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Validity of Instrument Assisted Soft Tissue Mobilization for Detecting Myofascial Adhesions through Secondary Diagnostic Ultrasound Analysis

Show simple item record Silbaugh, Kaitlyn 2013-09-06T15:02:01Z 2015-10-06T11:52:43Z 2013-09-06T15:02:01Z 2015-10-06T11:52:43Z 2013-09-06T15:02:01Z
dc.description.abstract Context: many patients have pain and restricted motion due to myofascial adhesions. Clinicians use both manual and instrument assisted soft tissue mobilization (IASTM) techniques to treat myofascial adhesions. The main difference between manual therapies and IASTM is that IASTM claims that their instruments can accurately qualitatively detect myofascial adhesions through their resonance capability. However, the validity of this capability has yet to be researched. Objective: To determine the validity of using IASTM to detect myofascial adhesions through secondary diagnostic ultrasound analysis. Design: Correlational validity study. Setting: Athletic Training Laboratory. Patients or other participants: nineteen men (age = 22.4 ± 2.5) and eleven women (age = 21.2 ± 1.9). Data collection and analysis: From the thirty participants, one hundred adhesions were found and imaged. We calculated the percent level of agreement between the two rates, and then considered chance by using a κ coefficient to understand the relationship between the two rates of diagnostic us. Results: We identified an 83% level of agreement between raters. However, when chance was considered, we found a poor inter-rater reliability (κ= 0.344, p<0.001). Conclusions: There is moderate evidence that IASTM is successful in quantitatively detecting myofascial adhesions. Sources creating instrument resonance other than myofascial adhesions may include blood vessels or adipose nodules. Future investigation should further examine what specifically IASTM is detecting through its resonance, if not myofascial adhesions. Key words: instrument assisted soft tissue mobilization, Graston technique, diagnostic ultrasound, myofascia, fascial adhesions
dc.description.statementofresponsibility Kaitlyn Silbaugh
dc.subject Instrument Assisted Soft Tissue Mobilization
dc.subject Graston Technique
dc.subject Diagnostic Ultrasound
dc.subject Myofascia
dc.subject Fascial adhesions
dc.subject.lcsh Diagnostic ultrasonic imaging.
dc.title Validity of Instrument Assisted Soft Tissue Mobilization for Detecting Myofascial Adhesions through Secondary Diagnostic Ultrasound Analysis
dc.type Thesis May 2013
dc.description.committeechair Demchak, Timothy
dc.description.committeemembers Eberman, Lindsey
dc.description.committeemembers Wasik,Mitch Master of Science
dc.description.department Department of Applied Medicine and Rehabilitation
dc.description.imprint Cunningham Memorial library, Terre Haute,Indiana State University
dc.description.itemidetd ISU-Thesis-May-2013
dc.description.level Masters
dc.description.note Title from document title page. Document formatted into pages: contains 71 p.: ill. Includes abstract

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