Podcast
Questions and Answers
The pin stretch technique involves holding a stretch for 5-10 seconds and relaxing for 2-5 seconds.
The pin stretch technique involves holding a stretch for 5-10 seconds and relaxing for 2-5 seconds.
True (A)
Cross friction massage involves applying force parallel to the fiber orientation.
Cross friction massage involves applying force parallel to the fiber orientation.
False (B)
IASTM stands for Instrument Assisted Soft Tissue Mobilization.
IASTM stands for Instrument Assisted Soft Tissue Mobilization.
True (A)
IASTM is proven to break down fascial restrictions and scar tissue.
IASTM is proven to break down fascial restrictions and scar tissue.
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Techniques in IASTM include brushing, sweeping, fanning, and strumming.
Techniques in IASTM include brushing, sweeping, fanning, and strumming.
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Soft tissue mobilization is a manual therapy technique aimed at hard tissues like bones.
Soft tissue mobilization is a manual therapy technique aimed at hard tissues like bones.
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Soft tissue mobilization has been proven to provide lasting structural changes to the targeted soft tissues.
Soft tissue mobilization has been proven to provide lasting structural changes to the targeted soft tissues.
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Effleurage, petrissage, trigger point therapy, and cross-friction massage are examples of soft tissue mobilization techniques.
Effleurage, petrissage, trigger point therapy, and cross-friction massage are examples of soft tissue mobilization techniques.
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Petrissage, a soft tissue mobilization technique, involves deep, kneading pressure, typically applied at a rapid, irregular pace.
Petrissage, a soft tissue mobilization technique, involves deep, kneading pressure, typically applied at a rapid, irregular pace.
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Trigger point therapy aims to alleviate hyperirritable spots in muscles using gentle stroking motions.
Trigger point therapy aims to alleviate hyperirritable spots in muscles using gentle stroking motions.
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A common contraindication for soft tissue mobilization is a clotting disorder like deep vein thrombosis.
A common contraindication for soft tissue mobilization is a clotting disorder like deep vein thrombosis.
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Effleurage is typically used to relax the patient, improve blood flow, and prepare tissues for other mobilization forms.
Effleurage is typically used to relax the patient, improve blood flow, and prepare tissues for other mobilization forms.
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While effective on soft tissues, soft tissue mobilization can never address scar tissue mobilization.
While effective on soft tissues, soft tissue mobilization can never address scar tissue mobilization.
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Study Notes
Soft Tissue Mobilization
- Soft tissue mobilization is a manual therapy targeting soft tissues
- It aims to improve pain, range of motion (ROM), and function
- Short-term improvements are common but long-term effects are not fully supported by high-quality evidence
- Techniques work by impacting the patient's nervous system, according to the modern pain podcast
- This approach is used to treat muscle guarding, spasms, limited range of motion, scar tissue, fluid mobilization, and muscle stimulation.
Objectives
- Understand indications and contraindications for soft tissue mobilization
- Demonstrate the ability to perform common soft tissue mobilization techniques
Mechanisms, Indications, & Contraindications
- Mechanisms: Claims to break fascial restrictions and scar tissue are not supported by evidence. Some studies support increased fibroblast activity and neurophysiological effects.
- Indications: Pain, muscle guarding/spasm, ROM limitations, scar mobilization, fluid mobilization, muscle stimulation
- Contraindications: Skin conditions (open wounds, rashes, burns), infections, fever, suspected DVT/clotting disorders, phlebitis, active bruising, congestive heart failure
Precautions
- Altered skin sensation
- Immune system disorders
- Areas around fractures or joint instability
Soft Tissue Mobilization Techniques
- Effleurage: Gentle, broad strokes for relaxation, circulation, and warming up tissues
- Petrissage: Deeper pressure, kneading, slow rhythmic motions to decrease tension and spasm, and modulate pain
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Trigger Point Therapy: Also known as "Release," involves targeting a hyperirritable spot (trigger point) in a muscle associated with a taut band. Pressure is applied until pain subsides. This technique can be unreliable.
- Find the painful band of tissue
- Apply pressure at a tolerable level (5-6/10)
- Hold until discomfort eases (30-60 seconds)
- Increase pressure to 5-6/10
- Repeat 2-4 cycles
- Pin and Stretch: Pressure applied to the trigger point with a stretch in the opposite muscle direction. Hold for 5-10 seconds, relax for 2-5 seconds, and repeat 5-10 times.
- Cross Friction Massage: Used for hypersensitive connective tissues; use stacked fingers to apply pressure perpendicular to the fiber orientation with a "strumming" back and forth motion
Instrument Assisted Soft Tissue Mobilization (IASTM)
- Uses instruments like Graston®, ASTYM®, Gua Sha to stimulate fascia and fibroblasts, increasing vibratory perception and allowing for easier detection of changes in tissue texture
- Techniques include brushing, sweeping, fanning, and strumming
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Description
This quiz explores the fundamentals of soft tissue mobilization, including its mechanisms, indications, and contraindications. It aims to enhance your understanding and ability to demonstrate common techniques used in manual therapy for muscle pain and limited range of motion.
