Instrument-Assisted Soft-Tissue Mobilization for the Management of Chronic Plantar Heel Pain: A Pilot Study

2019 ◽  
Vol 109 (3) ◽  
pp. 193-200
Author(s):  
Edward R. Jones ◽  
Margaret A. Finley ◽  
Stacie J. Fruth ◽  
Thomas G. McPoil
Keyword(s):  
Pilot Study ◽  
Soft Tissue ◽  
Sample Size ◽  
Heel Pain ◽  
Effect Sizes ◽  
Graston Technique ◽  
Plantar Heel Pain ◽  
Final Treatment ◽  
And Function ◽  
Soft Tissue Mobilization

Background: The purpose of this study was to determine feasibility of further investigation of treatment with instrument-assisted soft-tissue mobilization (IASTM), using the Graston technique, compared with conservative care for treatment of chronic plantar heel pain (CPHP). Methods: Eleven participants with plantar heel pain lasting 6 weeks to 1 year were randomly assigned to one of two groups, with each group receiving up to eight physical therapy visits. Both groups received the same stretching, exercise, and home program, but the experimental group also received IASTM using the Graston technique. Outcome measures of pain and function were recorded at baseline, after final treatment, and 90 days later. Feasibility of a larger study was determined considering recruitment and retention rates, compliance, successful application of the protocol and estimates of the treatment effect. Results: Both groups demonstrated improvements in current pain (pain at time of survey), pain with the first step in the morning, and function after final treatment and at 90-day follow up. Medium-to-large effect sizes between groups were noted, and sample size estimates demonstrated a need for at least 42 participants to realize a group difference. A larger-scale study was determined to be feasible with modifications including a larger sample size and higher recruitment rate. Conclusions: This pilot study demonstrates that inclusion of IASTM using the Graston technique for CPHP lasting longer than 6 weeks is a feasible intervention warranting further study. Clinically important changes in the IASTM group and moderate-to-large between-group effect sizes suggest that further research is warranted to determine whether these trends are meaningful.

Graston Instrument Soft Tissue Mobilization and Home Stretching for the Management of Plantar Heel Pain: A Case Series

2011 ◽  
Vol 34 (2) ◽  
pp. 138-142 ◽  
Author(s):  
Brian Looney ◽  
Terry Srokose ◽  
César Fernández-de-las-Peñas ◽  
Joshua A. Cleland
Keyword(s):  
Soft Tissue ◽  
Case Series ◽  
Heel Pain ◽  
Plantar Heel Pain ◽  
Soft Tissue Mobilization

Efficacy of Instrument Assisted Soft-Tissue Mobilization in patients with heel pain: An Experimental study.

2021 ◽  
Author(s):  
Shivani Bhurchandi ◽  
Rakesh K Sinha ◽  
Pratik Phansopkar
Keyword(s):  
Soft Tissue ◽  
Rating Scale ◽  
Exercise Program ◽  
Heel Pain ◽  
Home Exercise ◽  
Long Term Effects ◽  
Home Exercise Program ◽  
Group B ◽  
The Impact ◽  
Soft Tissue Mobilization

Abstract Background: ‘Heel pain’ is one of the commonest ailments of foot affecting 10% of population and having visible effects on lifestyle of these patients , affecting both younger and elder population. This study’s purpose is to determine the efficacy of Instrument Assisted Soft Tissue Mobilization in people affected with heel pain and the resultant effect on their lifestyle.Method: Seventy participants(n=70) with heel pain (lasting from 6 weeks to 1 year) will be selected and divided in 2 groups . Each group receiving 8 treatment sessions. Group A will receive IASTM + Home exercise program and Group B will receive Therapeutic Ultrasound + Home exercise program . Outcome measures will be recorded i.e. Pre-test and Post-test , by using Numerical Pain Rating Scale and Foot & Ankle Ability Measure scale.The study’s purpose is to assess the impact (i.e. immediate and long term effects) of IASTM on heel pain. The Central Trial Registry of India (CTRI) registration number for this trial is CTRI/2021/06/044018.

Soft-tissue disorders

2019 ◽  
pp. 135-158
Author(s):  
Karl B. Landorf ◽  
Anne-Maree Keenan ◽  
Rebecca Kearney
Keyword(s):  
Soft Tissue ◽  
Achilles Tendinopathy ◽  
Heel Pain ◽  
Tibialis Posterior ◽  
Tarsal Tunnel ◽  
Ankle Sprains ◽  
Common Occurrence ◽  
Tarsal Tunnel Syndrome ◽  
Plantar Heel Pain ◽  
Tunnel Syndrome

This chapter covers soft-tissue disorders, a common occurrence in rheumatology. There is a brief overview of 10 of the most common soft-tissue disorders of the foot in rheumatology, including Achilles tendinopathy, ankle sprains, retrocalcaneal bursitis, tarsal tunnel syndrome, peroneal tendinopathy, tibialis posterior tendinopathy, plantar heel pain, and more. For each disorder, presentation, signs, and management are discussed.

Development of a Force Sensing Instrument Assisted Soft Tissue Mobilization Device

2016 ◽  
Author(s):  
Ahmed M. Alotaibi ◽  
Sohel Anwar ◽  
M. Terry Loghmani ◽  
Stanley Chien
Keyword(s):  
Soft Tissue ◽  
Load Cell ◽  
Force Measurements ◽  
Clinical Practices ◽  
Stroke Frequency ◽  
Graston Technique ◽  
Overall Design ◽  
Force Components ◽  
Soft Tissue Mobilization ◽  
Force Data

Instrument assisted soft tissue mobilization (IASTM) is a form of massage using rigid manufactured or cast devices. The delivered force, which is a critical parameter in massage during IASTM, has not been measured or standardized for most clinical practices. In addition to the force, the angle of treatment and frequency play an important role during IASTM. As a result, there is a strong need to characterize the delivered force to a patient, angle of treatment, and stroke frequency. This paper proposes a novel mechatronic design for a specific instrument from Graston Technique® (Model GT-3), which is a frequently used tool to clinically deliver localize pressure to the soft tissue. The design uses a 3D load cell, which can measure all three force components force simultaneously. The overall design is implemented with an IMUduino microcontroller chip which can also measure tool orientation angles and provide computed stroke frequency. The prototype of the mechatronic IASTM tool was validated for force measurements using an electronic plate scale that provided the baseline force values to compare with the applied force magnitudes measured by the device. The load cell measurements and the scale readings were found to be in agreement within the expected degree of accuracy. The stroke frequency was computed using the force data and determining the peaks during force application. The orientation angles were obtained from the built-in sensors in the microchip.

scholarly journals Instrument-Assisted Soft Tissue Mobilization: A Systematic Review and Effect-Size Analysis

2019 ◽  
Vol 54 (7) ◽  
pp. 808-821 ◽  
Author(s):  
Cristina B. Seffrin ◽  
Nicole M. Cattano ◽  
Melissa A. Reed ◽  
Alison M. Gardiner-Shires
Keyword(s):  
Soft Tissue ◽  
Effect Size ◽  
Full Text ◽  
Body Part ◽  
Effect Sizes ◽  
Cochrane Library ◽  
Size Analysis ◽  
High Quality Research ◽  
Patient Reported ◽  
Soft Tissue Mobilization

Objective To determine the overall effectiveness of instrument-assisted soft tissue mobilization (IASTM) in improving range of motion (ROM), pain, strength, and patient-reported function in order to provide recommendations for use. We also sought to examine the influence of IASTM on injured and healthy participants, body part treated, and product used. Data Sources We searched the Academic Search Premier, Alt Healthwatch, CINAHL Complete, Cochrane Library, MEDLINE with full text, NLM PubMed, Physical Education Index, Physiotherapy Evidence Database (PEDro), SPORTDiscus with full text, and Web of Science databases for articles published from 1997 through 2016. The Boolean string advantEDGE OR astym OR graston OR iastm OR “instrument assist* soft tissue mobil*” OR “augment* soft tissue mobil*” OR “myofascial release” OR “instrument assist* massage” OR “augment* massage” OR “instrument assist* cross fiber massage” was used. Study Selection Included articles were randomized controlled trials that measured ROM, pain, strength, or patient-reported function and compared IASTM treatment with at least 1 other group. Data Extraction Thirteen articles met the inclusion criteria. Four independent reviewers assessed study quality using the PEDro and Centre for Evidence-Based Medicine scales. Twelve articles were included in the effect-size analysis. Data Synthesis The average PEDro score for studies of uninjured participants was 5.83 (range = 5 to 7) and that for studies of injured participants was 5.86 (range = 3 to 7). Large effect sizes were found in outcomes for ROM (uninjured participants), pain (injured participants), and patient-reported function (injured participants). The different IASTM tools used in these studies revealed similar effect sizes in the various outcomes. Conclusions The current literature provides support for IASTM in improving ROM in uninjured individuals as well as pain and patient-reported function (or both) in injured patients. More high-quality research involving a larger variety of patients and products is needed to further substantiate and allow for generalization of these findings.

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