IASTM: Fascia Lata

Thigh Fascia IASTM

This course describes instrument-assisted soft tissue mobilization (IASTM) of the fascia lata (thigh fascia), including the IASTM intended for the superficial fascial sheaths overlying the quadriceps (vastus lateralis, rectus femoris, and vastus medialis), the hamstrings (semitendinosus, semimembranosus, and biceps femoris), and the adductors (adductor longus, gracilis, and adductor Magnus). Additionally, modifications of these techniques are discussed, including specific techniques for addressing trigger points, and pin and stretch (a.k.a. active or dynamic release) techniques with IASTM tools. This course does not cover the fascial sheaths below the knee, which are covered in a separate course (crural and plantar fascia ).

Different Names for IASTM

Unfortunately, it is easy to be confused by a large number of synonyms for the techniques in this course. Instrument-assisted soft tissue mobilization (IASTM) is a technique that generally includes the application of shear force (scraping) to skin and superficial fascia using a tool with a rounded, but relatively acute edge. IASTM could be viewed as a Western approach to a Traditional Chinese Medicine (TCM) technique called Gua Sha. While the application of IASTM is most commonly based on orthopedic assessment with stainless steel tools, the application of Gua Sha is based on TCM-specific assessments with jade or stone tools. Graston is the most well-known brand of IASTM stainless steel tools; however, we do prefer Smart Tools based on their quality, edge, and price. Note, historically the origin of these techniques is undoubtedly Gua Sha, which is perhaps 1000s of years old, Graston popularized IASTM in the Western world, and now there are many brands and tools to choose from.

Thigh Fascia IASTM Recommendations

The IASTM techniques in this course are recommended as an adjunct mobility technique, included in an integrated program that already includes, or has considered, soft-tissue release techniques, joint mobilization and manipulation techniques, and/or stretching techniques. The addition of the techniques described in this course may be especially beneficial for individuals assessed with range of motion (ROM) restriction of the hip or knee. Additionally, they may be included in a program designed to address low back pain, adductor strain, hamstring strain, or knee pain. Further, these techniques may be beneficial for those with assessed impairments, including hamstring flexibility issues (hamstring length test, straight leg raise test, or sit-and-reach test), or a loss of hip abduction, adduction, or extension ROM.

The techniques in this course are recommended for all clinical human movement professionals (physical therapists, physical therapy assistants, athletic trainers, massage therapists, chiropractors, occupational therapists, etc.) who intend to develop an evidence-based , systematic, integrated , patient-centered, and outcome-driven approach.

Topics Covered in this Course

• Signs of Altered Extensibility
• Sample Program
• Research Corner
• IASTM Protocols
• Techniques (with Video)

Techniques Covered in this Course:

• Lateral Fascia Lata IASTM
• Anterior and Medial Fascia Lata IASTM

Additional IASTM Courses

• Cervical and Thoracic Spine Fascia IASTM
• Upper Extremity Fascia IASTM
• Thoracolumbar Fascia IASTM
• Plantar and Crural Fascia IASTM

For more on an integrated approach:

• Lumbo Pelvic Hip Complex Dysfunction (LPHCD)
• Lower Extremity Dysfunction (LED)