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Instrument-Assisted Soft Tissue Mobilization (IASTM) to the Upper Quarter: Summary
• Disease (diabetes) • Aging- becomes less elastic (fibrosis) • Activity • Nutrition Fascial Inflammation Acute phase • Necessary for healing/regeneration Chronic (excessive response) • Increase in fibrosis leading to compression of soft tissue and pain • Central nociceptor stimulation • Fatty infiltration and muscle atrophy Using IASTM Biological Effects of IASTM • Increased arterial profusion • Increased fascial sliding • Neuromodulation (reduce pain and change muscle activity) • Potential reabsorption of fibrosis/ “break up” adhesions
INTRODUCTION
WHAT IS FASCIA? • Fascia is a three-dimensional collagen matrix that is attached to all of the biological structures which assists the body systems to operate in an integrated manner ○ Functions ■ Provides mechanical support (locally and regionally) ■ Impacts posture ■ Detects, transmits, and modifies forces during movement (“cellular crosstalk”) ■ Attaches to gastrointestinal system and affects visceral function Factors Affecting Mechanical Properties of Fascia • Fluid levels/hydration • Trauma
Facial Lines Name
Deep Back Arm Line
Deep Front Arm Line
Superficial Back Line • epicranial fascai • erector/sacrolumbar fascia • scarotuberous ligament • hamstrings • gastrocnemius • achilles • plantar fascia
Attachments • levator scapulae • supraspinatus • rhobospinatus • infraspinatus
• pec major • latissimus dorsi
• teres major • pec minor • biceps • medial intermuscular septum • ulnar collateral ligament (UCL)
• posterior and inferior GH capsule • triceps • teres major and teres minor
• wrist flexors • carpal tunnel
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