improving acute injury outcomes · itb case study fascial compression fascial decompression . 28...
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Improving Acute Injury Outcomes: Kinesiology taping and Instrument-Assisted Soft Tissue Mobilization (IASTM)
Abby Perone, DC, CES, CF-L1, RockTape Instructor-US Love Health – Love Movement Sports Therapy Clinics CrossFit Love @wearelovehealth @abbyperone @ rocktape #rocktapeFMT
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“The nervous system is the most important target for influencing posture and movement.” – Feldenkrais
“Fascia is the most important tissue
for posture and movement.” - Rolf
BOTH!
What Are We Treating?
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Four Levels of Restriction
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joint
restriction:
• banded distractions • Joint Mobilizations
2 soft tissue shortening:
• foam rolling • ball release • instrument assisted
Protective
Barrier
Tissue
Glide
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Sensory Stimulation
1 golgi
receptors (type Ib)
internal force 2
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pacinian corpuscles (type II)
rapid pressure
ruffini endings (type II)
sustained pressure
Shear
interoceptors light touch
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Mechanoreception Connective tissue and fascia are highly innervated
Often reported only to occur in muscles and joints
The fascial network possesses approximately 10 times the sensory receptors as compared to its muscular counterpart ( van der wall 2009)
Includes many types of receptors:
– Golgi, Ruffini, Pacinian, Free nerve endings (Interoceptors)
Fascia considered more of a perceptual organ than a mechanical organ.
Autonomic Nervous System -
Brain
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Fascial plasticity – a new neurobiological explanation: Part Schleip, Robert; Journal of Bodywork and Movement Therapies , Volume 7 , Issue 1 , 11 - 19
hypothalamic tuning
global muscle tone
intra-fascial smooth muscles
palpable tissue response
tissue manipulation
Sensory Stimulation
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Densification vs. Fibrosis
Fibrosis • Similar to the process of scarring, with the deposition of excessive
amounts of fibrous connective tissue, reflective of a reparative or reactive process. It can obliterate architecture and function of the involved tissue.... If there is alteration of collagen fibrous bundles, the term fascial fibrosis is the term of choice
A. Birbrair
Densification • Indicates an increase in the density of fascia. This is able to modify the
mechanical proprieties of fascia, without altering its general structure.... If there is only an alteration of the loose connective tissue, the term fascial densification is preferred
A. Stecco
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Dr. Geoffrey Bove • “It’s all about the interfaces”
• Interfaces are essentially the fascial planes between muscles, nerves, fascia, etc..
• Lack of gliding is the enemy
• Positive treatment effects are at the loose connective tissue and not in the fascia
• Early intervention is the key
Bove GM, Chapelle SL. Visceral mobilization can lyse and prevent post-surgical adhesions. Journal of Bodywork and Movement Therapies, 16, 76-82, 2012 doi: 10.1016/j.jbmt.2011.02.004
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3 Main Effects
If there’s a story behind the image, icon or photo above, then this is the
best place to put it. Be concise though!
Pain Mitigation If there’s a story behind the image, icon or photo above, then this is the
best place to put it. Be concise though!
Decompression
If there’s a story behind the image, icon or photo
above, then this is the best
Neuro-Sensory
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Pain Gate Theory of Pain in TextBooks
Melzack, Ronald, and Patrick D. Wall. "Pain mechanisms: a new theory."
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Meta-analysis Focused on Pain
Choo Wyn Lim et al, BJSM, 2015
Conclusion: 1. KT is superior to minimal intervention for pain relief. 2. KT as an adjunct is beneficial in pain relief
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Superior Pain Relief
Choo Wyn Lim et al, BJSM, 2015
Conclusion: 1. Research is telling us that
when used without other interventions, outcomes are good!
2. KT should be used as an
adjunct for treatment
37 Choo Wyn Lim et al, BJSM, 2015
Treat it, tape it, train it
Conclusion: significant improvement when combining tape with
corrective exercise interventions.
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Pain & ROM
Conclusion: 1.Immediately reduce the threat
of pain 2.The therapeutic KT group
showed immediate improvement in pain-free shoulder abduction
3.These studies are small, but
important to the consumer
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Pain & ROM
Conclusion:
Patients with acute WAD
receiving KT
exhibited statistically
significant improvements
immediately following
application and at 24-hour
follow-up.
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Pain and Position Sense
Conclusion: The results showed there was significant difference between no tape and KT for PFP group during descending stairs. K taping can reduce pain and improve the ratio of VMO/VL for the mechanism of patellar stability
RCP
www.fascialmanipulation.com/en/
RCS
Retinaculum Cutaneous Superficialis
Retinaculum Cutaneous Profundus
46 A. Luque-Suarez et al. Short term effects of kinesiotaping on acromiohumeral distance in asymptomatic subjects: A randomised controlled trial
Subacromial Space
Conclusion:
KT increases AHD in
healthy individuals
immediately following
application, compared
with sham tape.
51 Hilton’s Law (1863)
Hilton’s Law 1863
“The same trunks of nerves whose branches supply the groups of muscles moving a joint furnish also a distribution of nerves to the skin over the insertions of the same muscles; and - what at this moment more especially merits our attention - the interior of the joint receives its nerves from the same source.”
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Effects of Tape on the Brain
Effects of Patellar Taping on Brain Activity during Knee Joint Proprioception
Tests Using functional Magnetic Resonance Imaging
Michael J.Callaghan, Shane McKie, Paul Richardson, Jacqueline A.Oldham
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Thank you Rocktape.com – Physician Discount Code
at Booth Keep in touch!
817.239.1137 @abbyperone @wearelovehealth