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IASTM Present Ation

The document introduces Instrument Assisted Soft Tissue Mobilization (IASTM) as a technique to enhance manual therapy by providing force to specific areas, improving efficiency and reducing therapist fatigue. It outlines the history, contraindications, effects, and treatment goals of IASTM, emphasizing its neurophysiological benefits and mechanisms such as mechanotransduction and improved circulation. The document also discusses treatment protocols, instrument selection, and various strokes used in IASTM practice.

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ATHER HASHMI
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8 views22 pages

IASTM Present Ation

The document introduces Instrument Assisted Soft Tissue Mobilization (IASTM) as a technique to enhance manual therapy by providing force to specific areas, improving efficiency and reducing therapist fatigue. It outlines the history, contraindications, effects, and treatment goals of IASTM, emphasizing its neurophysiological benefits and mechanisms such as mechanotransduction and improved circulation. The document also discusses treatment protocols, instrument selection, and various strokes used in IASTM practice.

Uploaded by

ATHER HASHMI
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Introduction of

Fundamentals
of IASTM
Instrument Assisted Soft Tissue Mobilization
Not to replace your hands but to provide supplement and enhance

IASTM provides:

?
• Ability to provide force to broad area or focus force to a small
specific area

• Amplification effect of instruments

• Efficiency of force transmission with decreased fatigue and


stress on the therapist

Why IASTM
Brief History of IASTM
 Roots of IASTM traced to Gua Sha
 Loosely translated to scrap or scratch to bring
blood flow (Sha)

 Use of a contour instruments (often buffalo horn)

 Techniques introduced to US in early 90s and have


gained more
Contraindications
Precautions
• Increased symptoms • Patient refusal
• Anticoagulant drug therapy • Localized infection
• Diabetes • Hematoma (directly over site)
• Varicose veins (avoid treating over • Myositis Ossificans
varicosities) • Over fracture site
• Auto-immune disorders • Inflammatory skin conditions
• Chronic Regional Pain Syndrome • Osteomyelitis
• Post-operative patterns (over • Thrombophlebitis
surgical repair) • Over open wounds
• Should not perform over surgical
repair until fully healed
Effects of IASTM
 Neurophysiological
Effects

 Mechanotransduction

 Breaking of Cross-links

 Improve Circulation
Neurophysiological Effects
Injury Aberrant motion
Decrease Pain
Decrease Muscle Guarding cycle IASTM can
interrupt this pain cycle with the stimulation of
mechanoreceptors
Gate Control Theory
Mechanotrasnduction
 Physiological process where cells sense & respond to mechanical
loads

 Fibroblasts are responsible for generation of new collagen

 Stimulated by mechanical and chemical means

 IASTM provides specific mechanical force to a tissue structure to


promote fibroblast activity
Improve Fluid Circluation
 All collagen surrounded by ground substance

 Fluid movement needed for tissue health


 Bring nutrients IN

 Take waste products OUT

 Cross links can limit fluid mobility

 Hypertonicity of muscle can limit blood flow

 Inhibitory effects = muscle relaxation = Improved fluid circulation


Breaking of Cross-Links
 Chronic inflammation and increased fibroblast production can lead to
excessive cross-linking of collagen tissue

 Combined with immobilization and time can lead to contracture

 IASTM utilized to mobilize and "break-up" these cross links


Treatment: Brief Overview

Subjective Patient warm Patient Treatment Exercise


and Up Education prescription
Objective
evaluation
Treatment Goals
Light to Moderate Treatment More Firm Treatment

• Over acute injuries • Chronic conditions


Tendonopathy
• fluid movement is goal
• Fibroblast
• Hypersensitivity proliferations is
goal
• Muscle Facilitation
• Breaking of Cross
Links
DOSASE

Specific dosing protocols have not


been established

Generally accepted to limit


treatment time using one tool In one
direction and depth to 30 seconds
Which Instrument?
 Number of instruments for various shapes and sizes
 Size of the instrument
 Larger instruments will cover Ideal for larger
surface areas Smaller instruments for more Concave
focused work

 Convexity
 Concave: Broader treatment area
 Convex: More focused treatment

Convex
TREATMENT SHAPES
Treatment Edge: Bevel
Different instruments are contoured
for different body regions

Each instrument has a specific


treatment edge called a bevel

Bevel facing Up
Bevel facing Down

Bevel
Bevel: Which Direction?
Used 95% of the time

More firm treatment edge

"Divers" into tissue

Modify force depending on treatment goal

Used infrequently

Softer treatment edge

Desensitization

Lymphatic Drainage

Not as effective for mobilizing tissue


Treatment Angle

30- 60 degree
Basic IASTM Strokes
Sweeping Stroke
1 4 J Stroke

Fanning Stroke
2 5 Framing Stroke

6
Strumming/Cross Friction
Stroke 3 Scanning Stroke

https://www.plantillaspower-point.com/
Thank you

Let’s
Practice now

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