Division of Kinesiology, California State University Dominguez Hills, Carson.
Department of Movement Sciences, University of Idaho, Moscow, ID.
J Athl Train. 2021 Oct 1;56(10):1100-1111. doi: 10.4085/1062-6050-047-20.
Instrument-assisted soft tissue mobilization (IASTM) is a popular myofascial intervention used by health care professionals.
To document IASTM clinical practice patterns among health care professionals in the United States.
Cross-sectional study.
Online survey.
A total of 853 members of the National Athletic Trainers' Association (n = 249) and the American Physical Therapy Association (n = 604).
MAIN OUTCOME MEASURE(S): Responses to a 55-item electronic survey that assessed 4 areas, namely, IASTM training and experience, IASTM application, perception of IASTM in practice, and demographic information.
Most (n = 705, 83%) of the 853 respondents used IASTM in their practice, and they had an average of 15 years of work experience. Approximately 86% (n = 731) reported completing some type of formal training, and 61% (n = 518) had completed some type of informal training. Respondents used >34 different IASTM tools. Seventy-one percent (n = 606) indicated either not knowing how to quantify the amount of force applied by the tool during treatment or not trying to quantify. Fifteen percent (n = 128) estimated a force ranging from 100 to 500g. The treatment time for a specific lesion and location ranged from 1 to ≤5 minutes, with an average total treatment time of 14.46 ± 14.70 minutes. Respondents used 31 different interventions before or after IASTM. Approximately 66% (n = 564) reported following treatment recommendations, and 19% (n = 162) described rarely or never following recommendations learned during training. A total of 94% (n = 801) recounted using some type of clinical outcome measure to assess their treatment. Cluster analysis identified 3 distinct cluster groupings among professionals, with most (89%, n = 729/818) indicating that IASTM was an effective treatment.
This survey documented the IASTM practice patterns of health care professionals. Cluster profiles characterized group differences in IASTM training and clinical application. The gaps among research, clinical practice, and training need to be bridged to establish IASTM best practices.
器械辅助软组织松解术（IASTM）是一种被医疗保健专业人员广泛应用的肌筋膜干预技术。
记录美国医疗保健专业人员 IASTM 的临床实践模式。
横断面研究。
在线调查。
美国国家运动训练协会（n=249）和美国物理治疗协会（n=604）的共计 853 名成员。
对评估 4 个领域的 55 项电子调查的回答，分别是 IASTM 培训和经验、IASTM 应用、实践中对 IASTM 的看法以及人口统计学信息。
853 名受访者中，大多数（n=705，83%）在其实践中使用了 IASTM，他们的平均工作经验为 15 年。约 86%（n=731）报告完成了某种形式的正规培训，61%（n=518）完成了某种形式的非正式培训。受访者使用了超过 34 种不同的 IASTM 工具。71%（n=606）表示要么不知道在治疗过程中如何量化工具施加的力，要么没有尝试量化。15%（n=128）估计力在 100 到 500g 之间。特定病变和位置的治疗时间为 1 到≤5 分钟，平均总治疗时间为 14.46±14.70 分钟。受访者在 IASTM 之前或之后使用了 31 种不同的干预措施。约 66%（n=564）报告遵循了治疗建议，19%（n=162）描述很少或从不遵循培训期间学到的建议。共有 94%（n=801）表示使用了某种类型的临床结果测量来评估他们的治疗效果。聚类分析确定了专业人员中的 3 个不同聚类分组，大多数（89%，n=729/818）表示 IASTM 是一种有效的治疗方法。
本调查记录了医疗保健专业人员的 IASTM 实践模式。聚类分析描绘了 IASTM 培训和临床应用方面的群体差异。需要弥合研究、临床实践和培训之间的差距，以建立 IASTM 的最佳实践。
