Review Summary for Crawford Et Al 2016 the Impact of Massage Therapy
. 2019 Jul;54(7):808-821.
doi: 10.4085/1062-6050-481-17. Epub 2019 Jul 19.
Instrument-Assisted Soft Tissue Mobilization: A Systematic Review and Effect-Size Analysis
Affiliations
- PMID: 31322903
- PMCID: PMC6709755
- DOI: 10.4085/1062-6050-481-17
Costless PMC commodity
Instrument-Assisted Soft Tissue Mobilization: A Systematic Review and Effect-Size Analysis
J Athl Railroad train. 2019 Jul .
Free PMC article
Abstract
Objective: To determine the overall effectiveness of instrument-assisted soft tissue mobilization (IASTM) in improving range of motion (ROM), pain, strength, and patient-reported function in society to provide recommendations for employ. We as well sought to examine the influence of IASTM on injured and healthy participants, trunk part treated, and production used.
Data sources: We searched the Bookish Search Premier, Alt Healthwatch, CINAHL Complete, Cochrane Library, MEDLINE with full text, NLM PubMed, Physical Education Index, Physiotherapy Evidence Database (PEDro), SPORTDiscus with full text, and Spider web of Science databases for articles published from 1997 through 2016. The Boolean cord advantEDGE OR astym OR graston OR iastm OR "instrument help* soft tissue mobil*" OR "broaden* soft tissue mobil*" OR "myofascial release" OR "instrument assist* massage" OR "augment* massage" OR "instrument assist* cross fiber massage" was used.
Report selection: Included articles were randomized controlled trials that measured ROM, pain, force, or patient-reported function and compared IASTM treatment with at least one other group.
Information extraction: Thirteen manufactures met the inclusion criteria. Four independent reviewers assessed report quality using the PEDro and Centre for Bear witness-Based Medicine scales. Twelve articles were included in the issue-size analysis.
Information synthesis: The boilerplate PEDro score for studies of uninjured participants was five.83 (range = 5 to seven) and that for studies of injured participants was five.86 (range = 3 to seven). Large consequence sizes were found in outcomes for ROM (uninjured participants), pain (injured participants), and patient-reported office (injured participants). The different IASTM tools used in these studies revealed similar issue sizes in the diverse outcomes.
Conclusions: The current literature provides support for IASTM in improving ROM in uninjured individuals also as pain and patient-reported function (or both) in injured patients. More loftier-quality research involving a larger variety of patients and products is needed to farther substantiate and allow for generalization of these findings.
Keywords: clinical meaningfulness; disquisitional summary; soft tissue therapy.
Figures

Screening process shown in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow chart, with an additional section for instrument-assisted soft tissue mobilization case series and reports.
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Source: https://pubmed.ncbi.nlm.nih.gov/31322903/
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