Illinois Physical Therapy Hybrid Ebook

88 Instrument-Assisted Soft Tissue Mobilization (IASTM) to the Lower Quarter: Summary

Factors affecting mechanical properties of fascia include the following: • Fluid levels/hydration • Trauma • Disease (diabetes) • Aging- becomes less elastic (fibrosis) • Activity • Nutrition 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 GI system and affects visceral function

Facial Lines Superficial Back Line

Superficial Front Line

Back Functional Line

Lateral Line

Spiral Line

Benefits of IASTM For the Patient

For the Clinician

• Prevent overuse/chronic induced fibrosis • Improve recovery from muscle soreness • Improve short term flexibility • May reduce chronic musculoskeletal pain

• Decrease stress on hands • Added barrier between clinician and patient • Increased specificity of targeted tissue

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