Effect of Graston Technique on Fatigue Recovery after High-Intensity Exercise of the Quadriceps Femoris

( Ho-hee Son ) 대한물리의학회 2018 대한물리의학회지 Vol.13 No.4

PURPOSE: This study was conducted to compare the effects of the Graston-based massage method and microcurrent application on muscle fatigue after causing muscle fatigue of the quadriceps femoris by applying highintensity exercise. METHODS: Study subjects (56 healthy subjects in their 20s) were randomized into a microcurrent group (MG), Graston group (GG), and control group (CG). To induce fatigue of the quadriceps femoris, the subjects performed squats 100 times without a break within about 5 minutes. Muscle fatigue was measured immediately after performing squats and 15 minutes after intervention. To measure muscle fatigue, surface electromyogram (EMG) was used to obtain and compare the median frequency. Microcurrent or Graston massage was applied to their quadriceps muscles 15 minutes after performing the squats. RESULTS: Muscle fatigue increased significantly in the vastus lateralis before and after intervention in the Graston group (p< .05), while no significant difference was observed in the rectus femoris and vastus medialis (p >.05). There were also no significant differences in the microcurrent group or the control group. CONCLUSION: Both the microcurrent group and Graston group showed a tendency for increasing median frequency values compared to the control group, but there was no significant difference except in the vastus lateralis treated with the Graston technique. Although there was no significant difference, the Graston technique could be utilized to reduce the occurrence of DOMS by preventing muscle fatigue in clinical practice or sports medicine.

The effect of Graston technique on the pain and range of motion in patients with chronic low back pain

Lee, Jeong-Hoon,Lee, Dong-Kyu,Oh, Jae-Seop The Society of Physical Therapy Science 2016 JOURNAL OF PHYSICAL THERAPY SCIENCE Vol.28 No.6

<P>[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). Lumbar ROM was measured using a smartphone. The main effects and interaction were analyzed by two-way repeated ANOVA. [Results] A significant time-by-group interaction was observed for the VAS and ROM. A post hoc paired t-test showed that pain decreased significantly post-intervention within the Graston group. The lumbar ROM significantly increased post-intervention in both groups. [Conclusion] The Graston technique and general exercise resulted in pain relief and increased ROM. However, the Graston group showed significantly increased VAS and ROM more than control group. These findings suggest that the Graston technique can be useful as a pain decrease and ROM increase for patients with CLBP.</P>

Immediate Effect between Graston Technique and Self-Myofascial Release Technique on Calf Muscle Function and Walking of Young Adults: A Cross-Sectional Study

Hyerim Lee,Minkyoung Kwon,Jooyoung Kim,Hyunsoo Kim,Eunbin Lee,최원재 물리치료재활과학회 2023 Physical therapy rehabilitation science Vol.12 No.4

Objective: The Graston technique and self-myofascial release technique using foam roller are used to fascia release. The purposeof this study was to compare the immediate effects of the Graston technique and self-myofascial release technique using foamroller to improve calf muscle function and walking speed. Design: A cross-sectional studyMethods: Total fifty-two healthy adults participated in this study. Subjects randomly were conducted the Graston technique andself-myofascial release technique using foam roller to the right and left calf muscles for 5 minutes each. Calf muscle function was assessed by ankle dorsi flexion range of motion, and walking speed was assessed by 10m walking test on preferred walking andfast walking. Results: Both the Graston technique and self-myofascial release technique using foam roller significantly improved the ankledorsiflexion angle, viscoelastic properties of the calf muscle, and preferred walking speed (p<0.05), but there was no significantdifference in vertical jump and fast walking speed. Also, there was no significant differences between the two techniques in allvariables (p>0.05). Conclusions: This study showed that both the Graston technique and self-myofascial release technique using foam roller can affect muscle function and walking speed by relaxing the fascia of the calf muscles. Because the immediate effects are similarbetween the two interventions, the self-myofascial release technique using foam roller is recommended for economic savings.

경근 이완 기법과 그라스톤 기법이 어깨 관절 근막 통증 증후군 환자의 통증 및 기능 향상에 미치는 효과

허효령 ( Hyo-ryung Heo ),장호영 ( Ho-young Jang ),김동훈 ( Dong-hoon Kim ),김호영 ( Ho-young Kim ),이석민 ( Suk-min Lee ) 대한물리의학회 2020 대한물리의학회지 Vol.15 No.1

PURPOSE: This study examined the effects of the meridian muscle release technique on the pain and functional movement of patients with myofascial pain syndrome (MPS) of the shoulder joint. METHODS: The subjects of this study included 45 patients with MPS of the shoulder joint. The subjects were divided randomly into the following groups; the meridian muscle release technique group (n=15), the Graston technique group (n=15), and the control group (n=15). Both the meridian muscle release group and the Graston technique group received conventional therapy for 35 minutes initially and were then treated using the meridian muscle releases technique and Graston technique for 10 minutes, respectively. The control group received only conventional therapy for 35 minutes. All three groups underwent treatments three times a week for four weeks. Each subject was evaluated randomly using the VAS, PPT, SPADI and ROM both before and after treatment. RESULTS: The Graston technique group showed a significantly more substantial increase in functional movement (p<.05) than the meridian muscle release technique and control groups. The meridian muscle release technique group had significantly less pain (p<.05) compared to the Graston technique and control groups. CONCLUSION: These findings suggest that the meridian muscle release technique can be useful for decreasing pain and increasing the functional movement of patients with MPS of the shoulder joint.

PNF 이완기법과 그라스톤 접근법이 만성 뇌졸중 환자의 어깨 통증 및 상지 기능에 미치는 영향

김동훈,방현수 한국보건기초의학회 2019 한국보건기초의학회지 Vol.12 No.2

The subjects of this study were 30 chronic stroke patients. The subjects were randomly divided into two groups; a PNF relaxation technique and Graston technique group (n=15), and a conventional treatment group (n=15). The first group received the shoulder muscle holdrelax technique and the Graston technique for 30 minutes. The control group received only conventional therapy for 30 minutes. Both groups underwent treatments 3 times a week for 8 weeks. Before and after treatment each subject was randomly evaluated for VAS, PPT, JTT, and MFT. There was a significant difference (p<0.05) between before and after intervention in both groups. However the PNF/Graston technique group showed significantly more improvement compared to the conventional treatment group. In this study, we confirmed that the PNF relaxation technique combined with the Graston technique have positive effects on both the pain and the upper extremity function of chronic stroke patients.

The Effect of Graston Technique and Chuna manual therapy combined with Korean Medical Treatment for fibromyalgia: A Case Report

김명관,김현지,김혜수,정정교,전주현 대한침구의학회 2017 대한침구의학회지 Vol.31 No.1

Objectives : The purpose of this study was to report the clinical effects of the Graston Technique and Chuna manual therapy, combined with Korean Medical Treatment for fibromyalgia. Methods : We treated a patient diagnosed with fibromyalgia. We used acupuncture, the Graston Technique, Chuna manual therapy, pharmacopuncture, herbal medicine, moxibustion and physical therapy. Outcomes were evaluated using the American College of Rheumatology Preliminary Diagnostic Criteria (ACR), the Fibromyalgia Impact Questionnaire (FIQ), and the Numeric Rating Scale (NRS). Results : The widespread pain index (WPI) scale score of the ACR decreased from 12 to 9, and the symptom severity scale (SS) score of the ACR decreased from 8 to 6. The FIQ score decreased from 63.69 to 50.15. On the NRS, lower back pain & lower limb pain decreased from 6 to 2; neck pain from 6 to 3; muscle tenderness & morning stiffness from 6 to 4; fatigue from 6 to 3; urticaria from 6 to 2. Conclusion : This case study suggests that the Graston Technique and Chuna manual therapy combined with Korean Medical Treatment may be effective treatments for fibromyalgia. However, further studies are needed.

글라스톤 기법을 이용한 연부조직가동술과 자가근막이완술이 넙다리뒤근 유연성에 미치는 영향

김도현 ( Do Hyun Kim ),김태호 ( Tae Ho Kim ),정도영 ( Do Young Jung ),원종혁 ( Jong Hyuck Weon ) 대한물리의학회 2014 대한물리의학회지 Vol.9 No.4

PURPOSE: The purpose of this study was to compare the effects of Graston and self-myofascial release (SMR) techniques on knee joint flexibility, hamstring, and quadriceps strength. METHODS: Twenty subjects with hamstring shortness participated in this study. The subjects were assigned randomly to one of two groups: The Graston technique (GT) group received intervention using a Graston instrument for one minute, and the SMR group performed self-exercises using a foam roll for one minute. The range of motion (ROM) of the knee joint was measured by active knee extension test, and a handheld dynamometer was utilized to collect the hamstring and quadriceps muscle strength. This experiment was performed by two physical therapists. The significant level was set at α=0.05. RESULTS: The results were as follows: 1) The ROM of the knee joint and quadriceps muscle strength were significantly increased in both groups. 2) Hamstring muscle strength was significantly reduced in both groups. 3) There were no significant differences between the GT group and SMR group for any variable. CONCLUSION: The results of this study suggest that SMR is an effective and easy technique for restoring proper muscle length and strength in subjects with hamstring shortness. We recommend that SMR technique be used for treat hamstring shortness in clinical setting and homeprogram.

근막추나와 한방치료 및 그라스톤테크닉을 병행하여 호전된 아킬레스건염 증례보고 1례

박재홍 ( Jae Hong Park ),오은영 ( Eun Young Oh ),이흔주 ( Heun Ju Lee ),김영준 ( Young Jun Kim ),신유빈 ( You Bin Shin ) 한방재활의학과학회 2015 한방재활의학과학회지 Vol.25 No.1

The objective of this study is to report the improved case of Achilles tendinitis treated with Korean medicine, Gyeon-mak chuna and Graston Technique. The patient diagnosed with Achilles tendinitis is hospitalized at Department of Korean Rehabilitation Medicine, Samse Hospital of Korean Medicine. The subject is treated by herbal medicine, acupuncture, Gyeon-mak chuna and Graston technique. This study was measured by Visual Analogue Scale (VAS) score, walking time without pain per 6 minutes (6MWT) and American orthopaedic foot and ankle society Hind foot scale (AOFAS). The patient showed decreased VAS, AOFAS and improved 6MWT after treated with Korean medicine, Gyeon-mak chuna and Graston Technique. The patient showed reduced pain and positive effect on activities of daily living. (J Korean Med Rehab 2015;25(1):103-110)

그라스톤을 이용한 연부조직가동술이 편마비 환자의 하지 관절 가동범위, 근력, 보행 능력에 미치는 즉각적인 영향에 관한 예비 연구

최율정,심현보,이준용,Choi, Yul-jung,Sim, Hyun-po,Lee, Jun-yong 대한정형도수물리치료학회 2019 대한정형도수물리치료학회지 Vol.25 No.1

Background: The purpose of this study was to investigate the effects of Graston technique for lower extremity range of motion (ROM), muscle strength, walking ability in hemiplegia patients. Methods: Twelve subjects participated in this study. The ROM of the knee extension was measured by 90-90 straight leg raise test, the hamstring and quadriceps muscle strength was collected by utilizing a handheld dynamometer. In addition walking speed was evaluated by 10 meter walking test. The group was applied intervention using a Graston instrument for one minute. After intervention, immediate effect was assessed. The significant level was set at ${\alpha}=.05$. Results: The ROM of the knee extension, quadriceps muscle strength and walking speed were significantly increased. Hamstring muscle strength was significantly reduced. Conclusion: The results of this study suggest that Graston instrument technique has the effect of instantaneously flexibility the muscles, and the muscle applied with the technique has weakened, while the muscle of the opposite side has increased the muscle strength. In addition, the muscle flexibility and the walking speed have increased.

그라스톤을 이용한 연부조직가동술과 근에너지기법이 발목관절 가동성과 장딴지근 깃각 및 압통에 미치는 영향

한바다,심재훈,이형렬 한국신경근육물리치료학회(구 한국신경근육재활학회) 2020 한국신경근육재활학회지 Vol.10 No.1

This study aimed to identify alterations in the pennation angle of the gastrocnemius, active ankle dorsiflexion range-of-motion and pressure pain threshold in response to passive stretching(PS), instrument assisted soft tissue mobilization (IASTM) using Graston, and muscle energy technique (MET). Twenty-four people with no orthopedic or neurological diseases volunteered to participate in the study. Their both legs were allocated either the PS, IASTM, or MET groups, 16 in each. Outcome measure included the pennation angle of the gastrocnemius, active ankle dorsiflexion range-of-motion and pressure pain threshold. Intervention was a 4 repetitions of 30-sec stretch for the PS group, a 2-min sweeping the soft tissue for the IASTM, and a 8 repetitions of isometric contraction and 7-sec relaxation for the MET group. As a result of this study, pre- and post-treatment changes in the pennation angle and range-of-motion were significantly different for the three groups(p<.01). Pre- and post-treatment changes in the pressure pain threshold were significantly different for the IASTM and MET groups(p<.05). But not different for the PS groups(p>.05). There were found statistically significant differences in the active ankle dorsiflexion ROM between the PS group and the others.(p<.05). This study suggests that IASTM and MET are more recommended than PS to increase the active ankle dorsiflexion ROM effectively.