Application of IASTM

In this course's final section, we will cover some of the application basics and common sites for IASTM. It's important to note that IASTM can be used in almost any body region that is not contraindicated. However, areas with high subcutaneous fat content may not be ideal for scraping, as deeper structures are unlikely to be affected. IASTM is most often utilized to affect the superficial fascia, muscular fascia, and relevant connective tissue. Most areas are treated for only 1-2 minutes; the pressure should match the client's tolerance.

The general protocol for Instrument-Assisted Soft Tissue Mobilization (IASTM) involves several steps to ensure effective treatment and promote optimal healing. Here's an outline of the typical IASTM application protocol:

General Protocol for IASTM Application

Assessment:

• Conduct a thorough evaluation to identify the areas of soft tissue restriction and tissue density.
• Assess the client's range of motion and functional limitations.
• Identify any potential contributing factors, such as poor biomechanics, overuse, or muscle imbalances.

Warm-Up:

• Use general massage techniques to warm the area.
• Alternatively, apply moist heat packs to the targeted area for 10-15 minutes.

IASTM Application:

• Positioning: Position the client comfortably to allow access to the treatment area.
• Tool Selection: Choose the appropriate IASTM tool based on the size and shape of the treatment area.
• Technique:
  • • Apply a lubricant (e.g., massage cream or oil) to the skin to reduce friction.
    • Use the IASTM tool to apply controlled, moderate pressure along the targeted soft tissues.
    • Depending on the tissue and treatment goals, perform various strokes, such as sweeping, fanning, brushing, and cross-friction.
  • Maintain communication with the client to ensure comfort and avoid excessive discomfort or pain.
• Duration: A single area is typically treated for 1-3 minutes

Stretching and Strengthening:

• Follow the IASTM treatment with targeted stretching exercises to improve flexibility and range of motion.
• If within the scope of practice, incorporate strengthening exercises to address muscle imbalances and enhance functional stability.

Client Education:

• • Educate the client on proper ergonomics and biomechanics to prevent further injury.
  • Provide guidance on home stretches and self-care techniques to complement the in-clinic treatment.
  • Encourage the patient to stay hydrated and maintain a balanced diet to support tissue healing and recovery.

Follow-Up:

• • Reassess the client's condition periodically to ensure continued improvement and address any new or persisting issues.

Key Points to Remember:

• Always tailor the treatment protocol to the individual client's needs and specific conditions.
• Ensure proper communication with the client throughout the treatment to maintain comfort and effectiveness.
• Combine IASTM with other therapeutic modalities, such as manual therapy, therapeutic exercise, or electrical stimulation, for a comprehensive approach to injury management.

This general protocol allows healthcare professionals to effectively utilize IASTM to treat various soft tissue conditions and promote optimal healing and functional recovery.