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Do Self-Myofascial Release Devices Release Myofascia? Rolling Mechanisms: A Narrative Review


The term “self-myofascial release” is ubiquitous in the rehabilitation and training literature and purports that the use of foam rollers and other similar devices release myofascial constrictions accumulated from scar tissue, ischaemia-induced muscle spasms and other pathologies. Myofascial tone can be modulated with rollers by changes in thixotropic properties, blood flow, and fascial hydration affecting tissue stiffness. While rollers are commonly used as a treatment for myofascial trigger points, the identification of trigger points is reported to not be highly reliable. Rolling mechanisms underlying their effect on pain suppression are not well elucidated. Other rolling-induced mechanisms to increase range of motion or reduce pain include the activation of cutaneous and fascial mechanoreceptors and interstitial type III and IV afferents that modulate sympathetic/parasympathetic activation as well as the activation of global pain modulatory systems and reflex-induced reductions in muscle and myofascial tone. This review submits that there is insufficient evidence to support that the primary mechanisms underlying rolling and other similar devices are the release of myofascial restrictions and thus the term “self-myofascial release” devices is misleading.

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  1. 1.

    Mauntel TCC, Padua DA. Effectiveness of myofascial release therapies on physical performance measurements. Athl Train Sports Health Care. 2014;6:189–96.

  2. 2.

    Schroeder AN, Best TM. Is self myofascial release an effective preexercise and recovery strategy? A literature review. Curr Sports Med Rep. 2015;14(3):200–8. https://doi.org/10.1249/JSR.0000000000000148.

  3. 3.

    Beardsley C, Skarabot J. Effects of self-myofascial release: a systematic review. J Bodyw Mov Ther. 2015;19(4):747–58. https://doi.org/10.1016/j.jbmt.2015.08.007.

  4. 4.

    Cheatham SW, Kolber MJ, Cain M, Lee M. The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance: a systematic review. Int J Sports Phys Ther. 2015;10(6):827–38.

  5. 5.

    Wiewelhove TDA, Schneider C, Hottenrott L, Meyer T, Kellmann M, Pfeiffer M, Ferrauti A. A meta-analysis of the effects of foam rolling on performance and recovery. Front Physiol. 2019;10:4. https://doi.org/10.3389/fphys.2019.00376.

  6. 6.

    Skarabot J, Beardsley C, Stirn I. Comparing the effects of self-myofascial release with static stretching on ankle range-of-motion in adolescent athletes. Int J Sports Phys Ther. 2015;10(2):203–12.

  7. 7.

    Grieve R, Goodwin F, Alfaki M, Bourton AJ, Jeffries C, Scott H. The immediate effect of bilateral self myofascial release on the plantar surface of the feet on hamstring and lumbar spine flexibility: a pilot randomised controlled trial. J Bodyw Mov Ther. 2015;19(3):544–52. https://doi.org/10.1016/j.jbmt.2014.12.004.

  8. 8.

    Aboodarda SJ, Spence AJ, Button DC. Pain pressure threshold of a muscle tender spot increases following local and non-local rolling massage. BMC Musculoskelet Disord. 2015;16:265. https://doi.org/10.1186/s12891-015-0729-5.

  9. 9.

    Bradbury-Squires DJ, Noftall JC, Sullivan KM, Behm DG, Power KE, Button DC. Roller-massager application to the quadriceps and knee-joint range of motion and neuromuscular efficiency during a lunge. J Athl Train. 2015;50(2):133–40. https://doi.org/10.4085/1062-6050-49.5.03.

  10. 10.

    Halperin I, Aboodarda SJ, Button DC, Andersen LL, Behm DG. Roller massager improves range of motion of plantar flexor muscles without subsequent decreases in force parameters. Int J Sports Phys Ther. 2014;9(1):92–102.

  11. 11.

    Macdonald GZ, Button DC, Drinkwater EJ, Behm DG. Foam rolling as a recovery tool after an intense bout of physical activity. Med Sci Sports Exerc. 2014;46(1):131–42. https://doi.org/10.1249/MSS.0b013e3182a123db.

  12. 12.

    MacDonald GZ, Penney MD, Mullaley ME, Cuconato AL, Drake CD, Behm DG, et al. An acute bout of self-myofascial release increases range of motion without a subsequent decrease in muscle activation or force. J Strength Cond Res. 2013;27(3):812–21. https://doi.org/10.1519/JSC.0b013e31825c2bc1.

  13. 13.

    Pearcey GE, Bradbury-Squires DJ, Kawamoto JE, Drinkwater EJ, Behm DG, Button DC. Foam rolling for delayed-onset muscle soreness and recovery of dynamic performance measures. J Athl Train. 2015;50(1):5–13. https://doi.org/10.4085/1062-6050-50.1.01.

  14. 14.

    Sullivan KM, Silvey DB, Button DC, Behm DG. Roller-massager application to the hamstrings increases sit-and-reach range of motion within five to ten seconds without performance impairments. Int J Sports Phys Ther. 2013;8(3):228–36.

  15. 15.

    Mohr AR, Long BC, Goad CL. Effect of foam rolling and static stretching on passive hip-flexion range of motion. J Sport Rehabil. 2014;23(4):296–9. https://doi.org/10.1123/jsr.2013-0025.

  16. 16.

    Kelly S, Beardsley C. Specific and cross-over effects of foam rolling on ankle dorsiflexion range of motion. Int J Sports Phys Ther. 2016;11(4):544–51.

  17. 17.

    Junker DH, Stoggl TL. The foam roll as a tool to improve hamstring flexibility. J Strength Cond Res. 2015;29(12):3480–5. https://doi.org/10.1519/JSC.0000000000001007.

  18. 18.

    Monteiro ERVA, Skarabot J, Brown AF, del Melo Fiuza AGF, Gomes TM, Halperin I, da Silva Novaes J. Acute effects of different foam rolling volumes in the interset rest period on maximum repetition performance. Hong Kong Physiother J. 2017;36:57–62.

  19. 19.

    Hodgson DDQPJ, Whitten JHD, Reid JC, Behm DG. Impact of 10-minute interval roller massage on performance and active range of motion. J Strength Cond Res. 2017.

  20. 20.

    Behm DG, Blazevich AJ, Kay AD, McHugh M. Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review. Appl Physiol Nutr Metab. 2016;41(1):1–11. https://doi.org/10.1139/apnm-2015-0235.

  21. 21.

    Behm DG, Chaouachi A. A review of the acute effects of static and dynamic stretching on performance. Eur J Appl Physiol. 2011;111(11):2633–51. https://doi.org/10.1007/s00421-011-1879-2.

  22. 22.

    Behm DG. The science and physiology of flexibility and stretching: implications and applications in sport performance and health. London: Routledge Publishers; 2018.

  23. 23.

    Behara B, Jacobson BH. The acute effects of deep tissue foam rolling and dynamic stretching on muscular strength, power, and flexibility in division I Linemen. J Strength Cond Res. 2015. https://doi.org/10.1519/jsc.0000000000001051.

  24. 24.

    Healey KC, Hatfield DL, Blanpied P, Dorfman LR, Riebe D. The effects of myofascial release with foam rolling on performance. J Strength Cond Res. 2014;28(1):61–8. https://doi.org/10.1519/JSC.0b013e3182956569.

  25. 25.

    Mikesky AE, Bahamonde RE, Stanton K, Alvey T, Fitton T. Acute effects of the stick on strength, power, and flexibility. J Strength Cond Res. 2002;16(3):446–50.

  26. 26.

    Aune AAG, Bishop C, Turner AN, Papadopoulos K, Budd S, Richardson M, et al. Acute and chronic effects of foam rolling vs eccentric exercise on ROM and force output of the plantar flexors. J Sports Sci. 2018;2018:1–8. https://doi.org/10.1080/02640414.2018.1486000.

  27. 27.

    Grabow LYJD, Alcock LR, Quigley PJ, Byrne JM, Granacher U, Skrabot J, Behm DG. Higher quadriceps roller massage forces do not amplify range-of-motion increases or impair strength and jump performance. J Strength Cond Res. 2018. https://doi.org/10.1519/jsc.0000000000001906.

  28. 28.

    Hodgson DD, Quigley PJ, Whitten JHD, Reid JC, Behm DG. Impact of 10-minute interval roller massage on performance and active range of motion. J Strength Cond Res. 2017. https://doi.org/10.1519/jsc.0000000000002271.

  29. 29.

    Madoni SN, Costa PB, Coburn JW, Galpin AJ. Effects of foam rolling on range of motion, peak torque, muscle activation, and the hamstrings-to-quadriceps strength ratios. J Strength Cond Res. 2018;32(7):1821–30. https://doi.org/10.1519/JSC.0000000000002468.

  30. 30.

    Baumgart C, Freiwald J, Kuhnemann M, Hotfiel T, Huttel M, Hoppe MW. Foam rolling of the calf and anterior thigh: biomechanical loads and acute effects on vertical jump height and muscle stiffness. Sports (Basel). 2019;7:1. https://doi.org/10.3390/sports7010027.

  31. 31.

    Jones ABLE, Coburn JW, Noffal GJ. Effects of foam rolling on vertical jump performance. Int J Kinesiol Sport Sci. 2015;3:38–42.

  32. 32.

    Miller KLCPB, Coburn JW, Brsown LE. The effects of foam rolling on maximal sprint performance and range of motion. J Austral Strength Cond. 2019;27:15–26.

  33. 33.

    Behm DGDC, Wiseman S, Halperin I. Use of topical analgesic and rolling alone or in combination does not increase flexibility, pain pressure threshold, and fatigue endurance—a repeated-measures randomized, within-subjects, exploratory study. J Perform Health Res. 2018;2(1):19–26.

  34. 34.

    Peacock CA, Krein DD, Silver TA, Sanders GJ, Ka VONC. An acute bout of self-myofascial release in the form of foam rolling improves performance testing. Int J Exerc Sci. 2014;7(3):202–11.

  35. 35.

    David EAT, Ludwig K, Shapiro S. The effect of foam rolling of the hamstrings on proprioception at the knee and hip joints. Inter J Exerc Sci. 2019;12:343–54.

  36. 36.

    Cheatham SWSKR. Roller massage: comparison of three different surface type pattern foam rollers on passive knee range of motion and pain perception. J Bodyw Movement Ther. 2019. https://doi.org/10.1016/j.jbmt.2019.05.002.

  37. 37.

    Curran PF, Fiore RD, Crisco JJ. A comparison of the pressure exerted on soft tissue by 2 myofascial rollers. J Sport Rehabil. 2008;17(4):432–42.

  38. 38.

    Schleip R. Fascial plasticity—a new neurobiological explanation: Part I. J Bodyw Mov Ther. 2003;7(1):11–9.

  39. 39.

    Schleip R. Fascial plasticity—a new neurobiological explanation: Part 2. J Bodyw Mov Ther. 2003;7(2):104–16.

  40. 40.

    Findley T, Chaudhry H, Dhar S. Transmission of muscle force to fascia during exercise. J Bodyw Mov Ther. 2015;19(1):119–23. https://doi.org/10.1016/j.jbmt.2014.08.010.

  41. 41.

    Stecco C, Gagey O, Macchi V, Porzionato A, De Caro R, Aldegheri R, et al. Tendinous muscular insertions onto the deep fascia of the upper limb. First part: anatomical study. Morphologie. 2007;91(292):29–37. https://doi.org/10.1016/j.morpho.2007.05.001.

  42. 42.

    Schleip RGG, Wilke J, Naylor I, Hinz B, Zorn A, Jager H, Breul R, Schreiner S, Klingler W. Fascia is able to actively contract and may thereby influence musculoskeletal dynamics: a histochemical and mechanographic investigation. Front Physiol. 2019;10:1–15. https://doi.org/10.3389/fphys.2019.00336.

  43. 43.

    Schleip R, Duerselen L, Vleeming A, Naylor IL, Lehmann-Horn F, Zorn A, et al. Strain hardening of fascia: static stretching of dense fibrous connective tissues can induce a temporary stiffness increase accompanied by enhanced matrix hydration. J Bodyw Mov Ther. 2012;16(1):94–100. https://doi.org/10.1016/j.jbmt.2011.09.003.

  44. 44.

    Weerapong P, Hume PA, Kolt GS. The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med. 2005;35(3):235–56.

  45. 45.

    Dommerholt J, Grieve R, Layton M, Hooks T. An evidence-informed review of the current myofascial pain literature—January 2015. J Bodyw Mov Ther. 2015;19(1):126–37. https://doi.org/10.1016/j.jbmt.2014.11.006.

  46. 46.

    Dommerholt J, Hooks T, Grieve R, Layton M. A critical overview of the current myofascial pain literature—July 2015. J Bodyw Mov Ther. 2015;19(3):482–93. https://doi.org/10.1016/j.jbmt.2015.05.003.

  47. 47.

    Lucas N, Macaskill P, Irwig L, Moran R, Bogduk N. Reliability of physical examination for diagnosis of myofascial trigger points: a systematic review of the literature. Clin J Pain. 2009;25(1):80–9. https://doi.org/10.1097/AJP.0b013e31817e13b6.

  48. 48.

    Tough EA, White AR, Richards S, Campbell J. Variability of criteria used to diagnose myofascial trigger point pain syndrome—evidence from a review of the literature. Clin J Pain. 2007;23(3):278–86. https://doi.org/10.1097/AJP.0b013e31802fda7c.

  49. 49.

    Rozenfeld E, Finestone AS, Moran U, Damri E, Kalichman L. Test–retest reliability of myofascial trigger point detection in hip and thigh areas. J Bodyw Mov Ther. 2017;21(4):914–9. https://doi.org/10.1016/j.jbmt.2017.03.023.

  50. 50.

    Grieve R, Cranston A, Henderson A, John R, Malone G, Mayall C. The immediate effect of triceps surae myofascial trigger point therapy on restricted active ankle joint dorsiflexion in recreational runners: a crossover randomised controlled trial. J Bodyw Mov Ther. 2013;17(4):453–61. https://doi.org/10.1016/j.jbmt.2013.02.001.

  51. 51.

    Grieve R, Barnett S, Coghill N, Cramp F. Myofascial trigger point therapy for triceps surae dysfunction: a case series. Man Ther. 2013;18(6):519–25. https://doi.org/10.1016/j.math.2013.04.004.

  52. 52.

    Wilke J, Vogt L, Banzer W. Immediate effects of self-myofascial release on latent trigger point sensitivity: a randomized, placebo-controlled trial. Biol Sport. 2018;35(4):349–54. https://doi.org/10.5114/biolsport.2018.78055.

  53. 53.

    Houk JC, Crago PE, Rymer WZ. Functional properties of the Golgi tendon organs. In: Desmedt JE (ed) Spinal and supraspinal mechanisms of voluntary motor control and locomotion. 1980. p. 33–43.

  54. 54.

    Chalmers G. Re-examination of the possible role of Golgi tendon organ and muscle spindle reflexes in proprioceptive neuromuscular facilitation muscle stretching. Sports Biomech. 2004;3(1):159–83.

  55. 55.

    Wilke J, Niemeyer P, Niederer D, Schleip R, Banzer W. Influence of foam rolling velocity on knee range of motion and tissue stiffness: a randomized, controlled crossover trial. J Sport Rehabil. 2019. https://doi.org/10.1123/jsr.2018-0041.

  56. 56.

    Morales-Artacho AJ, Lacourpaille L, Guilhem G. Effects of warm-up on hamstring muscles stiffness: cycling vs foam rolling. Scand J Med Sci Sports. 2017;27(12):1959–69. https://doi.org/10.1111/sms.12832.

  57. 57.

    Heiss RMI, Huettel M, Lutter C, Forst R, Hoppe M, Freiwald J, Roemer FW, Hotfiel T. Evaluation of tissue stiffness in athletes with different experience in foam rolling assessed by acoustic radiation force impulse elastography. Semin Musculoskel Radiol. 2019;23:1–6. https://doi.org/10.1055/s-0039-1687708.

  58. 58.

    Hotfiel T, Swoboda B, Krinner S, Grim C, Engelhardt M, Uder M, et al. Acute effects of lateral thigh foam rolling on arterial tissue perfusion determined by spectral doppler and power Doppler ultrasound. J Strength Cond Res. 2017;31(4):893–900. https://doi.org/10.1519/JSC.0000000000001641.

  59. 59.

    Okamoto T, Masuhara M, Ikuta K. Acute effects of self-myofascial release using a foam roller on arterial function. J Strength Cond Res. 2014;28:69–73.

  60. 60.

    Bhattacharya V, Barooah PS, Nag TC, Chaudhuri GR, Bhattacharya S. Detail microscopic analysis of deep fascia of lower limb and its surgical implication. Indian J Plast Surg. 2010;43(2):135–40. https://doi.org/10.4103/0970-0358.73424.

  61. 61.

    Cavanaugh MT, Doweling A, Young JD, Quigley PJ, Hodgson DD, Whitten JH, et al. An acute session of roller massage prolongs voluntary torque development and diminishes evoked pain. Eur J Appl Physiol. 2016. https://doi.org/10.1007/s00421-016-3503-y.

  62. 62.

    Cheatham SW, Kolber MJ. Does roller massage with a foam roll change pressure pain threshold of the ipsilateral lower extremity antagonist and contralateral muscle groups? An exploratory study. J Sport Rehabil. 2018;27(2):165–9. https://doi.org/10.1123/jsr.2016-0196.

  63. 63.

    Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971–9.

  64. 64.

    Moayedi M, Davis KD. Theories of pain: from specificity to gate control. J Neurophysiol. 2013;109(1):5–12. https://doi.org/10.1152/jn.00457.2012.

  65. 65.

    Mense S. Neurobiological concepts of fibromyalgia—the possible role of descending spinal tracts. Scand J Rheumatol Suppl. 2000;113:24–9.

  66. 66.

    Pud D, Granovsky Y, Yarnitsky D. The methodology of experimentally induced diffuse noxious inhibitory control (DNIC)-like effect in humans. Pain. 2009;144(1–2):16–9. https://doi.org/10.1016/j.pain.2009.02.015.

  67. 67.

    Sigurdsson A, Maixner W. Effects of experimental and clinical noxious counterirritants on pain perception. Pain. 1994;57(3):265–75.

  68. 68.

    Joshi DGBG, Prabhu A. Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals—a randomized clinical trial. J Bodyw Mov Ther. 2018;22:832–7.

  69. 69.

    Monteiro ER, Costa PB, Correa Neto VG, Hoogenboom BJ, Steele J, Silva Novaes JD. Posterior thigh foam rolling increases knee extension fatigue and passive shoulder range-of-motion. J Strength Cond Res. 2019. https://doi.org/10.1519/jsc.0000000000003077.

  70. 70.

    Magnusson SP, Simonsen EB, Aagaard P, Sorensen H, Kjaer M. A mechanism for altered flexibility in human skeletal muscle. J Physiol. 1996;497(Pt 1):291–8.

  71. 71.

    Kosek E, Ekholm J, Hansson P. Increased pressure pain sensibility in fibromyalgia patients is located deep to the skin but not restricted to muscle tissue. Pain. 1995;63(3):335–9.

  72. 72.

    Kosek E, Ekholm J, Hansson P. Pressure pain thresholds in different tissues in one body region. The influence of skin sensitivity in pressure algometry. Scand J Rehabil Med. 1999;31(2):89–93.

  73. 73.

    Wu G, Ekedahl R, Stark B, Carlstedt T, Nilsson B, Hallin RG. Clustering of Pacinian corpuscle afferent fibres in the human median nerve. Exper Brain Res. 1999;126:399–409.

  74. 74.

    Kruger L. Cutaneous sensory system. Encyclopedia of neuroscience. Boston: Birkhauser; 1987.

  75. 75.

    Cheatham SW, Stull KR, Kolber MJ. Comparison of a vibration roller and a nonvibration roller intervention on knee range of motion and pressure pain threshold: a randomized controlled trial. J Sport Rehabil. 2018. https://doi.org/10.1123/jsr.2017-0164.

  76. 76.

    Lim JH, Park CB. The immediate effects of foam roller with vibration on hamstring flexibility and jump performance in healthy adults. J Exerc Rehabil. 2019;15(1):50–4. https://doi.org/10.12965/jer.1836560.280.

  77. 77.

    Romero-Moraleda B, Gonzalez-Garcia J, Cuellar-Rayo A, Balsalobre-Fernandez C, Munoz-Garcia D, Morencos E. Effects of vibration and non-vibration foam rolling on recovery after exercise with induced muscle damage. J Sports Sci Med. 2019;18(1):172–80.

  78. 78.

    Mitchell JH, Schmidt RF. Cardiovascular reflex control by afferent fibers from skeletal muscle receptors. Handbook of physiology. Bethesda: American Physiological Society; 1977.

  79. 79.

    Lakie M, Robson LG. Thixotropic changes in human muscle stiffness and the effects of fatigue. Q J Exp Physiol. 1988;73(4):487–500.

  80. 80.

    Goldberg J, Sullivan SJ, Seaborne DE. The effect of two intensities of massage on H-reflex amplitude. Phys Ther. 1992;72(6):449–57.

  81. 81.

    Sullivan SJ, Williams LR, Seaborne DE, Morelli M. Effects of massage on alpha motoneuron excitability. Phys Ther. 1991;71(8):555–60.

  82. 82.

    Behm DG, Peach A, Maddigan M, Aboodarda SJ, DiSanto MC, Button DC, et al. Massage and stretching reduce spinal reflex excitability without affecting twitch contractile properties. J Electromyogr Kinesiol. 2013;23(5):1215–21. https://doi.org/10.1016/j.jelekin.2013.05.002.

  83. 83.

    Young JD, Spence AJ, Behm DG. Roller massage decreases spinal excitability to the soleus. J Appl Physiol (1985). 2018;124(4):950–9. https://doi.org/10.1152/japplphysiol.00732.2017.

  84. 84.

    Huang SY, Di Santo M, Wadden KP, Cappa DF, Alkanani T, Behm DG. Short-duration massage at the hamstrings musculotendinous junction induces greater range of motion. J Strength Cond Res. 2010;24(7):1917–24. https://doi.org/10.1519/JSC.0b013e3181e06e0c.

  85. 85.

    Trajano GS, Nosaka K, Blazevich AJ. Neurophysiological mechanisms underpinning stretch-induced force loss. Sports Med. 2017. https://doi.org/10.1007/s40279-017-0682-6.

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Correspondence to David G. Behm.

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Dr. Behm and Dr. Wilke declare that they have no competing interests.


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Behm, D.G., Wilke, J. Do Self-Myofascial Release Devices Release Myofascia? Rolling Mechanisms: A Narrative Review. Sports Med 49, 1173–1181 (2019). https://doi.org/10.1007/s40279-019-01149-y

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