Instrument Assisted Soft Tissue Mobilization Effect on Blood Flow

NCT ID: NCT04785079

Last Updated: 2022-07-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 35 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-08-01
• Study Completion Date: 2022-03-01

Brief Summary

This study is designed to evaluate the short term change in blood flow in the superficial human tissue layers after the application of 3 min Graston instrumented assisted soft tissue mobilization on the plantar aspect of the foot and the trapezius muscle.

Detailed Description

Instrument assisted soft tissue mobilization (IASTM) is a commonly used physical therapy intervention. Graston ® technique is a form of IASTM that requires completion of a certification course and utilizes specific stainless-steel tools. IASTM has been found to improve range of motion, pain and patient reported function in pathological individuals. One method by which these improvements are thought to occur is by increasing blood flow. Increased blood flow brings nutrients and oxygen to the area and is thought to contribute to tissue remodeling. There is very limited research investigating blood flow changes following IASTM. In order to measure blood flow changes following IASTM, doppler ultrasound may be used. There are no studies to our knowledge quantifying changes in blood flow following IASTM using ultrasound. Power doppler approximates perfusion by detecting a frequency shift from movement of red blood cells and color is then encoded proportionally to the number of red blood cells. Power doppler imaging quantification (PDIQ) is a feature of musculoskeletal ultrasound (MSK) that compares the number of color pixels and the intensity of color within these pixels to grey scale pixels within a given image. The aim of this study is to determine if there is an increase in blood flow in the trapezius, plantar fascia and medial arch of the foot measured following IASTM. Blood flow was measured by using PDIQ ratio in the doppler setting of MSK ultrasound.

Conditions

Asymptomatic Condition

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Graston effect medial arch, plantar fascia, and trapezius

Pre and post Graston change in blood flow at the medial arch foot, plantar fascia, and the trapezius region

Group Type: EXPERIMENTAL

Graston Instrument assisted Soft tissue Mobilization

Intervention Type: PROCEDURE

Instrument assisted soft tissue mobilization using the Graston tool and technique for 3 minutes on each of the three locations

Interventions

Graston Instrument assisted Soft tissue Mobilization

Instrument assisted soft tissue mobilization using the Graston tool and technique for 3 minutes on each of the three locations

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• A-symptomatic individuals over the age of 18

Exclusion Criteria

• Anyone under 18 and anyone with any conditions contraindicated for IASTM including compromised tissue integrity, deep vein thrombosis (DVT), area of infection in the treatment area, or acute fracture.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Thomas Zeller

UNKNOWN

Sponsor Role: collaborator

Tyler Corbin

UNKNOWN

Sponsor Role: collaborator

Alyssa Nieves

UNKNOWN

Sponsor Role: collaborator

Florida Gulf Coast University

OTHER

Sponsor Role: lead

Responsible Party

Dr. Rob Sillevis,

Assistent Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Florida Gulf Coast University

Fort Myers, Florida, United States

Countries

United States

Other Identifiers

2020-34

Identifier Type: -

Identifier Source: org_study_id