ISSN: 2329-9096
+44 1300 500008
Ahmed Hesham A A, Zaghloul H M and Abdelrahman H M R
Al Jouf University, Saudi Arabia
Cairo University, Egypt
Scientific Tracks Abstracts: Int J Phys Med Rehabil
Background: Instrument-Assisted Soft Tissue Mobilization Technique (IASTM), Ultrasound therapy (US)
and Deep Friction Massage (DFM) offered to manage adductor muscles for facilitating the fast recovery and
promoting tissue healing. Few studies are available about the effects of IASTM, how far the effectiveness of
ultrasound on the functional recovery is still under debate. Deep friction massage is known to be used to
promote muscle fiber arrangement.
Method: 46 participants divided randomly into four groups, (i) control group, no agent used (n=10), (ii)
instrument-assisted soft tissue mobilization technique (n=12). (iii) Ultrasound therapy (n=12) (iv) Deep
friction massage (n=12). 15 sessions delivered to all participants over five weeks, day after day. Numerical
pain scale, inclinometer, dynamometer and ultrasound imaging used to measure pain severity, pain-free
abduction passive range of motion, maximum pain-free adductor contraction and tissue healing, respectively.
Baseline measurements were done before any intervention and measures after the 1st week, 3rd week, and at
the end of the therapeutic intervention. Repeated measures MANOVA used to compare within and between
groups.
Result: IASTM and US show a significant effect on pain, recovery (ROM {P<0.031, P <0.018}- Strength
{P<0.026, P<0.041}), and proper healing (P<0.049, P <0.021). Initially, ultrasound was effective in reducing
pain intensity and accelerating healing but, IASTM is more effective in gaining recovery. DFM only has tissue
healing effect (P<0.039).
Conclusion: IASTM is the most effective method regarding fast recovery and proper tissue healing in groin
strain unless the pain is not a big issue.
Hesham has completed working as Assistant Professor college of Applied Medical Sciences Al Jouf University, Saudi Arabia. He completed PhD in Physical Therapy from Cairo University. He is a Consultant of Musculoskeletal Rehabilitation of Orthopedic Surgeries Department., He was awarded special recognition from APTA for his role in the development of shoulder rehabilitation.
E-mail: Baklawisa@gmail.com