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Updated: Sep 2, 2025

Muscle Imbalances: Testing and Training Functional Eccentric Hamstring Strength in Athletic Populations
Published on: May 1, 2018
Is Myofascial Decompression Effective at Increasing Hamstring Flexibility in the Athletic Population? A Critically
Julia Spellman1, Rachel Eldredge1, Melissa Nelson1
1Rehabilitation Sciences, Doctor of Athletic Training, Moravian College, Bethlehem, PA,USA.
Clinical Scenario:
There are a variety of therapeutic modalities used to treat flexibility issues in athletes, which can be the main cause of hamstring injuries. Myofascial decompression is one modality used to treat these patients.
Focused Clinical Question:
Is myofascial decompression effective at increasing hamstring flexibility in the athletic population? Summary of Search, "Best Evidence" Appraised, and Key Findings: The literature was searched for studies of level 2 evidence or higher that investigated the use of myofascial decompression to increase hamstring flexibility, that were published in the last 5 years. Two high-quality randomized controlled trials were included and one cohort study.
Clinical Bottom Line:
There is not enough consistent, clinically significant, high-level evidence to support the use of myofascial decompression to increase hamstring flexibility.
Strength Of Recommendation:
There is level B evidence to support that myofascial decompression is effective at increasing hamstring flexibility.
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