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.

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.

Effects of soft tissue artefacts on computed segmental and stifle kinematics in canine motion analysis

2019 ◽  
Vol 186 (2) ◽  
pp. 66-66 ◽  
Author(s):  
Ming Lu ◽  
Cheng-Chung Lin ◽  
Tung-Wu Lu ◽  
Shi-Nuan Wang ◽  
Ching-Ho Wu
Keyword(s):  
Soft Tissue ◽  
Motion Analysis ◽  
Soft Tissues ◽  
Functional Performance ◽  
Frontal Plane ◽  
Skin Marker ◽  
Attachment Sites ◽  
Mixed Breed ◽  
Dynamic Gait ◽  
Cluster Level

Skin marker-based motion analysis has been widely used to evaluate the functional performance of canine gait and posture. However, the interference of soft tissues between markers and the underlying bones (soft tissue artefacts, STAs) may lead to errors in kinematics measurements. Currently, no optimal marker attachment sites and cluster compositions are recommended for canine gait analysis. The current study aims to evaluate cluster-level STAs and the effects of cluster compositions on the computed stifle kinematics. Ten mixed-breed healthy dogs affixed with 19 retroreflective markers on the thigh and shank were enrolled. During isolated stifle passive extension, the marker trajectories were acquired with a motion capture system, and the skeletal poses were determined by integrating fluoroscopic and CT images of the bones. The cluster-level STAs were assessed, and clusters were paired to calculate the stifle kinematics. A selection of cluster compositions was useful for deriving accurate sagittal and frontal plane stifle kinematics with flexion angles below 50 per cent of the range of motion. The findings contribute to improved knowledge of canine STAs and their influence on motion measurements. The marker composition with the smallest error in describing joint kinematics is recommended for future applications and study in dogs during dynamic gait assessment.

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.

scholarly journals AB1310-HPR EFFECTS OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION ON FROZEN SHOULDER: A RANDOMIZED CONTROLLED TRIAL

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1945.2-1945
Author(s):  
E. Kaya Mutlu ◽  
T. Birinci ◽  
S. Kilic
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Frozen Shoulder ◽  
Controlled Study ◽  
Joint Mobilization ◽  
Randomized Controlled ◽  
Constant Murley Score ◽  
Group I ◽  
Group Ii ◽  
Soft Tissue Mobilization

Background:Frozen shoulder has a greater incidence, more severe course, and resistance to treatment in patients. Management is based on the underlying cause of pain and stiffness. Joint mobilization has been reported to improve joint range of motion in frozen shoulder. However, there is no information regarding the effect of instrument-assisted soft tissue mobilization (IASTM) in frozen shoulder. We proposed that there would be no significant difference between the two manual physical therapy techniques with relatively similar treatment effects in the frozen shoulder.Objectives:The aim of this randomized controlled study was to compare the effectiveness of IASTM and joint mobilization in the treatment of patients with frozen shoulder.Methods:Thirty patients with phase II frozen shoulder (mean age 50,9 years, age range 39–65 years) were randomly assigned to one of the two treatment groups: Group I received joint mobilization combined with manual stretching exercise and Group II received IASTM with manual stretching exercise (two days per week for six weeks) (Figure 1). The pain level was evaluated with a visual analogue scale (VAS) and the active range of motion (ROM) was measured with a universal goniometer. The Disabilities of the Arm, Shoulder and Hand score and the Constant-Murley score were used for functional assessment. The assessments were performed at baseline and after the 6-week intervention.Figure 1.Instrument-Assisted Soft Tissue MobilizationResults:Both groups had a significant decrease in pain according to VAS and a significant increase in ROM and function level (p<0.05). After the 6-week intervention, improvement of shoulder abduction ROM in Group I was found significantly higher than Group II (p=0.01), on the other hand, Constant-Murley score in Group II was found significantly higher compared to Group I (p=0,001).Conclusion:Our results supported the hypothesis that either joint mobilization or IASTM, performed in addition to stretching exercise, provided similar improvements in pain levels in patients with the frozen shoulder.References:[1]Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, et al. Shoulder Pain and Mobility Deficits: Adhesive Capsulitis, J Orthop Sports Phys Ther, 2013:43:1-31.[2]Celik D, Kaya Mutlu E.Does AddingMobilization toStretchingImprove Outcomes for People with Frozen Shoulder? A Randomized Controlled Clinical Trial, Clin Rehab, 2016: 30(8): 786-794.[3]Iked N, Otsuka S, Kawanishi Y, Kawakami Y. Effects of Instrument-Assisted Soft Tissue Mobilization on Musculoskeletal Properties, Med Sci Sports Exerc, 2019:51(10): 2166-2172.Disclosure of Interests:None declared

scholarly journals Taping to Improve Scapular Dyskinesis, Scapular Upward Rotation, and Pectoralis Minor Length in Overhead Athletes

2018 ◽  
Vol 53 (11) ◽  
pp. 1063-1070 ◽  
Author(s):  
Sibel Tekeli Ozer ◽  
Damla Karabay ◽  
Sevgi Sevi Yesilyaprak
Keyword(s):  
Athletic Training ◽  
Soft Tissues ◽  
Controlled Trial ◽  
Scapular Dyskinesis ◽  
Shoulder Injuries ◽  
Short Term ◽  
Overhead Athletes ◽  
Kinesio Taping ◽  
Pectoralis Minor ◽  
Scapular Region

Context Deviations in scapular motions and subsequent alterations in associated soft tissues are thought to contribute to overuse shoulder injuries in overhead athletes. Whereas rigid and Kinesio taping are recommended for preventing these injuries, high-level evidence from clinical trials is still needed. Objective To determine and compare the short-term effects of rigid and Kinesio taping on scapular dyskinesis, scapular upward rotation, and pectoralis minor length in asymptomatic overhead athletes. Design Randomized controlled trial. Setting Athletic training rooms. Patients or Other Participants Seventy-two elite asymptomatic overhead athletes (age = 17.00 ± 4.09 years, height = 1.75 ± 0.11 m, mass = 67.26 ± 15.25 kg, body mass index = 21.80 ± 3.00). Intervention(s) We randomly assigned participants to 1 of 4 groups: rigid taping, Kinesio taping, placebo, or control (no taping). For the first 3 groups, we applied tape to the shoulder and scapular region. Main Outcome Measure(s) We evaluated all groups for observable scapular dyskinesis using the scapular dyskinesis test, scapular upward rotation using a digital inclinometer, and pectoralis minor length using the pectoralis minor index at baseline, immediately after taping, and at 60 to 72 hours after taping. Results The scapular dyskinesis percentage (P &lt; .05) decreased and the pectoralis minor index (P &lt; .001) increased immediately and at 60 to 72 hours after taping in the rigid-taping and Kinesio-taping groups. We observed no differences among groups for the change in the pectoralis minor index (P &gt; .05). Scapular upward rotation did not change after taping in any group (P &gt; .05). Conclusions Rigid or Kinesio taping of the shoulder and scapular region improved scapular dyskinesis and pectoralis minor length but did not alter scapular upward rotation. Short-term rigid and Kinesio taping may help improve scapular dyskinesis and pectoralis minor length in overhead athletes.

scholarly journals Soft-Tissue Techniques in Sports Injuries Prevention and Rehabilitation

2021 ◽  
Author(s):  
Konstantinos Mylonas ◽  
Pavlos Angelopoulos ◽  
Elias Tsepis ◽  
Evdokia Billis ◽  
Konstantinos Fousekis
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Sports Injuries ◽  
Scientific Evidence ◽  
Well Being ◽  
Cupping Therapy ◽  
Therapeutic Interventions ◽  
Special Equipment ◽  
Myofascial Release ◽  
Acute Injuries

Participation in sports, in addition to its positive effects, leads to injuries caused by contact with the opponent or the high loads that develop on the musculoskeletal structures during the sports activities. Sports injuries mainly include (a) acute injuries such as muscle strains and ligament sprains, tendon injuries, dislocations and subluxations, fractures, and skin injuries but also (b) overuse injuries such as tendinopathies and painful myofascial syndromes. Many therapeutic techniques are used to treat these injuries, such as therapeutic exercise, various electrotherapy procedures and soft tissue techniques. Soft tissue techniques aim to promote health and well-being through their mechanical effects on the body’s soft tissues such as friction, compression, tissues sliding and myofascial release. Sports soft-tissue procedures are applied either directly with the hands of therapists such as classical massage or with the use of special equipment such as tools made of stainless steel (ERGON instrument-assisted soft tissue mobilization), elastic ischemic bandages (Kinetic flossing technique) and cups (cupping therapy). The following chapter analyzes the therapeutic effects of the above therapeutic interventions by presenting recent scientific evidence that supports their effects on the soft tissue’s dysfunctions of the human body and various pathological conditions.

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