J Korean Phys Ther.  2020 Dec;32(6):359-364. 10.18857/jkpt.2020.32.6.359.

Effect of Neuro Dynamic Technique and Instrument Assisted Soft Tissue Mobilization on Lower Extremity Muscle Tone, Stiffness, Static Balance in Stroke Patients

• Kim MJ
• Kim TH

• KMID: 2520099
• DOI: http://doi.org/10.18857/jkpt.2020.32.6.359

Abstract

Purpose
This study was undertaken to compare the efficacy of instrument assisted soft tissue mobilization (IASTM) and a neural dynamic technique (NDYT). As an intervention to treat spastic lower limb muscle tone, stiffness, and static balance in stroke patients.
Methods
Totally, 26 participants were assigned randomly to two groups: the IASTM (n=13) and NDYT (n=13) groups. Both groups were subjected to their respective technique for 15 minutes, 5 times a week, for 6 weeks. Muscle tone, stiffness, and static balance were evaluated before and after training, to compare both group changes.
Results
IASTM group showed significant decrease in the gastrocnemius medial region and semitendinosus muscle tone and stiffness (p<0.05) compare to NDYT group; however, no significant different was observed in static balance between groups (p>0.05).
Conclusion
The results suggest that IASTM is an effective method for decreasing the muscle tone and stiffness in acute stroke patients.

Keyword

Balance; IASTM; Muscle tone; Neural dynamic technique; Stiffness