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Effectiveness of instrument assisted soft tissue mobilization (IASTM) and muscle energy technique (MET) on post-operative elbow stiffness: a randomized clinical trial

Journal: Journal of Manual & Manipulative Therapy Date: 2022/09, (published onlie 2022/09/28):Pages: 1-9. doi: Subito , type of study: randomized controlled trial

Full text    (https://www.tandfonline.com/doi/abs/10.1080/10669817.2022.2122372)

Keywords:

physiotherapy [48]
rehabilitation [55]
elbow stiffness [2]
manual therapy [139]
muscle energy technique [157]
MET [449]
post-surgical rehabilitation [1]
randomized controlled trial [710]

Abstract:

BACKGROUND: Stiffness is a common complication following trauma and surgeries around the elbow, which can result in upper limb functional disabilities. Soft tissue mobilization techniques such as Instrument-assisted Soft Tissue Mobilization (IASTM) and Muscle Energy Technique (MET) have limited evidence in elbow rehabilitation. This study aimed to compare their effects on postoperative elbow stiffness. METHODOLOGY: 26 subjects were recruited (13 each group) with postoperative elbow stiffness (minimum 6 weeks post surgery) and randomly allocated in two groups: IASTM and MET. Pain [Numeric Pain Rating Scale NPRS)], ROM (Goniometer), and Function [Disability of Arm, Shoulder and Hand (DASH) and Patient-Specific Functional Scale (PSFS)] were assessed at baseline and post-intervention. RESULTS: The data of 26 subjects were analyzed and both groups significantly improved in outcome scores post-intervention. The improvements in ROM and function between groups were comparable, but NPRS and PSFS showed greater improvement in the IASTM group (p < 0.05). CONCLUSION: IASTM and MET were both effective in improving outcomes in postoperative elbow stiffness. IASTM was more effective in improving pain and patient-specific function.


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