Week 9: Soft Tissue Mobilization

Soft Tissue Mobilization works on (4)

• Muscle

• Tendon

• Ligament

• Fascia

Objectives of STM

• Pain reduction/healing by increasing blood flow

• ROM improvement by reducing adhesions

Mechanics of Reduction of Muscle Tension/Spasm

Trigger point release

Mechanics of Breakdown of Scar Tissue/Adhesions

Disrupt/realign scar tissue fibers (perpendicular application)

Mechanics of Pain Modulation

• Gate Control theory

• Improved circulation and perfusion

• Endorphin release

Indications for STM (4)

• Post-injury or surgery

• Chronic muscle pain (myofascial pain syndrome, fibromyalgia, tendinopathies)

• Muscle tightness/reduced ROM

• Sport injuries

Absolute STM Contraindications (4)

• Infection

• Open wounds

• Fractures/dislocations

• Acute DVT

Relative Contraindications/Precautions of STM (3)

• OA (avoid agitation)

• Post-surgery (yes it is INDICATED for STM, but still must be very careful)

• Skin Conditions (eczema, psoriasis, etc.)

Instrument-assisted STM

For deep tissue pressure for all indications same as regular STM.

Myofascial Release Technique

• Slow, steady pressure to fascia

• Pressure is maintained until tissue release is felt

Trigger Point Release Technique

• Locate trigger point

• Sustained pressure until muscle relaxes

Cross-friction massage Technique

• Perpendicular application to muscle fibers

• 10-15 minutes over many sessions

Precautions/Aftercare for STM

• Listen to patient feedback

• Adapt techniques for sensitive areas

• Hydration and recovery

• Still need to stretch and strengthen