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Updated: Jun 27, 2026

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Does Self-Myofascial Release Cause a Remote Hamstring Stretching Effect Based on Myofascial Chains? A Randomized
Paul Fauris1,2, Carlos López-de-Celis1,2,3, Max Canet-Vintró1,2
1Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08017 Sant Cugat del Vallès, Spain.
International Journal of Environmental Research and Public Health
|December 10, 2021
Summary
Self-myofascial release (SMR) on the superficial back line (SBL) improves hamstring flexibility and ankle dorsiflexion. The posterior sural fascia and posterior crural fascia segments yielded the greatest flexibility gains.
Area of Science:
- Sports Medicine
- Anatomy
- Myofascial Chains
Background:
- Hamstring flexibility is crucial for athletic performance and injury prevention.
- The superficial back line (SBL) is a myofascial chain involving the hamstrings.
- Self-myofascial release (SMR) is a technique used to address myofascial restrictions.
Purpose of the Study:
- To evaluate the impact of SMR on hamstring flexibility.
- To identify which SBL segment provides the most significant improvement in flexibility.
- To assess changes in ankle dorsiflexion alongside hamstring flexibility.
Main Methods:
- 94 participants were randomized into a control or one of five SMR intervention groups.
- SMR was applied to specific SBL segments (plantar fascia, sural fascia, crural fascia, lumbar fascia, epicranial aponeurosis) for varying durations.
- Hamstring flexibility and ankle dorsiflexion were measured at multiple time points.
Main Results:
- SMR applied to any SBL segment enhanced hamstring flexibility and ankle dorsiflexion.
- The posterior sural fascia was most effective for short SMR durations (30s-2min).
- The posterior crural fascia showed the greatest effect with longer SMR durations (5-10min).
Conclusions:
- The superficial back line functions as a cohesive unit.
- SMR targeting any SBL segment can positively influence hamstring flexibility and ankle mobility.
- A significant portion of flexibility gains occur within the initial 2 minutes of SMR.

