Instrument Assisted Soft Tissue Mobilization (Iastm) “introduction Certification Course”

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Instrument Assisted Soft Tissue Mobilization (Iastm) introduction Certification Course - Quiz

Instrument Assisted Soft Tissue Mobilization (IASTM)
“Introduction Certification Course”

High Five Hand Therapy and Rehabilitation LA


Questions and Answers
  • 1. 

    Every patient should be given, signed, and informed with this type of form whether physical or electronic copy?

    • A.

      Disclaimer

    • B.

      Disclosure

    • C.

      NDA

    • D.

      HIPAA Contract

    Correct Answer
    A. Disclaimer
    Explanation
    Every patient should be given a disclaimer form, whether in physical or electronic copy, to inform them about the potential risks and limitations associated with their treatment or medical procedures. This form serves as a legal protection for healthcare providers, ensuring that patients are aware of the possible outcomes and take responsibility for their decisions. It also establishes clear communication between the healthcare provider and patient, promoting transparency and informed consent.

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  • 2. 

    What kind of tissue is fascia?

    • A.

      Connective tissue

    • B.

      Muscle tissue

    • C.

      Cartilage

    • D.

      Epithelial tissue

    Correct Answer
    A. Connective tissue
    Explanation
    Fascia is a type of tissue that connects and supports structures in the body. It is made up of collagen fibers and is found throughout the body, surrounding muscles, organs, and other tissues. Connective tissue is the correct answer because fascia is classified as a type of connective tissue due to its function and composition. Muscle tissue is responsible for movement, cartilage is a type of connective tissue found in joints, and epithelial tissue lines the surfaces of organs and body cavities, none of which accurately describe fascia.

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  • 3. 

    What are the most abundant cells in fascia?

    • A.

      Elastic fiber

    • B.

      Fibroblasts

    • C.

      Myofibroblasts

    • D.

      Adipose cells

    Correct Answer
    B. Fibroblasts
    Explanation
    Fibroblasts are the most abundant cells in fascia. Fascia is a connective tissue that surrounds and supports muscles, organs, and other structures in the body. Fibroblasts are responsible for producing and maintaining the extracellular matrix of the fascia, which includes collagen and other proteins. They play a crucial role in wound healing, tissue repair, and maintaining the structural integrity of the fascia. Elastic fibers, myofibroblasts, and adipose cells are also present in fascia, but fibroblasts are the most abundant cells.

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  • 4. 

    Which of the following are functions of fascia?

    • A.

      Compartmentalizes muscles

    • B.

      Produces and stores adipose cells

    • C.

      Allows for sliding of nerves, muscles, organs, and vessels

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Fascia is a connective tissue that plays multiple functions in the body. It compartmentalizes muscles, separating them into distinct groups and providing support and organization. Fascia also produces and stores adipose cells, which are responsible for storing energy and insulating the body. Additionally, fascia allows for the sliding and movement of various structures in the body, including nerves, muscles, organs, and vessels. Therefore, all of the given options are correct functions of fascia.

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  • 5. 

    True or False? Poor posture, lack of exercise, and cigarette smoking are not contributing factors to fascial restrictions.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The statement is false because poor posture, lack of exercise, and cigarette smoking can all contribute to fascial restrictions. Poor posture can cause imbalances and tension in the muscles, leading to restrictions in the fascia. Lack of exercise can result in weakened muscles and decreased flexibility, which can also contribute to fascial restrictions. Additionally, cigarette smoking can impair blood flow and oxygen delivery to the tissues, which can negatively affect the health and function of the fascia.

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  • 6. 

    What type of cell plays a key role in the physiological reconstruction of connective tissue following an injury?

    • A.

      Elastic fiber

    • B.

      Fibroblasts

    • C.

      Myofibroblasts

    • D.

      Adipose cells

    Correct Answer
    B. Fibroblasts
    Explanation
    Fibroblasts are the correct answer because they are the primary cells responsible for the synthesis and remodeling of connective tissue. Following an injury, fibroblasts migrate to the site of injury and produce new extracellular matrix components, such as collagen, to repair and reconstruct the damaged tissue. They also play a role in wound healing and scar formation. Elastic fibers, myofibroblasts, and adipose cells do not have the same level of involvement in connective tissue reconstruction as fibroblasts.

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  • 7. 

    What does IASTM stand for?

    • A.

      Instrument Activating Soft Tissue Mobilization

    • B.

      Instruments are Saving Tissue and Muscles

    • C.

      Interesting Activities Sensory Mobilization

    • D.

      Instrument Assisted Soft Tissue Mobilization

    Correct Answer
    D. Instrument Assisted Soft Tissue Mobilization
    Explanation
    IASTM stands for Instrument Assisted Soft Tissue Mobilization. This technique involves the use of specially designed instruments to apply controlled pressure and friction to the soft tissues of the body, such as muscles, tendons, and ligaments. It is used to treat various musculoskeletal conditions, improve range of motion, and reduce pain and inflammation. The other options provided do not accurately represent the acronym IASTM.

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  • 8. 

    Which of the following are benefits for IASTM?

    • A.

      Deeper penetration

    • B.

      Ergonomically designed to benefit therapist 

    • C.

      Allows clinicians to detect atypical areas

    • D.

      All the above

    Correct Answer
    D. All the above
    Explanation
    IASTM (Instrument Assisted Soft Tissue Mobilization) has several benefits. Firstly, it allows for deeper penetration, meaning that it can reach deeper layers of tissue and provide more effective treatment. Secondly, it is ergonomically designed to benefit the therapist, making it easier and more comfortable to use. Lastly, IASTM allows clinicians to detect atypical areas, such as scar tissue or adhesions, that may require further attention. Therefore, all of the given options are benefits of IASTM.

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  • 9. 

    IASTM targets myofascial restrictions in the body, breaking up adhesions, and facilitating the what?

    • A.

      Redirection of lymph within the body

    • B.

      Healing process through formation of new extracellular matrix

    • C.

      Muscle isometric contractions

    • D.

      Breakdown of proteins

    Correct Answer
    B. Healing process through formation of new extracellular matrix
    Explanation
    IASTM (Instrument-Assisted Soft Tissue Mobilization) targets myofascial restrictions in the body by breaking up adhesions. This process helps to stimulate the healing process through the formation of a new extracellular matrix. The extracellular matrix is a network of proteins and other molecules that provide structural support and facilitate cell communication. By promoting the formation of a new extracellular matrix, IASTM aids in tissue repair and regeneration, ultimately enhancing the healing process.

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  • 10. 

    During IASTM the "inflammation will remove the scar tissue and release adhesions, while also increasing (what?)"

    • A.

      Blood and lactic acid to the injured area and migration of fibroblasts

    • B.

      Pressure and nutrient supply to the injured area and migration

    • C.

      Blood and nutrient supply to the injured area and migration of fibroblasts

    • D.

      Nutrient and blood supply to the injured area and migration of osteoblasts

    Correct Answer
    C. Blood and nutrient supply to the injured area and migration of fibroblasts
    Explanation
    During IASTM (Instrument Assisted Soft Tissue Mobilization), the process of using tools to apply pressure and friction to the injured area, the correct answer is that it increases blood and nutrient supply to the injured area and promotes the migration of fibroblasts. This is important because increased blood flow brings oxygen and nutrients necessary for tissue healing, while the migration of fibroblasts helps in the production of collagen, which is essential for tissue repair.

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  • 11. 

    What does the scar tissue limit?

    • A.

      Perfusion to injured soft tissue, restricting the supply of oxygen and nutrients

    • B.

      Lactic acid accumulation and protein synthesis

    • C.

      Interferes with collagen synthesis and regeneration of tissues

    • D.

      Both A & C

    Correct Answer
    D. Both A & C
    Explanation
    Scar tissue can limit perfusion to injured soft tissue, restricting the supply of oxygen and nutrients. Additionally, it can interfere with collagen synthesis and regeneration of tissues. Therefore, both options A and C are correct. Scar tissue formation can lead to decreased blood flow to the injured area, which can limit the delivery of oxygen and nutrients necessary for healing. It can also disrupt the normal process of collagen synthesis and tissue regeneration, further impairing the healing process.

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  • 12. 

    What does injured fascial tissue produce?

    • A.

      Scar tissue build-up

    • B.

      Hetero ossification

    • C.

      Skin contusions

    • D.

      Rheumatoid arthritis

    Correct Answer
    A. Scar tissue build-up
    Explanation
    Injured fascial tissue produces scar tissue build-up. When the fascial tissue is damaged, the body initiates a healing process by laying down collagen fibers to repair the injury. This collagen forms scar tissue, which is a fibrous connective tissue that helps to close the wound and restore the structural integrity of the tissue. Scar tissue build-up can lead to decreased flexibility and mobility in the affected area.

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  • 13. 

    What are the 4 science-based points practiced with the use of IASTM?

    • A.

      Neurophysiological Effect, Mechanotransduction, Cross Link Breakage, Fluid Dynamics

    • B.

      Scar Tissue Break-Up, Gate Control Theory, Vasodilation, Vasoconstriction

    • C.

      Neurophysiological Effect, Mechanotransduction, Vasoconstriction, Fluid Dynamics

    • D.

      Scar Tissue Break-Up, Gate Control Theory, Vasodilation, Fluid Dynamics

    Correct Answer
    A. Neurophysiological Effect, Mechanotransduction, Cross Link Breakage, Fluid Dynamics
    Explanation
    The correct answer is Neurophysiological Effect, Mechanotransduction, Cross Link Breakage, Fluid Dynamics. These are the four science-based points practiced with the use of IASTM. Neurophysiological Effect refers to the impact of IASTM on the nervous system. Mechanotransduction is the process by which mechanical forces are converted into biochemical signals. Cross Link Breakage refers to the breaking of collagen cross-links in the tissue. Fluid Dynamics refers to the movement of fluids within the body. These four points are important in understanding the effects and benefits of IASTM.

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  • 14. 

    What is the science behind IASTM that breaks up the crosslinks removing scar tissues facilitating the healing process through the formation of new extracellular matrices?

    • A.

      Neurophysiological Effect

    • B.

      Mechanotransduction

    • C.

      Fluid Dynamics

    • D.

      Vasodilation

    Correct Answer
    C. Fluid Dynamics
    Explanation
    Fluid dynamics is the science behind IASTM that breaks up crosslinks and removes scar tissues by facilitating the healing process through the formation of new extracellular matrices. Fluid dynamics refers to the study of how fluids, such as blood and lymph, flow through the body. During IASTM, the application of pressure and movement on the affected area creates a mechanical force that stimulates the flow of fluids, promoting the breakdown of scar tissues and the formation of new extracellular matrices. This process helps to improve circulation, reduce inflammation, and enhance tissue healing.

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  • 15. 

    What type(s) of injuries does IASTM treat?

    • A.

      Musculoskeletal pathologies

    • B.

      Acute injuries

    • C.

      Chronic injuries

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    IASTM (Instrument Assisted Soft Tissue Mobilization) is a technique used by healthcare professionals to treat various types of injuries. It involves the use of specialized tools to apply controlled pressure and friction to the soft tissues of the body. This technique can be used to treat musculoskeletal pathologies, which include conditions affecting the muscles, tendons, ligaments, and joints. It is also effective in treating acute injuries, such as sprains and strains, as well as chronic injuries, which are long-lasting and often result from repetitive overuse or improper healing. Therefore, the correct answer is "All of the above."

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  • 16. 

    What does IASTM treatment reduce?

    • A.

      Myofascial restrictions

    • B.

      Collagen adhesion

    • C.

      Scar tissues

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    IASTM treatment, which stands for Instrument-Assisted Soft Tissue Mobilization, is a manual therapy technique used by healthcare professionals to address various soft tissue dysfunctions. It involves the use of specialized tools to apply controlled pressure and friction on the skin to reduce myofascial restrictions, collagen adhesion, and scar tissues. By targeting these issues, IASTM treatment aims to improve mobility, reduce pain, and enhance overall tissue function. Therefore, the correct answer is "All of the above."

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  • 17. 

    IASTM treatment can improve the following areas except for:

    • A.

      Range of motion

    • B.

      Inflammation reduction

    • C.

      Hiatal hernia

    • D.

      Oxygen and blood flow

    Correct Answer
    C. Hiatal hernia
    Explanation
    IASTM treatment, also known as Instrument-Assisted Soft Tissue Mobilization, is a technique used by healthcare professionals to improve range of motion, reduce inflammation, and enhance oxygen and blood flow in the body. However, it does not have a direct impact on hiatal hernia, which is a condition where the upper part of the stomach protrudes into the chest cavity through the diaphragm. IASTM treatment focuses on musculoskeletal issues rather than internal organ conditions like hiatal hernia.

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  • 18. 

    Which is considered a precaution for IASTM?

    • A.

      Cancer 

    • B.

      Uncontrolled Hypertension

    • C.

      Advanced Osteoporosis

    • D.

      Burn scars

    • E.

      Both A & D

    Correct Answer
    E. Both A & D
    Explanation
    Both cancer and burn scars are considered precautions for Instrument Assisted Soft Tissue Mobilization (IASTM). Cancer can be a contraindication for IASTM because the treatment may exacerbate the condition or interfere with ongoing cancer treatments. Burn scars are also a precaution because IASTM may cause further damage or irritation to the scar tissue. Therefore, both options A and D are correct precautions for IASTM.

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  • 19. 

    What should you always check for before you start IASTM on a client?

    • A.

      Scars 

    • B.

      Open wounds

    • C.

      Abnormal sensation

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Before starting IASTM (Instrument-Assisted Soft Tissue Mobilization) on a client, it is important to check for scars, open wounds, and abnormal sensation. Scars can indicate areas of tissue adhesion or fibrosis that may require special attention during treatment. Open wounds need to be properly assessed and treated before applying any manual therapy techniques to avoid infection or further injury. Abnormal sensation, such as numbness or tingling, may indicate nerve involvement and should be taken into consideration to ensure safe and effective treatment. Therefore, checking for all of these factors is essential before starting IASTM on a client.

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  • 20. 

    What is considered a contraindication?

    • A.

      Insect bite of unexplained origin

    • B.

      Cancer or malignancy

    • C.

      Pregnancy

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    A contraindication refers to a condition or factor that makes a particular treatment or procedure inadvisable or potentially harmful. In this case, all of the options listed - insect bite of unexplained origin, cancer or malignancy, and pregnancy - can be considered contraindications. An insect bite of unexplained origin may indicate an underlying infection or allergic reaction, which could worsen with certain treatments. Cancer or malignancy can affect the body's ability to tolerate certain medications or procedures. Pregnancy, on the other hand, requires special considerations as certain treatments may pose risks to the developing fetus. Therefore, all of these conditions are considered contraindications.

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  • 21. 

    In some cases, cancer might not be a contraindication for IASTM. Which of the following types of cancer should you check with a doctor to see if IASTM can be done?

    • A.

      Non-Hodgkin's Lymphoma

    • B.

      Leukemia

    • C.

      Breast cancer, after a mastectomy is done

    • D.

      After the removal of tumors from lymph nodes

    Correct Answer
    C. Breast cancer, after a mastectomy is done
    Explanation
    Breast cancer, after a mastectomy is done: This answer suggests that after a mastectomy, IASTM might still be possible. It implies that IASTM may be considered as a treatment option for individuals who have undergone a mastectomy for breast cancer. However, it is important to consult with a doctor to determine whether IASTM is safe and appropriate in this specific case.

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  • 22. 

    With which of the following may IASTM lead to a stroke due to a traveling clot?

    • A.

      Atherosclerosis

    • B.

      Whiplash

    • C.

      Leukemia

    • D.

      Lupus

    Correct Answer
    A. Atherosclerosis
    Explanation
    IASTM (Instrument-Assisted Soft Tissue Mobilization) may lead to a stroke due to a traveling clot in individuals with atherosclerosis. Atherosclerosis is a condition characterized by the buildup of plaque in the arteries, which can cause narrowing and blockages. During IASTM, there is a risk that the manipulation of soft tissues may dislodge a clot from the plaque, allowing it to travel to the brain and result in a stroke. This risk is not associated with whiplash, leukemia, or lupus.

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  • 23. 

    For clients with diabetes, what are the risks associated with IASTM?

    • A.

      If they have no sensation, risk of injury

    • B.

      Work over recent insulin injections may cause insulin to be absorbed faster

    • C.

      Problems with healing causes bruises and redness from tratment to heal slowly

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Clients with diabetes are at risk of injury during IASTM if they have no sensation because they may not be able to feel pain or discomfort, leading to potential harm. Additionally, working over recent insulin injections may cause the insulin to be absorbed faster, potentially leading to fluctuations in blood sugar levels. Moreover, clients with diabetes often have problems with healing, which can result in bruises and redness from treatment taking longer to heal. Therefore, all of the mentioned risks are associated with IASTM for clients with diabetes.

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  • 24. 

    What is the first step of the preparation process to perform a session?

    • A.

      Apply lubricant to the desired region

    • B.

      Wash hands according to CDC hand hygiene standards & disinfection and sterilization standards

    • C.

      Instruct client to hold the desired limb in a contracted position

    • D.

      Instruct client to lay in a prone position on the treatment table

    Correct Answer
    B. Wash hands according to CDC hand hygiene standards & disinfection and sterilization standards
    Explanation
    The first step of the preparation process to perform a session is to wash hands according to CDC hand hygiene standards & disinfection and sterilization standards. This is important to ensure that any potential contaminants or germs on the hands are removed, reducing the risk of infection or transmission of diseases to the client. Proper hand hygiene is a crucial step in maintaining a clean and safe environment for both the client and the therapist.

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  • 25. 

    What must the clinician ensure prior to the start of each treatment session?

    • A.

      Hands are cleansed thoroughly per CDC guidelines

    • B.

      Instruments are clean and disinfected

    • C.

      Patient safety

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    The clinician must ensure that all of the mentioned steps are taken prior to the start of each treatment session. This includes thoroughly cleansing hands per CDC guidelines to maintain proper hygiene, ensuring that instruments are clean and disinfected to prevent any infections or cross-contamination, and prioritizing patient safety throughout the session. All of these measures are crucial for maintaining a safe and effective treatment environment.

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  • 26. 

    Which of the following are NOT one of the four steps of Cleaning and safe practice protocol?

    • A.

      Find ROM prior to treatment and reassess ROM after use of IASTM therapist should inspect for precautions and contraindications

    • B.

      Monitor patients' responses throughout the session

    • C.

      Clinicians should conduct MMT as well as take patients ROM prior to treatment and at the conclusion of the treatment session

    • D.

      Clinicians hands and tools should be cleaned thoroughly up to the CDC hand hygiene standards and Disinfection and Sterilization standards of equipment both prior to treatment and at the conclusion of the therapy session

    Correct Answer
    C. Clinicians should conduct MMT as well as take patients ROM prior to treatment and at the conclusion of the treatment session
    Explanation
    The correct answer is "Clinicians should conduct MMT as well as take patients ROM prior to treatment and at the conclusion of the treatment session." This statement is not one of the four steps of the Cleaning and safe practice protocol. The four steps include finding ROM prior to treatment and reassessing ROM after use of IASTM, monitoring patients' responses throughout the session, cleaning hands and tools up to the CDC hand hygiene standards and disinfection and sterilization standards of equipment prior to treatment and at the conclusion of the therapy session.

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  • 27. 

    What level disinfectant should be used if an instrument comes into contact with blood, bodily fluids, mucous membrane, or non-intact skin?

    • A.

      Low-level disinfectant

    • B.

      Intermediate level disinfectant

    • C.

      High-level disinfectant

    • D.

      All of the above

    Correct Answer
    C. High-level disinfectant
    Explanation
    High-level disinfectant should be used if an instrument comes into contact with blood, bodily fluids, mucous membrane, or non-intact skin. This is because high-level disinfectants are capable of killing a wide range of microorganisms, including bacteria, viruses, fungi, and mycobacteria. They provide a higher level of disinfection compared to low-level or intermediate-level disinfectants, making them suitable for instruments that come into contact with potentially infectious materials.

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  • 28. 

    Which chemical is considered to be an intermediate level disinfectant?

    • A.

      Glutaraldehyde

    • B.

      Hydrogen Peroxide

    • C.

      Water

    • D.

      Isopropyl Alcohol

    Correct Answer
    D. Isopropyl Alcohol
    Explanation
    Isopropyl alcohol is considered to be an intermediate level disinfectant because it is effective against a wide range of microorganisms, including bacteria, viruses, and fungi. It has a rapid kill rate and is commonly used in healthcare settings to disinfect medical equipment and surfaces. Isopropyl alcohol is also relatively safe to use and does not leave behind any toxic residue.

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  • 29. 

    What should be monitored throughout the treatment session?

    • A.

      Adverse reations

    • B.

      Discomforts

    • C.

      Petechiae

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Throughout the treatment session, it is important to monitor adverse reactions, discomforts, and petechiae. Adverse reactions refer to any negative or unexpected responses that may occur during the treatment, such as an allergic reaction. Discomforts can include any discomfort or pain experienced by the patient during the session. Petechiae are small red or purple spots that may appear on the skin due to bleeding under the surface. Monitoring all of these factors is crucial to ensure the safety and well-being of the patient during the treatment.

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  • 30. 

    True of Ralse. Petechiae is an abnormal response to IASTM and should be avoided at all costs.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The statement is false because petechiae is not an abnormal response to IASTM (Instrument Assisted Soft Tissue Mobilization). Petechiae refers to small, pinpoint-sized red or purple spots on the skin caused by bleeding under the skin. While petechiae can occur as a result of certain medical conditions or injuries, it is not a typical or expected response to IASTM. Therefore, it is incorrect to say that petechiae is an abnormal response to IASTM and should be avoided at all costs.

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