Soft Tissue Mobilization

neurophysiological

increased tissue density
decreased tissue mobility
muscle spasm
hematoma reduction
scar tissue remodeling
pain relief -> neurophysiologic response

bad

acute injury
mobility restrictions
sign of infection
evidence of DVT
open wounds
poor circulation

Effleurage
Petrissage
Deep friction massage
Trigger point release
pump massage, mobilization with movement

gentle gliding over tissue
oil or lotion often used to minimize friction
target is superficial
Goals - pain reduction and swelling reduction

kneading of tissue
no lotion or oil
Goals - increase tissue extensiility, increase tissue length, decreased tissue density, hematoma reduction

prolonged and deep application
direction of force
no oil or lotion
goal - reduce scar tissue, minimize adhesions

force applied to specific motor point
Goal - decreased muscle spasm, decreased muscle tension

application of force at point of tissue tension
broadens and lengthens the tissue
Goal - increase tissue extensibility, increase tissue length, decrease tissue density

Graston - use of tools to apply force
goals - increased circulation, promote an inflammatory response

thera-cane
foam roller
the stick

fascia becomes bound downestricted
controversial
goal - decreased pain and muscle tension, increased circulation
Helpful for people with nociplastic pain