Research article - (2025)24, 75 - 83
DOI:
https://doi.org/10.52082/jssm.2025.75
Elucidation of The Effect of Flossing on Improving Joint Range of Motion
Toshihiro Maemichi1,2,, Yuki Ogawa3, Kazuki Wakamiya3, Ryusei Yamaguchi3, Hideaki Nagamoto3, Tsukas Kumai1,
1Faculty of Sport Sciences, Waseda University, Saitama, Japan
2Institute of Life Innovation Studies, Toyo University, Saitama, Japan
3Graduate School of Sport Sciences, Waseda University, Saitama, Japan

Toshihiro Maemichi
✉ Faculty of Sport Sciences, Waseda University, Saitama, Japan
Email: t.maemichi@aoni.waseda.jp

Tsukas Kumai
✉ Faculty of Sport Sciences, Waseda University, Saitama, Japan
Email: kumakumat@waseda.jp
Received: 30-10-2024 -- Accepted: 18-12-2024
Published (online): 01-03-2025

ABSTRACT

Flossing has been hypothesized to improve joint range of motion (flexibility), potentially through enhanced fascial gliding, although this mechanism remains speculative. This study aimed to clarify the effect of flossing, a new type of myofascial release, on joint range of motion by focusing on tissue gliding properties. This study involved 14 healthy participants (aged 18-25 years) who performed two types of active exercises with floss bands wrapped around their lower legs. As a control, the participants performed the same active exercises on different days without floss bands. Measurements taken before and after the intervention included ankle dorsiflexion range of motion, ankle plantar flexion maximum voluntary contraction, medial head of the gastrocnemius muscle thickness using ultrasound, and fascial hardness at five locations according to depth. Lower leg flossing significantly increased ankle dorsiflexion range of motion by 28.3 ± 19.9% (control: 14.6 ± 12.4%, P = 0.04, d = 0.83). No significant changes were observed in maximum voluntary plantar flexion contraction or overall muscle and fascial hardness. However, the rate of change in hardness showed a trend toward reduction in the superficial fascia and the upper and middle gastrocnemius muscles, with the upper gastrocnemius muscle exhibiting a statistically significant decrease in hardness (P = 0.05). Flossing showed trends toward reducing superficial muscle and fascial hardness, particularly in the superficial fascia and the upper gastrocnemius muscle, although not all changes were statistically significant. This suggests that potential improvements in intertissue gliding around the fascia could contribute to an increased range of motion.

Key words: Muscle contraction, muscles, tissues

Key Points
  • Flossing is a myofascial intervention widely used by physical therapists and athletes.
  • We investigated its effects on joint range of motion and found that it reduced superficial muscle and fascial hardness.
  • The increase in joint range of motion might have resulted from improved tissue gliding owing to decreased fascia viscoelasticity.








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