understanding soft tissue management
TRANSCRIPT
![Page 1: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/1.jpg)
Understanding Soft Understanding Soft Tissue Management:Tissue Management:
Choosing the right toolChoosing the right tool
Jeff A. Cubos BPHE MSc DC FRCCSS(C) CSCSJeff A. Cubos BPHE MSc DC FRCCSS(C) CSCS
www.jeffcubos.com
![Page 2: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/2.jpg)
OutlineOutline The Importance of Soft Tissue Management
Phases of Muscle Injury and Healing
Tendinopathies
Types of Manual Soft Tissue Release
Instrument Assisted Soft Tissue Mobilization
Stretch Therapies
Self Myofascial Release
www.jeffcubos.com
![Page 3: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/3.jpg)
Who Am I?Who Am I?
www.jeffcubos.com
![Page 4: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/4.jpg)
The Importance of Soft Tissue The Importance of Soft Tissue ManagementManagement
www.jeffcubos.com
![Page 5: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/5.jpg)
Cumulative Trauma DisorderCumulative Trauma Disorder Based on the Law of Repetitive Motion and the
Cumulative Injury Cycle
Results from acute injury, repetitive injury, or a constant pressure / tension injury
www.jeffcubos.com
![Page 6: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/6.jpg)
Law of Repetitive MotionLaw of Repetitive MotionI = Insult to the tissues
N = Number of repetitions
F = Force or tension of each repetition as a percentage of maximum muscle strength
A = Amplitude of each repetition
R = Relaxation time between repetition (lack of pressure or tension on the tissue involved)
www.jeffcubos.com
N F
A RI ≈
![Page 7: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/7.jpg)
Cumulative Injury CycleCumulative Injury Cycle
www.jeffcubos.com
Weak & Tense
Friction, Pressure &
Tension
Tear or Crush
Inflammation
Adhesion-Fibrosis
Decreased Circulation &
Edema
1. Acute Injury
3. Constant Pressure or
Tension
2. Repetitive
Injury
Inflammation Cycle
Chronic Cycle
![Page 8: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/8.jpg)
Cumulative Trauma / Injury Cumulative Trauma / Injury CycleCycle
www.jeffcubos.com
![Page 9: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/9.jpg)
Phases of Muscle Injury and Phases of Muscle Injury and HealingHealing
Destruction Phase Initial rupture & necrosis Hematoma formation Release of inflammatory cells
Repair Phase Phagocytosis Regeneration Production of scar Capillary in-growth
Remodeling Phase Maturation of myofibers Contraction & reorganization of
scar tissue Recovery of functional capacity
www.jeffcubos.com
![Page 10: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/10.jpg)
TendinopathiesTendinopathies Not all tendinopathies are the
same!
Continuum of Pathology Reactive Tendinopathy Tendon Dysrepair Degenerative Tendinopathy
Rehabilitation principles Unloading (biomechanical
efficiency) Hypertrophy Static/slow to progressive speed Volume progression Elasticity Load management
www.jeffcubos.com
![Page 11: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/11.jpg)
Active Release TechniquesActive Release Techniques Developed by Michael Leahy
(USA)
Muscles
Fascia
Nerves
Tendons
Ligaments
Connective Tissue
www.jeffcubos.com
![Page 12: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/12.jpg)
Myofascial ReleaseMyofascial Release Level 1 – Tissue positioned without tension, patient
passive
Level 2 – Tissue positioned with tension, passive passive
Level 3 – Tissue lengthened under contact, patient passive
Level 4 – Tissue lengthened under contact, patient active
www.jeffcubos.com
![Page 13: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/13.jpg)
OthersOthers
www.jeffcubos.com
Fascial Manipulation Developed by Luigi Stecco (Italy) Myofascial Units Myofascial Sequences Myofascial Spirals
Kinetic and myofascial chain dysfunctions
Functional Range Release Developed by Andreo Spina (Canada) Inter/Intra Layer Release Functional Range Synergists Progressive Angular Isometric Loading
![Page 14: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/14.jpg)
Instrument Assisted Soft Instrument Assisted Soft Tissue MobilizationTissue Mobilization
The use of instruments to achieve effects and benefits of soft tissue mobilization
Can use a number of different material types
Types / Systems based on: Instrument design Instrument weight Instrument material Delivery method Technique process Treatment angles
www.jeffcubos.com
![Page 15: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/15.jpg)
Types of IASTMTypes of IASTM
www.jeffcubos.com
![Page 16: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/16.jpg)
FAKTR FAKTR –– PMPMFunctional and Kinetic Treatment with Rehabilitation,
Provocation and Motion
www.jeffcubos.com
![Page 17: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/17.jpg)
Stretch TherapyStretch Therapy Fascial Stretch Therapy
Developed by Chris & Ann Frederick
Active Isolated Stretching Developed by Aaron Mattes
www.jeffcubos.com
![Page 18: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/18.jpg)
Self Myofascial ReleaseSelf Myofascial Release
www.jeffcubos.com
![Page 19: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/19.jpg)
Thoracic ErectorsThoracic Erectors
www.jeffcubos.com
![Page 20: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/20.jpg)
PectoralsPectorals
www.jeffcubos.com
![Page 21: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/21.jpg)
Proximal (Lower/Mid) Proximal (Lower/Mid) LatissimusLatissimus
www.jeffcubos.com
![Page 22: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/22.jpg)
Distal (Upper) LatissimusDistal (Upper) Latissimus
www.jeffcubos.com
![Page 23: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/23.jpg)
Posterior Rotator Cuff, Posterior Rotator Cuff, Triceps, LatissimusTriceps, Latissimus
www.jeffcubos.com
![Page 24: Understanding Soft Tissue Management](https://reader031.vdocument.in/reader031/viewer/2022012019/616886b3d394e9041f703d42/html5/thumbnails/24.jpg)
www.jeffcubos.com
www.jeffcubos.com