!  Technique: !  Pt prone w/ your thigh

creating DF at ankle within available range.

!  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

!  Technique: !  Pt prone w/ toes DF

within available range !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

!  Technique: !  Pt side-lying w/ ankle

inverted within available range

!  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

!  Technique: !  Pt supine w/ ankle PF

within available range !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Avoid STMT w/in 1 finger width of tibial crest.

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Move ankle into DF

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Move ankle into DF

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension @ popliteal area

"  Move ankle into DF

"  Put 0-15% tension on tape

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Move toes into DF

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Move toes into DF

"  Put 0-15% tension on tape

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Move ankle into IVR/DF

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Move ankle into PF

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Move ankle into PF

"  Put 0-15% tension on tape

"  Anchor tape with NO tension

"  Heat Up Tape

!  Technique: !  Pt sitting w/ knee flexed

within available range !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

!  Technique: !  Pt prone w/ knee

extended within available range

!  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Be cautious of any sciatic nerve irritation!

!  Technique: !  Pt prone w/ hip flexed &

knee extended off table !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Be cautious of any sciatic nerve irritation!

!  Technique: !  Pt side-lying w/ pillow

under top leg !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Do NOT go over the greater trochanter!

!  Technique: !  Pt hook-lying w/ leg ER/

ABD !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Do NOT go over the femoral triangle!

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt seated in flexion

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt seated in flexion

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt seated in flexion

"  Put 0-15% tension on tape

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt supine in extension

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt supine in extension

"  Put 0-15% tension on tape

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt side-lying in hip add

"  Put 0-15% tension on tape

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt supine in hook-lying hip ABD

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

!  Technique: !  Pt in comfortable trunk

flexion !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Stay off ribs and spinous processes!

!  Technique: !  Pt in comfortable trunk

flexion & slight rotation !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Stay off spinous processes!

!  Technique: !  Pt seated w/ slight

cervical SB away & rot to you

!  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Stay away from posterior cervical triangle!

!  Technique: !  Pt seated w/ slight

cervical rot away & flex !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Stay away from posterior cervical triangle!

"  Prep Surface

"  Cut Tape "  Apply adherent—if

available

"  Start tape w/ NO tension

"  Pt seated in trunk flexion

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt seated in cervical flexion & rot away

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface "  Cut Tape "  Apply adherent—if

available "  Start tape w/ NO

tension "  Pt seated in cervical SB

away and rot towards side being taped

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

!  Technique: !  Pt hugging pillow !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

! Stay off the spine & scapula!

!  Technique: !  Pt supine in UE ext/

ABD/ER !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

!  Use care and empathy around female’s breast tissue

!  Technique: !  Pt seated with UE in Horz

Add !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

!  Technique: !  Pt seated or side-lying w/

UE horz ADD !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt’s UE in horz add

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt’s UE in horz abd & ER

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt’s UE in horz ADD & IR

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt’s UE in ADD

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

!  Technique: !  Pt seated or supine w/

wrist in flexion !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

!  Stop if any radial nerve symptoms!

!  Technique: !  Pt in elbow extension !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

!  Technique: !  Pt in elbow flexion !  Add lubricant !  Move tool to find

myofascia restrictions: !  Origin-Insertion !  Insertion-Origin !  Diagonally

!  Focus on most restricted myofascia areas for ~3’ min

!  Inform pt to expect bruising & swelling

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Pt seated in wrist flexion & elbow extension

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Shldr & elbow extension

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

"  Prep Surface

"  Cut Tape

"  Apply adherent—if available

"  Start tape w/ NO tension

"  Shldr & elbow in flexion

"  Put tension on tape for desired goal

"  Anchor tape with NO tension

"  Heat Up Tape

1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill Livingstone, Philadelphia, PA. 2003.

2. Yeatman G, Viet VD. Cao Gio (coin rubbing). Vietnamese attitude toward health care. J Am Med Assoc. 1980;244(24):2748-9.

3. Gehlsen GM, Ganion LR, Helfst R. Fibroblast responses to variations in soft tissue mobilization pressure. Med Sci Sports Exerc. 1999;28(5):375-80.

4. Loghmani MT, Warden SJ. Instrument-assisted cross-fiber massage accelerates knee ligament healing. J Orthop Sports Phys Ther. 2009;39(7):506-14.

5. Kahn KM, Scott A. Mechanotherapy: how physical therapists' prescription of exercise promotes tissue repair. Br J Sports Med. 2009;43(4):247-52.

6. Schaefer JL, Sandrey MA. Effects of a 4-week dynamic-balance-training program supplemented with Graston instrument-assisted soft-tissue mobilization for chronic ankle instability. J Sport Rehabil. 2012;21(4):313-26.

7. Davidson CJ, Gannion LR, Ghlsen GM, et al. Rat tendon morphologic and functional changes resulting from soft tissue mobilization. Med Sci Sports Exerc. 1997;29(3):313-19.

8. Fong G, Backman LJ, Danielson P, et al. Substance P enhances collagen remodeling and MMP-3 expression by human tenocytes. J Orthop Res. 2013;(1):91-8.

9. Bachman LJ, Fong G, Andersson G, et al. Substance P is a mechanoresponsive, autocrine regulator of human tenocyte proliferation. PLoS One. 2011;6(11)e27209.

10. Scott A, Docking S, Vicenzino B, et al. Sports and exercise-related tendinopathies: a review of selected topics by participants of the second international Scientific Tendinopathy Symposium (ISTS) Vancouver 2012. Br J Sports Med. 2013;47:536-44.

11. Malliaras P,Cook J. Patellar tendons with normal imaging and pain: Change in imaging and pain status over a volleyball season. Clin J Sports Med. 2006;16:388-91.

12. Cook JL, Kahn KL, Harcourt PR, et al. Patellar tendon ultrasonography in asymptomatic active athletes revels hypoechoic regions: a study of 320 tendons. Clin J Sports Med. 1998;8:73-77.

13. Frost P, Andersen JH, Lundorf E. Is supraspinatus pathology as defined by magnetic resonance imaging associated with clinical sign of shoulder impingement? J Shoulder Elbow Surg. 1999;8(6):565-8.

14. Howitt S, Wong J, Zabukovec S. The conservative treatment of trigger thumb using Graston techniques and active release techniques. J Can Chiropr Assoc. 2006;50(4):249- 254.

15. Wilson JK, Sevier TL, Helfst R, Honing EW, Thomann A. Comparison of rehabilitation methods in the treatment of patellar tendinitis. J Sport Rehabil. 2000;9:304-314.

16. Melham TJ, Sevier TL, Malnofski MJ, Wilson JK, Robert HJ. Chronic ankle pain and fibrosis successfully treated with a new noninvasive augmented soft tissue mobilization technique (ASTM): a case report. Med Sci Sports Exerc. 1998;30(6):801-804.

17. Hammer WI. The effect of mechanical load on degenerated soft tissue. J Bodywork Movement Therapies. 2008;12:246-256.

18. Daniels CJ, Morrell AP. Chiropractic management of pediatric plantar fasciitis: a case report. J Chiropr Med. 2012;11:58-63.

19. Slaven EJ, Mathers J. Management of chronic ankle pain using mobilization and ASTYM treatment: a case report. J Manual Manipulative Ther. 2011;19(2):108-12.

20. McCormack JR. The management of mid-portion Achilles tendinopathy with ASTYM and eccentric exercise: a case report. Int J Sports Phys Ther. 2012;7(6):672-7.

21. Hammer WI, Pfefer MT. Treatment of subacute lumbar compartment syndrome using the Graston Technique. J Manipulative Physiol Ther. 2005;28:199-204.

22. Aspegren D, Hyde T, Miller M. Conservative treatment of a female collegiate volleyball player with costochondritis. J Manipulative Physiol Ther. 2007;30:321-5.

23. Bayliss AJ, Klene FJ, Gundeck EL, Loghmani MT. Treatment of a patient with post-natal chronic calf pain utilizing instrument-assisted soft tissue mobilization: a case study. J Manual Manipulative Ther. 2011;19(3):127-34.

24. Burke J, Buchberger DJ, Carey-Loghmani T, et al. A pilot study comparing two manual therapy interventions for carpal tunnel syndrome. J Manual Manipulative Physiol Ther. 2007;30:50-61.

25. http://www.cebm.net. Retrieved 7-31-13.

26. http://europepmc.org/abstract/MED/10211847/reload=0;jsessionid=S3xvjBGO3gGCfdXTd2wr.2. Retrieved 12/20/13.

27. http://blog.astym.com/blog/astym-3/graston-sastm-and-astym-what-is-the-history-v2. Retrieved 1-12-14.

28. http://en.wikipedia.org/wiki/Fibroblast. Reviewed 1/21/14.

29. Parish, Dr. David, and Dr. Vince DeBono, 2007. “Kinesio Taping Certification Courses #1-3.” National University of Health Sciences, Lombard, IL.

30. Kase, Kenz , Jim Wallis, and Tsuyoshi Kase. Clinical Therapeutic Applications of the Kinesio Taping Method. S.l.: Kinesio Taping Assoc., 2008. Print.

31. Butler, Mark, PT. "Deep Impact: Targeting Restrictions with Instrument-assisted Soft-tissue Mobilization." Advance for Physical Therapy & Rehab Medicine 28 Oct. 2013: 16-19. Print.

32. Melham, Thomas, Thomas Sevier, Michael Malnofski, Julie Wilson, and Robert Helfst. "Chronic Ankle Pain and Fibrosis Successfully Treated with a New Noninvasive Augmented Soft Tissue Mobilization Technique (STMT): A Case Report." Medicine & Science in Sports & Exercise 30(6) (1998): 801-04. Print..

!  Dr Erson Religioso III, DPT, FAAOMPT—co-founder of Edge Mobility STMT tool and mobility bands

!  http://www.edgemobilitysystem.com

!  Laura Kavinsky & Dr. Steven Capobianco at RockTape!

!  http://rocktape.com/products/tape/