11
Move Better, Feel Better: A Movement-Based Approach to Soft Tissue Mobilization for the Lower Body: Summary 11
• PSE • BPS model • Research
• Movement • Nutrition • Sleep
Science
Lifestyle
Whole-Body Approach
Comprehensive Treatment
• IASTM • Cupping • Taping
• Fascia • Muscles • CNS
Indications/Contraindications for Manual Techniques Indications Contraindications
Precautions
• Movement dysfunction • Musculoskeletal pain • Peripheral neuropathic pain • Muscle inhibition • Hyper/hypotonicity • Tendinopathies • Edema reduction
• Open wound • Skin infection • Unhealed fracture • DVT/thrombophlebitis • Uncontrolled hypertension • Inflammatory conditions due to infection • Hematoma/myositis ossificans • Osteomyelitis • Decreased sensation in affected area • Pregnancy (1st trimester over abdomen)
• Pregnancy (2nd and 3rd trimester) • Anticoagulants • Varicose veins • Cancer • Autoimmune disorders • Chronic heart failure • Hematoma • Rheumatoid arthritis
IASTM
Proposed Benefits • Pain relief/improved mobility • Neurophysiologic response (gate theory, DNIC or CMP, neuroplasticity) • Mechanical mechanisms (mechano-transduction, gliding of tissues, fluid dynamics) Application • Can use tools made of different materials (plastic, stainless steel) and different shapes: ○ Concave edge: more gentle; convex tool is more aggressive ○ The more vertical the tool, the more aggressive • Scan the tissue first to assess for texture (bumpy, gritty) • Start treatment in direction of least resistance/pain (proximal to distal, distal to proximal) • Start with tissue on slack and then can add stretch to increase intensity for reducing tone
Pros
Cons
• Patients report relief and improved mobility • Can be an effective adjunct treatment to exercise
• No strong research • Might not be better than placebo • Not a stand alone treatment
Research • Reduced pain via DNIC and neuroplasticity • Increased fibroblast proliferation in tendons • Improved collagen formation and orientation in ligaments • Reduced size/improved tissue quality for chronic tears • Physiological changes via: ○ Increased blood flow ○ Reduced tissue viscosity ○ Myofascial release ○ Interruption of pain receptors ○ Improvement of flexibility
Powered by FlippingBook