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
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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
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3
Q

how does IASTM change fluid dynamics

A

may increase regional perfusion and vascularity

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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
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5
Q

precautions

A
  • anticoagulants
  • dont treat over varicosities
  • diabetes
  • high irritability/ increases sx
  • auto immune disorder
  • CRPS
  • surgically repaired tissue
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6
Q

contraindications

A
  • patient issues
  • infection
  • hematoma
  • recent fracture
  • osteomyelitis
  • thrombophlebitis
  • open wounds
  • skin conditions
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7
Q

what dictates the type of IASTM

A

shape of tissue

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8
Q

concave

A

disperse force

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9
Q

convex

A

focus force

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10
Q

what should you always begin with

A

tissue scan

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11
Q

how can force be varied

A
  • changing treatment angle
  • 30-60 degrees typical
  • lower angle is more superficial
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12
Q

if patient is not tolerating treatment, you can change:

A
  • angle
  • force
  • bevel diration
  • size of instrument
  • tool surface (concave)
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13
Q

Treatment sequence

A
  • warm up
  • IASTM/ manual therapy with pre/post test
  • therapeutic exercise
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14
Q

scanning stroke

A

identifies tissue restrictions
- 2 handed, parallel to fibers

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15
Q

sweeping stroke

A
  • 2 handed, parallel to fibers
  • can be proximal to distal or distal to proximal
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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