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J Athl Train. 2018 Feb;53(2):160-167. doi: 10.4085/1062-6050-386-16. Epub 2018 Jan 26.

Comparison of Compressive Myofascial Release and the Graston Technique for Improving Ankle-Dorsiflexion Range of Motion.

Author information

1
School of Kinesiology & Recreation, Illinois State University, Normal.
2
Stetson University, DeLand, FL.

Abstract

CONTEXT:

  Restricted dorsiflexion (DF) at the ankle joint can cause acute and chronic injuries at the ankle and knee. Myofascial release and instrument-assisted soft tissue mobilization (IASTM) techniques have been used to increase range of motion (ROM); however, evidence directly comparing their effectiveness is limited.

OBJECTIVE:

  To compare the effects of a single session of compressive myofascial release (CMR) or IASTM using the Graston Technique (GT) on closed chain ankle-DF ROM.

DESIGN:

  Randomized controlled trial.

SETTING:

  Laboratory.

PATIENTS OR OTHER PARTICIPANTS:

  Participants were 44 physically active people (53 limbs) with less than 30° of DF.

INTERVENTION(S):

  Limbs were randomly assigned to 1 of 3 groups: control, CMR, or GT. Both treatment groups received one 5-minute treatment that included scanning the area and treating specific restrictions. The control group sat for 5 minutes before measurements were retaken.

MAIN OUTCOME MEASURE(S):

  Standing and kneeling ankle DF were measured before and immediately after treatment. Change scores were calculated for both positions, and two 1-way analyses of variance were conducted.

RESULTS:

  A difference between groups was found in the standing ( F2,52 = 13.78, P = .001) and kneeling ( F2,52 = 5.85, P = .01) positions. Post hoc testing showed DF improvements in the standing position after CMR compared with the GT and control groups (both P = .001). In the kneeling position, DF improved after CMR compared with the control group ( P = .005).

CONCLUSIONS:

  Compressive myofascial release increased ankle DF after a single treatment in participants with DF ROM deficits. Clinicians should consider adding CMR as a treatment intervention for patients with DF deficits.

KEYWORDS:

manual therapy; muscle tightness; soft tissue mobilization

PMID:
29373060
PMCID:
PMC5842906
DOI:
10.4085/1062-6050-386-16
[Indexed for MEDLINE]
Free PMC Article

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