90 Instrument-Assisted Soft Tissue Mobilization (IASTM) to the Lower Quarter: Summary
Clinical Protocols Anatomy Lower Trapezius
Structures
Indications
Treatment
Promote muscle activation, help with scapular dyskinesis, trigger points, subacromial/coracoid impingement, forward shoulder posture Decreased shoulder ROM, forward shoulder posture, post high intensity training, trigger points Decreased spine ROM (decreased flexion > rotation/side bending), lower back pain, post high intensity training, TL trigger point Lumbosacral pain, lumbar instability, iliac crest pain
Latissimus Dorsi
Thoraco-Lumbar
Thoraco-lumbar fascia, erector spinae muscles, superficial back facial line, back functional fascial line
Iliac Crest
Iliolumbar ligament, lumbar multifidus, lateral fascial line
Quadratus Lumborum
Iliolumbar ligament, lumbar multifidus, lateral fascial line
Weak/tight QL, lumbo- pelvic (core) instability, hip flexor tightness
Gluteus Medius Tendon & Posterior ITB
ITB-Hamstring fascial connection, gluteus medius/minimus tendons, lateral fascial line/back functional fascial line
Gluteal tendinopathy, hamstring tightness, trochanteric bursitis, ITB syndrome, sciatic nerve restriction
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