Graston Technique Research Articles

CSM 2010 Orthopaedic Section Platform Presentations (Abstracts OPL1-OPL67)

CSM 2010 Orthopaedic Section Platform Presentations (Abstracts OPL1-OPL67)

Spinal manipulative therapy versus Graston Technique in the treatment of non-specific thoracic spine pain: Design of a randomised controlled trial

BackgroundThe one year prevalence of thoracic back pain has been estimated as 17% compared to 64% for neck pain and 67% for low back pain. At present only one randomised controlled trial has been performed assessing the efficacy of spinal manipulative therapy (SMT) for thoracic spine pain. In addition no high quality trials have been performed to test the efficacy and effectiveness of Graston Technique® (GT), a soft tissue massage therapy using hand-held stainless steel instruments. The objective of this trial is to determine the efficacy of SMT and GT compared to a placebo for the treatment of non specific thoracic spine pain.MethodsEighty four eligible people with non specific thoracic pain mid back pain of six weeks or more will be randomised to one of three groups, either SMT, GT, or a placebo (de-tuned ultrasound). Each group will receive up to 10 supervised treatment sessions at the Murdoch University Chiropractic student clinic over a 4-week period. Treatment outcomes will be measured at baseline, one week after their first treatment, upon completion of the 4-week intervention period and at three, six and twelve months post randomisation. Outcome measures will include the Oswestry Back Pain Disability Index and the Visual Analogue Scale (VAS). Intention to treat analysis will be utilised in the statistical analysis of any group treatment effects.Trial RegistrationThis trial was registered with the Australia and New Zealand Clinical Trials Registry on the 7th February 2008. Trial number: ACTRN12608000070336

The effect of mechanical load on degenerated soft tissue

To present a form of therapeutic mechanical load, Graston Technique (GT)-an instrument-assisted soft tissue mobilization method) in three case studies including supraspinatus tendinosis, Achilles tendinosis, and plantar fasciosis. In each case study, case history and functional testing confirmed the presence of a condition characterized by degenerated soft tissue. Each condition was treated according to the GT protocol. GT is a patented form of treatment using stainless steel instruments designed with a unique curvilinear treatment edge, contoured to fit various shapes of the body. The GT method of load deformation to soft tissue resulted in the elimination of pain and normalization of the positive functional tests that revealed the conditions of supraspinatus tendinosis, Achilles tendinosis, and plantar fasciosis. This method of mechanical deformation load on soft tissue lesions is unique for its ability to both detect and treat areas of degenerated tissue. It deserves further consideration for basic research.

Conservative Treatment of a Female Collegiate Volleyball Player with Costochondritis

Objective This study was conducted to discuss the conservative care used to treat a female collegiate volleyball player with acute costochondritis. Clinical Features A 21-year-old collegiate volleyball player had right anterior chest pain and midthoracic stiffness of 8 months duration. Intervention and Outcome High-velocity, low-amplitude manipulation was performed to the associated hypokinetic costovertebral, costotransverse, and intervertebral zygapophyseal thoracic joints. Instrument-assisted soft tissue mobilization was performed by using the Graston technique. Pain levels improved on numeric pain scale, as did functional status identified on Dallas Pain Questionnaire and Functional Rating Index. Conclusion This athlete seemed to respond positively to manipulation, soft tissue mobilization, and taping.

Treatment of a Case of Subacute Lumbar Compartment Syndrome Using the Graston Technique

To discuss subacute lumbar compartment syndrome and its treatment using a soft tissue mobilization technique. A patient presented with low back pain related to exercise combined with prolonged flexion posture. The symptoms were relieved with rest and lumbar extension. The patient had restrictive lumbar fascia in flexion and rotation and no neurological deficits. The restrictive lumbar posterior fascial layers and adjoining restrictive fascia (thoracic, gluteal, hamstring) were treated with a form of instrument-assisted soft tissue mobilization called the Graston technique. Restoration of fascial extensibility and resolution of the complaint occurred after 6 treatment visits. The posterior spinal fascial compartments may be responsible for intermittent lower back pain. Functional clinical tests can be employed to determine whether the involved fascia is abnormally restrictive. Treatment directed at the restrictive fascia using this soft tissue technique may result in improved fascial functional testing and reduction of symptoms.