SOFT TISSUE MOBILISATION / MYOFASCIAL RELEASE 

is a therapy which is applied with the hands or with the aid of tools to muscles,joints, connective tissue and ligaments. This therapy is direct to create a mobilisation to soft tissues, improving the blood circulation,improve elasticity and the slide between the fascial planes. Several studies has been conducted from Stecco’s family around the topic “fascia”, they have individuated some particular vectoral areas in the body, which became vital for a correct motor pattern. In fact body Fascia seems to be implicated in the Proprioception and Peripheral Motor Control, sending information to the CNS(central nervous system) influencing the motor pattern.    

Also has been individuated anatomical connections in the fascia,called myofascial sequence/ myofascial meridians etc. depend on the authors. They are anatomical interconnection which link several body parts through a sequence of interconnection, so an impairment in the fascia could cause an issue distally from where is the restriction.

An example could be a restriction in the fascia (e.g. neck) can refer the pain distally(e.g. hand), without a nerve involvement. In the case of muscoloskeletal disorders appears that the fascia’s ground substance becomes thicker (more viscous) with a reduced fascial sliding. The soft tissue mobilisation through a mechanical,vascular, neurological and receptorial effect aims to improve the fascial sliding and elasticity in these areas, so that the Tensegrity will be reestablished. In nutshell this should bring back a normal function in the musculoskeletal system with normal range of movement, normal muscles function and reduction on the pain. Among these we find therapies like fascial manipulation and trigger points therapy.

IASTM (Instrument Assisted Soft Tissue Mobilization):  

is a soft tissue therapy that involve the use of particular tools designed to help the physiotherapist to treat  this fascial restriction in more efficient and effective way. They allow to use the right amount of pressure, to easily treat tendons/ligaments or small structures, to be more efficient(less time and more quality) and to relief the therapist hands.

Cupping therapy:

it’s another type of soft tissue therapy which use tools, in particular Cups on the skin to create suction. It can be used in 2 modalities: static and dynamic, in the second one it’s used oil or cream to create a contemporaneous sliding on the tissues whilst performing the vacuum. Also it can be used for the stimulation of acupuncture points.

cupping therapy

References:

Martín Eusebio Barra López a,b,et al., originally published online 15 November 2010, Effectiveness of Diacutaneous Fibrolysis for the treatment of subacromial impingement syndrome: A randomised controlled trial. https://www.ncbi.nlm.nih.gov/pubmed/23523255

DOI: 10.1016/j.math.2013.02.006. Epub 2013 Mar 21.

ME Barra et al., Clin Rehabil 2011 25: 339 ,The immediate effects of diacutaneous fibrolysis on pain and mobility in patients suffering from painful shoulder: a randomized placebo-controlled pilot study. https://www.ncbi.nlm.nih.gov/pubmed/21078700

DOI: 10.1177/0269215510385480

Huang, C.-Y. At al.(2013). Table 1. Acupuncture in Medicine, 31(3), 336–337. Effectiveness of cupping therapy for low back pain: a systematic review. https://www.ncbi.nlm.nih.gov/pubmed/23886511

DOI:10.1136/acupmed-2013-010385

Jong-In Kim et al.(2011),Cupping for Treating Pain: A Systematic Review

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136528/

doi: 10.1093/ecam/nep035

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