Benefits of Integrating the Graston Technique with Conventional Physical Therapy By: Heather Stewart, PT, MSPT
The Graston Technique is an evidence-based method of instrument assisted soft tissue
mobilization (IASTM) that is combined with rehabilitative exercises to improve musculoskeletal
function. It has gained popularity in recent years as a complementary approach to physical
therapy. This method utilizes 6 specialized stainless-steel instruments to perform unique
treatment strokes and assessments. Immobilization and trauma can cause many negative effects
on connective tissue including breakdown of collegen synthesis, irregular laying down of
collagen, weak ligaments and tendons and altered sensory imput. Other types of injuries
benefiting from this treatment include plantar fasciitis, tendonitis, scar tissue restrictions,
swelling management, and ligamentous damage/strains. When combined with traditional
physical therapy, the Graston Technique offers benefits that contribute to enhanced patient
outcomes.
The Graston Technique was originally developed by David Graston in the early 1990s. Graston
was an athlete and accident victim who experienced the benefits of instrument assisted soft tissue
mobilization during his own rehabilitation. He collaborated with a team of healthcare
professionals and engineers to create specialized stainless-steel instruments designed for soft
tissue manipulation. Since then, much research has been performed on the benefits of the
Graston Treatment which include:
1. Improved Soft Tissue Healing: The Graston Technique employs specialized instruments
to detect and break down scar tissue and fascial restrictions. By doing so, it stimulates the
healing process and promotes the regeneration of healthier soft tissues. Muscle
contusions heal with scar tissue made of dense irregular connective tissue which is less
extensible. The Graston Technique activates the tissue alignment in the direction of
stress creating more organized and aligned connective tissue. This can be particularly
beneficial for patients recovering from injuries or surgeries.
2. Enhanced Range of Motion: The precise application of Graston instruments allows
therapists to target specific areas of restriction and adhesions. This can result in improved
flexibility and range of motion, making it an effective tool for addressing issues like joint
stiffness or muscle tightness.
3. Pain Reduction: Combining Graston Technique with physical therapy has been shown to
help alleviate pain associated with various conditions, such as tendinitis, carpal tunnel
syndrome, and plantar fasciitis. The therapy works by breaking down adhesions and
reducing inflammation, contributing to pain relief. The typical treatment session last 10
minutes or less. Research shows 4 to 12 treatment sessions provide the most benefit of
use.
4. Faster Recovery from Injuries: For individuals recovering from sports injuries or trauma,
the Graston Technique can expedite the rehabilitation process. By targeting and resolving
soft tissue restrictions, it aids in restoring normal function and accelerating recovery
timelines.
5. Complements Exercise Programs: Integrating Graston Technique with physical therapy
exercises enhances the overall effectiveness of rehabilitation programs. The soft tissue
mobilization helps prepare the body for therapeutic exercises, ensuring that patients can
perform exercises with greater ease and effectiveness.
6. Patient Satisfaction: Many patients report a positive experience with the Graston
Technique. They can feel the abnormal tissue texture as the clinician does, often
described as a “grittiness” or “little speed bumps”. This patient satisfaction can enhance
adherence to treatment plans and contribute to better long-term outcomes.
Conclusion: The targeted integration of the Graston Technique with traditional physical therapy
provides a holistic approach to musculoskeletal rehabilitation. The soft tissue mobilization can
strengthen tissues by increasing the tensile forces in the tissue. It also can create controlled
microtrauma to reset the inflammatory cascade and facilitate edema reduction, desensitize and
increase proprioception. At Advanced Rehabilitation, Heather Stewart, PT, MSPT is a Graston
Technique provider. By targeting soft tissue restrictions and promoting healing, she can provide
a range of benefits, including increased range of motion, pain reduction, and faster recovery from
injuries. As with any medical intervention, it’s crucial to approach the technique with a
personalized perspective and consider individual health conditions. Talk to us at Advanced
Rehabiliation or consult with your healthcare professionals to determine the most suitable
treatment plan based on your needs and conditions.
References:
1. Gehlsen G, Ganion L, Helfst R. “Fibroblast response to Variation in STM pressure”
Medicine and Science in Sports and Exercise 31.4 (2009) p506-514.
2. Research Report. “Instrument-Assisted Cross- Fiber Massage Accelerates Knee
Ligament Healing”. July 1, 2009. JOSPT. Vol 39, Issue 7. p506-514
https://www.jospt.org/doi/10.2519/jospt.2009.2997