I had a few recent requests on the FB page to list why I would choose Functional Release or IASTM.
Functional Release
Advantages
- able to isolate various areas of the tissues you are working on
- movement based, usually using AROM or AAROM, thus the patient has a measure of control over the technique and may move to their tolerance
- often releases faster than IASTM, but is more aggressive
- able to combine treatments like functional release and neurodynamic movements
Disadvantages
- not able to release superficially
- hard on your hands
IASTM
- easier on your hands
- able to release superficially, and be very light and progress your depth accordingly
- able to release around bony contours better, i.e. metacarpals, scapula, iliac crests
- also able to combine easily with neurodynamics, place the nerve on tension, treat the neural container as a progression
Disadvantages
- have to use a lubricant, pt may be allergic
- causes discoloration or ecchymosis more than FR, most likely due to the repetitive nature of "scraping" treatments
- instruments or tools often look intimidating
General STM advantages
- can work around areas immediately after surgery
- less contraindications - works well to promote tissue health around areas that may have instability
- example: previous pt had transverse ligament laxity, but also cervicogenic HA, light STM to around the area plus deep cervical flexor strengthening kept HA in check (ex only did not)
- may still use pts with questionable bony integrity or even areas that have fused naturally
There are more! Feel free to add in the comments!
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