Instrument-Assisted Soft Tissue Mobilization for Improving Ankle Dorsiflexion Range of Motion in Healthy Patients: A Critically Appraised Topic

2020 ◽  
Vol 25 (4) ◽  
pp. 170-175
Author(s):  
Alison M. Gardiner-Shires ◽  
Cristina B. Seffrin
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Ankle Dorsiflexion ◽  
Therapeutic Interventions ◽  
Healthy Population ◽  
Clinical Question ◽  
Short Term ◽  
Bottom Line ◽  
Soft Tissue Mobilization ◽  
Quality Evidence

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.

scholarly journals The Comparison of Instrument-Assisted Soft Tissue Mobilization and Self-Stretch Measures to Increase Shoulder Range of Motion in Overhead Athletes: A Critically Appraised Topic

2018 ◽  
Vol 27 (4) ◽  
pp. 385-389 ◽  
Author(s):  
Matthew J. Hussey ◽  
Alex E. Boron-Magulick ◽  
Tamara C. Valovich McLeod ◽  
Cailee E. Welch Bacon
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Internal Rotation ◽  
Proper Function ◽  
Clinical Question ◽  
Bottom Line ◽  
Overhead Athletes ◽  
Shoulder Range Of Motion ◽  
Soft Tissue Mobilization ◽  
Shoulder Range

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.

The Effectiveness of Posterior Shoulder Stretching on Reducing Posterior Shoulder Tightness in Overhead Athletes: A Critically Appraised Topic

2016 ◽  
Vol 21 (5) ◽  
pp. 8-13
Author(s):  
Megan Pathoomvanh ◽  
Chase Feldbrugge ◽  
Lauren Welsch ◽  
Bonnie Van Lunen
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Clinical Question ◽  
Bottom Line ◽  
High Quality ◽  
Overhead Athletes ◽  
High Quality Evidence ◽  
Posterior Shoulder ◽  
Posterior Shoulder Tightness ◽  
Quality Evidence

Clinical Question:Are posterior shoulder stretching programs effective in reducing posterior shoulder tightness, or tightness to the soft tissue of the shoulder, in overhead athletes? Clinical Bottom Line:In overhead athletes, there is high quality evidence to support the use of posterior shoulder stretching to reduce a commonly used measure of posterior shoulder tightness. All three studies1–3 reported an increase in shoulder internal rotation range of motion following implementation of posterior shoulder stretching.

The Effects of Instrument-Assisted Soft Tissue Mobilization, Tissue Flossing, and Kinesiology Taping on Shoulder Functional Capacities in Amateur Athletes

2021 ◽  
pp. 1-10
Author(s):  
Pavlos Angelopoulos ◽  
Konstantinos Mylonas ◽  
Elias Tsepis ◽  
Evdokia Billis ◽  
Nikolaos Vaitsis ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Functional Performance ◽  
Therapeutic Interventions ◽  
Controlled Study ◽  
Short Term ◽  
Amateur Athletes ◽  
Overhead Athletes ◽  
Functional Capacities ◽  
Soft Tissue Mobilization

Context: Instrument-assisted soft tissue mobilization (IASTM), tissue flossing, and kinesiology taping are increasingly popular treatments among athletes for improving functional performance, despite limited evidence for their efficacy. Objective: Previous research regarding the efficacy of soft tissues and neuromuscular techniques on improving functional capacity of shoulder joints in athletes has yielded conflicting results. We examined the immediate and short-term effects of IASTM, flossing, and kinesiology taping on the functional capacities of amateur athletes’ shoulders. Design: Randomized controlled study. Setting: Clinical assessment laboratory. Participants: Eighty amateur overhead athletes (mean [SD]: age = 23.03 [1.89]; weight = 78.36 [5.32]; height = 1.77 [.11]). Interventions: We randomly assigned participants to 4 research sub-groups in which they received the following treatments on their dominant shoulders: IASTM (n = 20), flossing (n = 20), both IASTM and flossing (n = 20), and kinesiology tape (n = 20). Nondominant shoulders served as controls. Main Outcome Measure: We evaluated participants—before, immediately after, and 45 minutes after the therapeutic interventions—with the following tests: internal and external shoulder rotation range of motion, isokinetic strength and total work, the functional throwing performance index, and the one-arm seated shot put throw performance. Results: All therapeutic interventions significantly improved the strength and functional performance of the dominant shoulder in comparison with the control (P < .005) immediately after and 45 minutes after the treatment. The IASTM led to significantly greater improvement in shoulder internal rotation than kinesiology taping immediately after (P = .049) and 45 minutes after the treatment (P = .049). We observed no significant differences between the other treatment interventions (P > .05). Conclusion: Findings from the current study support the use of novel soft tissue and neuromuscular techniques for the immediate and short-term improvement of the shoulder functional capacities in amateur overhead athletes.

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

2020 ◽  
pp. 1-7
Author(s):  
Moni Syeda ◽  
Jason Bartholomew ◽  
Shayane Santiago ◽  
Jeff Peterson ◽  
Russell T. Baker ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Musculoskeletal Injury ◽  
Muscular Power ◽  
Acute Effects ◽  
Bottom Line ◽  
Physically Active ◽  
Soft Tissue Mobilization ◽  
Active Adults

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.

Ankle Dorsiflexion Promotes Irradiation of Ipsilateral Quadriceps Musculature in a Healthy Population

2021 ◽  
pp. 1-4
Author(s):  
Emily Lahne ◽  
Grace Golden ◽  
Shelley W. Linens
Keyword(s):  
Lower Extremity ◽  
Muscle Activation ◽  
Force Production ◽  
Preliminary Evidence ◽  
Ankle Dorsiflexion ◽  
Healthy Population ◽  
Clinical Question ◽  
Bottom Line ◽  
Initial Stage

Clinical Question: Does ankle dorsiflexion promote irradiation of ipsilateral lower extremity musculature during a maximal isometric quadriceps contraction task in a healthy population? Clinical Bottom Line: There is preliminary evidence supporting the use of active ankle dorsiflexion during isometric quadriceps exercises to promote increased quadriceps activation and force production. As isometric quadriceps exercises are often included in initial stage rehabilitation, increasing muscle activation and force production may be beneficial.

scholarly journals PERBEDAAN PENGARUH EFEK AKUT INSTRUMENT ASSISSTED SOFT TISSUE MOBILIZATION (IASTM) DAN SELF MYOFASCIAL RELEASE (SMFR) UNTUK MENINGKATKAN FLEKSIBILITAS OTOT HAMSTRING

2019 ◽  
Vol 3 (2) ◽  
pp. 9-23
Author(s):  
Wijianto . ◽  
Nizar Wazdi
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
T Test ◽  
Myofascial Release ◽  
Whitney Test ◽  
Mann Whitney Test ◽  
Soft Tissue Mobilization ◽  
Paired T Test

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.

The Effects of Self-Myofascial Release on Flexibility of the Lower Extremity: A Critically Appraised Topic

2015 ◽  
Vol 20 (2) ◽  
pp. 14-19 ◽  
Author(s):  
Christine M. Feldbauer ◽  
Brittany A. Smith ◽  
Bonnie Van Lunen
Keyword(s):  
Lower Extremity ◽  
Range Of Motion ◽  
Clinical Question ◽  
Use Of Self ◽  
Bottom Line ◽  
Physically Active ◽  
Myofascial Release ◽  
Low Level

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.

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