Range of motion (ROM) and Dynamic Balance Testing through Kinetic Prophylaxis Means (Applying Tissue Flossing) to Football Players


  • Dan Alexandru Szabo Department M2-Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures
  • Nicolae Neagu Department M2-Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures
  • Paula Ilyés Department M2-Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures
  • Cosmin Banceu Department of Surgery, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology, Targu Mures
  • Diana Banceu Gimnaziul de Stat Augustin Maior, Reghin
  • Marvin Oprean Harrow School Online, London, United Kingdom
  • Silvia Teodorescu Department of Doctoral Studies, National University of Physical Education and Sports, Bucharest




Range of motion, Tissue flossing, Prophylaxis, Dynamic balance


Background. An individual's ankle range of motion varies dependent on their ADLs, geographic region, and amount of physical activity. Walking, which takes 30 degrees of movement, and descending stairs, which requires 57 degrees, do not need a large ROM.

Hypothesis. We hypothesised that a floss band (F.B.) placed on the ankle joint of football players of any age in conjunction with a kinetic prophylactic exercise program would enhance range of motion (ROM) and dynamic balance to a higher degree than a simple kinetic prophylactic exercise program (without F.B. application).

Aims. This study aims to examine the impact of a floss band on the range of motion (ROM) and dynamic balance at the ankle joint, measure the ankle joint mobility and balance of football players, and maybe identify individuals susceptible to injury.

Methods. The current study comprised 18 participants (mean age = 19.77 years) who were all football players from the academy and club of FK Cskszereda Miercurea Ciuc. The participants were evenly split into two groups: an experimental group and a control group.

Results. Based on the data retrieved from this research, we can conclude that Floss Band treatment combined with exercise improves range of motion and dynamic balance, although not statistically significant on the majority of criteria.

Conclusions. When paired with a kinetic training program, the floss band kinetic prophylactic approach significantly improves range of motion and dynamic balance, hence contributing to injury prevention.



Aboodarda, S. J., Spence, A. J., & Button, D. C. (2015). Pain pressure threshold of a muscle tender spot increases following local and non-local rolling massage. BMC Musculoskeletal Disorders, 16, 265. https://doi.org/10.1186/s12891-015-0729-5

Ahlhorn, A. (2015). Schmerzfrei und beweglich durch Abbinden – Medical Flossing. Physiopraxis, 13(09), 35–37. https://doi.org/10.1055/s-0035-1564471

Alves, C., Lysenko, M., Tomlinson, G. A., Donovan, J., Narayanan, U. G., Feldman, B. M., & Wright, J. G. (2019). Plantar flexion, dorsiflexion, range of movement and hindfoot deviation are important determinants of foot function in children. Journal of Children's Orthopaedics, 13(5), 486–499. https://doi.org/10.1302/1863-2548.13.190062

Basnett, C. R., Hanish, M. J., Wheeler, T. J., Miriovsky, D. J., Danielson, E. L., Barr, J. B., & Grindstaff, T. L. (2013). Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. International Journal of Sports Physical Therapy, 8(2), 121–128.

Brockett, C. L., & Chapman, G. J. (2016). Biomechanics of the ankle. Orthop Trauma, 30(3), 232–238. https://doi.org/10.1016/j.mporth.2016.04.015

Chang, N. J., Hung, W. C., Lee, C. L., Chang, W. D., & Wu, B. H. (2021). Effects of a Single Session of Floss Band Intervention on Flexibility of Thigh, Knee Joint Proprioception, Muscle Force Output, and Dynamic Balance in Young Adults. Applied Sciences, 11(24), 12052. https://doi.org/10.3390/app112412052

Cheatham, S.W., Martinez, R. E., Montalvo, A., Odai, M., Echeverry, S., Robinson, B., Bailum, E., Viecco, K., Keller, K., Nunez-Riveria, S., & Pena, A. (2020). Myofascial compression interventions: comparison of roller massage, instrumentassisted soft-tissue mobilisation, and floss band on passiveknee motion among inexperienced individuals. Clinical Practice in Athletic Training, 3(3), 24–36.

Chinn, L., & Hertel, J. (2010). Rehabilitation of ankle and foot injuries in athletes. Clinical Journal of Sport Medicine, 29(1), 157–167. https://doi.org/10.1016/j.csm.2009.09.006

Cho, K. H., Jeon, Y., & Lee, H. (2016). Range of Motion of the Ankle According to Pushing Force, Gender and Knee Position. Annals of Rehabilitation Medicine, 40(2), 271–278. d https://doi.org/10.5535/arm.2016.40.2.271

Cools, A. M., Maenhout, A. G., Vanderstukken, F., Declève, P., Johansson, F. R., & Borms, D. (2021). The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play. Annals of Physical and Rehabilitation Medicine, 64(4), 101384. https://doi.org/10.1016/j.rehab.2020.03.009

Driller, M. & Overmayer, R. (2016). The effects of tissue flossing on ankle range of motion and jump performance. Physical Therapy in Sport, 28, 29-33. https://doi.org/10.1016/j.ptsp.2017.08.081

Driller, M., Mackay, K., Mills, B., Tavares, F. (2017a). Tissue flossing on ankle range of motion, jump and sprint performance: A follow-up study. Physical Therapy in Sport, 28, 29-33. https://doi.org/10.1016/j.ptsp.2017.08.081

Driller, M.W., & Overmayer, R. G. (2017b). The effects of tissue flossing on ankle range of motion and jump performance. Physical Therapy in Sport, 25, 20-24. https://doi.org/10.1016/j.ptsp.2016.12.004

Edouard, P., & Ford, K. R. (2020). Great Challenges Toward Sports Injury Prevention and Rehabilitation. Front Sports Act Living, 2, 80. https://doi.org/10.3389/fspor.2020.00080

Fong, C. M., Blackburn, J. T., Norcross, M. F., McGrath, M., & Padua, D.A. (2011). Ankle-dorsiflexion range of motion and landing biomechanics. Journal of Athletic Training, 46(1), 5–10. https://doi.org/10.4085/1062-6050-46.1.5

García-Luna, M.A., Cortell-Tormo, J.M., González-Martínez, J., & García-Jaén, M. (2020). The effects of tissue flossing on perceived knee pain and jump performance: A pilot study. International Journal of Human Movement and Sports Sciences, 8, 63-68. https://doi.org/10.13189/saj.2020.080203

Gates, D. H., Walters, L. S., Cowley, J., Wilken, J. M., & Resnik, L. (2016). Range of Motion Requirements for Upper-Limb Activities of Daily Living. The American Journal of Occupational Therapy, 70(1), 7001350010p1-7001350010p10. https://doi.org/10.5014/ajot.2016.015487

Guillén-Rogel, P., San Emeterio, C., & Marín, P. J. (2017). Associations between ankle dorsiflexion range of motion and foot and ankle strength in young adults. The Journal of Physical Therapy Science, 29(8), 1363–1367. https://doi.org/10.1589/jpts.29.1363

Halabchi, F., & Hassabi, M. (2020). Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World Journal of Orthopedics, 11(12), 534–558. https://doi.org/10.5312/wjo.v11.i12.534

Halperin, I., Aboodard, S. J., Button, D. C., Andersen, L. L., & Behm, D. G. (2014). Roller massager improves range of motion of plantar flexor muscles without subsequent decreases in force parameters. International Journal of Sports Physical Therapy, 9(1), 92–102.

Hernández-Guillén, D., Tolsada-Velasco, C., Roig-Casasús, S., Costa-Moreno, E., Borja-de-Fuentes, I., & Blasco, J.M. (2021). Association ankle function and balance in community-dwelling older adults. PLoS One, 16(3), e0247885. https://doi.org/10.1371/journal.pone.0247885

Hewett, T. E., & Bates, N. A. (2017). Preventive Biomechanics: A Paradigm Shift With a Translational Approach to Injury Prevention. The American Journal of Sports Medicine, 45(11) 2654–2664. https://doi.org/10.1177/0363546516686080

Hoch, M. C., Farwell, K. E., Gaven, S. L., & Weinhandl, J. T. (2015).Weight-Bearing Dorsiflexion Range of Motion and Landing Biomechanics in Individuals With Chronic Ankle Instability. Journal of Athletic Training, 50(8), 833–839. https://doi.org/10.4085/1062-6050-50.5.07

Hyodo, K., Masuda, T., Aizawa, J., Jinno, T., & Morita, S. (2017). Hip, knee, and ankle kinematics during activities of daily living: a cross-sectional study. Brazilian Journal of Physical Therapy, 21(3), 159–166. https://doi.org/10.1016/j.bjpt.2017.03.012

Jung, H., Tanaka, S., Iwamoto, Y., Kawano, T., Yamasaki, M., & Tanaka, R. (2021). Reductions in Muscle Strength and Range of Motion Cause Locomotion Disability via Locomotion-Related Functional Limitation in Japanese Older Adults: A Cross-Sectional Study. Journal of Aging Research, 6627767. https://doi.org/10.1155/2021/6627767

Kaneda, H., Takahira, N., Tsuda, K., Tozaki, K., Kudo, S., Takahashi, Y., Sasaki, S., & Kenmoku, T. (2020). Effects of Tissue Flossing and Dynamic Stretching on Hamstring Muscles Function. Journal of Sports Science and Medicine, 19(4), 681–689.

Katz, D. L., & Ali, A. (2009). Preventive medicine, integrative medicine & the health of the public. Summit on Integrative Medicine and the Health of the Public.

Kelly, S., & Beardsley, C. (2016). Specific and cross-over effects of foam rolling on ankle dorsiflexion range of motion. International Journal of Sports Physical Therapy, 11(4), 544–551.

Kiefer, B., Lemarr, K., Enriquez, C., & Tivener, K. (2017). A pilot study: Psychological effects of the voodoo floss band on glenohumeral flexibility. International Journal of Athletic Therapy and Training, 22, 1-16. https://doi.org/10.1123/ijatt.2016-0093

Kim, S. G., & Kim, W.S. (2018). Effect of Ankle Range of Motion (ROM) and Lower-Extremity Muscle Strength on Static Balance Control Ability in Young Adults: A Regression Analysis. Medical Science Monitor, 24, 3168-3175. https://doi.org/10.12659/MSM.908260

Kolokotsios, S., Drousia, G., Koukoulithras, I., & Plexousakis, M. (2021). Ankle Injuries in Soccer Players: A Narrative Review. Cureus, 13(8), e17228. https://doi.org/10.7759/cureus.17228

Konrad, A., Močnik, R., & Nakamura, M. (2021). Effects of Tissue Flossing on the Healthy and Impaired Musculoskeletal System: A Scoping Review. Frontiers in Physiology, 12, 666129. https://doi.org/10.3389/fphys.2021.666129

Leavell, H. R., & Clark, E.G. (1965). Preventive medicine for the doctor in his community (3rd ed). McGraw-Hill Book Company.

Manoel, L. S., Xixirry, M. G., Soeira, T. P., Saad, M. C., & Riberto, M. (2020). Identification of Ankle Injury Risk Factors in Professional Soccer Players Through a Preseason Functional Assessment. Orthopaedic Journal of Sports Medicine, 8(6), 2325967120928434. https://doi.org/10.1177/2325967120928434

Maust, Z., Bradney, D., Collins, S.M., Wesley, C., & Bowman, T. G. (2021). The Effects of Soft Tissue Flossing on Hamstring Range of Motion and Lower Extremity Power. International Journal of Sports Physical Therapy, 16(3), 689–694. https://doi.org/10.26603/001c.24144

Mills, B., Mayo, B., Tavares, F., & Driller, M. (2020). The Effect of Tissue Flossing on Ankle Range of Motion, Jump, and Sprint Performance in Elite Rugby Union Athletes. Journal of Sport Rehabilitation, 29(3), 282–286. https://doi.org/10.1123/jsr.2018-0302

Ness, B. M., Sudhagoni, R. G., Tao, H., Full, O. R., Seehafer, L. O., Walder, C. M., & Zimney, K. (2018). The reliability of a novel heel-rise test versus goniometry to assess plantarflexion range of motion. The International Journal of Sports Physical Therapy, 13(1), 19–27.

Pakarklis, D., & Siupsinskas, L. (2018). Instant Effects On Tissue Flossing On Ankle Range Of Motion And Dynamic Balance. In Handball Players, Book of Abstracts of the 4th International Scientific-Practical Conference Exercise for health and rehabilitation (pp. 33–34). https://hdl.handle.net/20.500.12512/98152

Rahnama, N. (2011). Prevention of football injuries. International Journal of Preventive Medicine, 2(1), 38–40.

Starrett, K., & Cordoza, G. (2013). Becoming a Supple Leopard: The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance. Victory Belt Publishing Inc.

Stevenson, P. J., Stevenson, R. K., & Duarte, K.W. (2016). Acute Effects of The Voodoo Flossing Band on Ankle Range of Motion. Journal of Medical Biomedical and Applied Sciences, 7(6), 244-253. https://doi.org/10.15520/jmbas.v7i6.190

Suga, T., Terada, M., Tomoo, K., Miyake, Y., Tanaka, T., Ueno, H., Nagano, A., & Isaka, T. (2021). Association between plantar flexor muscle volume and dorsiflexion flexibility in healthy young males: ultrasonography and magnetic resonance imaging studies. BMC Sports Science, Medicine and Rehabilitation, 13(1), 8. https://doi.org/10.1186/s13102-021-00233-z

Vogrin, M., Novak, F., Licen, T., Greiner, N., Mikl, S., & Kalc, M. (2020). Acute Effects of Tissue Flossing on Ankle Range of Motion and Tensiomyography Parameters. Journal of Sport Rehabilitation, 30(1), 129–135. https://doi.org/10.1123/jsr.2019-0160

Walls, R. J., Ross, K. A., Fraser, E. J., Hodgkins, C. W., Smyth, N. A., Egan, C. J., Calder, J., & Kennedy, J. G. (2016). Football injuries of the ankle: A review of injury mechanisms, diagnosis and management. World Journal of Orthopedics, 7(1), 8–19. Published 2016 January 18. https://doi.org/10.5312/wjo.v7.i1.8

Woods, C., Hawkins, R., Hulse, M., & Hodson, A. (2003). The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. British Journal of Sports Medicine, 37(3), 233–238. https://doi.org/10.1136/bjsm.37.3.233

Wu, S. Y., Tsai, Y. H., Wang, Y.T., Chang, W-D., Lee, C-L., Kuo, C-E. A., & Chang, N-J. (2022). Acute Effects of Tissue Flossing Coupled with Functional Movements on Knee Range of Motion, Static Balance, in Single-Leg Hop Distance, and Landing Stabilization Performance in Female College Students. International Journal of Environmental Research and Public Health, 19(3), 1427. https://doi.org/10.3390/ijerph19031427

Young, R., Nix, S., Wholohan, A., Bradhurst, R., & Reed, L. (2013). Interventions for increasing ankle joint dorsiflexion: a systematic review and meta-analysis. Journal of Foot and Ankle Research, 6(1), 46. Published 2013 November 14. https://doi.org/10.1186/1757-1146-6-46




How to Cite

Szabo, D. A., Neagu, N. ., Ilyés, P. ., Banceu, C. ., Banceu, D., Oprean, M. ., & Teodorescu, S. . (2023). Range of motion (ROM) and Dynamic Balance Testing through Kinetic Prophylaxis Means (Applying Tissue Flossing) to Football Players. Revista Romaneasca Pentru Educatie Multidimensionala, 15(3), 154-170. https://doi.org/10.18662/rrem/15.3/760

Publish your work at the Scientific Publishing House LUMEN

It easy with us: publish now your work, novel, research, proceeding at Lumen Scientific Publishing House

Send your manuscript right now