
1. Recent trauma to the region where SMFR is to be used.
2. Any region where there is indication of bruising.
3. An increase of pain opposed to discomfort which subsides on tender points within 60 seconds.
4. Dizziness or nausea.
The assessment process should indicate that SMFR would be appropriate and necessary. There are a number of assessments that can be used to determine the appropriate procedures to follow.
Assessments include:
1. Postural Assessment
2. NeuroReflex Assessment
3. Muscle Length Assessment
4. Orthopedic Assessment
5. Movement Pattern Assessment
Findings during the assessment process may indicate either postural distortion pattens, neurological guarding patterns or muscle imbalances.
The Techniques
Generally SMFR techniques utilizes the clients own body weight and or muscular force through certain areas that have been found to require release. It is important to obtain constant feedback from your client to assist in determining the position, amount of pressure and duration of the release.
The goal of SMFR is to first inhibit localized tender regions by applying deep yet tolerable prolonged pressure. The deep pressure should be held on the tender spot until tenderness is reduced by approximately 50 to 75 percent or for up to a maximum of 60 second, which ever comes first.
The exact technique utilized may vary depending are the area and the tools being used. In general the following guideline can be applied when using the foam roller.
Gently roll the muscle using the roller moving slowly over the muscle – you may need to change angles to get the complete muscle.
Once the tenderness subsides, performing slow, rhythmical movements (pulses), compresses and lifts the soft tissues, aiding in the breakdown of superficial myofascial adhesions. It also increases the fluidity of movement within the soft-tissue.
A more advanced technique that can be added to the process is the pinning technique as soon as the client is ready to progress. This technique is generally applied to the intermediate or advanced client and is applied by first finding a “point” and holding that point for a release, then perform the pulse technique and then the muscle is then taken through its range of movement (ROM) e.g. the rectus femoris, laying prone one the roller the muscle can be taken through its ROM by knee flexion and extension. This movement should be performed slowly and controlled.