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This scoping review has provided an overview of the application of a floss band and summarizes the existing evidence on the effect of a floss band treatment on the range of motion, performance, recovery, and pain parameters. Moreover, the different pressure levels which can be applied and the relationship with other treatments (e.g., stretching) were discussed. In general, there is evidence that a floss band treatment applied either on the joint or the soft tissue is able to increase the range of motion of the related joint. Moreover, joint flossing may additionally increase jump height, and flossing applied on the thigh can positively affect isometric strength. However, these findings showed only small to moderate magnitudes of change in the included studies. Although not yet clearly understood, a possible mechanism for such changes in the range of motion is likely due to increased stretch tolerance rather than changes in the mechanical parameters of the muscle (e.g., stiffness). All in all, there is a need to conduct long-term studies about the effects of flossing treatments on various parameters like the range of motion or performance and their mechanism (e.g., pain tolerance). Moreover, some case studies and studies with small sample sizes reported a reduction in pain (caused by various diseases or injuries) following a flossing treatment. However, more evidence and controlled studies are necessary to understand the effects of a flossing treatment or intervention (e.g., for several weeks) on pain and injury. Only two studies reported conflicting results about flossing and its effect on recovery. In terms of the pressure of the applied floss band, it can be recommended to apply less pressure (<150 mmHg), rather than more, to avoid a possible adverse effect or even a harmful effect. There is weak evidence that flossing might have a superior conditioning (warm-up) effect in some parameters, compared to stretching, when the goal is to enhance the range of motion or strength parameters. However, no such superior effect was reported when compared to foam rolling or instrument-assisted soft tissue mobilization. Konrad A., Stafilidis S., Tilp M. (2017b). Effects of acute static, ballistic, and PNF stretching exercise on the muscle and tendon tissue properties. Scand. J. Med. Sci. Sport. 27, 1070–1080. 10.1111/sms.12725 [ PMC free article] [ PubMed] [ CrossRef] [ Google Scholar]
One possible explanation for the positive results of flossing can be found in the function of the fascial system. The voodoo bands reduce myofascial adhesions and have an effect on the neural bioregulation system which is controlled by connective tissue and transfers information to and from the brain. Fiorilli, G.; Quinzi, F.; Buonsenso, A.; Di Martino, G.; Centorbi, M.; Giombini, A.; Calcagno, G.; di Cagno, A. Does Warm-up Type Matter? A Comparison between Traditional and Functional Inertial Warm-up in Young Soccer Players. J. Funct. Morphol. Kinesiol. 2020, 5, 84. [ Google Scholar] [ CrossRef] [ PubMed] Prill R, Schulz R, Michel S. Tissue flossing: a new short-duration compression therapy for reducing exercise-induced delayed-onset muscle soreness. A randomized, controlled and double-blind pilot cross-over trial. The Journal of sports medicine and physical fitness. 2018 Oct. Driller, M. W., & Overmayer, R. G. (2017). The effects of tissue flossing on ankle range of motion and jump performance. Physical Therapy in Sport, 25, 20-24. doi:10.1016/j.ptsp.2016.12.004 Cheatham S. W., Martinez R. E., Montalvo A., Odai M., Echeverry S., Robinson B., et al.. (2020). Myofascial compression interventions: comparison of roller massage, instrument assisted soft-tissue mobilization, and floss band on passive knee motion among inexperienced individuals. Clin. Pract. Athl. Train. 3, 24–36. 10.31622/2020/0003.3.5 [ CrossRef] [ Google Scholar]
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Studies on Voodoo flossing are very limited and small-scale. The results of some of these studies highlight the potential of voodoo floss as an effective tool for injury prevention and athletic performance. Overall, more research is needed to draw solid conclusions. Vanwye, W.R.; Weatherholt, A.M.; Mikesky, A.E. Blood Flow Restriction Training: Implementation into Clinical Practice. Int. J. Exerc. Sci. 2017, 10, 649–654. [ Google Scholar] Kielur, D.S.; Powden, C.J. Changes of Ankle Dorsiflexion Using Compression Tissue Flossing: A Systematic Review and Meta-Analysis. J. Sport Rehabilitation 2020, 30, 306–314. [ Google Scholar] [ CrossRef] Marco G.-L. A., Juan C.-T. M., Julián G.-M., Miguel G.-J. (2020). The effects of tissue flossing on perceived knee pain and jump performance: a pilot study. Int. J. Hum. Mov. Sport. Sci. 8, 63–68. 10.13189/saj.2020.080203 [ CrossRef] [ Google Scholar] In case of more serious injuries, such as tears in the muscle fibre, injuries to ligaments or damage to the meniscus, Flossing – if applied by a professional therapist – can have a positive effect on the regeneration process. The band is generally applied for one to three minutes. However, if the skin turns white, severe pain sets in, or the extremity becomes numb, the treatment must be stopped immediately.
Wienke A. K., Thiel C., Kopkow C. (2020). Effekte von Medical flossing bei patienten mit schulterbeschwerden: randomisierte kontrollierte Pilotstudie. Physioscience 16, 5–15. 10.1055/a-1078-6882 [ CrossRef] [ Google Scholar] Konrad A., Budini F., Tilp M. (2017a). Acute effects of constant torque and constant angle stretching on the muscle and tendon tissue properties. Eur. J. Appl. Physiol. 117, 1649–1656. 10.1007/s00421-017-3654-5 [ PMC free article] [ PubMed] [ CrossRef] [ Google Scholar] Macefield G., Hagbarth K. E., Gorman R., Gandevia S. C., Burke D. (1991). Decline in spindle support to alpha-motoneurones during sustained voluntary contractions. J. Physiol. 440, 497–512. 10.1113/jphysiol.1991.sp018721 [ PMC free article] [ PubMed] [ CrossRef] [ Google Scholar] Bohlen, J., Arsenault, M., Deane, B., Miller, P., Guadagno, M., & Dobrosielski, D. A. (2014). Effects of applying floss bands on regional blood flow. International Journal of Exercise Science, Conference Proceedings, 9(2). Starrett, K.; Cordoza, G. Becoming a Supple Leopard. The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance; Victory Belt Publishing Inc: Las Vegas, NV, USA, 2015. [ Google Scholar]The application of the tissue flossing band under tension causes compression and venous constriction. Depending on the desired outcome, exercise therapy can be used in combination with blood flow restriction or not. Researchers have found that in conjunction to using blood flow restriction techniques, low intensity resistance exercises show increased electromyography activity (EMG) compared with resistance exercise alone. [6] After removing the compression the re-perfusion of the muscle tissue theoretically brings about these desired changes. [5] I hope you found this post helpful. As I mentioned at the beginning of this post, there’s another mobility training technique that I absolutely love. It’s called trigger point therapy. I use a trigger point ball on “problem” areas and treat it as a complementary technique to voodoo flossing. I especially love using a trigger point ball on my glutes because it works deeper into the muscle than a foam roller can.
With each wrap, aim to cover approximately 50% of the previous wrap. This ensures that the floss band is evenly distributed around the area being treated.
Currently, tissue flossing is not strongly supported by high levels of evidence. Athletes, physiotherapists or practitioners that use tissue flossing techniques seek benefits of: Green, B.; Bourne, M.N.; van Dyk, N.; Pizzari, T. Recalibrating the risk of hamstring strain injury (HSI): A 2020 systematic review and meta-analysis of risk factors for index and recurrent hamstring strain injury in sport. Br. J. Sports Med. 2020, 54, 1081–1088. [ Google Scholar] [ CrossRef] [ PubMed] Husmann, F.; Mittlmeier, T.; Bruhn, S.; Zschorlich, V.; Behrens, M. Impact of Blood Flow Restriction Exercise on Muscle Fatigue Development and Recovery. Med. Sci. Sports Exerc. 2018, 50, 436–446. [ Google Scholar] [ CrossRef]
Our customers buy the FASCIQ® Floss Bands because they are of high quality, they are sustainable and anti-slip. The floss bands are used for treating and improving mobility issues. What are Floss bands used for Salvador, A.F.; De Aguiar, R.A.; Lisbôa, F.D.; Pereira, K.L.; Cruz, R.S.; Caputo, F. Ischemic Preconditioning and Exercise Performance: A Systematic Review and Meta-Analysis. Int. J. Sports Physiol. Perform. 2016, 11, 4–14. [ Google Scholar] [ CrossRef] Active movement: two cycles of: manual twisting of the wrapped part (4 times) + 20 plantar/dorsi-flexions−2 min rest in between (Σ ~4 min)
Tissue flossing is a technique commonly used by manual therapists and physiotherapists to treat joint pain and improve range of movement. It involves wrapping floss bands above or below a muscle or joint to apply external pressure. The pressure reduces the blood flow in the area where the band has been applied in a similar way to blood flow restriction training. Vieira, A.; Alex, S.; Martorelli, A.; Brown, L.E.; Moreira, R.; Bottaro, M. Lower-extremity isokinetic strength ratios of elite springboard and platform diving athletes. Physician Sportsmed. 2017, 45, 87–91. [ Google Scholar] [ CrossRef]
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