IASTM Physiology & Benefits Physiological Mechanism Inflammatory condition secondary to infection.Acute Ankle Sprains (Advanced Technique).Chronic Joint Swelling Associated with Sprains/Strains.Medial Epicondylitis, Lateral Epicondylitis.Conditions For Which IASTM is Usually Used Adhesions within the soft tissue which may have developed as a result of surgery, immobilization, repeated strain or other mechanisms, are broken down allowing full functional restoration to occur. Microtrauma initiates reabsorption of inappropriate fibrosis or excessive scar tissue and facilitates a cascade of healing activities resulting in remodelLing of affected soft tissue structures. The introduction of controlled microtrauma to affected soft tissue structure causes the stimulation of local inflammatory response. The ergonomic design of these instruments provides the clinician with the ability to locate restrictions and allows the clinician to treat the affected area with the appropriate amount of pressure. Instruments effectively break down fascial restrictions and scar tissue. However, Gua sha has different rationale, goals and application method from IASTM. Gua sha uses instruments with smoothed edges to scrape the skin till red blemishes occur. The technique itself is said to have evolved from Gua sha which is a method used in Chinese medicine. Ī proposed description for IASTM is “ a skilled intervention that includes the use of specialized tools to manipulate the skin, myofascia, muscles, and tendons by various direct compressive stroke techniques”. It is used for the detection and treatment of soft tissue disorders. It is applied using instruments that are usually made of stainless steel with bevelLed edges and contours that can conform to different body anatomical locations and allows for deeper penetration. It is based on the principles of James Cyriax cross-friction massage. Instrument assisted soft tissue mobilization (IASTM) is a skilled myofascial intervention used for soft-tissue treatment.
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