Move Better, Feel Better: A Movement-Based Approach to Soft Tissue Mobilization for the Lower Body: Summary 19
• Biopsychosocial model: ○ 40% of health outcomes is based on social and economic circumstance ○ 30% of health outcomes are associated with health behaviors and lifestyle Therapeutic Alliance Improved therapeutic alliance leads to overall improved outcomes and reduced pain for the patient. Key characteristics to good therapeutic alliance include trust, care, and respect. This requires the clinician to have good verbal/nonverbal communication skills and the ability to collaborate with the patient. This is further enhanced by the actions of the clinician. Both spending time listening to the
patient’s needs and concerns and providing hands-on care have been associated with improved therapeutic alliance.
• 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
• 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
• Tendinopathies • Edema reduction
IASTM
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
Pros
Cons
• Patients report relief and
• No strong research • Might not be better than placebo • Not a stand alone treatment
improved mobility
• Can be an
effective adjunct treatment to exercise
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