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Instrument-Assisted Soft Tissue Mobilization (IASTM) to the Lower Quarter: Summary
Re-Assessment • Helps to determine the effectiveness of the treatment • Increases patient’s “buy in”
• Test for any immediate improvements ○ Examine the comparable sign/chief
complaint (pain, ROM, postural changes, functional movement)
Clinical Protocols Anatomy Lower Trapezius
Structures
Indications
Treatment
Promote muscle activation, help with scapular dyskinesis, trigger points, subacromial/coracoid impingement, forward shoulder posture Decreased shoulder ROM, forward shoulder Decreased spine ROM (decreased flexion > rotation/side bending), lower back pain, post high intensity training, TL trigger point Lumbosacral pain, lumbar instability, iliac crest pain posture, post high intensity training, trigger points
Latissimus Dorsi
Thoraco-Lumbar
Thoraco-lumbar fascia, erector spinae muscles, superficial back facial line, back functional fascial line
Iliac Crest
Iliolumbar ligament, lumbar multifidus, lateral fascial line
Quadratus Lumborum
Iliolumbar ligament, lumbar multifidus, lateral fascial line
Weak/tight QL, lumbo- pelvic (core) instability, hip flexor tightness
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