Effects of Instrument-Assisted soft tissue mobilization (IASTM) and myofascial release (MFR) in alleviating post-surgical elbow stiffness

This study aims to evaluate the efficacy of myofascial release and instrument-assisted soft tissue mobilization (IASTM) in reducing pain, stiffness, and range of motion associated with post-surgical elbow stiffness.

Randomized clinical trial, single blinded, parallel group, sample size 24

Ahmad Poly Care Clinic, Faisalabad (APCC) , Allied Hospital, Faisalabad (AHF)

Inclusion criteria: Male and female , Age 8-40 years, ROM of elbow extension ≥–30 degrees & flexion ≤120 degrees, At least six weeks following surgery, with internal fixation and open reduction. Exclusion Criteria: Participants with any diagnosed auto-immune disorder,Pathological fractures, associated ipsilateral injuries,Injury to both upper limbs, Neuro-vascular disorders, IASTM contraindications (according to the IASTM guidelines), Rheumatic conditions, Circulatory disorders or diabetes.

Baseline Treatment Both groups received conventional treatments, which included a 5- to 10-minute warm-up with active range-of-motion exercises for the shoulder, elbow, and wrist, gentle passive stretching with 30-second holds for three repetitions, and progressive low-load strengthening activities (for the major upper limb muscle groups). Group A Group A was administered IASTM therapy by means of the “S-shape tool,” an ergonomic stainless-steel instrument with multiple hand grips that reduce operator fatigue. . Group B Group B received myofascial release technique was given. Myofascial release treatment is a kind of continuous, mild massage that helps your myofascial tissues become less painful and tense. Group C Group C received both Instrument-assisted soft tissue mobilization (IASTM) and Myofascial release technique (MFR) to check the effect of both treatments collectively.

Pain, Range of motion, Functional disability

The randomization will be done with the help of the lottery method. With a lottery method, each member of the population is assigned a number, after which numbers are selected at random

Single blinded: outcomes accessors were kept unaware of which participants received the experimental treatment and which received a comparative intervention. This blinding helps to prevent conscious and unconscious biases that could influence the assessment of study outcome.

Effects of instrument -assisted soft tissue mobilization and myofascial release in alleviating post- surgical elbow stiffness Pain access by NPRS, Range of motion of elbow joint by Goniometer, Functional disability by Liverpool elbow score.

30 days after publication.

30 days.

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