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Roller Massage and Blood Pressure

Association Between Reductions in Tissue Hardness and Acute Decreases in Blood Pressure Following Roller Massage: A Randomized Controlled Crossover Trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07520474
Enrollment
29
Registered
2026-04-09
Start date
2025-05-12
Completion date
2025-07-31
Last updated
2026-04-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy Adult Participants, Healthy Participants, Healthy Young Adults

Keywords

massage roller, cardiovascular health, stiffness, peripheral resistance, heart rate variability

Brief summary

Roller massage (RM), frequently described within the broader framework of self-myofascial release, has emerged as a widely adopted modality among rehabilitation practitioners and physically active populations. Previous investigations on RM have reported improvements in joint range of motion, small to trivial enhancements in selected performance measures, attenuation of exercise-induced muscle soreness, and reductions in pain perception. While the evidence base supporting mobility, performance, muscle soreness and pain sensitivity adaptations is relatively well developed, considerably less attention has been directed toward the blood pressure responses to RM and the potential underlying mechanisms. Consequently, the physiological impact of RM on cardiovascular regulation remains insufficiently characterized and requires further systematic investigation. An acute reduction in blood pressure may be postulated, potentially mediated by mechanisms involving changes in total peripheral resistance, which could be linked to modifications in tissue mechanical characteristics. In parallel, a contributory role of autonomic regulation cannot be excluded, as shifts in sympathetic and parasympathetic activity may also influence cardiovascular responses.

Interventions

OTHERRoller Massage Intervention (RM)

The RM intervention was conducted using a Theraband® Roller Massager (The Hygenic Corporation, Akron, OH, USA). All procedures were performed exclusively on the right thigh and administered by the same investigator to ensure methodological consistency. The protocol included a total of eight sets, four per muscle group, resulting in an overall intervention duration of 4 minutes (2 minutes allocated to the hamstrings and 2 minutes to the quadriceps). Each muscle group underwent four sets of 30 rolling repetitions executed at a controlled cadence of one repetition per second, yielding 30 seconds of continuous rolling per set.

Sponsors

University of Palermo
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* healthy participants aged 18 years or older.

Exclusion criteria

* orthopedic disorders * neurological disorders * renal disorders * metabolic disorders * musculoskeletal disorders * cardiovascular disorders * use of antihypertensive medication.

Design outcomes

Primary

MeasureTime frameDescription
Blood Pressure- Day 1: Baseline (upon arrival) and immediately post-intervention; - Day 2: Baseline (upon arrival) and immediately post-intervention.Systolic and diastolic blood pressure were assessed in the supine position using a validated automated oscillometric monitor (Omron MX3 Plus; Omron Healthcare, model HEM-742-E). Mean arterial pressure (MAP) and rate pressure product (RPP) were subsequently derived using conventional formulas.

Secondary

MeasureTime frameDescription
Heart rate variability- Day 1: Baseline (upon arrival) and immediately post-intervention; - Day 2: Baseline (upon arrival) and immediately post-intervention.Heart rate variability (HRV) was recorded with participants resting supine on a medical examination table for an additional 5 minutes under quiet and controlled conditions. During this recording phase, beat-to-beat RR intervals were continuously monitored using a validated Polar H10 chest-strap heart rate sensor (Polar Electro Oy, Kempele, Finland). HRV metrics were derived from both time-domain and frequency-domain analyses, providing a comprehensive evaluation of cardiac autonomic modulation.
Tissue Hardness- Day 1: Baseline (upon arrival) and immediately post-intervention; - Day 2: Baseline (upon arrival) and immediately post-intervention.Tissue hardness (TH) was quantified in Newton using a portable tissue hardness meter (NEUTONE TDM-N1; TRY-ALL Corp., Chiba, Japan). For hamstring evaluation, the ischial tuberosity and the popliteal fossa were used as proximal and distal anatomical reference points, respectively. Two measurement sites were identified within the proximal third of the posterior right thigh: a lateral site corresponding to the biceps femoris and a medial site corresponding to the semitendinosus/semimembranosus complex. Quadriceps TH was assessed using the anterior superior iliac spine (ASIS) as the proximal landmark, and the superior border of the patella as the distal landmark. (1) the midpoint between the ASIS and the superior patellar border, and (2) a point located at the proximal third of the same linear distance.

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 10, 2026