Soft Tissue Mobilization Techniques
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Questions and Answers

What is the recommended hold time for a pin stretch?

  • 2-5 seconds
  • 5-10 seconds (correct)
  • 10-15 seconds
  • 15-20 seconds
  • In Cross Friction Massage, how is the force applied in relation to the muscle fibers?

  • Parallel to fiber orientation
  • Circular motion around the fiber
  • At a 45-degree angle to fiber orientation
  • Perpendicular to fiber orientation (correct)
  • Which of the following is NOT a claimed mechanism of IASTM?

  • Reducing muscle inflammation (correct)
  • Breaking fascial restrictions
  • Increasing fibroblast activity
  • Neurophysiological effects
  • Which of the following tools are NOT typically used in IASTM?

    <p>Wooden instruments (A)</p> Signup and view all the answers

    Which of the following techniques is NOT commonly used in IASTM?

    <p>Pinching (B)</p> Signup and view all the answers

    Which of the following is NOT a primary indication for soft tissue mobilization?

    <p>Increasing bone density (D)</p> Signup and view all the answers

    While soft tissue mobilization demonstrates short-term benefits, what is the current state of evidence regarding its long-term effects on tissue characteristics?

    <p>Current evidence primarily supports transient, not permanent, changes. (D)</p> Signup and view all the answers

    A patient presents with an open wound and a fever. What is the appropriate course of action concerning soft tissue mobilization?

    <p>Postpone mobilization until the wound and fever are resolved. (B)</p> Signup and view all the answers

    Which soft tissue mobilization technique is characterized by gentle, broad strokes primarily used for relaxation and promoting circulation?

    <p>Effleurage (C)</p> Signup and view all the answers

    What is the primary goal of petrissage?

    <p>Reduce tension and muscle spasm (D)</p> Signup and view all the answers

    Which statement BEST describes a trigger point?

    <p>A hyperirritable spot within a taut band of skeletal muscle (D)</p> Signup and view all the answers

    What is a crucial consideration when applying pressure during trigger point therapy?

    <p>Pressure should be tolerable, typically not exceeding 5-6/10. (A)</p> Signup and view all the answers

    Beyond pain and restricted range of motion, what other condition can benefit from soft tissue mobilization?

    <p>Scar tissue mobilization (C)</p> Signup and view all the answers

    Flashcards

    Pin Stretch Technique

    Stretching the opposite muscle line while holding for 5-10 seconds. Repeat 5-10 times.

    Cross Friction Massage

    Massage technique using stacked fingers, applying force perpendicular to fiber orientation.

    Instrument Assisted Soft Tissue Mobilization (IASTM)

    Uses instruments like metal or plastic to mobilize soft tissues, increasing perception of tissue changes.

    IASTM Techniques

    Includes brushing, sweeping, fanning, and strumming; aims to enhance soft tissue effects.

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    Soft Tissue Mobilization Objectives

    Understand when to apply and avoid soft tissue mobilization techniques.

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    Soft Tissue Mobilization

    Manual therapy techniques directed at soft tissues to improve pain and function.

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    Indications for Soft Tissue Mobilization

    Pain, muscle guarding, ROM limitations, scar mobilization, fluid mobilization, muscle stimulation.

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    Contraindications for Soft Tissue Mobilization

    Conditions where soft tissue mobilization should not be used, such as open wounds or infections.

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    Effleurage Technique

    Gentle, broad strokes used in soft tissue mobilization for relaxation and circulation.

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    Petrissage Technique

    Deeper kneading pressure aimed at decreasing muscle tension and spasm.

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    Trigger Point Therapy

    Technique targeting hyperirritable spots in muscles that cause pain upon compression or stretch.

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    Pin and Stretch Technique

    Combination technique applying trigger point pressure while stretching the muscle.

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    Precautions in Soft Tissue Mobilization

    Considerations like altered skin sensation or joint instability when performing techniques.

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    Study Notes

    Soft Tissue Mobilization

    • Overview: Soft tissue mobilization is a manual therapy technique targeting soft tissues.
    • Objectives: The objectives involve understanding indications and contraindications for soft tissue mobilization, and demonstrating the ability to perform common soft tissue mobilization techniques.
    • Efficacy: Short-term improvements in pain, range of motion (ROM), and function are observed. However, high-quality evidence for more than temporary changes in tissue characteristics is lacking. Neurophysiological effects are key, as practitioners interact with the patient's nervous system.
    • Indications:
      • Pain
      • Muscle guarding/spasm
      • Range of motion (ROM) limitations
      • Scar mobilization
      • Fluid mobilization
      • Muscle stimulation
    • Contraindications:
      • Skin conditions (open wounds, rash, burns, etc.)
      • Infection
      • Fever
      • Suspected deep vein thrombosis (DVT)/clotting disorder
      • Phlebitis
      • Active bruising
      • Congestive heart failure

    Precautions

    • Altered skin sensation
    • Immune system disorders
    • Around fractures or joint instability

    Soft Tissue Mobilization Techniques

    • Effleurage: Gentle, broad strokes for relaxation and circulation, warming up tissues.

    • Petrissage: Deeper pressure, kneading motions, slow and rhythmic to decrease tension and spasm and aid pain modulation.

    • Trigger Point Therapy (AKA Trigger Point "Release"): Targeting "hyperirritable spots" within a taut band of skeletal muscle, which are painful to compress or stretch. This can lead to typical referred pain patterns. Tenderness and pain reproduction from palpation are usually most reliable than the palpation method itself.

      • Find painful band of tissue
      • Apply pressure at a tolerable level (5-6/10 typically)
      • Maintain pressure until discomfort eases (30-60 seconds)
      • Increase pressure to 5-6/10
      • Repeat 2-4 cycles
    • Pin and Stretch: Trigger point pressure is applied while stretching the opposite muscle line of force. Hold 5-10 seconds, relax 2-5 seconds, and repeat 5-10 repetitions.

    • Cross Friction Massage: Force is applied perpendicular to the fiber orientation of hypersensitive connective tissues using stacked fingers, like strumming.

    Instrument Assisted Soft Tissue Mobilization (IASTM)

    • Utilizing tools such as Graston®, ASTYM®, Gua Sha, which may be made of metal, plastic, or stone.
    • Technique aimed at stimulating fascia and fibroblasts, which increases vibratory perception and assists in easily identifying changes in tissue texture.
    • Mechanisms of IASTM: Claims of breaking fascial restrictions and scar tissue are made, but there is not high quality evidence to support it. Some evidence demonstrates increased fibroblast activity and neurophysiological effects.

    IASTM Techniques

    • Brushing

    • Sweeping

    • Fanning

    • Strumming

    • Techniques may have additional movement to enhance the effects.

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    Related Documents

    Soft Tissue Mobilization PDF

    Description

    Explore the essentials of soft tissue mobilization, a manual therapy technique aimed at improving pain, range of motion, and overall function. Understand both the indications and contraindications for applying this therapy effectively. Dive into common techniques and the neurophysiological effects that play a crucial role in patient interaction.

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