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Scott W Cheatham, Matt Lee, Matt Cain, Russell Baker
BACKGROUND: Instrument 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...
September 2016: Journal of the Canadian Chiropractic Association
Amy L Crothers, Simon D French, Jeff J Hebert, Bruce F Walker
[This corrects the article DOI: 10.1186/s12998-016-0096-9.].
2016: Chiropractic & Manual Therapies
Jeong-Hoon Lee, Dong-Kyu Lee, Jae-Seop Oh
UNLABELLED: [Purpose] Clinicians have reported the effects of various instrument assisted soft tissue mobilization (IASTM) in patients. The purpose of this study was to investigated the effects of the Graston technique and general exercise on pain and range of motion (ROM) in patients with CLBP. [Subjects and Methods] 30 patients with CLBP participated in the study (Graston technique: 15; CONTROL: 15). Before and after the 4-week intervention program, pain was assessed using a visual analog scale (VAS)...
June 2016: Journal of Physical Therapy Science
Amy L Crothers, Simon D French, Jeff J Hebert, Bruce F Walker
BACKGROUND: Few controlled trials have assessed the efficacy of spinal manipulative therapy (SMT) for thoracic spine pain. No high quality trials have been performed to test the efficacy and effectiveness of Graston Technique® (GT), an instrument-assisted soft tissue therapy. The objective of this trial was to determine the efficacy of SMT and GT compared to sham therapy for the treatment of non-specific thoracic spine pain. METHODS: People with non-specific thoracic pain were randomly allocated to one of three groups: SMT, GT, or a placebo (de-tuned ultrasound)...
2016: Chiropractic & Manual Therapies
Andrea Portillo-Soto, Lindsey E Eberman, Timothy J Demchak, Charles Peebles
OBJECTIVES: Instrument-assisted soft tissue mobilization and massage therapy are manual techniques that claim to increase blood flow to treated areas, yet no data on these techniques are available. This study sought to compare the effects of the Graston Technique(®) (GT) and massage therapy on calf blood flow, using skin temperature measures on the lower leg. DESIGN: Single-blinded prospective, longitudinal, controlled, repeated-measures design. SETTING: Research laboratory...
December 2014: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Richard G Strunk, Mark T Pfefer, Derrick Dube
OBJECTIVE: The purpose of this case report is to describe multimodal chiropractic care of a female patient diagnosed with benign joint hypermobility syndrome (BJHS) and a history of chronic spine pain. CLINICAL FEATURES: A 23-year-old white female presented for chiropractic care with chronic low back pain, neck pain, and headaches. The patient was diagnosed with BJHS, including joint hypermobility of her thumbs, elbows, right knee, and lumbopelvic region. A 6-year history of low back pain and varicose veins in her posterior thighs and knees were additional significant diagnostic findings of BJHS...
March 2014: Journal of Chiropractic Medicine
Kevin Laudner, Bryce D Compton, Todd A McLoda, Chris M Walters
BACKGROUND: Due to the repetitive rotational and distractive forces exerted onto the posterior shoulder during the deceleration phase of the overhead throwing motion, limited glenohumeral (GH) range of motion (ROM) is a common trait found among baseball players, making them prone to a wide variety of shoulder injuries. Although utilization of instrument-assisted soft tissue mobilization (IASTM), such as the Graston® Technique, has proven effective for various injuries and disorders, there is currently no empirical data regarding the effectiveness of this treatment on posterior shoulder tightness...
February 2014: International Journal of Sports Physical Therapy
Jessica L Schaefer, Michelle A Sandrey
CONTEXT: A dynamic-balance-training (DBT) program supplemented with the Graston instrument-assisted soft-tissue mobilization (GISTM) technique has not been evaluated collectively as a treatment in subjects with chronic ankle instability (CAI). OBJECTIVE: To examine the effects of GISTM in conjunction with a DBT program on outcomes associated with CAI, including pain and disability, range of motion (ROM), and dynamic postural control. DESIGN: Pretest/posttest, repeated measures...
November 2012: Journal of Sport Rehabilitation
John A Papa
OBJECTIVE: To chronicle the conservative treatment and management of a 77-year old female patient presenting with chronic pain of 8 months duration in the midportion of the achilles tendon diagnosed as achilles tendinopathy. CLINICAL FEATURES: The main clinical feature was pain in the midportion of the achilles tendon, 2 to 6 cm proximal to the calcaneal insertion. Symptom onset was gradual and unrelated to any acute trauma or overt injury mechanism. INTERVENTION AND OUTCOME: The conservative treatment approach consisted of medical acupuncture with electrical stimulation, Graston Technique®, eccentric calf training, and rehabilitative exercise prescription...
September 2012: Journal of the Canadian Chiropractic Association
John A Papa
OBJECTIVE: To chronicle the conservative treatment and management of two work-related cases of lateral elbow pain diagnosed as lateral epicondylopathy. CLINICAL FEATURES: PATIENT 1: A 48-year old female presented with gradual onset of right lateral elbow pain over the course of six weeks related to work activities of repetitive flexion/extension movements of the wrist and finger keying. PATIENT 2: A 47-year old female presented with gradual onset of left lateral elbow pain over the course of four weeks related to work activities of repetitive squeezing and gripping...
September 2012: Journal of the Canadian Chiropractic Association
Clinton J Daniels, Adam P Morrell
OBJECTIVE: The purpose of this report is to present the case of a 10-year-old football player with bilateral plantar fasciitis who improved with a multimodal conservative approach using chiropractic treatment. CLINICAL FEATURES: The patient presented with bilateral plantar heel pain at the origin of the plantar fascia with a duration of 3 weeks. INTERVENTION AND OUTCOME: Treatment was provided for 6 visits over a 6-week period. Chiropractic care consisted of manipulative therapy, soft tissue therapy, and home rehabilitation exercises...
March 2012: Journal of Chiropractic Medicine
John A Papa
OBJECTIVE: To chronicle the conservative treatment and management of a 32-year old female patient presenting with radial wrist pain of 4 months duration, diagnosed as De Quervain's stenosing tenosynovitis. CLINICAL FEATURES: The primary clinical feature is wrist pain at the radial styloid with resultant impairment of wrist, hand, and thumb function. INTERVENTION AND OUTCOME: The conservative treatment approach consisted of activity modification, Graston Technique(®), and eccentric training...
June 2012: Journal of the Canadian Chiropractic Association
John A Papa
OBJECTIVE: To chronicle the conservative treatment and management of an osteoporotic patient presenting with acute back pain resulting from a lumbar compression fracture. CLINICAL FEATURES: A 74-year old male presented with acute back pain in the thoracolumbar region after an episode of lifting. Radiographic evaluation revealed generalized demineralization and a moderate wedge compression fracture at L1. INTERVENTION AND OUTCOME: The conservative treatment approach included postural education, activity modification, interferential current, taping into extension, Graston Technique(®), and rehabilitative exercise prescription...
March 2012: Journal of the Canadian Chiropractic Association
Andrew L Miners, Tracy L Bougie
OBJECTIVE: To describe the subjective pain and functional improvements of a patient with chronic Achilles tendinopathy following a treatment plan incorporating active and passive tissue warm-up, followed respectively by soft tissue mobilization utilizing both Graston Technique(®) and Active Release Techniques(®), eccentric exercise, and static stretching in combination with cryotherapy. BACKGROUND: The primary characterization of chronic Achilles tendinopathy is gradual onset of pain and dysfunction focused in one or both Achilles tendons arising secondary to a history of repetitive use or excessive overload...
December 2011: Journal of the Canadian Chiropractic Association
Thomas J Solecki, Elizabeth M Herbst
OBJECTIVE: The purpose of this case report is to describe the chiropractic management of a patient who had postoperative reconstructive surgery for an anterior cruciate ligament (ACL) tear. CLINICAL FEATURES: A 25-year-old man experienced a rupture of his left ACL, as well as a bucket-handle tear of the medial meniscus and full-thickness tear within the posterior horn of the lateral meniscus, following direct-contact trauma while playing basketball. INTERVENTION AND OUTCOME: Postoperative care included a 12-week functional chiropractic rehabilitation program along with Active Release Technique, Graston Technique, and Kinesio Taping...
March 2011: Journal of Chiropractic Medicine
Gordon E Lawson, Laurie Y Hung, Gordon D Ko, Michelle A Laframboise
OBJECTIVE: The aim of this article is to illustrate the pectoralis minor muscle as a possible pain source in patients with anterior chest pain, especially those who are known to be beginner cross-country skiers. CLINICAL FEATURES: A 58-year-old man presented with anterior chest pain and normal cardiac examination findings. Upon history taking and physical examination, the chest pain was determined to be caused by active trigger points in the pectoralis minor muscle...
September 2011: Journal of Chiropractic Medicine
Kristin E White
OBJECTIVE: The purpose of this case report is to describe and discuss the clinical presentation, diagnosis, and management of 3 female long distance runners with high hamstring tendinopathy. CLINICAL FEATURES: Three female runners presented to a chiropractic office with proximal hamstring pain that was aggravated by running. Increasing mileage, hills, and/or interval training preceded the onset of symptoms in each case. The subjects all displayed weakness of the hip abductors, pelvic joint dysfunction, hamstring tightness, and ischial tuberosity tenderness...
June 2011: Journal of Chiropractic Medicine
Douglass W Black
Arthrofibrosis of the knee is a surgical complication that can limit range of motion, inhibit muscle activity, and decrease patient function. Optimal conservative treatment has not been well established in the literature, leaving a clinician with limited evidence for treatment planning. Described here is part of the rehabilitative course of care for a patient with arthrofibrotic limitations after a mid-substance patellar tendon repair with augmentation. Marked limitations in knee flexion range of motion and quadriceps activity were addressed using the Graston Technique to deal with soft-tissue adhesions; traditional physical therapy care was also provided...
2010: International Journal of Therapeutic Massage & Bodywork
Brian Looney, Terry Srokose, César Fernández-de-las-Peñas, Joshua A Cleland
OBJECTIVE: The purpose of this prospective case series was to describe the outcome of a set of patients with plantar fasciitis treated with Graston Instrument Soft Tissue Mobilization techniques (GT) and a home stretching program. METHODS: Ten patients with a primary report of plantar heel pain completed self-report questionnaires including the Global Rating of Change Scale (GRC), the Numeric Pain Rating Scale, and the Lower Extremity Functional Scale. Patients were treated with GT directed to the triceps surae, soleus, plantar fascia, and medial calcaneal tubercle...
February 2011: Journal of Manipulative and Physiological Therapeutics
Scott Howitt, Sarah Jung, Nicole Hammonds
OBJECTIVE: To detail the progress of a novice triathlete with an unusual mechanism of a tibialis posterior strain who underwent successful conservative treatment and rehabilitation. Tibialis posterior tendon dysfunction will be discussed as it relates to the case. CLINICAL FEATURES: The clinical features of tibialis posterior dysfunction are swelling and edema posterior to the medial malleolus with pain and an inability to weight bear. This injury may occur in endurance athletes such as triathletes, most often occurring during running...
March 2009: Journal of the Canadian Chiropractic Association
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