Acronym for Instrument Assisted Soft Tissue Mobilization. Here I am doing Graston Technique (only one type of IASTM) with the #3 tool ("tongue depressor") on this athlete's patellar tendon. Sort of like an instrument assisted deep transverse friction massage. Only it's a lot easier on the hands & treatment times are a lot shorter; about 2 minutes max. It is immediately followed by active ROM, then functional exercise. Dr. Warren Hammer introduced Graston at this year's Fascial Congress last month in Belgium. There are several types, including SASTM & ASTYM. They definitely have a place in the A.T.'s toolbox.
Graston is an NATA sponsor. However, we don't get a price break on learning the technique or purchasing the tools. Again, this keeps a valuable modality out of the hands of a typical high school ATC. I have seen collegiate programs send out entire A.T. staffs to be certified in Graston or ART at premium $$$. ALL of my continuing ed (almost 30 years worth now) has come out of my own pocket. Not fair NATA- help us.