The Immediate Effects of Instrumented-Assisted Soft Tissue Mobilization on Range of Motion, Strength, and Power in the Lower Extremity: A Critically Appraised Topic

Author(s):  
Moni Syeda ◽  
Jason Bartholomew ◽  
Shayane Santiago ◽  
Jeff Peterson ◽  
Russell T. Baker ◽  
...  

Focused Clinical Question: What are the immediate effects of instrumented-assisted soft tissue mobilization (IASTM) application on measures of lower extremity range of motion, muscular power, and strength in physically active adults not currently suffering from a musculoskeletal injury? Clinical Bottom Line: Grade 1 evidence supports immediate improvements in lower extremity range of motion in physically active adults after IASTM application. However, the evidence is lacking to support IASTM to improve muscular power and strength. Therefore, additional research is warranted to determine the acute effects of IASTM use on muscular power and strength in healthy, physically active adults.

2018 ◽  
Vol 27 (4) ◽  
pp. 385-389 ◽  
Author(s):  
Matthew J. Hussey ◽  
Alex E. Boron-Magulick ◽  
Tamara C. Valovich McLeod ◽  
Cailee E. Welch Bacon

Clinical Scenario: Shoulder range of motion (ROM) in throwing athletes relies on a balance of mobility and stability to maintain proper function and health that, if disrupted, can lead to shoulder injury. There have been several studies that address the relationship between ROM deficits and overhead injuries; however, it may be unclear to clinicians which interventions are most effective for increasing ROM in the glenohumeral joints of overhead athletes. Clinical Question: In overhead athletes who have deficient shoulder ROM, is instrument-assisted soft tissue mobilization (IASTM) more effective at acutely increasing ROM over the course of a patient’s treatment when compared with self-stretching? Summary of Key Findings: A thorough literature review yielded 3 studies relevant to the clinical question, and all 3 studies were included. Two articles found a significant increase in acute ROM when compared with a self-stretch measure. All 3 articles showed increases in internal rotation and horizontal adduction, and 1 study reported an increase in total arc of shoulder ROM. Clinical Bottom Line: There is moderate evidence to support the use of IASTM to acutely increase ROM in the glenohumeral joint of overhead athletes. Clinicians should be aware of the variability with recommended treatment times; however, positive results have been seen with treatments lasting 5 to 6 minutes per treatment region. There is no consensus for treatment intensity, and certain IASTM tools require certification. Strength of Recommendation: Grade B evidence exists that IASTM is more effective at increasing shoulder ROM (ie, internal rotation, horizontal adduction, external rotation, total arc of motion) in overhead athletes than self-stretching measures.


2015 ◽  
Vol 20 (2) ◽  
pp. 14-19 ◽  
Author(s):  
Christine M. Feldbauer ◽  
Brittany A. Smith ◽  
Bonnie Van Lunen

Clinical Question:Does self-myofascial release improve lower extremity fexibility or range of motion in physically active individuals?Clinical Bottom Line:There is low-level evidence to support the use of self-my-ofascial release to increase range of motion and fexibility in the lower extremity.


2020 ◽  
Vol 25 (4) ◽  
pp. 170-175
Author(s):  
Alison M. Gardiner-Shires ◽  
Cristina B. Seffrin

Clinical Question: In a healthy population, is instrument-assisted soft tissue mobilization beneficial in improving ankle dorsiflexion range of motion as compared to other therapeutic interventions? Clinical Bottom Line: For healthy patients, there is moderate-quality evidence to support the short-term use of instrument-assisted soft tissue mobilization for improving ankle dorsiflexion range of motion.


2019 ◽  
Vol 3 (2) ◽  
pp. 9-23
Author(s):  
Wijianto . ◽  
Nizar Wazdi

Latar Belakang:  Instrumen Assisted Soft Tissue Mobilization (IASTM) merupakan prosedur terapi yang mana menggunakan instrumen untuk secara mekanik menstimulus struktur jaringan lunak untuk mengurangi nyeri otot, ketidaknyamanan, dan meningkatkan secara keseluruhan mobilitas dan fungsi Self Myofascial Release (SMFR) merupakan salah satu teknik manual terapi dengan cara memberikan tekanan pada otot dan fascia yang bertujuan untuk menambah Range of Motion (ROM), mengurangi nyeri, dan meningkatkan fungsi. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui efek akut perubahan fleksibilitas otot hamstring setelah diberikan IASTM dan SMFR, juga mengetahui adanya perbedaan efek akut antara pemberian IASTM dan SMFR pada perubahan fleksibilitas otot hamtring. Metode: Penelitian eksperimen dengan membandingan pre dan post tes dari dua kelompok yang berbeda perlakuan. Kelompok pertama diberikan perlakuan teknik IASTM, kelompok kedua diberikan perlakuan SMFR.  Data yang dikumpulkan dianalisa menggunakan paired t-test dan mann-whitney test. Hasil: Hasil penelitian menunjukkan efek akut IASTM terhadap fleksibilitas otot hamstring (p = 0,001), efek akut SMFR terhadap fleksibilitas otot hamstring  (p = 0,000), Perbedaan pengaruh antara passive dan active MFR terhadap ketegangan otot (p = 0,134). Kesimpulan: Terdapat peningkatan fleksibilitas otot hamstring pada grup 1 dan grup 2. Tidak ada beda pengaruh yang signifikan antara pemberian IASTM atau SMFR terhadap fleksibilitas otot hamstring.  Kata Kunci: Hamstring, instrumen assisted soft tissue mobilization, fleksibilitas, self  myofascial release.


2019 ◽  
Vol 23 (2) ◽  
pp. 233-240 ◽  
Author(s):  
Carrie A. Rowlett ◽  
William J. Hanney ◽  
Patrick S. Pabian ◽  
Jordon H. McArthur ◽  
Carey E. Rothschild ◽  
...  

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