Comparison of the Graston Technique® With Instrument-Assisted Soft Tissue Mobilization for Increasing Dorsiflexion Range of Motion.
J Sport Rehabil
; 30(4): 587-594, 2020 Nov 25.
Article
em En
| MEDLINE
| ID: mdl-33238244
ABSTRACT
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 OTHERPARTICIPANTS:
A total of 23 physically active participants (37 limbs) with <34° of DF. Participants' limbs were randomly allocated to the GT, IASTM, or CON group. 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 OUTCOMEMEASURES:
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.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Postura
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Amplitude de Movimento Articular
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Terapia de Tecidos Moles
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Articulação do Joelho
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Articulação do Tornozelo
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article