Evidence map›Paper›PMID 26510526›Full record

Trial reportBMC musculoskeletal disorders2015

The effect of Astym® Therapy on muscle strength: a blinded, randomized, clinically controlled trial.

Benjamin R Kivlan, Christopher R Carcia, F Richard Clemente, Amy L Phelps, RobRoy L Martin

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02349230 nacompletednot on this map

The Effect of Astym Treatment on Acute Changes in Muscle Performance

TypeinterventionalSponsorDuquesne UniversityRan2014 to 2014Enrolled59ConditionsMusculoskeletal Pathology to the Lower ExtremityArmsAstym treatment
NCT03080220 nacompletednot on this mapstarted 2016, after this paper: background citation

Effects of Pre-Event Soft Tissue Treatment on Functional Movement and Functional Performance

TypeinterventionalSponsorRocky Mountain University of Health ProfessionsRan2016 to 2016Enrolled48ConditionsFunctional PerformanceArmsAstym, Stick, Massage
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. AstymAnnals of translational medicine · 2019
    Article
  6. Article
  7. AstymAnnals of translational medicine · 2019
    Review
  8. Review
  9. Article
  10. The efficacy of instrument assisted soft tissue mobilization: a systematic review.The Journal of the Canadian Chiropractic Association · 2016
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Benjamin R KivlanDepartment of Physical Therapy, John G. Rangos Sr.,School of Health Sciences, Duquesne University, Pittsburgh, PA, 15282, USA. kivlanb@duq.edu.
Christopher R CarciaDepartment of Physical Therapy, John G. Rangos Sr.,School of Health Sciences, Duquesne University, Pittsburgh, PA, 15282, USA. carcia@duq.edu.
F Richard ClementeDepartment of Physical Therapy, John G. Rangos Sr.,School of Health Sciences, Duquesne University, Pittsburgh, PA, 15282, USA. clemente@duq.edu.
Amy L PhelpsPalumbo Donahue School of Business, Duquesne University, Pittsburgh, PA, USA. phelpsa@duq.edu.
RobRoy L MartinDepartment of Physical Therapy, John G. Rangos Sr.,School of Health Sciences, Duquesne University, Pittsburgh, PA, 15282, USA. martinr280@duq.edu.
Duquesne University · USUniversity of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAstym(®) therapy is a manual therapy intervention used to stimulate tissue healing, decrease pain, improve mobility, and improve muscle performance associated with musculoskeletal pathology. The purpose of this study was to determine if Astym therapy administered to the lower extremity would result in an immediate change of maximal force output during a unilateral isometric squat test among individuals with a lower extremity injury.

methodsForty-five subjects (14 males; 31 females) between 18 and 65 years of age were randomized into 3 treatment groups: 1) Control group - received no treatment 2) Placebo group - received a sham Astym treatment 3) Astym therapy group- received Astym therapy to the lower extremity. A baseline measure of maximal force output (pre-test) during a unilateral isometric squat was performed. The subjects then received the designated treatment intervention. Immediately following the treatment intervention, maximal force output (post-test) was retested using identical testing procedures by an investigator who was blinded to the treatment intervention received by the subjects. The percent change of maximal force output from pre-test to post-test measures was compared using a one-way analysis of variance. A Tukey's post-hoc analysis determined the statistical differences between the groups.

resultsThe treatment intervention had a significant effect on the percent change of maximal force output [F(2,42) = 7.91, p = 0.001]. Tukey's post hoc analysis demonstrated that the percent change of maximal force output was significantly greater in the Astym group (15 ± 18 % change of Newtons) compared to the placebo (-6 ± 11 % change of Newtons; p = 0.0001) and control (-1 ± 17 % change of Newtons; p = 0.0014) groups. No significant difference (p = 0.68) was noted between the control and placebo groups.

conclusionsAstym therapy to the involved lower extremity increased maximum force output during an isometric squat test immediately following treatment. The results of this study suggest that Astym therapy can immediately improve muscle performance (maximal force output) for patients presenting with muscular weakness caused by a lower extremity musculoskeletal injury.

trial registrationClinicaltrials.gov NCT02349230. Registered 23 January 2015.

Indexed as

Muscle StrengthAdultFemaleHip InjuriesHumansLeg InjuriesMaleMiddle AgedPhysical Therapy ModalitiesYoung Adult

Identifiers

PMID26510526
PMCPMC4625642
OpenAlexW1874948219

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.