ArticleThe Journal of the Canadian Chiropractic Association2016
The efficacy of instrument assisted soft tissue mobilization: a systematic review.
Article in The Journal of the Canadian Chiropractic Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 53 papers, 4 of them syntheses that pooled 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.
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.
Comparing the Effects of the Graston Tool and Neuromuscular Reeducation in Reducing Cervical Headache.
Comparative Effects of Instrument Assisted Soft Tissue Mobilization and Therapeutic Cupping on Hamstring Tightness Among Football Players
Comparison of Facial Distortion Model and Instrument Assisted Soft Tissue Mobilization (IASTM) Techniques After Arthroscopic Meniscus Repair
Effectiveness of Positional Release Techniques and Graston Technique In Trapezius Trigger Point
Who cites it
53 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effectiveness of the Graston Technique for low back pain and thoracic spinal pain: a systematic review and meta-analysis.The Journal of manual & manipulative therapy · 2026Pooled it
- The effectiveness of instrument-assisted soft tissue mobilization on pain and function in patients with musculoskeletal disorders: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research.BMC musculoskeletal disorders · 2022Pooled it
- Instrument-Assisted Soft Tissue Mobilization: A Systematic Review and Effect-Size Analysis.Journal of athletic training · 2019Pooled it
- Effects of instrument assisted and functional soft tissue mobilization on hamstring flexibility and skinfold thickness in sedentary adults.Scientific reports · 2026Trial
- Comparative Effects of Facial Roller and Gua Sha Massage on Facial Contour, Muscle Tone, and Skin Elasticity: Randomized Controlled Trial.Journal of cosmetic dermatology · 2025Trial
- Effect of instrument-assisted soft tissue mobilization combined with exercise therapy on pain and muscle endurance in patients with chronic neck pain: a randomized controlled study.The Journal of manual & manipulative therapy · 2024Trial
- Trial
- Influence of adding strain-counterstrain to standard therapy on axioscapular muscles amplitude and fatigue in mechanical neck pain: a single-blind, randomized trial.European journal of physical and rehabilitation medicine · 2022Trial
- Soft Tissue Mobilization and Stretching for Shoulder in CrossFitters: A Randomized Pilot Study.International journal of environmental research and public health · 2021Trial
- Effects of Instrument-assisted Soft Tissue Mobilization on Musculoskeletal Properties.Medicine and science in sports and exercise · 2019Trial
- Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial.The Journal of manual & manipulative therapy · 2019Trial
- Acute Effects of Muscle Flexibility and Myofascial Release of the Posterior Lower-Leg Muscles on Ankle Function in Individuals with Active Ankle Dorsiflexion Range of Motion Deficits.Sports (Basel, Switzerland) · 2026Article
- Myofascial release and fascial-targeted mechanical interventions in musculoskeletal rehabilitation: mechanisms, modalities, and integrative physiology.Frontiers in physiology · 2026Review
- Therapeutic outcomes of cryotherapy plus Graston Technique on pain and activities of daily living in individuals with knee pain.Frontiers in medicine · 2026Article
- Comparative efficacy of myofascial release versus stretching combined with high-powered pulsed therapeutic ultrasound in amateur overhead athletes with active trapezius trigger point pain: a randomized clinical trial.BMC sports science, medicine & rehabilitation · 2025Article
- Short-term results of instrument-assisted soft tissue mobilization in female patients with myofascial pain syndrome: A randomized blinded sham-controlled study.Turkish journal of physical medicine and rehabilitation · 2025Article
- Resolution of Resting Tremors and Cervical Radiculopathy Following Chiropractic Treatment In a 58-Year-Old Male: A Case Report With 2-Year Follow-Up.Journal of chiropractic medicine · 2025Article
- Biophysical aspects of mechanotransduction in cells and their physiological/biological implications in vocal fold vibration: a narrative review.Frontiers in cell and developmental biology · 2025Review
- Comparison between effects of instrument-assisted soft tissue mobilization and manual myofascial release on pain, range of motion and function in myofascial pain syndrome of upper trapezius - A randomized controlled trial.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInstrument assisted soft tissue mobilization (IASTM) is a popular treatment for myofascial restriction. IASTM uses specially designed instruments to provide a mobilizing effect to scar tissue and myofascial adhesions. Several IASTM tools and techniques are available such as the Graston® technique. Currently, there are no systematic reviews that have specifically appraised the effects of IASTM as a treatment or to enhance joint range of motion (ROM). PURPOSE: The purpose of this study was to systematically appraise the current evidence assessing the effects of IASTM as an intervention to treat a musculoskeletal pathology or to enhance joint ROM.
methodsA search of the literature was conducted during the month of December 2015 which included the following databases: PubMed, PEDro, Science Direct, and the EBSCOhost collection. A direct search of known journals was also conducted to identify potential publications. The search terms included individual or a combination of the following: instrument; assisted; augmented; soft-tissue; mobilization; Graston®; and technique.
resultsA total of 7 randomized controlled trials were appraised. Five of the studies measured an IASTM intervention versus a control or alternate intervention group for a musculoskeletal pathology. The results of the studies were insignificant (p>.05) with both groups displaying equal outcomes. Two studies measured an IASTM intervention versus a control or alternate intervention group on the effects of joint ROM. The IASTM intervention produced significant (P<.05) short term gains up to 24 hours.
conclusionThe literature measuring the effects of IASTM is still emerging. The current research has indicated insignificant results which challenges the efficacy of IASTM as a treatment for common musculoskeletal pathology, which may be due to the methodological variability among studies. There appears to be some evidence supporting its ability to increase short term joint ROM.
Indexed as
Identifiers
27713575PMC5039777What OpenQuestion holds
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.