Instrument assisted soft tissue mobilization (IASTM)

Instrument-assisted soft tissue mobilization (IASTM) is a manual therapy technique used by healthcare professionals, such as physical therapists, chiropractors, or massage therapists, to treat soft tissue dysfunctions and promote tissue healing. It involves the use of specialized handheld instruments to perform targeted manipulation and mobilization of soft tissues, such as muscles, tendons, ligaments, and fascia.

Here are some key points about Instrument-assisted soft tissue mobilization (IASTM):

Physical Therapy
  • Tools used: IASTM techniques employ specifically designed instruments made of various materials, such as stainless steel, plastic, or ceramic. These instruments typically have a smooth or contoured edge, allowing therapists to apply specific pressure and friction on the affected tissues.

  • Treatment goals: The primary goals of IASTM are to address soft tissue restrictions, improve tissue mobility and flexibility, alleviate pain, promote circulation, and enhance tissue healing. It is often used to target areas with scar tissue, adhesions, myofascial trigger points, or areas of soft tissue dysfunction.

  • Technique and application: During an IASTM session, the therapist applies a lubricant, such as oil or lotion, to the skin to reduce friction. They then use the instrument to apply controlled pressure, gliding or scraping the instrument over the affected soft tissues. The therapist can vary the pressure and angle of application based on the specific needs of the patient.

  • Benefits of IASTM: IASTM can provide several potential benefits, including:

    • Improved tissue extensibility: The targeted manipulation of soft tissues helps to break down adhesions, scar tissue, and fascial restrictions, leading to increased tissue extensibility and mobility.

    • Pain reduction: IASTM techniques can help alleviate pain associated with soft tissue dysfunctions, trigger points, or muscle imbalances.

    • Enhanced blood flow and tissue healing: The mechanical stimulation provided by IASTM may improve local blood circulation, promoting tissue healing and the removal of metabolic waste products.

    • Improved movement and function: By addressing soft tissue restrictions and improving tissue mobility, IASTM can help restore normal movement patterns, range of motion, and functional abilities.

  • Considerations and precautions: IASTM should be performed by trained healthcare professionals who have expertise in the technique. The therapist should assess the patient’s condition, identify any contraindications, and apply appropriate techniques and pressure levels based on the individual’s needs. Precautions should be taken in certain situations, such as over bony prominences, areas with open wounds or infections, or in patients with certain medical conditions.

It’s important to note that IASTM is typically used as part of a broader treatment plan that may include other manual therapy techniques, exercise, and rehabilitation programs. The specific application and duration of IASTM can vary depending on the patient’s condition and response to therapy.

If you are considering Instrument-assisted soft tissue mobilization (IASTM) or believe it could be beneficial for your condition, I recommend consulting with a qualified healthcare professional, such as a physical therapist or chiropractor, who can assess your needs, provide appropriate guidance, and administer the technique safely and effectively.

Clinical Benefits

Studies have also showed clinical benefits of IASTM showing improvements in range of motion, strength and pain perception following treatment. Melham et al found that IASTM significantly improved range of motion in a college football player following 7 weeks of IASTM and physical therapy.Melham et al. found that scar tissue surrounding the lateral malleolus was reduced and remodelled structurally following IASTM application. Wilson et al found improvement in pain reduction and impairment scale at 6 & 12 weeks following IASTM application for patellar tendonitis.

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