Podcast
Questions and Answers
What is the recommended hold time for a pin stretch?
What is the recommended hold time for a pin stretch?
In Cross Friction Massage, how is the force applied in relation to the muscle fibers?
In Cross Friction Massage, how is the force applied in relation to the muscle fibers?
Which of the following is NOT a claimed mechanism of IASTM?
Which of the following is NOT a claimed mechanism of IASTM?
Which of the following tools are NOT typically used in IASTM?
Which of the following tools are NOT typically used in IASTM?
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Which of the following techniques is NOT commonly used in IASTM?
Which of the following techniques is NOT commonly used in IASTM?
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Which of the following is NOT a primary indication for soft tissue mobilization?
Which of the following is NOT a primary indication for soft tissue mobilization?
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While soft tissue mobilization demonstrates short-term benefits, what is the current state of evidence regarding its long-term effects on tissue characteristics?
While soft tissue mobilization demonstrates short-term benefits, what is the current state of evidence regarding its long-term effects on tissue characteristics?
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A patient presents with an open wound and a fever. What is the appropriate course of action concerning soft tissue mobilization?
A patient presents with an open wound and a fever. What is the appropriate course of action concerning soft tissue mobilization?
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Which soft tissue mobilization technique is characterized by gentle, broad strokes primarily used for relaxation and promoting circulation?
Which soft tissue mobilization technique is characterized by gentle, broad strokes primarily used for relaxation and promoting circulation?
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What is the primary goal of petrissage?
What is the primary goal of petrissage?
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Which statement BEST describes a trigger point?
Which statement BEST describes a trigger point?
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What is a crucial consideration when applying pressure during trigger point therapy?
What is a crucial consideration when applying pressure during trigger point therapy?
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Beyond pain and restricted range of motion, what other condition can benefit from soft tissue mobilization?
Beyond pain and restricted range of motion, what other condition can benefit from soft tissue mobilization?
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Flashcards
Pin Stretch Technique
Pin Stretch Technique
Stretching the opposite muscle line while holding for 5-10 seconds. Repeat 5-10 times.
Cross Friction Massage
Cross Friction Massage
Massage technique using stacked fingers, applying force perpendicular to fiber orientation.
Instrument Assisted Soft Tissue Mobilization (IASTM)
Instrument Assisted Soft Tissue Mobilization (IASTM)
Uses instruments like metal or plastic to mobilize soft tissues, increasing perception of tissue changes.
IASTM Techniques
IASTM Techniques
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Soft Tissue Mobilization Objectives
Soft Tissue Mobilization Objectives
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Soft Tissue Mobilization
Soft Tissue Mobilization
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Indications for Soft Tissue Mobilization
Indications for Soft Tissue Mobilization
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Contraindications for Soft Tissue Mobilization
Contraindications for Soft Tissue Mobilization
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Effleurage Technique
Effleurage Technique
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Petrissage Technique
Petrissage Technique
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Trigger Point Therapy
Trigger Point Therapy
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Pin and Stretch Technique
Pin and Stretch Technique
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Precautions in Soft Tissue Mobilization
Precautions in Soft Tissue Mobilization
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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
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Effleurage: Gentle, broad strokes for relaxation and circulation, warming up tissues.
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Petrissage: Deeper pressure, kneading motions, slow and rhythmic to decrease tension and spasm and aid pain modulation.
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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
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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.
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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
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Brushing
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Sweeping
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Fanning
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Strumming
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Techniques may have additional movement to enhance the effects.
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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.