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Tuesday, June 6, 2023

IASTM: Cervicothoracic, Infraspinatus and Deltoid Fascia

Brent Brookbush

Brent Brookbush

DPT, PT, MS, CPT, HMS, IMT

IASTM: Cervicothoracic, Infraspinatus and Deltoid Fascia

By Brent Brookbush DPT, PT, COMT, MS, PES, CES, CSCS, ACSM H/FS

Thoracic, infraspinatus and deltoid fascia (22:03)

Cervical Fascia (18:32)

The most superficial fibers of the sternal head of the pectoralis major invest in the fascia of the external obliques and sometimes the rectus abdominis (4, 54). This inspires consideration of the pectoralis major (and serratus anterior discussed below) as part of the AOS, and the AOS as the primary synergy responsible for generating force during some of the most powerful activities in sports (e.g. throwing a baseball, swing a golf club, chop patterns, lineman pushing, etc.).

  • Thoracocervical Fascia: More research is needed to investigate this complex thoracocervical fascia and the investing musculature of the cervicothoracic junction. This fascia is invested by the trapezius muscles , shares the spinous process with the ligamentum nuchae, and may be layered investing in deeper muscles such splenius cervicus, multifidus, rhomboids , and serratus posterior superior. The layers of cervical fascia may have continuity with this fascial complex, including the investing layer of the cervical fascia mentioned above, and the deeper prevertebral layer. The thoracocervical fascia may be a fascial component of myofascial subsystems  analogous to those of the multi-layered thoracolumbar fascia crossing the lumbar spine. Further research is recommended.

Brachial Plexus - By Anatomist90 - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=18940042

  1. Karmail, A., Walizada, A., & Stuber, K. (2019). THE EFFICACY OF INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION FOR MUSCULOSKELETAL PAIN: A SYSTEMATIC REVIEW. Journal of Contemporary Chiropractic2, 25-33.
  2. Cheatham, S. W., Lee, M., Cain, M., & Baker, R. (2016). The efficacy of instrument assisted soft tissue mobilization: a systematic review. The Journal of the Canadian Chiropractic Association60(3), 200.
  3. Aspegren, D., Hyde, T., & Miller, M. (2007). Conservative treatment of a female collegiate volleyball player with costochondritis J Manipulative Physiol Ther (Vol. 30, pp. 321-325). United States.
  4. Bailey, L. B., Shanley, E., Hawkins, R., Beattie, P. F., Fritz, S., Kwartowitz, D., et al. (2015). Mechanisms of Shoulder Range of Motion Deficits in Asymptomatic Baseball Players. Am J Sports Med, 43(11), 2783-2793.
  5. Baker, R. T., Hansberger, B. L., Warren, L., & Nasypany, A. (2015). A NOVEL APPROACH FOR THE REVERSAL OF CHRONIC APPARENT HAMSTRING TIGHTNESS: A CASE REPORT. Int J Sports Phys Ther, 10(5), 723-733.
  6. Bayliss, A. J., Klene, F. J., Gundeck, E. L., & Loghmani, M. T. (2011a). Treatment of a patient with post-natal chronic calf pain utilizing instrument-assisted soft tissue mobilization: a case study J Man Manip Ther (Vol. 19, pp. 127-134). England.
  7. Bayliss, A. J., Klene, F. J., Gundeck, E. L., & Loghmani, M. T. (2011b). Treatment of a patient with post-natal chronic calf pain utilizing instrument-assisted soft tissue mobilization: a case study. J Man Manip Ther, 19(3), 127-134.
  8. Black, D. W. (2010). Treatment of knee arthrofibrosis and quadriceps insufficiency after patellar tendon repair: a case report including use of the graston technique. Int J Ther Massage Bodywork, 3(2), 14-21.
  9. Bove, G. M., & Chapelle, S. L. (2012). Visceral mobilization can lyse and prevent peritoneal adhesions in a rat model. J Bodyw Mov Ther, 16(1), 76-82.
  10. Burke, J., Buchberger, D. J., Carey-Loghmani, M. T., Dougherty, P. E., Greco, D. S., & Dishman, J. D. (2007). A pilot study comparing two manual therapy interventions for carpal tunnel syndrome J Manipulative Physiol Ther (Vol. 30, pp. 50-61). United States.
  11. Butler, D. (2000). The Sensitive Nervous System. Adelaide, Australia: Noigroup Publications.
  12. Davidson, C. J., Ganion, L. R., Gehlsen, G. M., Verhoestra, B., Roepke, J. E., & Sevier, T. L. (1997). Rat tendon morphologic and functional changes resulting from soft tissue mobilization. Med Sci Sports Exerc, 29(3), 313-319.
  13. Davis, D. S., Ashby, P. E., McCale, K. L., McQuain, J. A., & Wine, J. M. (2005). The effectiveness of 3 stretching techniques on hamstring flexibility using consistent stretching parameters. J Strength Cond Res, 19(1), 27-32.
  14. Depino, G. M., Webright, W. G., & Arnold, B. L. (2000). Duration of maintained hamstring flexibility after cessation of an acute static stretching protocol. J Athl Train, 35(1), 56-59.
  15. Fowler, S., Wilson, J. K., & Sevier, T. L. (2000). Innovative approach for the treatment of cumulative trauma disorders. Work, 15(1), 9-14.
  16. Gehlsen, G. M., Ganion, L. R., & Helfst, R. (1999). Fibroblast responses to variation in soft tissue mobilization pressure. Med Sci Sports Exerc, 31(4), 531-535.
  17. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. (2015). Lancet, 386(9995), 743-800.
  18. Hammer, W. I. (2008a). The effect of mechanical load on degenerated soft tissue J Bodyw Mov Ther (Vol. 12, pp. 246-256). United States.
  19. Hammer, W. I. (2008b). The effect of mechanical load on degenerated soft tissue. J Bodyw Mov Ther, 12(3), 246-256.
  20. Hammer, W. I., & Pfefer, M. T. (2005a). Treatment of a case of subacute lumbar compartment syndrome using the Graston technique J Manipulative Physiol Ther (Vol. 28, pp. 199-204). United States.
  21. Hammer, W. I., & Pfefer, M. T. (2005b). Treatment of a case of subacute lumbar compartment syndrome using the Graston technique. J Manipulative Physiol Ther, 28(3), 199-204.
  22. Hodges, P. W. (2011). Pain and motor control: From the laboratory to rehabilitation. J Electromyogr Kinesiol, 21(2), 220-228.
  23. Howitt, S., Jung, S., & Hammonds, N. (2009). Conservative treatment of a tibialis posterior strain in a novice triathlete: a case report. J Can Chiropr Assoc, 53(1), 23-31.
  24. Hreljac, A., Marshall, R. N., & Hume, P. A. (2000). Evaluation of lower extremity overuse injury potential in runners. Med Sci Sports Exerc, 32(9), 1635-1641.
  25. Järvinen, T. A., Järvinen, T. L., Kääriäinen, M., Kalimo, H., & Järvinen, M. (2005). Muscle injuries: biology and treatment. Am J Sports Med, 33(5), 745-764.
  26. Kassolik, K., Andrzejewski, W., Dziegiel, P., Jelen, M., Fulawka, L., Brzozowski, M., et al. (2013). Massage-induced morphological changes of dense connective tissue in rat's tendon. Folia Histochem Cytobiol, 51(1), 103-106.
  27. Langevin, H. M., Fox, J. R., Koptiuch, C., Badger, G. J., Greenan-Naumann, A. C., Bouffard, N. A., et al. (2011). Reduced thoracolumbar fascia shear strain in human chronic low back pain. BMC Musculoskelet Disord, 12, 203.
  28. Laudner, K., Compton, B. D., McLoda, T. A., & Walters, C. M. (2014). Acute effects of instrument assisted soft tissue mobilization for improving posterior shoulder range of motion in collegiate baseball players. Int J Sports Phys Ther, 9(1), 1-7.
  29. Lee, J. J., Kim do, H., & You, S. J. (2014a). Inhibitory effects of instrument-assisted neuromobilization on hyperactive gastrocnemius in a hemiparetic stroke patient Biomed Mater Eng (Vol. 24, pp. 2389-2394). Netherlands.
  30. Lee, J. J., Kim do, H., & You, S. J. (2014b). Inhibitory effects of instrument-assisted neuromobilization on hyperactive gastrocnemius in a hemiparetic stroke patient. Biomed Mater Eng, 24(6), 2389-2394.
  31. Loghmani, M. T., & Warden, S. J. (2009a). Instrument-assisted cross-fiber massage accelerates knee ligament healing. J Orthop Sports Phys Ther, 39(7), 506-514.
  32. Loghmani, M. T., & Warden, S. J. (2009b). Instrument-assisted cross-fiber massage accelerates knee ligament healing. J Orthop Sports Phys Ther, 39(7), 506-514.
  33. Loghmani, M. T., & Warden, S. J. (2013). Instrument-assisted cross fiber massage increases tissue perfusion and alters microvascular morphology in the vicinity of healing knee ligaments. BMC Complement Altern Med, 13, 240.
  34. Looney, B., Srokose, T., Fernandez-de-las-Penas, C., & Cleland, J. A. (2011). Graston instrument soft tissue mobilization and home stretching for the management of plantar heel pain: a case series. J Manipulative Physiol Ther, 34(2), 138-142.
  35. Macedo, L. G., Latimer, J., Maher, C. G., Hodges, P. W., McAuley, J. H., Nicholas, M. K., et al. (2012). Effect of motor control exercises versus graded activity in patients with chronic nonspecific low back pain: a randomized controlled trial. Phys Ther, 92(3), 363-377.
  36. Markovic, G. (2015). Acute effects of instrument assisted soft tissue mobilization vs. foam rolling on knee and hip range of motion in soccer players. J Bodyw Mov Ther, 19(4), 690-696.
  37. McLaughlin, E. (2006). An Evaluation of the Effectiveness of the Modified Graston Technique on Reducing Edema Following an Acute Ankle Sprain . Bloomington, IN: Indiana University.
  38. MT, L., & SJ, W. (2009). Instrument-assisted cross-fiber massage accelerates knee ligament healing. J Orthop Sports Phys Ther, 39(7), 8.
  39. Nelson, R. T., & Bandy, W. D. (2004). Eccentric Training and Static Stretching Improve Hamstring Flexibility of High School Males. J Athl Train, 39(3), 254-258.
  40. Portillo-Soto, A., Eberman, L. E., Demchak, T. J., & Peebles, C. (2014). Comparison of blood flow changes with soft tissue mobilization and massage therapy. J Altern Complement Med, 20(12), 932-936.
  41. Sainz de Baranda, P., & Ayala, F. (2010). Chronic flexibility improvement after 12 week of stretching program utilizing the ACSM recommendations: hamstring flexibility. Int J Sports Med, 31(6), 389-396.
  42. Schaefer, J. L., & Sandrey, M. A. (2012). Effects of a 4-week dynamic-balance-training program supplemented with Graston instrument-assisted soft-tissue mobilization for chronic ankle instability. J Sport Rehabil, 21(4), 313-326.
  43. Sevier, T. L., & Stegink-Jansen, C. W. (2015). Astym treatment vs. eccentric exercise for lateral elbow tendinopathy: a randomized controlled clinical trial. PeerJ, 3, e967.
  44. Sevier, T. L., & Wilson, J. K. (1999). Treating lateral epicondylitis. Sports Med, 28(5), 375-380.
  45. Starkey, C. (2004). Therapeutic Modalities (3rd ed.). Philadelphia, PA: F.A. Davis.
  46. Starrett, K., & Cordoza, G. (2013). Becoming A Supple Leopard (Vol. 1). Las Vegas: Victory Belt Publishing Inc.
  47. Stow, R. (2011). Instrument-Assisted Soft Tissue Mobilization. International Journal of Athletic Training & Training, 16(3), 3.
  48. Tucker, K., Larsson, A. K., Oknelid, S., & Hodges, P. (2012). Similar alteration of motor unit recruitment strategies during the anticipation and experience of pain. Pain, 153(3), 636-643.
  49. Vardiman, J. P., Siedlik, J., Herda, T., Hawkins, W., Cooper, M., Graham, Z. A., et al. (2015). Instrument-assisted Soft Tissue Mobilization: Effects on the Properties of Human Plantar Flexors. Int J Sports Med, 36(3), 197-203.
  50. White, K. E. (2011). High hamstring tendinopathy in 3 female long distance runners J Chiropr Med (Vol. 10, pp. 93-99). United States: 2011 National University of Health Sciences. Published by Elsevier Inc.
  51. Jones, E. R., Finley, M. A., Fruth, S. J., & McPoil, T. G. (2019). Instrument-Assisted Soft-Tissue Mobilization for the Management of Chronic Plantar Heel Pain: A Pilot Study. Journal of the American Podiatric Medical Association109(3), 193-200.
  52. MacDonald, N., Baker, R., & Cheatham, S. W. (2016). The effects of instrument assisted soft tissue mobilization on lower extremity muscle performance: a randomized controlled trial. International journal of sports physical therapy11(7), 1040.
  53. Cheatham, S. W., Kreiswirth, E., & Baker, R. (2019). Does a light pressure instrument assisted soft tissue mobilization technique modulate tactile discrimination and perceived pain in healthy individuals with DOMS?. The Journal of the Canadian Chiropractic Association63(1), 18-25.
  54. Stroiney, D. A., Mokris, R. L., Hanna, G. R., & Ranney, J. D. (2018). Examination of Self-Myofascial Release vs. Instrument-Assisted Soft-Tissue Mobilization Techniques on Vertical and Horizontal Power in Recreational Athletes. Journal of strength and conditioning research.
  55. Gunn, L. J., Stewart, J. C., Morgan, B., Metts, S. T., Magnuson, J. M., Iglowski, N. J., … & Arnot, C. (2019). Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial. Journal of Manual & Manipulative Therapy27(1), 15-23.
  56. Bush, H. (2019). GRASTON TECHNIQUE PROTOCOL VS. INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION FOR DORSIFLEXION CHANGES.
  57. Baker, R. T., Start, A., Larkins, L., Burton, D., & May, J. (2018). Exploring the Preparation, Perceptions, and Clinical Profile of Athletic Trainers Who Use Instrument-Assisted Soft Tissue Mobilization. Athletic Training and Sports Health Care10(4), 169-180.
  58. Baker, R. T., Start, A., Larkins, L., Burton, D., & May, J. (2018). Exploring the Preparation, Perceptions, and Clinical Profile of Athletic Trainers Who Use Instrument-Assisted Soft Tissue Mobilization. Athletic Training and Sports Health Care10(4), 169-180.
  59. Ikeda, N., Otsuka, S., Kawanishi, Y., & Kawakami, Y. (2019). Effects of Instrument-assisted Soft Tissue Mobilization on Musculoskeletal Properties. Medicine and science in sports and exercise.
  60. Carlson, S., Rife, G., & Williams, Z. (2019). Comparing the Effects of Tissue Flossing and Instrument Assisted Soft Tissue Mobilization on Ankle Dorsiflexion.

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