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Instrument assisted soft tissue technique

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
Harold M Olson, Michael J Tunning, Ronnie J Boesch
OBJECTIVE: The purpose of this study is to describe the chiropractic management of a student athlete with postconcussion syndrome. CLINICAL FEATURES: A 14-year-old male hockey player presented to a chiropractic clinic with postconcussion symptoms 13 days after his initial injury. He experienced an occipital headache with a pain rating of 8/10, upset stomach, blurry vision, nausea, dizziness, balance problems, a "foggy feeling," difficulty with concentration, difficulty with memory, fatigue, confusion, drowsiness, and irritability...
September 2016: Journal of Chiropractic Medicine
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
Amy L Crothers, Simon D French, Jeff J Hebert, Bruce F Walker
BACKGROUND: Few controlled trials have assessed the efficacy of spinal manipulative therapy (SMT) for thoracic spine pain. No high quality trials have been performed to test the efficacy and effectiveness of Graston Technique® (GT), an instrument-assisted soft tissue therapy. The objective of this trial was to determine the efficacy of SMT and GT compared to sham therapy for the treatment of non-specific thoracic spine pain. METHODS: People with non-specific thoracic pain were randomly allocated to one of three groups: SMT, GT, or a placebo (de-tuned ultrasound)...
2016: Chiropractic & Manual Therapies
Bingming Chen, Christopher B Lietz, Chuanzi OuYang, Xuefei Zhong, Meng Xu, Lingjun Li
Matrix-assisted ionization vacuum (MAIV) is a novel ionization technique that generates multiply charged ions in vacuum without the use of laser ablation or high voltage. MAIV can be achieved in intermediate-vacuum and high-vacuum matrix-assisted laser desorption/ionization (MALDI) sources and electrospray ionization (ESI) sources without instrument modification. Herein, we adapt MAIV onto the MALDI-LTQ-Orbitrap XL platform for biomolecule analysis. As an attractive alternative to MALDI for in solution and in situ analysis of biomolecules, MAIV coupling to high resolution and accurate mass (HRAM) MS instrument has successfully expanded the mass detection range and improved the fragmentation efficiency due to the generation of multiply charged ions...
April 15, 2016: Analytica Chimica Acta
Gheorghe Mühlfay, Karin Ursula Horváth, Simona Liliana Mocan, Vlad Andrei Budu, Izabella Ágota Ilyés, Caius Ion Doroş, Alina Mioara Boeriu, Huba Mózes, Dorin Constantin Dorobanţu, Salah Nasrallah, Radu Mircea Neagoe
The technical progress in the medical sector in the past decades has continuously driven the development of electrosurgical techniques. The controversies surrounding the superiority of a certain technique relative to another - electrocautery, laser and radiofrequency - have determined us to carry out a histopathological design with the aim of comparing the healing sort of the shallow wounds generated by the three types of electrosurgical devices. The experimental study has investigated the healing process inflicted by the electrosurgical devices mentioned beforehand on 12 Wistar albino rats...
2015: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
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
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
Zhao Lang, Wei Tian, Yajun Liu, Bo Liu, Qiang Yuan, Yuzhen Sun
STUDY DESIGN: Retrospective comparative cohort series. OBJECTIVE: To evaluate the accuracy and feasibility of minimally invasive surgical (MIS) techniques incorporating with intraoperative 3-dimensional fluoroscopy-based navigation (ITFN) for treating Hangman fracture. SUMMARY OF BACKGROUND DATA: MIS screw fixation for Hangman fracture can decrease iatrogenic soft-tissue injury, but increase the risk of instrumentation-related complications due to lack of anatomical landmarks...
January 2016: Spine
Henry T Hoffman, Seth H Dailey, Jonathan M Bock, Susan L Thibeault, Timothy M McCulloch
OBJECTIVES/HYPOTHESIS: Transillumination through laryngeal soft tissue may be used to direct percutaneous transcricothyroid membrane subepithelial needle placement in the larynx. STUDY DESIGN: Cadaver simulation (canine and human). METHODS: Lighted devices, including sialendoscopes and fiberoptic cables, were tested as transilluminating obturators in trocars and needles through multiple studies to identify appropriate illumination, monitoring, and equipment for successful localization of needle/trocar tips placed within laryngeal tissue...
October 2015: Laryngoscope
Laura E Peycke
Recent advances and acceptance of various medical devices have clearly helped in the efficiency, simplicity, and effectiveness of veterinary surgery. The goals of surgery include efficient methods and minimal surgical times, delicate tissue handling techniques, confidence with tissue reconstruction, and minimizing contamination, leakage and complications. Mechanical means of suturing, cutting, and hemostasis assist with accomplishing these goals. Most recently, stapling instrumentation and vascular sealing devices have become common instruments on all levels of surgery because of their ease of use and increase in surgical efficiency...
May 2015: Veterinary Clinics of North America. Small Animal Practice
C Krettek, S Bachmann
The management of complex pilon fractures with soft tissue injuries has seen many trends, with changes toward staged protocols of temporary external fixation followed by delayed open reduction and internal fixation (ORIF), minimally invasive percutaneous plate osteosynthesis (MIPPO) techniques and special implants, the benefits of negative pressure wound sealing and early "fix and flap" efforts to reconstruct soft tissue defects. Reduction and fixation must involve cautious management and careful handling of soft tissue in order to minimize the well-known complications of this difficult fracture...
February 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Dawn T Gulick
OBJECTIVE: The purpose of this study was to examine the influence of instrument assisted soft tissue techniques (IASTT) on myofascial trigger points (MTrP). DESIGN: Randomized, controlled study with the researcher assessing the MTrP sensitivity blinded to the treatment rendered. PARTICIPANTS: Phase 1 = 27; Phase 2 = 22. INTERVENTION: MTrPs were identified in the upper back. In phase 1, two MTrPs (right & left) were identified...
October 2014: Journal of Bodywork and Movement Therapies
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
Andrew Mahar, Nima Kabirian, Behrooz A Akbarnia, Michael Flippin, Tucker Tomlinson, Patricia Kostial, Ramin Bagheri
BACKGROUND: Little evidence is available addressing biomechanical properties of posterior distraction forces and their effects on anterior spinal column in the growing rod technique. The question is often asked if posterior distraction forces may be kyphogenic. The goal of this study is to determine whether posterior distraction forces transmitted anteriorly through different foundation constructs (i.e., screws vs. hooks) affect intradiscal pressure. METHODS: Six skeletally immature porcine spines were harvested leaving soft tissues and rib heads intact...
January 2015: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
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
David Forchelet, Matteo Simoncini, Arash Arami, Arnaud Bertsch, Eric Meurville, Kamiar Aminian, Peter Ryser, Philippe Renaud
Total knee arthroplasty is a widely performed surgical technique. Soft tissue force balancing during the operation relies strongly on the experience of the surgeon in equilibrating tension in the collateral ligaments. Little information on the forces in the implanted prosthesis is available during surgery and post-operative treatment. This paper presents the design, fabrication and testing of an instrumented insert performing force measurements in a knee prosthesis. The insert contains a closed structure composed of printed circuit boards and incorporates a microfabricated polyimide thin-film piezoresistive strain sensor for each condylar compartment...
2014: Sensors
A Bolzoni Villaret, A Schreiber, I Esposito, P Nicolai
Indications for endoscopic resection of fronto-ethmoidal osteomas have been progressively expanded thanks to optimization of surgical exposure and the development of dedicated instruments. Curved cutting drills are still suboptimal to treat hard osseous neoplasms of the frontal sinus. We present two patients affected by frontal osteoma treated with an endoscopic procedure using an ultrasonic bone curette. The ultrasonic bone curette may be considered an effective tool to reduce soft tissue manipulation, optimize surgical time and accelerate the healing process...
June 2014: Acta Otorhinolaryngologica Italica
Max Vaynrub, Joseph N Carey, Milan V Stevanovic, Alidad Ghiassi
PURPOSE: To test the efficacy of a previously described technique of angiocatheter-assisted instrument positioning in achieving a central screw position in a cadaveric model for volar percutaneous screw fixation (PSF) of the scaphoid and to quantify the damage to surrounding soft tissue and articular cartilage associated with the procedure. METHODS: We performed fluoroscopically guided volar PSF of the scaphoid on 10 fresh cadaveric wrists. We then dissected the specimens, analyzed screw position in cross sections of the scaphoid, and described injury to nearby soft tissue structures as well as articular cartilage of the scaphotrapezial joint...
May 2014: Journal of Hand Surgery
Kevin Laudner, Bryce D Compton, Todd A McLoda, Chris M Walters
BACKGROUND: Due to the repetitive rotational and distractive forces exerted onto the posterior shoulder during the deceleration phase of the overhead throwing motion, limited glenohumeral (GH) range of motion (ROM) is a common trait found among baseball players, making them prone to a wide variety of shoulder injuries. Although utilization of instrument-assisted soft tissue mobilization (IASTM), such as the Graston® Technique, has proven effective for various injuries and disorders, there is currently no empirical data regarding the effectiveness of this treatment on posterior shoulder tightness...
February 2014: International Journal of Sports Physical Therapy
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