TX Physical Therapy Summary EBook

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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