Move Better, Feel Better: A Movement-Based Approach to Soft Tissue Mobilization for the Lower Body: Summary 14
Lower Quarter Treatment Body Region
Location
Treatment Technique
Lower thoracic/ lumbar spine
Paraspinals
Static with(out) movement: pin & stretch via cat cow, QL stretch in side lying, seated flexion, prone press up (4-6 cups) TDM clocking, long strokes, cross fiber both with and without movement (1-2 cups) Static with(out) movement (2-4 cups): pin & stretch in supine, PROM/ AROM knee flexion in prone TDM with(out) movement (1-2 cups): wiggle, clocking, long strokes, cross fiber Static with(out) movement: pin and stretch over TFL and/or ITB in side lying with hip ADD, PROM hip flexion and extension TDM with(out) movement (1-2 cups): clocking, cross fiber, or long strokes Static cupping: pin & stretch into hip ABD TDM with(out) patient movement: anchor proximally or distally and work away from the anchor. Move distally when stretching into ABD / proximally when contracting into ADD Static with(out) movement: pin and stretch into knee flexion (over inferior insertion of quads) TDM with(out) patient movement: anchor proximally or distally and work away from the anchor. Move distally when stretching into flexion/ proximally when contracting into extension Static with(out) movement: pin & stretch into dorsiflexion TDM anchor proximally or distally and work away from the anchor. Move distally when stimulating dorsiflexion/proximally when stimulating plantarflexion; gliding over first ray/planta fascia
Hamstrings
HS insertions or muscle belly
IT Band
Junction zones (anterior and posterior) Muscle belly, inferior insertion of muscle
Adductors
Quadriceps
Muscle belly, around the patella
Calf and Foot
Medial/lateral gastroc, Achilles, plantar facia
KINESIOLOGY TAPING
Research • Some support for pain relief and improved gait following KT in older adults with knee OA • Improved quad strength with application of KT • Reduced subcutaneous intertissue movement and percutaneous translation in superficial thoracolumbar fascia during flexion • Reduced lymphedema after breast cancer Proposed Benefits • Reduced pain via inhibiting/decompressing tissues or facilitating/supporting tissues • Improve lymphatic drainage via opening of microvalves • Increase tissue glide • Improve ROM • CNS change: KT applied on the skin creates mechanical stimulus and activates different CNS pathways
Pros
Cons
• Some evidence proves theories • Provides an optional additional treatment • Application to multiple populations • Decrease in pain encourages movement • Patient can perform themselves • Water proof
• Inconsistent evidence to support • Can be expensive when used for prolonged time • Can irritate skin or cause allergic reactions
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