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Instrumented soft tissue mobilization

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https://www.readbyqxmd.com/read/27904792/current-concepts-and-treatment-of-patellofemoral-compressive-issues
#1
Michael J Mullaney, Takumi Fukunaga
Patellofemoral disorders, commonly encountered in sports and orthopedic rehabilitation settings, may result from dysfunction in patellofemoral joint compression. Osseous and soft tissue factors, as well as the mechanical interaction of the two, contribute to increased patellofemoral compression and pain. Treatment of patellofemoral compressive issues is based on identification of contributory impairments. Use of reliable tests and measures is essential in detecting impairments in hip flexor, quadriceps, iliotibial band, hamstrings, and gastrocnemius flexibility, as well as in joint mobility, myofascial restrictions, and proximal muscle weakness...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27857639/chiropractic-management-of-a-patient-with-perineal-numbness-after-arthroscopic-hip-surgery-a-case-report
#2
Harold M Olson, Andrew J Zetocha, Courtney A Olson
OBJECTIVE: The purpose of this case report is to describe the chiropractic management of a patient with postoperative perineal numbness as a result of hip arthroscopy. CLINICAL FEATURES: A female patient presented to a chiropractic clinic with 7 weeks of ongoing perineal numbness after right hip arthroscopic surgery with labral repair. The patient reported lack of sensation during urination, sexual intercourse, and the insertion and removal of female hygienic products into the vagina...
December 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27713575/the-efficacy-of-instrument-assisted-soft-tissue-mobilization-a-systematic-review
#3
Scott W Cheatham, Matt Lee, Matt Cain, Russell Baker
BACKGROUND: Instrument assisted soft tissue mobilization (IASTM) is a popular treatment for myofascial restriction. IASTM uses specially designed instruments to provide a mobilizing effect to scar tissue and myofascial adhesions. Several IASTM tools and techniques are available such as the Graston® technique. Currently, there are no systematic reviews that have specifically appraised the effects of IASTM as a treatment or to enhance joint range of motion (ROM). PURPOSE: The purpose of this study was to systematically appraise the current evidence assessing the effects of IASTM as an intervention to treat a musculoskeletal pathology or to enhance joint ROM...
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27390432/the-effect-of-graston-technique-on-the-pain-and-range-of-motion-in-patients-with-chronic-low-back-pain
#4
Jeong-Hoon Lee, Dong-Kyu Lee, Jae-Seop Oh
UNLABELLED: [Purpose] Clinicians have reported the effects of various instrument assisted soft tissue mobilization (IASTM) in patients. The purpose of this study was to investigated the effects of the Graston technique and general exercise on pain and range of motion (ROM) in patients with CLBP. [Subjects and Methods] 30 patients with CLBP participated in the study (Graston technique: 15; CONTROL: 15). Before and after the 4-week intervention program, pain was assessed using a visual analog scale (VAS)...
June 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27261703/minimally-invasive-surgery-in-patients-with-adolescent-idiopathic-scoliosis-is-it-better-than-the-standard-approach-a-two-year-follow-up-study
#5
Vishal Sarwahi, Jonathan J Horn, Preethi M Kulkarni, Adam L Wollowick, Yungtai Lo, Melanie Gambassi, Terry D Amaral
STUDY DESIGN: This is a retrospective controlled study. OBJECTIVE: To compare the safety and efficacy of a minimally invasive approach (MIS) for the surgical management of adolescent idiopathic scoliosis (AIS) to the standard open posterior approach (PSF). SUMMARY OF BACKGROUND DATA: MIS approaches offer the potential to reduce soft-tissue trauma, intraoperative blood loss, and surgical site infection. Thus far, MIS has been successfully utilized for the surgical correction of multilevel spine pathology in adults...
June 3, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26992245/3d-2d-image-registration-for-target-localization-in-spine-surgery-investigation-of-similarity-metrics-providing-robustness-to-content-mismatch
#6
T De Silva, A Uneri, M D Ketcha, S Reaungamornrat, G Kleinszig, S Vogt, N Aygun, S-F Lo, J-P Wolinsky, J H Siewerdsen
In image-guided spine surgery, robust three-dimensional to two-dimensional (3D-2D) registration of preoperative computed tomography (CT) and intraoperative radiographs can be challenged by the image content mismatch associated with the presence of surgical instrumentation and implants as well as soft-tissue resection or deformation. This work investigates image similarity metrics in 3D-2D registration offering improved robustness against mismatch, thereby improving performance and reducing or eliminating the need for manual masking...
April 21, 2016: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/26952165/successful-treatment-of-a-guitarist-with-a-finger-joint-injury-using-instrument-assisted-soft-tissue-mobilization-a-case-report
#7
M Terry Loghmani, Amy J Bayliss, Greg Clayton, Evelina Gundeck
Finger injuries are common and can greatly affect a musician's quality of life. A 55-year-old man, who had injured the proximal interphalangeal joint of the left index finger 6 months prior to any intervention, was treated with a manual therapy approach incorporating instrument-assisted soft tissue mobilization (IASTM). Initial examination findings included self-reported pain and functional limitations and physical impairments that significantly impeded his ability to play the acoustic guitar. He was treated once a week for 6 weeks with IASTM, joint mobilization, therapeutic exercise, and ice massage...
December 2015: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/26592226/acute-effects-of-instrument-assisted-soft-tissue-mobilization-vs-foam-rolling-on-knee-and-hip-range-of-motion-in-soccer-players
#8
RANDOMIZED CONTROLLED TRIAL
Goran Markovic
The aim of the present investigation was to evaluate the acute effects of foam rolling (FR) and a new form of instrument-assisted soft tissue mobilization (IASTM), Fascial Abrasion Technique ™ (FAT) on hip and knee range of motion in soccer players. Twenty male soccer players randomly allocated into FR and FAT group (n = 10 each). Passive knee flexion and straight leg raise tests were measured before, immediately after and 24 h after intervention (FR or FAT). The FR group applied a 2-min quadriceps and hamstrings rolling, while FAT group received a 2-min application of FAT to the quadriceps and hamstrings muscles...
October 2015: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/26545389/the-role-of-piezoelectric-instrumentation-in-rhinoplasty-surgery
#9
Olivier Gerbault, Rollin K Daniel, Aaron M Kosins
BACKGROUND: In rhinoplasty surgery, management of the bony vault and lateral walls is most often performed with mechanical instruments: saws, chisels, osteotomes, and rasps. Over the years, these instruments have been refined to minimize damage to the surrounding soft tissues and to maximize precision. OBJECTIVES: This article will present the evolution of the authors' current operative technique based on 185 clinical cases performed over an 19-month period using piezoelectric instrumentation (PEI)...
January 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/26516729/total-en-bloc-spondylectomy-of-c3-a-new-surgical-technique-and-literature-review
#10
J Štulík, M Barna, T Vyskočil, P Nesnídal, J Kryl, Z Klézl
PURPOSE OF THE STUDY: Radical resection of a vertebra is reserved only for specific tumors that invade the surrounding tissues and recur when not removed completely. The vertebra may be removed using a piecemeal technique or en bloc, using only two (in thoracolumbar spine) or more osteotomies (in cervical spine). We present our technique of en bloc resection of subaxial cervical vertebra for Ewing's sarcoma of C3, with preservation of all nerve roots and both vertebral arteries. To our knowledge, this surgical technique has not been reported in the English literature...
2015: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/26491622/a-novel-approach-for-the-reversal-of-chronic-apparent-hamstring-tightness-a-case-report
#11
Russell T Baker, Bethany L Hansberger, Lindsay Warren, Alan Nasypany
BACKGROUND AND PURPOSE: Movement dysfunction in the trunk and lower extremity (e.g., apparent hamstring tightness) may produce pain, as well as decrease range of motion, function, and performance in athletes. Novel treatments not frequently studied in the literature, such as Total Motion Release® (TMR®) and instrument-assisted soft -tissue mobilization (IASTM), have anecdotal claims of immediate, gross gains of mobility that far exceed conventionally reported results. The purpose of this case report was to examine the efficacy of TMR® in treating an apparent tissue tightness/extensibility dysfunction and to determine if IASTM would improve outcomes if TMR® techniques failed to produce maintained improvement...
October 2015: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/26403207/mechanisms-of-shoulder-range-of-motion-deficits-in-asymptomatic-baseball-players
#12
Lane B Bailey, Ellen Shanley, Richard Hawkins, Paul F Beattie, Stacy Fritz, David Kwartowitz, Charles A Thigpen
BACKGROUND: Shoulder range of motion (ROM) deficits have been identified as injury risk factors among baseball athletes. Despite the knowledge surrounding these risk factors, there is a lack of consensus regarding the specific tissues responsible for these deficits in ROM. PURPOSE/HYPOTHESIS: The purpose of this study was to elucidate the primary mechanisms of posterior shoulder tightness (capsular, musculotendinous, bony) by examining the tissue responses that occur with the application of an acute intervention in baseball players with ROM deficits...
November 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26219915/ct-accuracy-of-percutaneous-versus-open-pedicle-screw-techniques-a-series-of-1609-screws
#13
Todd M Chapman, Daniel J Blizzard, Christopher R Brown
INTRODUCTION: Traditional open exposure for posterior instrumentation requires significant soft tissue mobilization and causes significant blood loss and increased recovery time. Mal-placed screws can injure nerve roots, the spinal cord, viscera, vasculature and the cardiopulmonary system. Placement of pedicle screws using a minimally invasive technique can decrease bleeding risk, damage to soft tissues, and post-operative pain. The purpose of this study is to compare the radiographic accuracy of open free-hand versus percutaneous technique for pedicle screw placement...
June 2016: European Spine Journal
https://www.readbyqxmd.com/read/25810754/scoliosis-corrective-force-estimation-from-the-implanted-rod-deformation-using-3d-fem-analysis
#14
Yuichiro Abe, Manabu Ito, Kuniyoshi Abumi, Hideki Sudo, Remel Salmingo, Shigeru Tadano
BACKGROUND: Improvement of material property in spinal instrumentation has brought better deformity correction in scoliosis surgery in recent years. The increase of mechanical strength in instruments directly means the increase of force, which acts on bone-implant interface during scoliosis surgery. However, the actual correction force during the correction maneuver and safety margin of pull out force on each screw were not well known. In the present study, estimated corrective forces and pull out forces were analyzed using a novel method based on Finite Element Analysis (FEA)...
2015: Scoliosis
https://www.readbyqxmd.com/read/25705347/treatment-of-thoracolumbar-fracture
#15
REVIEW
Byung-Guk Kim, Jin-Myoung Dan, Dong-Eun Shin
The most common fractures of the spine are associated with the thoracolumbar junction. The goals of treatment of thoracolumbar fracture are leading to early mobilization and rehabilitation by restoring mechanical stability of fracture and inducing neurologic recovery, thereby enabling patients to return to the workplace. However, it is still debatable about the treatment methods. Neurologic injury should be identified by thorough physical examination for motor and sensory nerve system in order to determine the appropriate treatment...
February 2015: Asian Spine Journal
https://www.readbyqxmd.com/read/25420037/comparison-of-blood-flow-changes-with-soft-tissue-mobilization-and-massage-therapy
#16
COMPARATIVE STUDY
Andrea Portillo-Soto, Lindsey E Eberman, Timothy J Demchak, Charles Peebles
OBJECTIVES: Instrument-assisted soft tissue mobilization and massage therapy are manual techniques that claim to increase blood flow to treated areas, yet no data on these techniques are available. This study sought to compare the effects of the Graston Technique(®) (GT) and massage therapy on calf blood flow, using skin temperature measures on the lower leg. DESIGN: Single-blinded prospective, longitudinal, controlled, repeated-measures design. SETTING: Research laboratory...
December 2014: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/25347141/instrument-assisted-soft-tissue-mobilization-effects-on-the-properties-of-human-plantar-flexors
#17
RANDOMIZED CONTROLLED TRIAL
J P Vardiman, J Siedlik, T Herda, W Hawkins, M Cooper, Z A Graham, J Deckert, P Gallagher
The effect of instrument-assisted soft tissue mobilization (ISTM) on passive properties and inflammation in human skeletal muscle has not been evaluated. Passive properties of muscle, inflammatory myokines and subjective reporting of functional ability were used to identify the effects of ISTM on the plantar flexors. 11 healthy men were measured for passive musculotendinous stiffness (MTS), passive range of motion (PROM), passive resistive torque (PASTQ) and maximum voluntary contraction peak torque (MVCPT) for plantar flexor muscles of the lower leg...
March 2015: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/25245652/complex-transradial-carpal-dislocation-in-a-professional-pianist-case-report
#18
Alessio Pedrazzini, Marco Paterlini, Massimo Pompili, Silvio Tocco, Francesco Ceccarelli
Carpal fracture-dislocation associated to distal radius fractures is an uncommon injury of the wrist. Clinical assessment, instrumental diagnosis and treatment are all challenges for the surgeon. In addition, the prognosis in high-functioning patients is nearly always poor. The authors describe an early diagnosis of scapholunate dissociation and joint capsule tear associated with radial styloid and triquetral fractures in a 39-year-old professional piano player. A dorsal approach was used to reduce and fixate the fracture with k-wires, and to repair soft-tissue injuries with a Titanium micro-anchor...
2014: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/25226939/inhibitory-effects-of-instrument-assisted-neuromobilization-on-hyperactive-gastrocnemius-in-a-hemiparetic-stroke-patient
#19
Jeong Jae Lee, Jae Jin Lee, Do Hyun Kim, Sung Joshua Hyun You
An instrument-assisted soft tissue mobilization (IASTM) technique has recently been used specifically to inhibit hypertonic muscles and to lengthen muscle fiber shortness. However, it is unknown whether IASTM will show such promising inhibition effects on excessive ankle plantarflexion following stroke. Therefore, the purpose of this study was to use electromyographic (EMG) analysis to determine the ability of IASTM to reduce gastrocnemius (GCM) hypertonicity and concurrently facilitate tibialis anterior (TA) lengthening in a stroke patient...
2014: Bio-medical Materials and Engineering
https://www.readbyqxmd.com/read/25225465/feasibility-of-using-the-patient-reported-outcomes-measurement-information-system-in-academic-health-centers-case-series-design-on-pain-reduction-after-chiropractic-care
#20
Jeanmarie R Burke
OBJECTIVE: The purpose of this study was to test the utility of Patient-Reported Outcomes Measurement Information System (PROMIS) as a resource for collecting data on patient-reported outcomes (PRO) within academic health centers at a chiropractic college; and, to describe changes in PRO following pragmatic chiropractic care incorporating instrument-assisted soft tissue mobilization (IASTM) on pain symptoms. METHODS: This was a pre-post intervention design without a control group (case series) involving 25 patients (14 females and 11 males; 40...
September 2014: Journal of Chiropractic Medicine
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