Comparison of the Graston Technique® With Instrument-Assisted Soft Tissue Mobilization for Increasing Dorsiflexion Range of Motion
| Autor: | Joshua D Wooldridge, Holly M Bush, Jessica S Barrack, Stephanie L Stephens, Justin M. Stanek |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Randomization Knee Joint Posture Biophysics Physical Therapy Sports Therapy and Rehabilitation Context (language use) Muscle Stretching Exercises Post-hoc analysis Humans Medicine Orthopedics and Sports Medicine Range of Motion Articular Therapy Soft Tissue Analysis of Variance Arthrometry Articular business.industry Rehabilitation Kneeling Myofascial release medicine.anatomical_structure Physical therapy Female Manual therapy Ankle business Range of motion Ankle Joint |
| Zdroj: | Journal of Sport Rehabilitation. 30:587-594 |
| ISSN: | 1543-3072 1056-6716 |
| Popis: | Context: Limited dorsiflexion (DF) range of motion (ROM) is commonly observed in both the athletic and general populations and is a predisposing factor for lower extremity injury. Graston Technique® (GT) is a form of instrument-assisted soft tissue mobilization (IASTM), used commonly to increase ROM. Evidence of the long-term effects of GT on ROM is lacking, particularly comparing the full GT protocol versus IASTM alone. Objective: To evaluate the effectiveness of 6 sessions of the GT or IASTM compared with a control (CON) group for increasing closed-chain DF ROM. Design: Cohort design with randomization. Setting: Athletic training clinic. Patients or Other Participants: A total of 23 physically active participants (37 limbs) with Intervention: Participants’ closed-chain DF ROM (standing and kneeling) were assessed at baseline and 24–48 hours following their sixth treatment. Participants in the CON group were measured at baseline and 3 weeks later. The intervention groups received 6 treatments during a 3-week period, whereas the CON group received no treatment. The GT group received a warm-up, instrument application, stretching, and strengthening of the triceps surae. The IASTM group received a warm-up and instrument application. Main Outcome Measures: Closed-chain DF was assessed with a digital inclinometer in standing and kneeling. Results: A significant difference between groups was found in the standing position (P = .03) but not in kneeling (P = .15). Post hoc testing showed significant improvements in DF in standing following the GT compared with the control (P = .02). Conclusions: The GT significantly increases ankle DF following 6 treatments in participants with DF ROM deficits; however, no differences were found between GT and IASTM. The GT may be an effective intervention for clinicians to consider when treating patients with DF deficits. |
| Databáze: | OpenAIRE |
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