KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Effects of Instrument Assisted Soft Tissue Mobilization on Physiological and Structural Properties of Human Skeletal Muscle

    Thumbnail
    View/Open
    Available after: 2019-5-31 (2.165Mb)
    Issue Date
    2017-05-31
    Author
    Hawkins, William C.
    Publisher
    University of Kansas
    Format
    118 pages
    Type
    Dissertation
    Degree Level
    Ph.D.
    Discipline
    Health, Sport and Exercise Sciences
    Rights
    Copyright held by the author.
    Metadata
    Show full item record
    Abstract
    INTRO Instrument Assisted Soft Tissue Mobilization (IASTM) is a popular treatment technique to reduce pain, help improve functional range of motion, and corresponding functional task completion. It has been reported both anecdotally and through controlled-clinical trials to evoke acute changes in skeletal muscle physiology through a variety of proposed mechanisms. However, the efficacy of IASTM has been called into question particularly as it pertains to its ability to improve skeletal muscle and connective tissue pathologies relative to traditional therapies including: stretching, light exercise, and therapeutic ultrasound. The purpose of this three-study investigation was to elucidate the effects of IASTM on human skeletal muscle as well as to examine possible mechanisms of change. METHODS To examine the efficacy of IASTM we designed three experiments. The first experiment tests the effects of IASTM on IL-6 and TNF-α cytokine expression in human skeletal muscle using Bergstrom needle muscle biopsies. Pro-inflammatory cytokines were of interest as they have been suggested to mediate positive outcome measures associated with IASTM. The second investigation was designed to examine the dose response in the presence of two different forces being administered. This study was largely designed as a follow up of an IASTM dose response experiment that was carried out in rodents. The final investigation was designed to examine the effects of IASTM on the architecture of skeletal muscle using diagnostic ultrasound. For this investigation both hamstrings range of motion restricted and age appropriate controls were used to examine if IASTM only elicits benefit in pathological tissue. RESULTS Results from this multi-study examination of the effects of IASTM have suggested that IASTM may not be the most αefficacious treatment available for degenerate soft-tissue. Our three investigations found no changes in MTS, PROM, MVC-PT, myokine expression, perception of functional ability as measured by the PFAQ, muscle quality (echo intensity), pennation angle or hip ROM. DISCUSSION The results from these three investigations suggest IASTM may not be efficacious especially when compared to more cost effective self-therapies including stretching and light exercise. However, the current investigations at hand were limited by sample size and the fact that two of the investigations were carried out in non-pathological tissue. Literature review reveals that IASTM can elicit change in degenerate muscle tissue through a fibroblast mediated pathway. Future investigations should use larger sample sizes and special populations including older adults and adults suffering from chronic tendinopathy.
    URI
    http://hdl.handle.net/1808/26471
    Collections
    • Education Dissertations and Theses [1068]
    • Dissertations [4472]

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps