Instrument assisted soft tissue mobilization- an emerging trend for soft tissue dysfunction

2020 ◽  
pp. 1-14
Author(s):  
Tahir Mahmood ◽  
Muhammad Hafeez ◽  
Muhammad Waqas Ghauri ◽  
Abdul Salam ◽  
Admin
Keyword(s):  
Soft Tissue ◽  
Musculoskeletal Disorders ◽  
Soft Tissue Release ◽  
Target Area ◽  
Mechanical Pressure ◽  
Gua Sha ◽  
Different Types ◽  
Specific Muscle ◽  
Active Release Technique ◽  
Active Release

Abstract Musculoskeletal disorders are common conditions involving joints, muscles. Nerves, ligaments and tendons found in the community. These disorders affect the normal activities and causes discomfort. These discomforts are managed by different types of interventions including exercise, acupuncture, soft tissue release and manual therapy as conservative mode of management. Soft tissue release including active release technique, Fascial abrasion, and myofascial release are considered effective for musculoskeletal functions improvement. The advancements and technology improved and Instrument assisted techniques are being used. These different types of instruments including Graston, Ergon, Gua Sha, Hawk Grips, Rock Tapes, FAKTR. These instruments   are sensitive in localization, specification and facilitation of the target area with the help of mechanical pressure applied on tissue with movement of specific muscle. Prognosis varies   with good outcomes using fewer sessions than others.But it needs proper localization of muscle involved and special training. The advantage considered is that musculoskeletal disorders Continuous...

scholarly journals COMPREHENSIVE REHABILITATION OF A PATIENT WITH UPPER CROSSED SYNDROME

2021 ◽  
Vol 10 (4) ◽  
pp. 3179-3181
Author(s):  
Prasad B. Risaldar
Keyword(s):  
Soft Tissue ◽  
Scar Tissue ◽  
Muscle Dysfunction ◽  
Range Of Movement ◽  
Upper Trapezius ◽  
Release Technique ◽  
Spine Mobility ◽  
Active Release Technique ◽  
Active Release ◽  
Lower Trapezius

Background: In upper cross syndrome (UCS), weaker neck flexors, anterior and middle serratus and lower trapezius along with rhomboids usually develop, and stiffness of the levator scapulae, pectoralis major as well as upper trapezius are biomechanically adapted. Muscle imbalance is the primary cause for the upper cross syndrome between the tonic and phasic muscles. Individuals with upper cross syndrome may also exhibit any of the following issues text neck syndrome, round upper back, reduced thoracic spine mobility, winged scapulae. Active Release Technique (ART) helps to reduce discomfort and improve the range of movement. Also, Active Release Technique (ART) is a manual procedure which is also being used for other soft tissue rehabilitation as well as for the management of the scar tissues. UCS and neck pain is common with uncomfortable job postures as well as in stress and anxiety, due to which muscle dysfunction starts which can further followed by altered posture around the neck. Active Release Technique was also used earlier for muscle dysfunction and for scar tissue mobilization. Changes in musculature structure may exhibit chronic headaches among the patients of upper cross syndrome also unbalanced soft tissue near the neck may create barriers for the head’s range of motion (ROM). Patients complaints were pain, decreased job efficiency for which he was later diagnosed as a case of upper cross syndrome. The patient showed great co-operation during the treatment and now the patient is able to perform his job-related tasks without discomfort

scholarly journals ACTIVE RELEASE TECHNIQUE AND ITS IMPACT ON NON-SPECIFIC LOW BACK PAIN

2021 ◽  
Vol 10 (4) ◽  
pp. 3171-3174
Author(s):  
Laukik Vaidya
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Soft Tissue ◽  
Low Back ◽  
Release Technique ◽  
Strengthening Exercises ◽  
Long Time ◽  
Active Release Technique ◽  
Active Release

Non-specific low back pain (NLBP) or "simple backache" is characterized as an LBP not due to any identifiable disease such as nerve root pain and severe spinal pathologies such as infection, tumour, osteoporosis, rheumatoid arthritis, fracture or inflammation. Myofascial Trigger Points in skeletal muscles, identified with a hypersensitive palpable nodule or "knot" in the middle of the muscle belly, are described as hyperirritable. Active Release Technique (ART) is a non- invasive soft tissue restoration procedure that includes reducing the scar tissue that would induce discomfort, stiffness, muscle weakness and unusual pain like mechanical dysfunction of the myofascial and soft tissue. A 23 years old inert, after assisting in a lot surgery started with a low back pain which increased gradually. Activities like bending forward as well as backward, standing for long time, and unsupported sitting for long time which relieved on rest. She took paracetamol as the pain started, which relived her pain. In this case report, a 23 years old intern, who had non-specific low back pain was successfully rehabilitated and was able to resume her activities withing a few days which was followed for a month which was painless as well. ART proved helpful along with hot fomentation and core strengthening exercises to reduce her pain. In this case report, a 23 years old intern, who had non-specific low back pain was successfully rehabilitated and was able to resume her activities withing a few days which was followed for a month which was painless as well. ART proved helpful along with hot fomentation and core strengthening exercises to reduce her pain.

scholarly journals Comparison between the Immediate Effects of Instrument Assisted Soft Tissue Mobilization and Active Release Technique in Individuals Wearing High Heels

2021 ◽  
Vol 11 (10) ◽  
pp. 186-195
Author(s):  
Jahnvi T. Shah ◽  
Mayuri Ghumatkar ◽  
Ajay Kumar
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Trigger Points ◽  
Release Technique ◽  
Tissue Manipulation ◽  
Group A ◽  
High Heels ◽  
Active Release Technique ◽  
Active Release ◽  
Soft Tissue Mobilization

Background: Wearing high heels regularly places muscle-tendon units (MTUs) in a shortened position. In this condition the length of the calf MTU (gastrocnemius-soleus) is reduced by the continuous ankle plantar flexion cause by the heel lift imposed by the high heels, which leads to concomitant inflexibility of these muscles. Tightness of these muscles inturns leads to formation of trigger points within the muscles. Instrument-assisted soft tissue mobilization (IASTM) is an approach to soft tissue manipulation that uses concave and convex stainless steel instruments to release scar tissue, break soft tissue adhesions, and remove fascial restrictions. Active Release Techniques, or ART, is a soft tissue treatment method that focuses on relieving tissue tension via the removal of fibrosis/adhesion that develops in tissue that is overloaded with repetitive use. Objective: To compare the immediate effect of Instrument Assisted Soft Tissue Mobilization and Active Release Technique for gastrosoleus muscle in individuals wearing high heels using VAS and active dorsiflexion using universal goniometer. Method: 30 subjects were selected as per inclusion and exclusion criteria and were randomly allocated into two groups of 15 each. Group A received Instrument Assisted soft tissue mobilization and Group B received Active Release Technique for Gastro-soleus muscle. Pre and Post intervention Dorsiflexion range of motion and VAS scores were analysed. Result: The statistical analyses showed that there is signification increase in dorsiflexion range of motion and significant reduction in pain in both the groups. (p<0.0001). However, inter group analysis showed that Group A is much more effective in improving the range of motion and reducing pain scores. Conclusion: The present study concluded that Instrument Assisted Soft Tissue Mobilization is a better intervention for the release of trigger points as it shows greater increase in ankle dorsiflexion range of motion and a significant pain reduction when compared to Active Release Technique. Key words: Instrument Assisted Soft Tissue Mobilization(IASTM), Active Release Technique(ART), Range of Motion, pain, High Heels, Calf Muscles.

scholarly journals Reliability of activity monitors for physical activity assessment in patients with musculoskeletal disorders: A systematic review

2021 ◽  
pp. 1-9
Author(s):  
Francesco Negrini ◽  
Alessandro de Sire ◽  
Stefano Giuseppe Lazzarini ◽  
Federico Pennestrì ◽  
Salvatore Sorce ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Musculoskeletal Disorders ◽  
Wearable Sensors ◽  
Activity Monitors ◽  
Activity Assessment ◽  
Measurement Tools ◽  
Different Types ◽  
Measurement Units ◽  
Full Text Screening

BACKGROUND: Activity monitors have been introduced in the last years to objectively measure physical activity to help physicians in the management of musculoskeletal patients. OBJECTIVE: This systematic review aimed at describing the assessment of physical activity by commercially available portable activity monitors in patients with musculoskeletal disorders. METHODS: PubMed, Embase, PEDro, Web of Science, Scopus and CENTRAL databases were systematically searched from inception to June 11th, 2020. We considered as eligible observational studies with: musculoskeletal patients; physical activity measured by wearable sensors based on inertial measurement units; comparisons performed with other tools; outcomes consisting of number of steps/day, activity/inactivity time, or activity counts/day. RESULTS: Out of 595 records, after removing duplicates, title/abstract and full text screening, 10 articles were included. We noticed a wide heterogeneity in the wearable devices, that resulted to be 10 different types. Patients included suffered from rheumatoid arthritis, osteoarthritis, juvenile idiopathic arthritis, polymyalgia rheumatica, and fibromyalgia. Only 3 studies compared portable activity trackers with objective measurement tools. CONCLUSIONS: Taken together, this systematic review showed that activity monitors might be considered as useful to assess physical activity in patients with musculoskeletal disorders, albeit, to date, the high device heterogeneity and the different algorithms still prevent their standardization.

Categories of intrauterine growth retardation

1993 ◽  
Vol 5 (4) ◽  
pp. 203-212 ◽  
Author(s):  
Roger A Fay ◽  
David A Ellwood
Keyword(s):  
Soft Tissue ◽  
Fetal Growth ◽  
Gestational Age ◽  
Growth Retardation ◽  
Large Scale ◽  
Intrauterine Growth Retardation ◽  
Low Birthweight ◽  
Ponderal Index ◽  
Intrauterine Growth ◽  
Different Types

Originally all low birthweight infants were considered to be premature. When prematurity was redefined in terms of gestational age (SGA) and not preterm. With the large scale collection of obstetric data the distributions of birthweight at different gestational ages were described and from these, infants who were SGA could be defined. SGA became synonymous with terms such as growth retardation, but it soon became appearent that the two were not necessarily interchangeable. Scott and Usher found that it was the degree of soft tissue wasting rather than birthweight that related to poor perinatal outcome. Miller and Hassanein stated that: “birthweight by itself is not a valid measure of fetal growth impairment”. They used Rorher’s Ponderal Index (weight (g) × 100/length (cm)) to diagnose the malnourished or excessively wasted infants with reduced soft tissue mass. Most studies of intrauterine growth retardation (IUGR) still use low birthweight for gestational age centile as their only definition of IUGR or only study infants who have a low birthweight. Altman and Hytten expressed disquiet about this definition and stated: “There is now an urgent need to establish true measures of fetal growth from which deviations indicating genuine growth retardation can be derived” and that “it is particularly important that some reliable measures of outcome should be established”. In large series of term deliveries published recently, two groups of IUGR infants with different growth patterens have been identified. These studies confirm that birthweight alone is inadequate to define the different types of IUGR. They established that low Ponderal Index (PI) is a measure of IUGR associated with an increased incidence of perinatal problems and that it is time to re-evaluate IUGR in terms of the different types of aberrant fetal growth.

Total knee arthroplasty for valgus osteoarthritis: the results of a standardized soft-tissue release technique

2016 ◽  
Vol 24 (8) ◽  
pp. 2525-2531 ◽  
Author(s):  
Friedrich Boettner ◽  
Lisa Renner ◽  
Danik Arana Narbarte ◽  
Claus Egidy ◽  
Martin Faschingbauer
Keyword(s):  
Total Knee Arthroplasty ◽  
Soft Tissue ◽  
Knee Arthroplasty ◽  
Soft Tissue Release ◽  
Release Technique ◽  
Valgus Osteoarthritis ◽  
Total Knee
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