Instrument-Assisted Soft Tissue Mobilization

By Jennifer Booth, PTA

La Plata Physical Therapy, Inc.

. http://laplatapt.com/

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Instrument-Assisted Soft Tissue Mobilization

Instrument-assisted soft tissue mobilization (IASTM) is a type of manual therapy that uses plastic or metal tools to help treat soft tissue dysfunction. A trained therapist can decide between different tools and different techniques to best treat the patients’ needs. The tools can be helpful in locating a restricted area as well as treating the soft tissue restriction. How the tool is positioned and the type of stroke used by the therapist will vary depending on need of the patient. Before and during the treatment the therapist will assess and reassess the tissue to decide what technique is best for the patient.

Benefits of IASTM include improving range of motion (ROM), promoting circulation, improving muscle recruitment and decreasing pain. Including IASTM techniques can be beneficial in the treatment plan of many different conditions including tendonitis, ligament sprains, plantar fasciitis, musculoskeletal imbalance, myofascial pain, as well as scar tissue following surgery or trauma. Research has shown that IASTM stimulates the nervous system and is believed that micro trauma occurs in the area and creates a localized inflammatory response, which can assist in breaking down tissue restriction.

Response to IASTM includes redness and could include light bruising but should try to be avoided. Soreness is also normal following IASTM and can persist up to 72 hours (similar to soreness after a workout). Movement can be helpful in decreasing soreness following IASTM and will help to maintain improved ROM.

Medical history is important to consider before performing IASTM and not all patients are a candidate for IASTM. It is advised to avoid IASTM in the presence of skin infection, Deep vein thrombosis (DVT), bone fracture, or kidney disease. Precaution should be used with patients on anticoagulant medications, acute inflammatory conditions, pregnancy, cancer, rheumatoid arthritis, and over varicose veins.