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verbal cues to determine if proper assistance is needed. Do not let participant experience
excruciating pain when rolling a certain muscle. Modify numbers of rolls if needed and
make sure it is a 1:1 activity to further the participants experience.
Adaptations:
Participants Post-stroke: Individuals who have experienced a stroke may be experiencing
spasticity of the muscle due to the brain blocking messages between the muscles. Spasticity
could cause strong contractions in major muscle groups. If the foam roller is too hard for
the participant, a noodle could be used as an alternative or simply the therapists hands
performing long strokes on major muscles. If massage strokes are still too much to bear,
simple stretching is recommended. Foam rolling can be performed lying down or sitting.
All techniques help improve circulation and overall tissue health, decrease spasticity and
increase range of motion.
Participants with Cerebral Palsy: Cerebral palsy causes hypertonicity, the state of
abnormally high muscle tension. Participants with CP who experience muscle rigidity can
successfully participate in this activity. Certain techniques can be modified or replaced by
another muscle depending on the participants ability. If the participant is not able to
perform these movements on the foam roller alone due to difficulty with bodily movement,
the therapist is to perform these techniques on the participant as they lie on a massage table.
Depending on their ability to lie down, therapist is suggested the individual sit on a chair or
be placed prone on a therapy ball. If the therapist is performing the myofascial releases with
the foam roller, they are able to determine how much pressure is being used. Depending on
the stiffness of the muscle it is recommended to use lighter pressure than normal. An
alternative for a foam roller is a pool noodle, which is much softer.
Adaption References:
S. (n.d.). 4 Things You Need to Know about Trigger Points. Retrieved September 22, 2016,
from http://sparta-pt.com/2011/10/4-things-you-need-to-know-about-trigger-points/
Whisler, S. L., Lang, D. M., Armstrong, M., Vickers, J., Qualls, C., & Feldman, J. S.
(2012). Effects of Myofascial Release and Other Advanced Myofascial Therapies on
Children With Cerebral Palsy: Six Case Reports. EXPLORE: The Journal of Science and
Healing, 8(3), 199-205. doi:10.1016/j.explore.2012.02.003