Research Paper: Immediate effect of instrument assisted soft tissue mobilization (Iastm) With M2T blade technique in trapezitis: An experimental study
Abstract Background: Trapizitis is a commonly seen condition in clinical practice. Trapizitis is seen as a result of overuse and faulty posture. Patients usually have pain which limits activities of daily living. Hence the present study is planned to find out an alternate method of treatment of trapizitis which is less time consuming. Objective: To find out the immediate effect of instrument assisted soft tissue mobilization (IASTM) with M2T blade technique in trapizitis and spasm. Methods: The study included 50 subjects having unilateral upper trapezius spasm. Participants were assessed and treated with M2T blade. Visual analogue scale (VAS) was taken for pain as an outcome measure before and after the intervention. Results: The mean age according to statistical analysis was 29.02 years. The mean of VAS on pre session was 7.18, which was decreased to mean of 1.18 after 1 session of treatment. The p value was found to be ˂0.01 which is highly significant. Conclusion: Instrument assisted soft tissue mobilization (IASTM) with M2T Blade technique is an effective tool in immediate reduction of pain in subjects with trapizitis. Keywords: M2T, Myofascial release, Trapezitis, Visual analogue scale 1. Introduction Trapezitis is defined as the inflammation of trapezius muscle leading to pain which is present even during rest and is aggravated by activity [1, 2]. All movements in the upper extremity are reflected in the neck musculature as the muscles of the neck and shoulder region always function as a single unit. The muscles of shoulder and neck particularly upper trapezius and levator scapulae and deep muscles require activation while doing all movements of arm includes slow or fast, resisted or unresisted movements. Muscle recruitment will be more pronounced if the patient carries heavy loads or has developed poor motor habits. Hyper tonus and spasm is often seen in the neck musculature. Working postures with the neck in extreme flexion increase the load moment three to four times causing spasm of the neck muscles. Also working tasks that involve continuous arm movements always generate a static load component on these muscles . M2T is a latest invention in instrument assisted soft tissue mobilization (IASTM) which is a technique used for myofascial release and helps to relieve myofascial pain using the M2T blade. Mr Adam Boger was first invented the M2T blade technique in Canada and it was used to reduce the pain and tightness of the particular muscles. The method is based on a newly developed, three-dimensional analysis . The blade consists of 8 treatment planes and in present study are using treatment plane number 1 and 2 for the treatment. The need of the study was to find out the immediate effect of IASTM with M2T blade technique on Trapizitis to know how it can be a beneficial tool pertaining the Physiotherapy arena. There is no literature available pertaining to the immediate effect of IASTM with M2T blade technique on Trapezitis. In this study immediate effect of IASTM with M2T blade technique Trapezitis was examined.
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