Effects of Self-myofascial Release on Hamstring Flexibility in Patients With Non Specific Low Back Pain

There are different treatments that can affect the facial tissue, but MFR techniques have shown promising effects in reducing pain, improving flexibility and daily activities, these techniques involve specifically guided load long-duration mechanical forces to manipulate the myofascial complex (16). Fascia is part of a body-wide tensional force "transmission system" as facial system is innervated by mechano receptors, that when manual pressure is applied may create a range of response via myofascial pathway by transmitting tensional force and decreasing muscle tension that facilitate movement and reduce pain, However in reviewing the literature, there is still theory and hypothesis in relation to the exact mechanism underlying the efficacy of facial manual therapy Self myofascial release (SMR) works under the same principle as myofascial release technique in which individual use their own body mass to exert pressure on soft tissues by tennis ball to the plantar surface of the foot and is widely used to increase flexibility and range of movement further along the posterior muscles of a proposed anatomy train.

Inclusion criteria

• Patients with nonspecific low back pain for at least 3 months.
• >20 degree active knee extension loss with hip in 90 degree of flexion
• NPRS >3
• Patients willing to participate and take treatment.

Exclusion criteria

• Patients having severe orthopedic, neurological disease
• Patients having specific diagnose cause of low back pain (infection, tumor, lumbar spine fracture, radicular pain, cauda equina syndrome)
• Involvement in regular flexibility yoga program
• Recent(<6 months) lower limb, spinal or soft tissue injuries
• Any integumentary contraindication to MFR