ATLETİK VE MUSKULOSKELETAL DURUMLARIN YÖNETİMİNDE ALET DESTEKLİ YUMUŞAK DOKU MOBİLİZASYONU: SİSTEMATİK DERLEME VE META-ANALİZ

Öz

Amaç: Alet destekli yumuşak doku mobilizasyonu (IASTM), çeşitli yumuşak doku problemlerinde kasları, tendonları, miyofasyayı ve cildi manipüle etmek için özel aletlerin kullanılmasını içeren terapötik bir müdahaledir. Bununla birlikte, atletik ve kas-iskelet sistemi rahatsızlıklarının tedavisinde IASTM'nin etkinliği söz konusu olduğunda görüş ayrılığı vardır. Bu sistematik derleme, atletik ve kas-iskelet sistemi rahatsızlıklarının yönetiminde IASTM'nin etkinliğini değerlendirmek amacıyla yapılmıştır. Yöntem: Bu çalışma, kuruluşlarından Nisan2023 tarihine kadar PubMed, PEDro ve Cochrane Library veritabanlarında yayımlanmış olan literatür incelenerek gerçekleştirildi. Sonuçlar: Nitel senteze 18 çalışma dahil edildi ve bunların altısı daha ileri nicel sentez için seçildi. IASTM'nin atletik ve kas-iskelet sistemi durumlarının yönetimindeki etkinliği, diğer kontrol girişimlerininkine benzer veya daha iyi bulundu. Meta-analiz sonuçları, deney grubunda (IASTM) ağrının kontrol grubuna kıyasla istatistiksel olarak anlamlı şekilde daha fazla azaldığını gösterdi (MD -1.33,% 95 CI [-1.59, -1.06], p < 0.0001). Tartışma: IASTM'nin atletik ve kas-iskelet sistemi rahatsızlıklarının yönetiminde etkili bir araç olduğu söylenebilir. İleriki çalışmalar, EASTM'nin çeşitli spesifik atletik ve kas-iskelet sistemi rahatsızlıkları olan belirli katılımcılar üzerindeki etkinliğini araştırmaya yoğunlaşmalıdır.

Anahtar Kelimeler

• Atletik Performans
• Kas-İskelet Manipülasyonları
• Kas-İskelet Ağrısı
• Miyofasiyal Ağrı Sendromu

INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION IN MANAGEMENT OF ATHLETIC AND MUSCULOSKELETAL CONDITIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Abstract

Purpose: Instrument assisted soft tissue mobilization (IASTM) is a therapeutic intervention that involves the use of specialized tools to manipulate the muscles, tendons, myofascia and skin in a variety of soft tissue problems. Nonetheless, there is a divergence of opinions when it comes to the efficacy of IASTM in the treatment of athletic and musculoskeletal conditions. This systematic review was conducted to evaluate the effectiveness of IASTM in management of athletic and musculoskeletal conditions. Methods: An investigation of the literature was carried out from inception to April 2023 using the databases PubMed, PEDro, and the Cochrane Library. Results: Eighteen studies were included for qualitative synthesis, and six were selected for further quantitative synthesis. The effectiveness of IASTM in the management of athletic and musculoskeletal conditions was found to be either better or equal in comparison to other control interventions. The meta-analysis results showed that the reduction in pain was statistically significant in the experimental group (IASTM) compared to the control group (MD -1.33, 95% CI [-1.59, -1.06], p < 0.0001). Conclusion: It can be stated that IASTM is an effective tool in the management of athletic and musculoskeletal conditions. Further studies should concentrate on investigating the efficiency of EASTM on particular participants with various specific athletic and musculoskeletal conditions.

Keywords

• Athletic Performance
• Musculoskeletal Manipulations
• Musculoskeletal Pain
• Myofascial Pain Syndrome

Kaynakça

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