Move Better, Feel Better: A Movement-Based Approach to Soft Tissue Mobilization for the Lower Body: Summary 21
Body Region Movement Assessment
Decrease Pain Decrease Tone IASTM with Movement
Quads and ADD
Squat, single leg stance, prone flexibility, Thomas test
Junction between ADD and quads, patellar tendon, patellofemoral area, medial/ lateral
Junction between ADD and quads, rectus femoris
Bent knee fall out PROM/AROM knee flexion
Calf and Foot
Overhead deep squat, single leg stance
Plantar fascia, medial/lateral
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)
rear foot, Achilles tendon, medial/ lateral lower leg (protect tibia)
CASE STUDY
John is a 45-year-old male who has low back pain with forward bending. At work he does a lot of standing, which sometimes causes sciatica in his right hamstring. What type of IASTM technique could we use for John?
Answer: •
Gentle IASTM along paraspinals: ○ Progress to deeper strokes to reduce tone: neutral or prone → child’s pose/seated forward bending • Reduce sciatica: gentle strokes to right hamstring: ○ Progress to deeper stroke ○ Prone with knee bend
CUPPING
Research • Altered local metabolic activity (inducing anaerobic metabolism) may contribute to pain relieving effect (not strong research) • Activation of Heme oxygenase system could account for local and systemic health benefits • Increased skin temperature can help with reducing pain • Greatest research supports neurophysiologic effects to reduce pain
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 • Research shows some support for pain relief
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