Move Better, Feel Better: A Movement-Based Approach to Soft Tissue Mobilization for the Lower Body: Summary 20
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 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
Decrease Pain Decrease Tone IASTM with Movement
Lower Thoraco- Lumbar Spine
Flexion, extension, side bending
Paraspinals, QL, along iliac crest, inferior ribcage, superior SIJ 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)
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
Abdominals
Spine ROM, Thomas test, PROM hip flex, ext, IR, ER Spine ROM, straight leg raise test, Ober test
Diaphragm and rectus abdominis with deeper strokes Same areas with deep, slower strokes
Hamstring
Iliotibial band
TFL (lateral to ASIS), biceps femoris and vastus lateralis
ITB stretch, Clam shells (over greater trochanter)
Hamstring/ITB and quad/ITB junction
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