Research Abstract

Academy Title:TRAC Hyde 2009
Research Article: The effectiveness of Graston Technique® with and without movement using Thera-Band® exercise. (Abstract).

Thomas E. Hyde, DC, Myra K. Goldman, MSN, RN, PhD (C), Robert Topp, PhD, RN, Warren Hammer, MS, DC, Michael Schneider, DC, PhD, Greg Doerr, DC, and Richard Vincent, DC

Purpose: This was an observational cohort study involving subjects with various types of musculoskeletal pain. The main objective of this study was to compare the use of Instrument Assisted Soft Tissue Mobilization (IASTM), specifically Graston Technique® (GT) utilizing treatment in the static position versus treatment with movement using various Thera-Band® Products.

Methods: A total of 69 people participated in the study. IRB approval was requested and received. Participants were randomized to receive treatment from one of two clinicians, and further randomized to receive one of two forms of IASTM treatment (static versus movement). Each participant completed a pre and post treatment form describing their chief complaint. They also rated their pain level using a 70mm visual analogue scale (VAS). The pain scale was anchored by the terms ‘None” and “Extreme” while the scales to measure range of motion and function were anchored by the terms “None” and “Full. Data gathered included age, gender, time of day treatment was provided and specific body part treated. A brief physical examination was performed prior to the administration of IASTM taking into account any possible contraindications. Outcome measures included range of motion (ROM) and function. IASTM with movement included resistive exercises with Thera-Band resistance bands and FlexBars.

Results: Analysis of the data took place in two steps. First, comparisons between the two therapists (TH and CW) were completed to determine the effectiveness of the randomization process, and then an analysis was run to address the purpose of the study. The purpose of the study was addressed through calculating repeated measures analysis of variance (R-ANOVA) with time (prior to and following treatment), treatment variation (GTS vs. GTM) and the interaction of these two main effects as the dependent variables and the subject’s measures of pain, range of motion and function as the dependent measures. Significant main or interaction effects (p<.05) were further examined through Tukey’s least significant difference post hoc analysis. The results of this analysis indicate that Graston Technique® performed in the static condition (GTS) appears to be more effective at increasing ROM, while Graston Technique® (GTM) with movement appears to be more effective in reducing pain and improving function.

Conclusion: While both IASTM treatment with and without movement appears to be beneficial when measuring ROM, Function and Pain levels, IASTM static treatment appears more effective during the period measured to reduce pain and increase ROM while IASTM treatment with Thera-Band appears more effective in improving overall function to the area affected.

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