soft tissue mobilization
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2021 ◽  
pp. 89-95
Author(s):  
Ni Komang Ayu Juni Antari ◽  
Made Hendra Satria Nugraha ◽  
I Made Niko Winaya ◽  
Putu Rama Adhityadharma

Background: Neck pain is a common health problem in the working population. When studied by the International Classification of Functioning, Disability and Health (ICF), the problems that arise in non-specific neck pain include: neck pain, limited joint motion, and decreased functional ability in carrying out daily activities. The aim of this study was to compare the effectiveness of combination ultrasound therapy (UST) and deep cervical muscle exercise (DCME) versus combination ultrasound therapy (UST) and soft tissue mobilization (STM) on non-specific neck pain. Methods: This research was experimental with a randomized pre-test and post-test control group design, in which the study participants were divided into two groups randomly. The study participants were 20 people who were divided into the control group (n = 10) who were given the combined intervention of UST and DCME while the treatment group (n = 10) were given the combined intervention of UST and STM. Therapeutic evaluation measurement tools include: pain scale in the form of numeric rating scale and neck disability in the form of neck disability index. The research was carried out in the independent physiotherapy practice in Denpasar and Badung. The intervention was given 3 times in 3 weeks. Results: The results showed a decrease in neck pain and disability in each intervention group (p <0.05). However, there were no significant differences when compared between groups. Conclusion: Based on these results, it can be concluded that the combination of UST and DCME has the same results as the combination of UST and STM in reducing neck pain and disability in non-specific neck pain.


Author(s):  
Taylor C. Stevenson ◽  
James A. Whitlock ◽  
Nickolai Martonick ◽  
Scott W. Cheatham ◽  
Ashley Reeves ◽  
...  

Abstract Instrument-assisted soft tissue mobilization (IASTM) is a common intervention among clinicians. Despite the popularity, little is known about the forces applied by the clinician with the instruments during treatment. The purpose of this investigation was to examine the forces applied by trained clinicians using IASTM instruments during a simulated treatment. Eleven IASTM trained (Graston Technique, Técnica Gavilán, or RockBlades) clinicians (Physical Therapist = 2, Chiropractor = 2, Athletic Trainer = 7) participated in the study. Each clinician performed 75 two-handed strokes distributed evenly across five different IASTM instruments on a skin simulant attached to a force plate. IASTM stroke application was analyzed for peak normal forces (Fpeak) and mean normal forces (Fmean) by stroke. We observed an average Fpeak of 8.9N and Fmean of 6.0N across all clinicians and instruments. Clinicians and researchers may use the descriptive values as a reference for application of IASTM in practice and research.


2021 ◽  
Vol 10 (13) ◽  
pp. e417101321416
Author(s):  
Caroline Gomes Nicorena ◽  
Leandro da Silva Pereira ◽  
Jéssica Delamuta Vitti ◽  
Maurício Tatsch Ximenes Carvalho ◽  
Antônio Adolfo Mattos de Castro ◽  
...  

Objetivo: Avaliar os efeitos da Instrument Assist Soft Tissue Mobilization (IASTM) Conceito Gustavo Pilon, o método instrumental de manipulação miofascial, sobre o músculo diafragma. Metodologia: o estudo foi realizado em uma voluntária, sexo feminino, idade de 21 anos, residente da cidade de Uruguaiana/RS. A mesma foi submetida a avaliação de força dos músculos respiratórios e avaliação ultrassonográfica do diafragma antes e após a intervenção, na qual foram aplicadas as técnicas do método de liberação miofascial instrumental, Conceito Gustavo Pilon.  Resultados: Em relação à força muscular respiratória, traduzida pela Pressão Inspiratória Máxima (Pimáx) e Pressão Expiratória Máxima (Pemáx), verificou-se, respectivamente nos 3 momentos (M1, M2 e M3): Pimáx de 119cmH2O, 95cmH2O e 95cmH2O; Pemáx de 112cmH2O, 102cmH2O e 109cmH2O. Já em relação à espessura muscular (EM), foram realizadas três medidas em cada momento, a saber: M1 com EM de 2,4cm, 2,4mm e 2,4cm; M2 com EM de 2,4cm, 2,4cm e 2,3cm; e M3 com EM de 2,8cm, 2,8cm e 2,8cm. Conclusão: No presente estudo não houve aumento da força muscular respiratória entre os momentos avaliados. Já em relação à espessura diafragmática, em apenas uma intervenção, verificou-se melhora do comprimento do músculo diafragma.


2021 ◽  
Vol 11 (10) ◽  
pp. 186-195
Author(s):  
Jahnvi T. Shah ◽  
Mayuri Ghumatkar ◽  
Ajay Kumar

Background: Wearing high heels regularly places muscle-tendon units (MTUs) in a shortened position. In this condition the length of the calf MTU (gastrocnemius-soleus) is reduced by the continuous ankle plantar flexion cause by the heel lift imposed by the high heels, which leads to concomitant inflexibility of these muscles. Tightness of these muscles inturns leads to formation of trigger points within the muscles. Instrument-assisted soft tissue mobilization (IASTM) is an approach to soft tissue manipulation that uses concave and convex stainless steel instruments to release scar tissue, break soft tissue adhesions, and remove fascial restrictions. Active Release Techniques, or ART, is a soft tissue treatment method that focuses on relieving tissue tension via the removal of fibrosis/adhesion that develops in tissue that is overloaded with repetitive use. Objective: To compare the immediate effect of Instrument Assisted Soft Tissue Mobilization and Active Release Technique for gastrosoleus muscle in individuals wearing high heels using VAS and active dorsiflexion using universal goniometer. Method: 30 subjects were selected as per inclusion and exclusion criteria and were randomly allocated into two groups of 15 each. Group A received Instrument Assisted soft tissue mobilization and Group B received Active Release Technique for Gastro-soleus muscle. Pre and Post intervention Dorsiflexion range of motion and VAS scores were analysed. Result: The statistical analyses showed that there is signification increase in dorsiflexion range of motion and significant reduction in pain in both the groups. (p<0.0001). However, inter group analysis showed that Group A is much more effective in improving the range of motion and reducing pain scores. Conclusion: The present study concluded that Instrument Assisted Soft Tissue Mobilization is a better intervention for the release of trigger points as it shows greater increase in ankle dorsiflexion range of motion and a significant pain reduction when compared to Active Release Technique. Key words: Instrument Assisted Soft Tissue Mobilization(IASTM), Active Release Technique(ART), Range of Motion, pain, High Heels, Calf Muscles.


2021 ◽  
Vol 53 (8S) ◽  
pp. 127-127
Author(s):  
Enrique Becerra ◽  
Peter Wang ◽  
J. Mark VanNess ◽  
Courtney D. Jensen

Author(s):  
Tahir Mahmood ◽  
Waqar Afzal ◽  
Umair Ahmad ◽  
Muhammad Asim Arif ◽  
Ashfaq Ahmad

Abstract Objective: To determine the effectiveness of routine physical therapy with and without Instrument Assisted soft Tissue Mobilization on pain intensity, range of motion in patients with neck pain due to upper crossed syndrome. Methods: It was Randomized clinical trial. The data was collected from Physiotherapy Clinics, The Agile Institute of rehabilitation Sciences (AIRS) and National Orthopedic Hospital Bahawalpur. The study was completed from 28 August 2019 to29 February 2020 after the approval .60 patients of upper crossed syndrome diagnosed patients complaining neck pain with forwarded head posture in age range of 18-40 years were included based on following Inclusion and exclusion criteria. The subjects were divided into two equal groups of 30 each using non-probability purposive sampling technique. Outcome tool used were Inclinometer to assess range of motion and Pain by Numeric pain Rating Scale. The Data was analysed by using SPSS version 22. Criteria of significance i.e. p-value<0.05 was taken as significant at 95% Confidence Interval. Results: Pain rating at base line in experimental compared to routine physical therapy show significant improvement as P value was 0.01.The results of Neck Flexion P=0.03, Neck Right Bending P=.00, Neck Left Bending P=0.00. The results for Neck extension 0.25 show that both techniques were equally effective. Conclusion: The study concluded that addition that Instrument soft tissue mobilization with combination of stretching exercise is more effective in management of symptoms of upper crossed syndrome. Clinical Trial Number: [IRCT20190912044754N1] Keywords: IASTM, Neck Pain, Upper Crossed Syndrome, Neck Range of Motion Continuous...


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