عنوان مقاله [English]
Background and Aims: The presents study seeks to study the impact of one treatment course of myo-facial release on soccer players with proximal tibio-fibular joint pain with a history of ACL surgery with hamstring graft.
Materials and Methods: The present semi-experimental study has benefited from the co-operation of 40 soccer players who had undergone Acl reconstruction with hamstring grafting, and were suffering from the posterior Lateral knee specially fibullar head. The patients underwent physical therapy treatment for a period of two weeks (for 6 sessions). The evaluation standards were the data obtained from the KOOS and IKDC, as well as the VAS Ruler, and the extension range of the knee. All questionnaires were filled out both before and after physical therapy treatment. All pain areas specially Biseps femoris and Lateral Gastrocnemius was treated with myo-fascial release in one model by reasercher. For evaluating the treatment impacts, the Questionnaire assessments were performed three weeks after the treatment. The data comparisons for the assessment of the variables were performed by the Wilcoxon Rank Test analyses.
Results: The results revealed that the mean VAS score pre- and post-treatment were 57.3 and 28.1, respectively; showing a significant difference with a p<0.001. The mean movement range score pre- and post-treatment were 43.4 and 13.1, respectively; (p<0.001), also revealing a significant difference. There were also significant differences found for the KOOS and IKDC questionnaire data, as well showing a significant difference.
Conclusions: The fascia release maneuver, especially the Lateral hamstring muscle, and Lateral Gastrocnemius release are suitable tools for decreasing pain, and improving the movement range; as well as bettering lifestyle in such patients.