Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Fizyoterapi Pratiğinde Enstrüman Yardımlı Yumuşak Doku Mobilizasyonu: Klinik Uygulamaya Yönelik Bir Derleme
Instrument Assisted Soft Tissue Mobilization in Physiotherapy Practice: A Review for Clinical Practice
Hasan GERÇEKa, Bayram Sönmez ÜNÜVAR a, Ayça AYTAR b, Aydan AYTARc
aKTO Karatay Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Terapi ve Rehabilitasyon Bölümü, Konya, Türkiye
bBaşkent Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Terapi ve Rehabilitasyon Bölümü, Ankara, Türkiye
cSağlık Bilimleri Üniversitesi Gülhane Fizyoterapi ve Rehabilitasyon Fakültesi, Ortopedik Fizyoterapi ve Rehabilitasyon ABD, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(1):161-75
doi: 10.5336/healthsci.2022-89068
Article Language: TR
Full Text
ÖZET
 Enstrüman yardımlı yumuşak doku mobilizasyonu (EYYDM) yönteminin kullanımı artmaktadır. Bu çalışmanın amacı, EYYDM yönteminin hangi bölge ve popülasyonlarda hangi parametreler üzerine etkisini incelemek ve tek veya daha fazla seans uygulamaların etkisini değerlendirmek için literatürde yer alan çalışmaları incelemektir. Bu amaçla 'PubMed', 'Scopus', 'Web of Science' ve 'CINAHL' elektronik veri tabanları 1-15 Ocak 2022 tarihleri arasında tarandı. Çalışmaya, 1 Ocak 2017-1 Ocak 2022 tarihleri arasında gerçekleştirilen çalışmalar dâhil edildi. Dâhil edilme kriterlerini taşıyan 29 çalışmanın sonuçlarına göre EYYDM yönteminin, üst ekstremite, alt ekstremite ve omurga bölgesinde kas-iskelet problemleri ve sağlıklı popülasyon üzerine etkilerinin incelendiği görüldü. Eklem hareket açıklığı, ağrı, kuvvet, fonksiyon gibi birçok parametre üzerine etkilerini inceleyen çalışmalar, EYYDM uygulamasının genelde etkili olduğunu bildirmişlerdir. Bununla birlikte gerek tek seanslık uygulamanın gerekse daha fazla sayıda uygulamanın etkili olduğu bildirilmiştir. Sonuç olarak EYYDM yönteminin farklı bölge ve popülasyonlarda, farklı parametreler üzerine gerek tek seanslık gerekse daha fazla sayıda uygulamalarının etkili olduğu bildirilse de yöntem ile ilgili standart bir protokolün olmadığı göz önüne alındığında daha kapsamlı ve detaylı çalışmalara ihtiyaç olduğu düşünülmüştür. Yöntem ile ilgili literatürdeki en büyük eksiklik uygulama açısı ve frekansı üzerine uluslararası bir standardın olmamasıdır. Uluslararası bir standart geliştirilmesi önemli bir ihtiyaçtır.

Anahtar Kelimeler: Miyofasiyal gevşetme; masaj, enstrümantasyon; terapi, yumuşak doku; enstrüman yardımlı yumuşak doku mobilizasyonu
ABSTRACT
 The use of instrument assisted soft tissue mobilization (IASTM) method is increasing. The aim of this study was to examine the studies in the literature to evaluate the effects of the IASTM method on which regions and populations, on which parameters, and to evaluate the effect of single or more session applications. For this purpose, 'PubMed', 'Scopus', 'Web of Science' and 'CINAHL' electronic databases were searched between 1-15 January 2022. Studies carried out between January 1, 2017 and January 1, 2022 were included in the study. According to the results of 29 studies meeting the inclusion criteria; it was observed that the effects of the IASTM method on musculoskeletal problems in the upper extremity, lower extremity and spine regions and the healthy population were examined. Studies examining the effects on many parameters such as joint range of motion, pain, strength, and function have reported that IASTM application is generally effective. In addition, it has been reported that both a single-session application and more applications are effective. As a result, although it has been reported that the IASTM method is effective in different regions and populations, either in a single session or in more applications on different parameters, it is thought that more comprehensive and detailed studies are needed, considering that there is no standard protocol for the method. The biggest deficiency in the literature about the method is the absence of an international standard on the application angle and frequency. The development of an international standard is an important need.

Keywords: Myofascial release; massage, instrumentation; therapy, soft tissue; instrument assisted soft tissue mobilization
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-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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