Exploring Force Production Reliability across Different Levels of Clinical Experience during a Simulated One-handed Instrument-Assisted Soft Tissue Mobilization Treatment: A Pilot Study
# Background Instrument-assisted soft tissue mobilization (IASTM) is a commonly utilized intervention for musculoskeletal pain and dysfunction. However, little is known regarding the reliability of forces applied by clinicians of different experience levels during an IASTM intervention. # Purpose...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2022-10-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.38170 |
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| author | Moni Syeda Jason Bartholomew Shayane Valenzuela Santiago Ashley J Reeves Nickolai JP Martonick Scott W Cheatham Russell T Baker Jr. |
| author_facet | Moni Syeda Jason Bartholomew Shayane Valenzuela Santiago Ashley J Reeves Nickolai JP Martonick Scott W Cheatham Russell T Baker Jr. |
| author_sort | Moni Syeda |
| collection | DOAJ |
| description | # Background
Instrument-assisted soft tissue mobilization (IASTM) is a commonly utilized intervention for musculoskeletal pain and dysfunction. However, little is known regarding the reliability of forces applied by clinicians of different experience levels during an IASTM intervention.
# Purpose
The purpose of this pilot study was to assess intra-clinician reliability of IASTM force (i.e., mean normal force) during a simulated, one-handed stroke IASTM intervention across different levels of IASTM clinical experience.
# Design
Descriptive laboratory study.
# Methods
The researchers conducted a repeated measures trial in a laboratory setting with a convenience sample of ten participants who had previously completed professional IASTM training. Participants performed 15 one-handed sweeping strokes with an IASTM instrument on a skin simulant attached to a force plate for a standardized hypothetical treatment scenario. The participants performed the treatment on two separate days, 24-48 hours apart. The researchers examined the intra-rater reliability for average (mean) normal forces using Bland-Altman (BA) plots and Coefficient of Variation (CV) values.
# Results
The BA plot results indicated all participants (professional athletic training students = 4, athletic trainers = 6; males = 5, females = 5; age = 32.60 ± 8.71 y; IASTM experience = 3.78 ± 4.10 y), except participant D (1.9N, 190g), were consistently reliable within 1N (100g) or less of force for mean differences and within the maximum limits of agreement around 3.7N (370g). Most participants' CV scores ranged between 8 to 20% supporting reliable force application within each treatment session.
# Conclusion
The data indicated that IASTM trained clinicians could produce consistent forces within and across treatment sessions irrespective of clinical experience.
# Level of Evidence
3 |
| format | Article |
| id | doaj-art-f7e141933f414c99ac5b563c6ccd5fc2 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2022-10-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-f7e141933f414c99ac5b563c6ccd5fc22025-02-11T20:27:13ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-10-01176Exploring Force Production Reliability across Different Levels of Clinical Experience during a Simulated One-handed Instrument-Assisted Soft Tissue Mobilization Treatment: A Pilot StudyMoni SyedaJason BartholomewShayane Valenzuela SantiagoAshley J ReevesNickolai JP MartonickScott W CheathamRussell T Baker Jr.# Background Instrument-assisted soft tissue mobilization (IASTM) is a commonly utilized intervention for musculoskeletal pain and dysfunction. However, little is known regarding the reliability of forces applied by clinicians of different experience levels during an IASTM intervention. # Purpose The purpose of this pilot study was to assess intra-clinician reliability of IASTM force (i.e., mean normal force) during a simulated, one-handed stroke IASTM intervention across different levels of IASTM clinical experience. # Design Descriptive laboratory study. # Methods The researchers conducted a repeated measures trial in a laboratory setting with a convenience sample of ten participants who had previously completed professional IASTM training. Participants performed 15 one-handed sweeping strokes with an IASTM instrument on a skin simulant attached to a force plate for a standardized hypothetical treatment scenario. The participants performed the treatment on two separate days, 24-48 hours apart. The researchers examined the intra-rater reliability for average (mean) normal forces using Bland-Altman (BA) plots and Coefficient of Variation (CV) values. # Results The BA plot results indicated all participants (professional athletic training students = 4, athletic trainers = 6; males = 5, females = 5; age = 32.60 ± 8.71 y; IASTM experience = 3.78 ± 4.10 y), except participant D (1.9N, 190g), were consistently reliable within 1N (100g) or less of force for mean differences and within the maximum limits of agreement around 3.7N (370g). Most participants' CV scores ranged between 8 to 20% supporting reliable force application within each treatment session. # Conclusion The data indicated that IASTM trained clinicians could produce consistent forces within and across treatment sessions irrespective of clinical experience. # Level of Evidence 3https://doi.org/10.26603/001c.38170 |
| spellingShingle | Moni Syeda Jason Bartholomew Shayane Valenzuela Santiago Ashley J Reeves Nickolai JP Martonick Scott W Cheatham Russell T Baker Jr. Exploring Force Production Reliability across Different Levels of Clinical Experience during a Simulated One-handed Instrument-Assisted Soft Tissue Mobilization Treatment: A Pilot Study International Journal of Sports Physical Therapy |
| title | Exploring Force Production Reliability across Different Levels of Clinical Experience during a Simulated One-handed Instrument-Assisted Soft Tissue Mobilization Treatment: A Pilot Study |
| title_full | Exploring Force Production Reliability across Different Levels of Clinical Experience during a Simulated One-handed Instrument-Assisted Soft Tissue Mobilization Treatment: A Pilot Study |
| title_fullStr | Exploring Force Production Reliability across Different Levels of Clinical Experience during a Simulated One-handed Instrument-Assisted Soft Tissue Mobilization Treatment: A Pilot Study |
| title_full_unstemmed | Exploring Force Production Reliability across Different Levels of Clinical Experience during a Simulated One-handed Instrument-Assisted Soft Tissue Mobilization Treatment: A Pilot Study |
| title_short | Exploring Force Production Reliability across Different Levels of Clinical Experience during a Simulated One-handed Instrument-Assisted Soft Tissue Mobilization Treatment: A Pilot Study |
| title_sort | exploring force production reliability across different levels of clinical experience during a simulated one handed instrument assisted soft tissue mobilization treatment a pilot study |
| url | https://doi.org/10.26603/001c.38170 |
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