Illinois Physical Therapy Hybrid Ebook

96 Instrument-Assisted Soft Tissue Mobilization (IASTM) to the Upper Quarter: Summary

• Aging- becomes less elastic (fibrosis) • Activity • Nutrition Fascial Inflammation Acute phase • Necessary for healing/regeneration Chronic (excessive response) • Increase in fibrosis leading to compression of soft tissue and pain • Central nociceptor stimulation • Fatty infiltration and muscle atrophy Using IASTM Biological Effects of IASTM • Increased arterial profusion • Increased fascial sliding • Neuromodulation (reduce pain and change muscle activity) • Potential reabsorption of fibrosis/ “break up” adhesions

INTRODUCTION WHAT IS FASCIA? • Fascia is a three-dimensional collagen matrix that is attached to all of the biological structures which assists the body systems to operate in an integrated manner ○ Functions ■ Provides mechanical support (locally and regionally) ■ Impacts posture ■ Detects, transmits, and modifies forces during movement (“cellular crosstalk”) ■ Attaches to gastrointestinal system and affects visceral function Factors Affecting Mechanical Properties of Fascia • Fluid levels/hydration • Trauma • Disease (diabetes)

Facial Lines Name Attachments

Deep Back Arm Line

Deep Front Arm Line

Superficial Back Line

• levator scapulae • supraspinatus • rhobospinatus • infraspinatus • posterior and inferior GH capsule • triceps • teres major and teres minor

• pec major • latissimus dorsi

• epicranial fascai • erector/sacrolumbar fascia • scarotuberous ligament • hamstrings • gastrocnemius • achilles • plantar fascia

• teres major • pec minor • biceps • medial intermuscular septum • ulnar collateral ligament (UCL)

• wrist flexors • carpal tunnel

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