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The Effect of the Graston Technique on Talocrural Range of Motion

Kohn, Mallory

Abstract Details

2015, MS, University of Cincinnati, Education, Criminal Justice, and Human Services: Health Education.
Context: Many clinicians perform a variety of manual therapy techniques to increase range of motion. The Graston Technique (GT) is a less commonly used instrument assisted soft tissue mobilization (IASTM) technique, but assumed to increase range of motion. Objective: The purpose of this study was to determine the effect the Graston Technique has on dorsiflexion (DF) at the talocrural joint of the ankle. Design: A randomized control trial. Patients or Other Participants: Fifty healthy Division 1 NCAA track and field athletes, male (n=21, ht 183.79cm ± 6.09cm, wt 77.52kg ± 9.98kg) and female (n= 29, ht 171.19cm ± 6.35cm, wt 67.47kg ± 14.24kg), with the average age 20 ± 1.3 volunteered for this study. Intervention: Participants were randomly selected to one of three treatment groups: Graston Treatment group with stretching (GT), a Traditional stretching exercise group (TS) and a traditional control group (C). Treatments were on the individual’s right leg for 10 minute sessions, done twice a week over a course of three weeks for a total of 6 treatments. Main Outcome Measures: The primary dependent variables were active ankle dorsiflexion non-weight bearing degrees of motion at the talocrural joint (NWt-DF), close kinetic chain weight-bearing knee to wall measures in degrees of ankle dorsi-flexion at the talocrural joint (Wt-DF) and the knee to wall distance of the foot to the wall in centimeters (F-cm). Results: The change score for Wt-DF and F-cm was significantly greater by nearly 2 and 8% respectively in the GT when compared to the TS group, (p< .05) at post-intervention, which supports the hypothesis that the Graston Therapy would have an added effect on talocrural joint dorsiflexion ROM. Conclusions: A GT protocol of IASTM and endurance active ROM has better effect than a traditional stretching program for improving talocrural dorsiflexion ROM in healthy subjects. GT or IASTM provides additional mobility of fascia that stretching cannot achieve and improves range of motion more significantly, particularly when weight bearing. Key Words: Graston Technique, myofacial release, manual therapy, fascia.
Bradley Wilson, Ph.D. (Committee Chair)
Amy Bernard, Ph.D. (Committee Member)
Thomas Palmer, Ph.D. (Committee Member)
28 p.

Recommended Citations

Citations

  • Kohn, M. (2015). The Effect of the Graston Technique on Talocrural Range of Motion [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1428048373

    APA Style (7th edition)

  • Kohn, Mallory. The Effect of the Graston Technique on Talocrural Range of Motion. 2015. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1428048373.

    MLA Style (8th edition)

  • Kohn, Mallory. "The Effect of the Graston Technique on Talocrural Range of Motion." Master's thesis, University of Cincinnati, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1428048373

    Chicago Manual of Style (17th edition)