IASTM Flashcards
1
Q
neurophysiological effects of IASTM
A
- reduced muscle guarding/spasm
- pain reduction
- muscular facilitation/altered muscle recruitment and increased force production
- improve proprioception
- improved nerve conduction latency
2
Q
Mechanotransduction
A
- Shearing and compression stimulate fibroblastic activity
- increased production of fibronectin
- proliferation and maturation of fibroblasts
- replacement of type III collagen to type I
- change in substance P distribution
3
Q
how does IASTM change fluid dynamics
A
may increase regional perfusion and vascularity
4
Q
fundamentals of IASTM
A
- treats all tissues
- consider functional movement patters
- manual skills are foundation
- tools are extension of PT hands not replacement
- if you wouldn’t treat it with your hands, dont do it
- goal targeted treatment
- manual skill that requires development
5
Q
precautions
A
- anticoagulants
- dont treat over varicosities
- diabetes
- high irritability/ increases sx
- auto immune disorder
- CRPS
- surgically repaired tissue
6
Q
contraindications
A
- patient issues
- infection
- hematoma
- recent fracture
- osteomyelitis
- thrombophlebitis
- open wounds
- skin conditions
7
Q
what dictates the type of IASTM
A
shape of tissue
8
Q
concave
A
disperse force
9
Q
convex
A
focus force
10
Q
what should you always begin with
A
tissue scan
11
Q
how can force be varied
A
- changing treatment angle
- 30-60 degrees typical
- lower angle is more superficial
12
Q
if patient is not tolerating treatment, you can change:
A
- angle
- force
- bevel diration
- size of instrument
- tool surface (concave)
13
Q
Treatment sequence
A
- warm up
- IASTM/ manual therapy with pre/post test
- therapeutic exercise
14
Q
scanning stroke
A
identifies tissue restrictions
- 2 handed, parallel to fibers
15
Q
sweeping stroke
A
- 2 handed, parallel to fibers
- can be proximal to distal or distal to proximal
16
Q
fanning stroke
A
1 handed arc movement
17
Q
strumming stroke
A
- like deep cross friction massage but very short stroke like always in one direction only
- tool angle sharper (typically 45-70 degrees)
18
Q
brushing stroke
A
short strokes of similar length with smaller treatment edge
19
Q
J stroke
A
- lift the edge
- useful for focal treatment of restriction
20
Q
Framing stroke
A
short stroke around superficial bony contours
21
Q
A
