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

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