IASTM

Question 1

Gua Sha

Answer 1

to rub or friction

Question 2

Sha

Answer 2

term used to describe congestion of blood at the surface of the body

Question 3

soft tissue structures

Answer 3

muscle
ligaments
tendons
fascia

Question 4

Fascia is continuous and travels from

Answer 4

dermis to periosteom of bone

Question 5

Graston technique

Answer 5

use of stainless steel tools to manipulate body

Question 6

connective tissue is derived from

Answer 6

mesenchyme (embryonic connective tissue)

Question 7

Connective tissue consists of

Answer 7

cells and extracellular matrix

Question 8

extracellular matrix is composed of

Answer 8

collagen (tensile strength)
elastin (tissue flexibility)
ground substance (varies in consistency from rigid to gel)

Question 9

components of connective tissue

Answer 9

collagen
elastin
glycosaminoglycans
water

Question 10

Effects of IASTM

Answer 10

Reduced analgesia
Neuromuscular facilitation/inhibition (hypotonic/hypertonic reduction)
Enhanced tissue healing

Question 11

Controlled tissue mictrotrauma

Answer 11

lysis and mobilization of fascia cross links

Question 12

Goal of IASTM

Answer 12

controlled microtrauma that breaks up immature collagen promotes hyperemia, which facilitates healing and reduces scar tissue

Question 13

Mechanotransduction

Answer 13

physiological process where cells sense and respond to mechanical loads

Question 14

what stimulates fibroblasts?

Answer 14

shearing and compression

Question 15

IASTM must be followed by exercise to:

Answer 15

stimulate new fiber production
allows for realignment of fibers in direction of force

Question 16

STM maintains balance between

Answer 16

collagen synthesis and degredation

Question 17

STM facilitates the alignment of

Answer 17

fibroblasts and myofibroblasts in the direction of stress

Question 18

Stimulation of GAG production

Answer 18

maintains inter-fiber distance and lubrication

Question 19

Substance P is produced by

Answer 19

C fibers and fibroblasts

Question 20

Substance P is associated with what response?

Answer 20

healing

Question 21

Clinical indications for IASTM

Answer 21

tendinopathies
fascial syndrome
myofascial syndrome
ligament pain syndrome
scar tissue
entrapment syndrome

Question 22

Relative indications for IASTM
(1)

Answer 22

cancer
burn scars (mature, post 9 months of healing)
kidney dysfunction
pregnancy
medications (could cause bleeding)
RA
Acute inflammation

Question 23

Relative indications for IASTM
(2)

Question 24

Contraindications for IASTM
(1)

Answer 24

Open/unhealed wounds
thrombophlebitis
uncontrolled hypertension
inflammatory conditions due to infection

Question 25

Contraindications for IASTM (2)

Answer 25

Contagious or infectious skin conditions Hematoma/myositis ossificans Osteomyelitis Unstable fractures

Question 26

Patient and Therapist discussion for IASTM

Answer 26

potential for bruising stop if little broken blood vessels are formed

Question 27

IASTM strokes

Answer 27

Sweep Fan Brush Strum J-Stroke Swivel Scoop Framing

Question 28

Goal of sweeping distal to proximal:

Answer 28

treating for edema

Question 29

Sweep

Answer 29

in plane of movement

Question 30

Fan

Answer 30

in plane of fibers then 90° turn

Question 31

Brush

Answer 31

small stroke in plane of fiber

Question 32

Strum

Answer 32

perpindicular to fibers

Question 33

J-stroke

Answer 33

stroke in shape of letter J

Question 34

Swivel

Answer 34

analogous to ischemic compression, in which thumb is placed over thumb or tool is used and pressure is applied directly to point

Question 35

Scoop

Answer 35

attempting to take a stuck scar and "lift" it up

Question 36

Frame

Answer 36

going around perimeter of bony prominence

Question 37

time frame for use of instruments?

Answer 37

any one stroke limit for 30 seconds

Question 38

angle at which you use the tool on pts

Answer 38

30-60°