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Instrument assisted soft tissue mobilization

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
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
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
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
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
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
T De Silva, A Uneri, S Reaungamornrat, M Ketcha, S Vogt, G Kleinszig, S F Lo, N Aygun, J P Wolinsky, Z L Gokaslan, J H Siewerdsen
PURPOSE: In image-guided spine surgery, mapping 3D preoperative images to 2D intraoperative images via 3D-2D registration can provide valuable assistance in target localization. However, the presence of surgical instrumentation, hardware implants, and soft-tissue resection/displacement causes mismatches in image content, confounding existing registration methods. Manual/semi-automatic methods to mask such extraneous content is time consuming, user-dependent, error prone, and disruptive to clinical workflow...
June 2015: Medical Physics
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
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
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
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
Jessica L Schaefer, Michelle A Sandrey
CONTEXT: A dynamic-balance-training (DBT) program supplemented with the Graston instrument-assisted soft-tissue mobilization (GISTM) technique has not been evaluated collectively as a treatment in subjects with chronic ankle instability (CAI). OBJECTIVE: To examine the effects of GISTM in conjunction with a DBT program on outcomes associated with CAI, including pain and disability, range of motion (ROM), and dynamic postural control. DESIGN: Pretest/posttest, repeated measures...
November 2012: Journal of Sport Rehabilitation
Ellen D Inutan, James Wager-Miller, Ken Mackie, Sarah Trimpin
This is the first report of imaging mass spectrometry (MS) from multiply charged ions at vacuum. Laserspray ionization (LSI) was recently extended to applications at vacuum producing electrospray ionization-like multiply charged ions directly from surfaces using a commercial intermediate pressure matrix-assisted laser desorption/ionization ion mobility spectrometry (IMS) MS instrument. Here, we developed a strategy to image multiply charged peptide ions. This is achieved by the use of 2-nitrophloroglucinol as matrix for spray deposition onto the tissue section and implementation of "soft" acquisition conditions including lower laser power and ion accelerating voltages similar to electrospray ionization-like conditions...
November 6, 2012: Analytical Chemistry
Amy J Bayliss, Frank J Klene, Evelina L Gundeck, Mary T Loghmani
Musculoskeletal pain is commonly reported by pre- and postnatal women, with the most common complaint being low back pain. However, lower leg pain is also frequently reported by women particularly in the third trimester. The purpose of the case study is to illustrate how instrument-assisted soft tissue mobilization (ISTM) can be used to treat a patient with a 2-year history of chronic calf pain. The subject was a 35-year-old female who developed calf pain during the last trimester of her pregnancy following severe lower leg edema...
August 2011: Journal of Manual & Manipulative Therapy
Emily R Howell
OBJECTIVE: Two case reports review the chiropractic treatment and rehabilitation management of Symphysis Pubis Dysfunction (SPD). CLINICAL FEATURES: Patient 1: a 35-year-old female presented at 30 weeks pregnant with severe left sided Symphysis Pubis Dysfunction and low back pain. Patient 2: a 33-year-old female also 30 weeks pregnant, presented with right sided Symphysis Pubis Dysfunction and sacroiliac pain. INTERVENTION AND OUTCOME: Treatment included soft tissue therapy, pregnancy support belt, side-lying mobilizations, pelvic blocks and instrument-assisted pubic symphysis adjustments...
June 2012: Journal of the Canadian Chiropractic Association
Mike Bradley
AIM: To outline the pitfalls for image-guided percutaneous removal of foreign bodies (FBs). MATERIALS AND METHODS: Three hundred and fifty prospective patients were referred for ultrasound imaging for FB diagnosis and percutaneous removal during 2008-2010. Those patients with suitable FBs were offered guided percutaneous removal. The procedural methods and difficulties were recorded and all outcomes were noted, including surgical success and complications. RESULTS: Sixty-three patients had a negative ultrasound for FB and they were discharged with no subsequent attendances...
June 2012: Clinical Radiology
Kristin E White
OBJECTIVE: The purpose of this case report is to describe and discuss the clinical presentation, diagnosis, and management of 3 female long distance runners with high hamstring tendinopathy. CLINICAL FEATURES: Three female runners presented to a chiropractic office with proximal hamstring pain that was aggravated by running. Increasing mileage, hills, and/or interval training preceded the onset of symptoms in each case. The subjects all displayed weakness of the hip abductors, pelvic joint dysfunction, hamstring tightness, and ischial tuberosity tenderness...
June 2011: Journal of Chiropractic Medicine
Scott Howitt, Sarah Jung, Nicole Hammonds
OBJECTIVE: To detail the progress of a novice triathlete with an unusual mechanism of a tibialis posterior strain who underwent successful conservative treatment and rehabilitation. Tibialis posterior tendon dysfunction will be discussed as it relates to the case. CLINICAL FEATURES: The clinical features of tibialis posterior dysfunction are swelling and edema posterior to the medial malleolus with pain and an inability to weight bear. This injury may occur in endurance athletes such as triathletes, most often occurring during running...
March 2009: Journal of the Canadian Chiropractic Association
Warren I Hammer
OBJECTIVE: To present a form of therapeutic mechanical load, Graston Technique (GT)-an instrument-assisted soft tissue mobilization method) in three case studies including supraspinatus tendinosis, Achilles tendinosis, and plantar fasciosis. METHOD: In each case study, case history and functional testing confirmed the presence of a condition characterized by degenerated soft tissue. Each condition was treated according to the GT protocol. GT is a patented form of treatment using stainless steel instruments designed with a unique curvilinear treatment edge, contoured to fit various shapes of the body...
July 2008: Journal of Bodywork and Movement Therapies
Donald Aspegren, Tom Hyde, Matt Miller
OBJECTIVE: This study was conducted to discuss the conservative care used to treat a female collegiate volleyball player with acute costochondritis. CLINICAL FEATURES: A 21-year-old collegiate volleyball player had right anterior chest pain and midthoracic stiffness of 8 months duration. INTERVENTION AND OUTCOME: High-velocity, low-amplitude manipulation was performed to the associated hypokinetic costovertebral, costotransverse, and intervertebral zygapophyseal thoracic joints...
May 2007: Journal of Manipulative and Physiological Therapeutics
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