Acute Effects of Two Massage Techniques on Ankle Joint Flexibility and Power of the Plantar Flexors

Abstract

The purpose of this study was to determine if three minutes of petrissage and tapotement forms of massage would influence plantar flexors' flexibility, and muscle power. Nineteen participants were randomly subjected to three conditions (control and two massages) before performing two power tests. Prior to the intervention, subjects completed ankle joint flexibility assessments. The conditions were; (1) control, where subjects lay prone and had a therapist's hands resting, (2) vigorous petrissage, and (3) tapotement applied at a rate of 4Hz; all on the triceps surae. Following completion of the intervention, subjects immediately completed a post- ankle joint flexibility test, followed by a drop-jump and concentric calf raise. The power measures were; concentric peak force, rate of force development, and drop-jump height / contact time. The data showed a significant increase (p < 0.05) in ankle joint angle on the right leg and a corresponding tendency on the left. No significant change was seen with the power measures. Results suggest that massage can increase plantar flexors' flexibility without a change in power and thus may be an alternative to static stretching during an athletic warm-up. Key pointsThree minutes of petrissage and tapotement forms of massage increased ankle flexibility.Massage did not adversely affect jump power measures.Massage may be an effective alternative to static stretching as a component of a pre-event warm-up.

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©Journal of Sports Science and Medicine (2007) 6, 498-504
http://www.jssm.org
Received: 26 July 2007 / Accepted: 18 September 2007 / Published (online): 01 December 2007
Acute effects of two massage techniques on ankle joint flexibility and power of
the plantar flexors
Grant J.B. McKechnie 1, Warren B. Young 1 and David G. Behm 2
1 School of Human Movement and Sports Science, University of Ballarat, University Drive, Mount Helen, Ballarat,
Victoria, Australia, 2 School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s
Newfoundland, Canada
Abstract
The purpose of this study was to determine if three minutes of
petrissage and tapotement forms of massage would influence
plantar flexors’ flexibility, and muscle power. Nineteen partici-
pants were randomly subjected to three conditions (control and
two massages) before performing two power tests. Prior to the
intervention, subjects completed ankle joint flexibility assess-
ments. The conditions were; (1) control, where subjects lay
prone and had a therapist’s hands resting, (2) vigorous petris-
sage, and (3) tapotement applied at a rate of 4Hz; all on the
triceps surae. Following completion of the intervention, subjects
immediately completed a post-ankle joint flexibility test, fol-
lowed by a drop-jump and concentric calf raise. The power
measures were; concentric peak force, rate of force develop-
ment, and drop-jump height / contact time. The data showed a
significant increase (p < 0.05) in ankle joint angle on the right
leg and a corresponding tendency on the left. No significant
change was seen with the power measures. Results suggest that
massage can increase plantar flexors’ flexibility without a
change in power and thus may be an alternative to static stretch-
ing during an athletic warm-up.
Key words: petrissage, tapotement, warm-up, range of motion,
jumps.
Introduction
The practice of massage has long been considered an
integral part of sport preparation, conditioning and recov-
ery (Cafarelli and Flint, 1993; Caldwell, 2001; Drust, et
al., 2003; Harmer, 1991; Hemmings, 2001; Tiidus and
Shoemaker, 1995). Since the time of ancient Greece,
massage and sport have co-existed. However, it was not
until the 1972 Munich Olympics where Lasse Viren at-
tributed his two gold medals to a daily massage (Cald-
well, 2001), that massage became synonymous with
sporting achievement. In addition, more recently Cal-
laghan (1993) and Clews (1999) reported extensive use of
massage on their national Olympic teams.
Although massage is practised widely throughout
sporting circles, the effects and mechanism associated
with massage are unclear or anecdotal (Boone et al. 1991,
Wiktorsson-Möller, et al., 1983; Cafarelli and Flint, 1993;
Harmer, 1991; Hemmings, 2001; Tiidus and Shoemaker,
1995). Athletes use massage in an attempt to aid recovery
as well as warm-up for training or competition (Boone et
al., 1991; Cafarelli and Flint, 1993; Caldwell, 2001; Cash,
1996; Drust et al., 2003; Harmer, 1991; Hemmings, 2001;
Tiidus and Shoemaker, 1995; Wiktorsson-Möller et al.,
1983). Current recommendations from Sports Medicine
Australia (2005) for warming-up prior to activity involve
2-3 minutes of jogging to raise a light sweat prior to
stretching. This activity is to increase the heat throughout
the body and reduce the risk of musculoskeletal injury by
increasing tissue suppleness. Stretching follows to further
reduce the risk of injury, reduce muscle tension and in-
crease freedom of movement. However, there are numer-
ous articles indicating that pre-event static stretching can
impair force (Behm and Kibele, 2007; Behm et al., 2001;
2006), balance, reaction and movement time (Behm et al.,
2004b) and jump landing contact time (Power et al.,
2004). Although Nelson et al. (2001) found that the dele-
terious effect of prior stretching was limited to slower
isokinetic velocities (60°/s and 120°/s), other studies have
found prior static stretching to inhibit dynamic jump
performance (Behm et al., 2006, Behm and Kibele, 2007;
Young and Behm 2002,). Whereas increased ROM is
coupled with performance impairments when static
stretching is implemented, pre-event massage might im-
prove ROM without the associated impairments. It would
be important to discover if there are any massage-related
impairments and if they could affect dynamic jump per-
formance. While Hunter et al. (2006) reported that post-
massage effects on isokinetic force were only significant
at 60°/s; they also opined that the deleterious effect might
only occur with the first contraction after massage. With
the incertitude in the literature it would be opportune to
further investigate the effect of massage on jump meas-
ures.
Massage involves methodical pressure, friction and
rubbing (Hemmings, 2001). Various strokes such as,
effleurage, petrissage, tapotement and frictions have been
developed from Swiss massage. Petrissage (“to knead”) is
a vigorous stroke, which compresses and releases soft
tissue via picking up and squeezing the muscle and over-
lying tissues. It is aimed at stretching muscle fibres, in-
creasing mobility between the tissue interfaces, aiding
venous and lymph return, relaxing muscles, and in help-
ing with the removal of wastes (Goats, 1994a; Paine,
2000). Tapotement is a percussive massage stroke, such
as hacking, pecking or cupping; aimed at stimulating the
cutaneous tissue and superficial muscle, aiding the prepa-
ration for competition (Goats, 1994b; Paine, 2000). Un-
fortunately, the factions that prescribe pre-event massage,
Research article

McKechnie et al.
499
do not agree on the type, style, application, duration,
intensity, number of strokes, or the time prior to competi-
tion required to benefit from massage (Caldwell, 2001;
King, 1993; Paine, 2000). In addition, limited empirical
data was found to substantiate each stroke’s claimed
benefit or if they had any effect at all. Therefore, both
practitioner and recipient may have a poor understanding
of the true nature of massage.
Currently, the majority of studies, on sports mas-
sage, focus on post-event conditions specifically aiding
recovery from intense exercise and the relieving of de-
layed onset of muscular soreness symptoms (Weber et al.,
1994). Very little research has been conducted on the pre-
exercise or pre-event condition (Hemmings, 2001). Al-
though various authors have speculated on the positive
effects of massage (Cafarelli and Flint, 1993; Caldwell,
2001; Hemmings et al., 2000; Hemmings 2001; King,
1993; Paine, 2000), there is little scientific or empirical
data to support these claims (Boone et al., 1991; Hem-
mings et al., 2000; Shoemaker et al., 1997). Furthermore,
these studies have methodological problems. Duration of
the treatment and the type and number of strokes con-
ducted during the treatment are inconsistent, with these
decisions often left up to the discretion of the therapist
applying the treatment (Wiktorsson-Möller et al., 1983).
Consequently, scientific knowledge in the area of
the pre-event massage is lacking. There is insufficient
evidence to suggest that pre-event massage is of any
physiological benefit, whether it has a positive or negative
affect on performance and ROM. Hence, the purpose of
the study was to establish whether particular massage
strokes (petrissage or tapotement) had any effect on
power performance of the plantar flexors and ankle joint
flexibility immediately post-treatment.
Methods
Subjects
Nineteen students, who volunteered (8 female and 11
male) from the University of Ballarat, (mean; age = 21 ±
2.25 years, height = 1.78 ± 0.09 m, weight 76.59 ± 9.87
kg) participated in and completed the study. Following
approval from the University Human Research and Ethics
committee, all subjects read and signed an informed con-
sent form prior to beginning the study. Subjects were
required to be injury free in the ankles, lower legs and feet
as well as have a moderate level of proficiency in jumping
sports to decrease likelihood of injury from the test. Typi-
cally, this meant the subjects were participating in team
sports such as Australian Rules football and netball at a
recreational level.
Design
Subjects were required to attend four sessions throughout
the study. All tests for each individual were conducted at
approximately the same time of day to eliminate diurnal
variations. The first session was a familiarisation / infor-
mation session where the procedure and tests were de-
scribed, demonstrated and practised. The remaining ses-
sions were the test sessions, where the experiment was
implemented. The order in which the test sessions were
completed was randomly assigned (dice throw) prior to
commencement of the first test session. Each test session
involved four components:
1. Pre-intervention calf flexibility test where both an-
kles were tested for ROM.
2. Treatment / intervention which was either the con-
trol, massage treatment 1 (petrissage) or massage
treatment 2 (tapotement), applied in a randomly
assigned order.
3. Post intervention calf flexibility, where the subject
completed the same ROM test, commencing on the
same leg as in the pre-test.
4. Completion of two power jump tests conducted in
random order.
The above sequence was completed on three sepa-
rate occasions, to allow the three different testing condi-
tions to be conducted. All massage was completed in a
laboratory free of other people or sounds to prevent exter-
nal stimuli from influencing the result. The massage was
performed on an Athlagen Access-lift electric table that
was set at a height comfortable for the therapist to com-
plete the massage. No adjustments of table height where
permitted once a testing session commenced due to the
noise associated with the motor. Testing bouts were con-
ducted no closer than 48 hours and no further than 96
hours from each other. The control condition was con-
ducted to account for possible influences of the resting
prone position, oil or the contact of the hands on the skin.
The same therapist was used for all subjects.
Familiarisation / information session
This session was conducted approximately one week prior
to the commencement of testing. The purpose of this
session was to inform the participant of the requirements
of the study, familiarise each subject with the testing
procedures, and demonstrate the massage styles to be
performed.
Ankle joint flexibility measures
Ankle joint flexibility was assessed prior to and following
the intervention. Subjects assumed a supine position with
their hands above their heads on a wall to brace their body
position for the measure to be performed. The hands were
in this position to avoid sliding along the floor whilst the
testers wound in the device. The machine was braced by
one of the testers to avoid the machine from moving
whilst the other tester wound the device. The testers also
stabilised the subject’s ankle firmly in the device to avoid
any slippage of the foot in the machine (Figure 1).
The assignment of which leg would be tested first
was determined randomly with an eight-sided die. The
same order for the legs was used for pre- and post-testing.
Once this order was determined, the subject was tested
and received the treatment on this leg first for the duration
of the study. Following this procedure, the plantar surface
of the first foot was placed on the wooden plate of the
ankle joint flexibility device. The plate was then wound
slowly to increase ankle dorsiflexion. The subjects were
to inform the testers when they reached a position that
induced a sensation just prior to the onset of pain. The
subject was instructed to look directly up at the ceiling to

Massage effects on flexibility and power
500
avoid influence of visual stimulus in regards to ankle
position. A reading was taken of the acute angle between
the horizontal and movable plate on the degrees scale on
the side of the device, with the measurement resolution
0.5 degrees. This angle was considered as the measure of
passive flexibility of the plantar flexors. This procedure
was then immediately repeated for the following leg.
Only a single flexibility trial was conducted due to the
time taken to perform the test. This test has been reliably
used in previously published research (Young et al.,
2006). Repeating this procedure could influence the sub-
ject’s perception of the end point just before pain and
consequently affect the overall result.
Figure 1. Ankle joint flexibility test.
Treatment interventions
The order in which each participant completed the inter-
ventions was predetermined randomly. The position for
all three interventions was the same; lying prone on an
Athlagen Access Lift electric table, with the feet hanging
off the end of the table in a relaxed position. ‘Cold-
pressed’ vegetable based oil was applied to each of the
subjects over the plantar flexors. The amount of oil ap-
plied to each subject was sufficient to provide comfort
during the vigorous application of petrissage without
irritation of the skin or hair on the leg. No conversing
between the therapist and subject was allowed, no noise,
talking in the laboratory, music or anything else that could
alter the mood state was permitted during the interven-
tion.
Control condition
The control condition consisted of resting in a prone posi-
tion as described above and the oil was applied. The mas-
sage therapist rested the hands on each leg over the triceps
surae group for a period of three minutes on each leg. No
movement of the therapist’s hands was permitted
throughout the duration of the application. Direct contact
was used in the control to account for any influence of
physical contact. This control was necessary due to the
potential psychological effect of massage as demonstrated
by Tyurin (1985).
Massage treatment 1 – Petrissage
The subject adopted a position as described above. The oil
was applied to both legs as with the control. The therapist
then proceeded to massage the subject’s plantar flexors
with a vigorous kneading ‘duck-billing’ motion – petris-
sage (Figure 2). This was applied to one leg for a period
of three minutes and then the other leg.
Figure 2. Petrissage massage technique.
Massage treatment 2 – Tapotement
The subject adopted the starting position as described
above. Oil was applied as with the other two interven-
tions, although not normally required for tapotement
technique. This was done to be consistent with the preced-
ing two interventions. A percussive hacking style (Figure
3) was applied to the plantar flexors for duration of three
minutes each leg as per the other two interventions. The
strike rate of this technique was vigorous at 4Hz. This
was consistent throughout the total six minute time pe-
riod. Consistency was ensured with the therapist wearing
a “Walkman” with earphones and a compact disc playing
a beeping noise every 0.5 s. The therapist was instructed
to strike his right hand twice for each beat.
Figure 3. Tapotement massage technique.
To ensure consistency for all conditions, the same
qualified massage therapist was used. The therapist had
been practising massage professionally for over three
years and was qualified with a Diploma of Health Science
(Remedial Massage).

McKechnie et al.
501
Jump procedures
All subjects on completing all other tests performed two
tests of muscle power. The order, in which these tests
were conducted, was randomly assigned. Once deter-
mined, the subject completed these tests in this order for
the remainder of their test sessions. These two tests were
selected as they are seen to be two differing neurophysi-
ological methods of force generation (Young et al., 2006).
The drop-jump involves a stretch-shortening cycle (SCC),
whereas the concentric calf raise is a pure concentric
contraction.
Drop jump
The drop jump was performed from a 30cm high box onto
a contact mat system (Swift Performance Equipment)
(Power et al., 2004; Young and Behm, 2002, Young and
Elliott, 2001; Young et al., 2006). Subjects were in-
structed to keep their hands on their hips throughout the
test, and to step off the box with a straight leg to ensure
the fall began as close to 30cm as possible. The objective
was to jump for maximum height and minimum contact
time. As previous studies have indicated, these instruc-
tions produced short contact times (<200msec) and
change the jumping task compared with jumping only for
height (Power et al., 2004; Young and Behm, 2002;
Young et al., 2006). The testers, to ensure correct tech-
nique and give feedback as required, repeated the cues of
maximum height and minimum contact time. Each subject
performed a maximum of two jumps with approximately
30 seconds rest between trials. The best score was re-
tained for the final result.
The test yields two results, height achieved and
contact time. The power measure is the height divided by
contact time. As the flight time determines the height
achieved, it is only valid if the subject lands in the exact
position of the take-off. Consequently, the subjects’ in-
structions were to land from their jumps with the hips and
knees extended and the feet fully plantar flexed before
flexing these joints to distribute the impact of landing.
“Although this test does not totally isolate the plantar
flexors, such a jumping technique has been shown to
reduce the activation of the quadriceps and increase the
activation of the gastrocnemius compared to a drop jump
for height only,” (Young et al., 2006).
Concentric calf raise
This test was performed in a modified Smith Machine
(Olympic bar is attached and guided along vertical rails)
with a 10kg bar on the shoulders to enhance stability
whilst performing the movement (Young et al., 2006).
The subject was placed in the Smith Machine and in-
structed to remain still, on flat feet. Their weight was then
measured and recorded. When instructed to ‘go’ the sub-
ject performed a maximal explosive concentric calf raise
as ‘hard and fast as possible’. Their knees had to remain
locked throughout the test and their toes were to remain in
contact with the ground. This test isolated the plantar
flexors as hip and knee extension was eliminated. To
decrease the subject utilising other muscles, their tech-
nique was assessed during the movement.
The power measures were captured with a Kistler
force platform (Z4852/C) operating at 1000Hz. The soft-
ware ascertained the absolute maximum force and re-
ported this as peak force. The maximum rate of force
development (RFD) was calculated as the greatest force
increase over 5 msec on the ascending aspect of the curve.
The subjects performed two trials, with the best score
taken as the result. These parameters have been used
previously (Young and Elliot, 2001).
Statistical analysis
To compare the measures of muscle power from the con-
centric calf raise and drop jump across these conditions, a
one-way Analysis of Variance (ANOVA) with repeated
measures was employed. For the flexibility measures, a
two-way ANOVA, (3 conditions x 2 times {pre- and post-
intervention}) with repeated measures, was also used;
however, the focus was on the condition × time interac-
tion since the flexibility results had a pre- and post- treat-
ment score. The ANOVAs were conducted separately for
right and left limbs. Significance was set at p < 0.05 for
all tests. Effect sizes (ES = mean change / standard
Figure 4. Mean ankle angle for the right leg. The symbol “*” represents that both post-massage measures
experienced significantly (p < 0.05) greater change compared to the post-test control measure. A decreased
angle signifies an increase in the range of motion (ROM). (Error bars represent the standard deviation [SD])

Massage effects on flexibility and power
502
56
58
60
62
64
66
68
Control Petrissage Tapotement
Ankle angle (deg)
Pre
Post
Figure 5. Mean ankle angle for the left leg. (Error bars represent the standard deviation [SD]).
deviation of the sample scores) were also calculated and
reported (Cohen, 1988). Cohen applied qualitative de-
scriptors for the effect sizes (ES) with ratios of less than
0.41, 0.41-0.70 and greater than 0.7 indicating small,
moderate and large changes respectively.
Results
Ankle joint flexibility
There was a significant (p < 0.01) main effect for time
(pre- vs. post-intervention) for both legs. For the right leg
there was a significant group × time interaction (p < 0.05)
(Figure 4). To determine which condition was different,
simple contrasts were performed revealing the gains in
flexibility from pre- to post-massage were greater for the
petrissage (3.7% ES = 0.64) and tapotement (3.2% ES =
0.62) compared to the control (1.3% ES = 0.18). There
was no significant difference between either massage
treatments for either leg.
For the left leg there was no statistical significance
in ankle joint flexibility (Figure 5). Although not signifi-
cant (p = 0.34), numerically, the two massage treatments
had larger gains in flexibility compared with the control
group (petrissage = 2.7% ES = 0.48: moderate, tapote-
ment = 2.4% ES = 0.34: small, control = 1.1% ES = 0.1).
Power performance
There was no significant difference observed between the
three conditions in any of the variables related to power
(Table 1). The concentric calf raise also failed to yield
any significant results.
Discussion
The purpose of this study was to determine if petrissage
and tapotement forms of massage would influence the
flexibility of the plantar flexors and muscle power.
Ankle joint flexibility
Unlike previous studies (Mikesky et al., 2002), this study
was able to demonstrate a significant effect of massage on
ROM. Interestingly, the ROM results showed significance
only on the right and a corresponding numerical indica-
tion on the left reached a significance value of p=0.34.
Effect size magnitudes (Cohen, 1988) indicated that both
types of massage for the right ankle and petrissage for the
left ankle caused moderate changes in ROM while tapo-
tement had a small effect for the left ankle. However,
when comparing the two massage techniques, the results
were very similar. This was surprising, as it has been
claimed that petrissage and tapotement have different
effects on soft tissues and subsequently a greater differ-
ence between the two strokes may have been expected
(Goats, 1994b). As discussed earlier, the proposed pur-
pose of petrissage is to increase lymphatic and venous
drainage, squeeze out metabolic waste products, promote
deeper relaxation of tissues and stretch muscle fibres,
making the tissue interface more mobile (Paine, 2000;
Prentice, 2003). These claims would account for the in-
crease in flexibility associated with petrissage via reduc-
ing stiffness at a fibre level and increasing muscle com-
pliance. However, tapotement is claimed to increase mus-
cle tone, vibrate tissues and stimulate cutaneous reflexes
(Goats, 1994a). Its percussive nature works superficially
stimulating muscles and cutaneous neural structures. Both
techniques involved direct contact on the skin for a dura-
tion of three minutes. Throughout that time, a vigorous
application of massage to the skin from either technique
would stimulate the cutaneous receptors (Goats, 1994a).
This application of rubbing or striking the skin for the
prolonged period would overload the cutaneous receptors
and possibly make recognising the end point of the stretch
more difficult. This hypothesis is in agreement with Mag-
nusson et al. (1996) who attributed increases in ROM
more to increases in stretch tolerance than to changes in
tissue compliance or stiffness.
Table 1. Mean data (standard deviations) for power tests.
Control Petrissage Tapotement
Drop Jump: Contact time / height (cm·s-1) 132.8 (33.5) 138.2 (31.4) 137.5 (31.2)
Concentric Calf Peak Force (body weight) .96 (.18) .96 (.19) .97 (.18)
Rate of force development (N·s-1) 11124 (376) 11098 (402) 11063 (362)

McKechnie et al.
503
As there was no significant difference between the
two massage styles, the style of massage may not be
significant in regards to improving the flexibility. Perhaps
the act of vigorous skin contact, regardless of the action
performed, would have the same effect.
Power performance
When comparing the effects of massage on the power of
the plantar flexors no significant change was noted for
either the drop-jump or the concentric calf raise. Simi-
larly, Mikesky et al. (2002) used a jump test when assess-
ing massage and vertical jump power. Again, their study
failed to yield any significant results with the counter
movement jump. The lack of impairment in jump per-
formance following the massage techniques is in contrast
to studies examining the effect of static stretching. A
number of studies have illustrated that prior to activity;
static stretching can impair force (Behm and Kibele,
2007, Behm et al., 2001; 2006), jump performance
(Cornwell et al., 2002; Young and Elliot, 2001; Young
and Behm, 2002), balance, reaction and movement time
(Behm et al., 2004b) and jump landing contact time
(Power et al., 2004). Young et al. (2006) showed that
increasing the stretch duration increased the decrement in
the drop jump performance. Consequently, if massage can
increase muscle length without affecting performance in
power events it could be hypothesised that vigorous, short
duration massage may be a better method of preparing the
body just prior to a power event compared with static
stretching. However, to further emphasize the point, mas-
sage in this study did not positively affect power perform-
ance, it just did not impair performance.
Ankle joint flexibility and power
Stretch-induced decrements in force and power have been
attributed to an increase in compliance (Fowles et al.,
2000; Taylor et al., 1990) and an inhibition of muscle
activation (Avela et al., 1999; Behm et al., 2001; Fowles
et al., 2000). The increased ankle joint flexibility of this
study might also be attributed to an increased muscle
compliance, which in turn would potentially adversely
affect the plantar flexors’ force length relationship. How-
ever, there were no significant changes in power with the
massage conditions.
An increase in ankle joint flexibility may occur due
to an increase in muscle temperature altering tissue vis-
cosity and tissue compliance. Drust et al. (2003) demon-
strated significant increases in muscle temperature, up to
a depth of 2.5cm with massage application. However this
is not as encompassing as an active warm-up that involves
muscular contractions. Numerous static stretching studies
use an active warm-up followed by a stretch to the ‘point
of discomfort’ (Behm and Kibele, 2007, Behm et al.,
2001; 2004a; 2006; Power et al., 2004, Young and Behm,
2002). As a consequence, a decrease in muscle viscosity
and increase in compliance should result. However ac-
cording to the previously cited studies, an increase in
muscle compliance should result in a decrease in power.
Perhaps the hypothetical positive effects of massage on
the neural system counterbalance or eliminate the nega-
tive effect of increased compliance.
Furthermore, massage is performed within a sub-
ject’s tolerance levels. The verbal cue of ‘point of dis-
comfort’, as described in static stretching studies, may not
be achieved keeping the muscle below the elastic limit.
Alter (1996) defined the elastic limit as the smallest value
of stress required to produce a permanent strain on the
body. He states that increasing the stress beyond this point
would result in a stressed connective tissue and muscle
and as a result these tissues would not return to their
original length. Consequently, static stretching to the
‘point of discomfort’ may exceed the elastic limit altering
the ability to generate power, whereas massage might not
reach this level and not affect the tissue in this manner.
Conclusion
The results of this investigation indicate a moderate mag-
nitude of effect in ankle joint flexibility following the
application of either three minutes of petrissage or tapo-
tement (only to the right ankle) massage to the plantar
flexors. In addition, there was no significant change in the
power measures following either of the massage treat-
ments. Consequently, with no decrement in power and a
moderate increase in ankle joint flexibility, massage pre-
sents an alternative method to static stretching to increase
ROM in a warm up. Despite the varying claimed effects
of the two different massage techniques there was no
significant difference.
References
Alter, M.J. (1996) Science of flexibility. Human Kinetics Publ. Windsor
Ontario, Canada. Chapter 5. 59-83.
Avela, J., Kyrolainen, H. and Komi, P. (1999) Altered reflex sensitivity
after repeated and prolonged passive muscle stretching. Journal
of Applied Physiology 86, 1283-1291.
Behm, D. Carrol, M. and Button, D. (2004a) The effect of an acute bout
of submaximal intensity stretching on hamstring force, activa-
tion and rate of force development. Canadian Journal Applied
Physiology 29(Suppl), S39.
Behm, D., Button, D. and Butt, J. (2001) Factors affecting force loss
with prolonged stretching. Canadian Journal of Applied Physi-
ology 26, 261-272.
Behm, D.G. and Kibele, A. (2007) Effects of differing intensities of
static stretching on jump performance. European Journal of
Applied Physiology, in press.
Behm, D., Bambury, A., Cahill, F. and Power, K. (2004b) The Effect of
Acute static stretching on force, balance, reaction time and
movement time. Medicine and Science in Sports and Exercise
36(8), 1397-1402.
Behm, D.G., Bradbury, E.E., Haynes, A.T., Hodder, J.N., Leonard, A.M.
and Paddock, N.R. (2006) Flexibility is not related to stretch-
induced deficits in force or power. Journal of Sports Science
and Medicine 5, 33-42.
Boone, T., Cooper, R. and Thompsom, W.A. (1991) Physiologic
Evaluation of the Sports massage. Journal of the National Ath-
letic Therapy Association 26, 51-54.
Cafarelli, E. and Flint, F. (1993) The role of massage in preparation for
and recovery from exercise. Physiotherapy in Sport 16,17-20.
Caldwell, E. (2001) Remedial massage therapy. Corpus Publishing Ltd.
Fishbourne, Chichester. 35-41.
Callaghan, M. (1993) The role of massage in the management of the
athlete: a review. British Journal Sports Medicine 27, 28-33.
Cash, M. (1996) Sports & remedial massage therapy. Butler and Tanner
Ltd. Frome, Somerset. Chapter 8. 58-65.
Clews, W. (1999) Massage Why? Women in sport (Melbourne, Aust.)
5(3), 10-11.
Cohen J. (1988) Statistical power analysis for the behavioral sciences.
2nd Edition. Hillsdale NJ, L. Erbaum Associates Publishing.

Massage effects on flexibility and power
504
Cornwell, A., Nelson, A. and Sidaway, B. (2002) Acute effects of
stretching on the neuromechanical properties of the triceps
surae muscle complex. European Journal of Applied
Physiology 86, 428-434.
Drews, T., Kreider, R., Drinkard, B., Cortes, C., Lester, C., Somma, C.,
Shall, L. and Woodhouse, M. (1990) Effects of post-event mas-
sage on repeated ultraendurance cycling. International Journal
Sports Medicine 11, 407.
Drust, B., Atkinson, G., Gregson, W., French, D. and Binningsley, D.
(2003) The effects of massage on the intramuscular temperature
in the vastus lateralis in humans. International Journal Sports
Medicine 24, 395-399.
Fowles, J. and Sale, D. (1997) Time course of strength deficit after
maximal passive stretch in humans. Medicine and Science in
Sports and Exercise 29, S26.
Fowles, J., Sale, D., MacDougall, J. (2000) Reduced strength after
passive stretch of the human plantar flexors. Journal Applied
Physiology 89:1179-1188.
Goats, G. (1994a) Massage – the scientific basis of an ancient art: part 1.
British Journal of Sports Medicine 28(3), 149-152.
Goats, G. (1994b) Massage – the scientific basis of an ancient art: part 2.
British Journal of Sports Medicine 28(3), 153-156.
Harmer, P. (1991) The effect of pre-performance massage on stride
frequency in sprinters. Journal of the National Athletic Therapy
Association 26, 55-59.
Hemmings, B. (2001) Physiological, psychological and performance
effects of massage therapy in sport: a review of literature.
Physical Therapy in Sport 2,165-170.
Hemmings, B. (2000) Psychological and immunological effects of
massage after sport. British Journal of Therapy and Rehabilita-
tion 7(12), 516-519.
Hemmings, B. (2000) Sports massage and psychological regeneration.
British Journal of Therapy and Rehabilitation 7(4), 184-189.
Hemmings, B., Smith, M., Graydon, J. and Dyson, R. (2000) Effects of
massage on physiological restoration, perceived recovery, and
repeated sports performance. British Journal Sports Medicine
34, 109-115.
Hunter, A. M., Watt, J.M., Watt, V. And Galloway, S.D. (2006) Effect
of lower limb massage on electromyography and force produc-
tion of the knee extensors. British Journal of Sports Medicine
40(2), 114-118.
King, R. (1993) Performance massage. Human Kinetics Publishers,
Champaign, Illinois. 8-72.
Magnusson, S.P., Simonsen, E.B., Aagaard, P., Sorensen, H. and Kjaer,
M. (1996) A mechanism for altered flexibility in human skeletal
muscle. Journal of Physiology 497(1), 291-298.
Mikesky, A., Bahamonde, R., Stanton, K., Alvey, T. and Fitton, T.
(2002) Acute effects of the stick on strength, power and flexi-
bility. Journal of Strength and Conditioning Research 16(3),
446-450.
Nelson, A.G., Guillory, I.K., Cornwell, A. and Kokkonen, J. (2001)
Inhibition of maximal voluntary isokinetic torque production
following stretching is velocity-specific. Journal of Strength
and Conditioing Research 15(2), 241-246.
Paine, T. (2000) The complete guide to sports massage. A & C Black
Publishing Ltd. London. Chapter 9. 79-114.
Power, K., Behm, D., Cahill, F., Carroll, M. and Young W. (2004) An
acute bout of static stretching: Effects on force and jumping
performance. Medicine and Science in Sports and Exercise
36(8), 1389-1396.
Prentice. W. (2003) Therapeutic Modalities, 5th Edition. Mosby, St
Louis. 431-522.
Shoemaker, J., Tiidus, P. and Mader, R. (1997) Failure of manual mas-
sage to alter limb blood flow: measure by Doppler ultrasound.
Medicine and Science in Sports and Exercise 29, 610-614.
Sports Medicine Australia (SMA). (2005) Recommendations for Warm-
Up – Stretching. Avaliable from URL: http://www.sma.org.au
Taylor, D., Dalton, J., Seaber, A. and Garrett, W. (1990) Viscoelastic
properties of muscle-tendon units. The biomechanical effects of
stretching. American Journal Sports Medicine 18, 300-309.
Tiidus, P. and Shoemaker, J. (1995) Effleurage massage, muscle blood
flow and long-term post-exercise strength recovery. Interna-
tional Journal of Sports Medicine 16, 478-483.
Tiidus, P. (1997) Manual massage and recovery of muscle function
following exercise: a literature review. Journal Orthopaedic
and Sport Physical Therapy 25(2), 107-112.
Tyurin, A. (1985) The influence of different forms of massage on the
psycho-emotional state of athletes. Teoriya I Praktika
Fizicheskoi Kultury 7, 19-20.
Weber, M., Servedio, F. and Woodall, W. (1994) The effects of three
modalities on delayed onset of muscular soreness. Journal Or-
thopaedic and Sport Physical Therapy 20(5), 236-242.
Wiktorsson-Möller, M., Öberg, B., Ekstrand, J. and Gillquist, J. (1983)
Effects of warming up, massage, and stretching on range of mo-
tion and muscle strength in the lower extremity. American
Journal Sports Medicine 11(4), 249-252.
Young, W. and Behm, D. (2002) Effect of running, static stretching and
practice jumps on expolsive force production and jumping per-
formance. Journal of Sports Medicine and Physical Fitness 42,
1-99.
Young, W. and Elliott, S. (2001) Acute effects of static stretching,
proprioceptive neuromuscular facilitation stretching, and
maximal voluntary contractions on explosive force production
and jumping performance. Research Quarterly for Exercise and
Sport 72, 273-279.
Young, W., Elias, G. and Power, J. (2006) Effects of static stretching
volume and intensity on plantar flexor explosive force produc-
tion and range of motion. Journal of Sports Medicine and
Physical Fitness 46(3), 403-411.
Key points
• Three minutes of petrissage and tapotement forms
of massage increased ankle flexibility.
• Massage did not adversely affect jump power
measures.
• Massage may be an effective alternative to static
stretching as a component of a pre-event warm-up.
AUTHORS BIOGRAPHY
Grant McKECHNIE
Employment
Working in a private practice in exercise rehabilitation.
Degree
MSc
Warren B. YOUNG
Employment
Senior lecturer at the University of
Ballarat.
Degree
PhD
Research interests
Sport-specific warm-ups, training and
agility.
E-mail: w.young@ballarat.edu.au
David G. BEHM
Employment
Professor in the School of Human Ki-
netics and Recreation at the Memorial
Univ. of Newfoundland.
Degree
PhD
Research interests
Neuromuscular responses to acute and
chronic activity.
E-mail: dbehm@mun.ca
 David Behm
School of Human Kinetics and Recreation, Memorial University
of Newfoundland, St. John’s Newfoundland, Canada, A1M 3L8