Move Better, Feel Better: A Movement-Based Approach to Soft Tissue Mobilization for the Lower Body: Summary 12
Goal of Treatment: Stimulate Mechanoreceptors • Reduce pain via light touch with sharper edge (interstitial fibers) ○ Use faster strokes • Reduce tone via slow deep strokes with beveled side/dull edge (Ruffini):
○ Move from superficial to deep, starting with tissue on slack ○ Greater angle of the tool, the more intense • Facilitate muscle via faster, medium deep stroke with beveled side (Pacinian)
Lower Body Treatment Body Region
Movement Assessment
IASTM with Movement
Decrease Pain
Decrease Tone
Lower Thoraco- Lumbar Spine
Flexion, extension, side bending
Paraspinals, QL, along iliac crest, inferior ribcage, superior SIJ
QL in sidelying
Prayer stretch QL stretch Forward bending with IASTM Diaphragm: with deep breathing Rectus abdominis with pelvic tilts Passive supine hamstring stretch Active/passive knee ROM in prone ITB stretch, Clam shells (over greater trochanter) Bent knee fall out PROM/AROM knee flexion
Abdominals
Spine ROM, Thomas test, PROM hip flex, ext, IR, ER
Diaphragm (along ribcage in hooklying), rectus abdominis (supine legs straight) Junction zones between semis/ biceps femoris, semis/adductors, biceps/tib Greater trochanteric area (C shape) Hamstring/ITB and quad/ITB junction Junction between ADD and quads, patellar tendon, patellofemoral area, medial/lateral Plantar fascia, medial/ lateral rear foot, Achilles tendon, medial/lateral lower leg (protect tibia)
Diaphragm and rectus abdominis with deeper strokes
Hamstring
Spine ROM, straight leg raise test, Ober test
Same areas with deep, slower strokes
Iliotibial band
TFL (lateral to ASIS), biceps femoris and vastus lateralis
Quads and ADD
Squat, single leg stance, prone flexibility, Thomas test
Junction between ADD and quads, rectus femoris
Calf and Foot
Overhead deep squat, single leg stance
Medial/lateral gastroc heads, junction between gastroc heads
Dorsiflexion in prone (gastroc) or supine tibialis
anterior), inversion/ eversion, with heel raise (eccentrically to reduce tone)
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