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HPE INDIA - Healthcare, Physiotherapy and Ergonomics

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Guide to fascia IASTM- Instrument Assisted Soft Tissue Manipulation.

FASCIA RELEASE FOR CERVICAL NECK REGION.
 



 

this BLOG, will give you basic and advance information on the FASCIA as a organ and its dysfunction and way to treat and mobilize it....
 
let's get started !!.....
 
 
video demonstration of IASTM protocol used for Cervical  Muscles and soft tissue. 
(localized technique using rock blade)

 

1. What does IASTM Stands for?
 
IASTM stands for Instrument Assisted Soft Tissue Manipulation / Mobilization.
 

 

 

 

2. What is Soft Tissue and why we need to mobilize it?

 

Under recent classification - human superficial layer of skin and fascia is classified under soft tissue, earlier even muscles were categorized under soft tissue. but now no more !!!

 

so SKIN + FASCIA (Superficial and Deep) = Soft tissue. 

 

Soft tissue disorder is termed as SOMATIC Dysfunction. 

 

 

 

to correct the dysfunction or disorder - you need to manipulate or mobilize the soft tissue.

 

Deep Fascia



 

3. What are the Function of Soft tissue and what disorder its dysfunction leads to?


 

 

 

Superficial fascia work closely in knit with Skin - 

 

Function:  therm regulation, protective barrier and circulation 

 

 

 

Dysfunction will lead to circulatory disorder for arterial, venous, lymphatic and nervous system.

 

 

 

Deep fascia work in conjunction with Muscles

 

 

 

Function: to perform movement, force transmission and proprioception. 

 

 

 

Dysfunction will lead to Pain, Reduced ROM, impaired proprioception

 

 

 

 

 

4. How IASTM help in correction of this dysfunction?

 

 

 

IASTM  help in correction of  the mal - alignment (structure which are abnormal moved from its normal anatomical place) by applying a shear forces via mechanical tool (i.e INSTRUMENT)

 

 

 

5. What is A physiological Process?

 

 

 

IASTM was believed to be working on Piezoelectric effect (conversion of mechanical energy into Electrical Charge(thermal Energy). Mechanical deformation in the form of break or press via performing an IASTM procedure with IASTM Tool (made of stainless steel or crystal) causes electrical discharge of ion to release thermal energy just enough to warm up the connective tissue.

 

 

 

6. How Beneficial is IASTM Procedure?

 

 

 

IASTM procedure is not only done to remove any adhesion in soft tissue but mainly done to align the FASCIA back to its normal anatomical position, which under over or under stress are subject to deform or mal-align.

 

 

 

7. What Is HPE FUNCTIONAL IASTM?

 

 

 

Fascia was the most neglected connective tissue for over the years, it has got a humongous impact of body movement pattern and performance, creating awareness of various body movement  in relation to that of environment/space.
 

 



 

Fascia is a one continuous structure, which is embedded across all the connective tissue to provide mobility and to compartmentalize different body parts.


 

 

 

HPE Functional IASTM technique work on the 

 

 

 

FASCIA CONTINUITY MODEL, 
 
assess them in various testing position and 
 
later mobilize, 
 
train and strengthen them to perform better.
 
 
"yes, we can stretch and strengthen FASCIA too.."

 



 

8. HOW mobilizing the Fascia Helps?? 
 

 

FASCIA  has the unique quality that it is DIRECTION LESS,
 VISCO - ELASTIC and 
Highly ADAPTABLE.  
 
Functionally moving them in its correct direction, helps physical therapist to lengthen them, making it less viscous by applying a shear force in form of press, squeeze and allowing them to be more elastic.

 

 

 

9. what is IASTM relation with VISCOELASTICITY?

 

 

 

Under  / Over stress of physical movement, connective tissue losses its viscosity making it more dense i.e tight. 
 
"hyaluronan make its more dense" 
 
The  length Tension relationship on which fascia and muscle works is impaired, which eventually cause mechanical dysfunction in joints and bones. 

 

 

 

IASTM helps to reduce viscosity by applying the mechanical stress with IASTM tool, making it warm via Peizo electric effect. 

 

 

 

repeated IASTM procedure helps in diapedesis 
(the passage of blood cells through the intact walls of the capillaries, typically accompanying inflammation) 
causing ecchymosis


 

 

 

10. Localised IASTM causes Bruise?

 

 

 

"Nothing Get BRUISED, such a wrong concept"
 
its medically called as hyperemia, which is only visible if you perform localised IASTM procedure fast, over a period of time. Hyperemia is due to destruction of terminal capillaries. it is an indicator to stop IASTM procedure when you start noticing 
 petechiae ( red dots on skin)
 
 
petechiae

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
"localised IASTM technique is outdated now !!" - Please note

 

 

 

researcher believe more in improvement of functional movement pattern rather than simple local movements

 

 

 

11. IDEAL protocol for IASTM?  

 

iastm protocol should be advice based on screening of body movement pattern in form of 
Relaxed,

Stretched,

Functional position. 
 
"2 session in a week is IDEAL on one fascial lines" - 
 
"remember..fascia is highly adaptable"

 

 

 

12. Best Tool for IASTM

 

 

 

most important topic here is - choice of the tool.
 
many outdated, and cheap stainless tools used for fascia release are available in the market / amazon
 

 

I personal tried and tested many IASTM tool,  but i found
 
ROCK BLADE to be the BEST  for its outcome. 
 
I Would grade M2T Blade the second best.
 
 




Learn more about HPE functional IASTM / FASCIA RELEASE with Dr. Swapnil Mate, Instructor at HPE UK healthcare and Education LTD, London- UK.

HPE Functional IASTM are hosted both in MUMBAI and London. 
for more info on the course log onto www.hpeindia.in/physio-courses

http://hpeindia.in/hpe-iastm : IASTM


for more video - subscribe to youtube channel : Link Here

https://www.youtube.com/user/swapnilphysio1985

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