良好的關節活動度可以有效提升運動表現並降低運動傷害,工具式筋膜鬆動術是常應用於改善關節活動度的處理方式,過去較多研究著重探討工具式筋膜鬆動術在運動傷害或復健對關節活動度改善的治療效果,較少分析對健康人的關節活動度影響。本研究以文獻回顧方法分析工具式筋膜鬆動術對健康軟組織的關節活動度效果,提供運動保健與運動按摩的實務理論應用參考。本研究使用文獻回顧方法,透過電子資料庫蒐集2020年12月前的期刊文獻,篩選出符合條件之8篇文獻,並針對其中4篇進行數據統計分析。結果顯示工具式筋膜鬆動術可立即顯著增加健康人的關節活動度,但由於文獻數量不足,對於工具式筋膜鬆動術的長時間效益尚無法定論。此外,由於工具式筋膜鬆動術手法差異,也會造成處理效果不同。建議未來研究需更嚴謹的規劃實驗流程與手法操作,並長時間追蹤效果。
Range of motion (ROM) is an ability of a joint to go through the complete movement. A good ROM is important for improving sport performance and reducing risk for sport injury. Instrument-assisted soft tissue mobilization (IASTM) is a common management to increase ROM. However, most studies focused on the therapeutic effects of IASTM on ROM in sports injury. Few studies investigated the effects of IASTM on ROM in healthy individuals. This systematic review is conducted to explore the effect of IASTM on ROM in healthy soft tissues. The results can provide references for practical application in sports massage. Articles published before December 2020 were searched from electronic databases. Eight articles met the inclusion criteria for systematic review, and the data from 4 of these articles were extracted for statistical analysis. The results revealed that IASTM had a significant immediate and positive effect on ROM increase in healthy individuals. However, the long-term effect of IASTM is still inconclusive due to insufficient data. The effect of IASTM on ROM varies among different manual treatments. Future studies should use more rigorous experimental design and manual treatments to investigate long-term effects of IASTM.