Therapeutic Massage, Instrumented Assist Soft Tissue Mobilization (IASTM), and Cupping

effleurage

gliding strokes used to spread lubricant

function of superficial effleurage

relaxation

function of deep effleurage

elongates muscle fibers

stretch fascia

forces fluids in direction of stroke

petrissage

lifting and kneading

function of petrissage

free adhesions

stretches/separates muscle fibers/fascia/scar tissue

friction

deep pressure that affects muscle mobilization, tissue separation, and trigger points

tapotement

tapping/ponding of skin performed with light fast tempo

function of gentle tapotement

promotes muscular and systemic relaxation

desensitization of irritated nerve endings

function of aggressive tapotement

promotes muscular and systemic excitation

used in pre-event/warmup protocol

cardiovascular effects of therapeutic massage

increase blood flow, histamine release, temperature

decrease heart rate, respiratory rate, blood pressure

neuromuscular effects of therapeutic massage

increase flexibility

decrease neuromuscular excitability, edema

stretch muscle and scar tissue

physiological pain effects of therapeutic massage

activates spinal gate and the release of endogenous opiates

psychological effects of therapeutic massage

reduces patient anxiety, depression, mental stress

contraindication for therapeutic massage

acute inflammatory condition

severe varicose veins

open wounds

skin infection

fracture healing

thrombophlebitis

traditional therapeutic massage order

light effleurage

deep effleurage

petrissage

deep friction

petrissage

light effleurage

what does IASTM stand for

Instrument Assisted Soft Tissue Mobilization

IASTM

the use of tools to manipulate the skin, muscles, tendons by various direct compressive stroke techniques

physiological effect of IASTM of soft tissue

breaks up fascial adhesion

physiological effect of IASTM on circulation

promotes circulation of blood through capillaries

physiological effect of IASTM on neurological structures

effects reflexes that influence muscle tone and mobility

how many days should you give in between IASTM treatments

2-3 days

what angle should be used with the IASTM tool if you are trying to target superficial tissue

lower angle

what angle should be used with the IASTM tool if you are trying to target deeper tissue

greater angle

contraindications of cupping

connective tissue disorder

fracture

malignancy

deep vein thrombosis

bleeding disorder