Immediate effects of Graston Technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain
[Purpose] The purpose of this study was to analyze the effect of Graston Technique on hamstring extensibility and pain intensity in patients with nonspecific low back pain. [Subjects and Methods] Twenty-four patients with nonspecific low back pain (27–46 years of age) enrolled in the study. All part...
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| Published in | Journal of Physical Therapy Science Vol. 29; no. 2; pp. 224 - 227 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
01.02.2017
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 2187-5626 |
| DOI | 10.1589/jpts.29.224 |
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| Abstract | [Purpose] The purpose of this study was to analyze the effect of Graston Technique on hamstring extensibility and pain intensity in patients with nonspecific low back pain. [Subjects and Methods] Twenty-four patients with nonspecific low back pain (27–46 years of age) enrolled in the study. All participants were randomly assigned to one of two groups: Graston technique group (n=12) and a static stretching group (n=12). The Graston Technique was used on the hamstring muscles of the experimental group, while the static stretching group performed static stretching. Hamstring extensibility was recorded using the sit and reach test, and a visual analog scale was used to measure pain intensity. [Results] Both groups showed a significant improvement after intervention. In comparison to the static stretching group, the Graston technique group had significantly more improvement in hamstring extensibility. [Conclusion] The Graston Technique is a simple and effective intervention in nonspecific low back pain patients to improve hamstring extensibility and lower pain intensity, and it would be beneficial in clinical practice. |
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| AbstractList | [Purpose] The purpose of this study was to analyze the effect of Graston Technique on hamstring extensibility and pain intensity in patients with nonspecific low back pain. [Subjects and Methods] Twenty-four patients with nonspecific low back pain (27-46 years of age) enrolled in the study. All participants were randomly assigned to one of two groups: Graston technique group (n=12) and a static stretching group (n=12). The Graston Technique was used on the hamstring muscles of the experimental group, while the static stretching group performed static stretching. Hamstring extensibility was recorded using the sit and reach test, and a visual analog scale was used to measure pain intensity. [Results] Both groups showed a significant improvement after intervention. In comparison to the static stretching group, the Graston technique group had significantly more improvement in hamstring extensibility. [Conclusion] The Graston Technique is a simple and effective intervention in nonspecific low back pain patients to improve hamstring extensibility and lower pain intensity, and it would be beneficial in clinical practice. Purpose: The purpose of this study was to analyze the effect of Graston Technique on hamstring extensibility and pain intensity in patients with nonspecific low back pain. Subjects and Methods: Twenty-four patients with nonspecific low back pain (27-46 years of age) enrolled in the study. All participants were randomly assigned to one of two groups: Graston technique group (n=12) and a static stretching group (n=12). The Graston Technique was used on the hamstring muscles of the experimental group, while the static stretching group performed static stretching. Hamstring extensibility was recorded using the sit and reach test, and a visual analog scale was used to measure pain intensity. Results: Both groups showed a significant improvement after intervention. In comparison to the static stretching group, the Graston technique group had significantly more improvement in hamstring extensibility. Conclusion: The Graston Technique is a simple and effective intervention in nonspecific low back pain patients to improve hamstring extensibility and lower pain intensity, and it would be beneficial in clinical practice. [Purpose] The purpose of this study was to analyze the effect of Graston Technique on hamstring extensibility and pain intensity in patients with nonspecific low back pain. [Subjects and Methods] Twenty-four patients with nonspecific low back pain (27–46 years of age) enrolled in the study. All participants were randomly assigned to one of two groups: Graston technique group (n=12) and a static stretching group (n=12). The Graston Technique was used on the hamstring muscles of the experimental group, while the static stretching group performed static stretching. Hamstring extensibility was recorded using the sit and reach test, and a visual analog scale was used to measure pain intensity. [Results] Both groups showed a significant improvement after intervention. In comparison to the static stretching group, the Graston technique group had significantly more improvement in hamstring extensibility. [Conclusion] The Graston Technique is a simple and effective intervention in nonspecific low back pain patients to improve hamstring extensibility and lower pain intensity, and it would be beneficial in clinical practice. [Purpose] The purpose of this study was to analyze the effect of Graston Technique on hamstring extensibility and pain intensity in patients with nonspecific low back pain. [Subjects and Methods] Twenty-four patients with nonspecific low back pain (27-46 years of age) enrolled in the study. All participants were randomly assigned to one of two groups: Graston technique group (n=12) and a static stretching group (n=12). The Graston Technique was used on the hamstring muscles of the experimental group, while the static stretching group performed static stretching. Hamstring extensibility was recorded using the sit and reach test, and a visual analog scale was used to measure pain intensity. [Results] Both groups showed a significant improvement after intervention. In comparison to the static stretching group, the Graston technique group had significantly more improvement in hamstring extensibility. [Conclusion] The Graston Technique is a simple and effective intervention in nonspecific low back pain patients to improve hamstring extensibility and lower pain intensity, and it would be beneficial in clinical practice.[Purpose] The purpose of this study was to analyze the effect of Graston Technique on hamstring extensibility and pain intensity in patients with nonspecific low back pain. [Subjects and Methods] Twenty-four patients with nonspecific low back pain (27-46 years of age) enrolled in the study. All participants were randomly assigned to one of two groups: Graston technique group (n=12) and a static stretching group (n=12). The Graston Technique was used on the hamstring muscles of the experimental group, while the static stretching group performed static stretching. Hamstring extensibility was recorded using the sit and reach test, and a visual analog scale was used to measure pain intensity. [Results] Both groups showed a significant improvement after intervention. In comparison to the static stretching group, the Graston technique group had significantly more improvement in hamstring extensibility. [Conclusion] The Graston Technique is a simple and effective intervention in nonspecific low back pain patients to improve hamstring extensibility and lower pain intensity, and it would be beneficial in clinical practice. |
| Author | Cho, Hwi-Young Moon, Jong Hoon Jung, Jin-Hwa Won, Young Sik |
| Author_xml | – sequence: 1 fullname: Won, Young Sik organization: Department of Occupational Therapy, Shinsung University: 1 Daehak-ro, Jeongmi-myon, Danjin-si, Chungchengnam-do 343-861, Republic of Korea – sequence: 1 fullname: Cho, Hwi-Young organization: Department of Physical Therapy, Gachon University: 191 Hambangmoe-ro, Yeonsu-gu, Incheon 406-799, Republic of Korea – sequence: 1 fullname: Jung, Jin-Hwa organization: Department of Occupational Therapy, Semyung University, Republic of Korea – sequence: 1 fullname: Moon, Jong Hoon organization: Department of Occupational Therapy, Graduate School, Gachon University, Republic of Korea |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28265144$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.jsams.2006.10.003 10.1016/j.jbmt.2013.04.005 10.1093/ptj/77.10.1090 10.1007/s00586-006-1070-3 10.1155/2014/127471 10.1016/j.jmpt.2005.02.010 10.1093/ptj/74.9.845 10.1148/rg.253045711 10.3233/BMR-140490 10.1097/00007632-199612150-00003 10.1053/apmr.2001.19786 10.1016/j.ptsp.2013.03.006 10.1097/00005768-199904000-00006 10.13066/kspm.2014.9.4.455 10.1016/j.math.2005.07.002 10.1093/rheumatology/16.4.257 10.1097/00007632-199206000-00001 |
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| References | 2) Deyo RA, Phillips WR: Low back pain. A primary care challenge. Spine, 1996, 21: 2826–2832. 1) Waddell G, Somerville D, Henderson I, et al.: Objective clinical evaluation of physical impairment in chronic low back pain. Spine, 1992, 17: 617–628. 7) Miñarro PA, Andújar PS, García PL, et al.: A comparison of the spine posture among several sit-and-reach test protocols. J Sci Med Sport, 2007, 10: 456–462. 12) Gehlsen GM, Ganion LR, Helfst R: Fibroblast responses to variation in soft tissue mobilization pressure. Med Sci Sports Exerc, 1999, 31: 531–535. 15) Hammer WI, Pfefer MT: Treatment of a case of subacute lumbar compartment syndrome using the Graston technique. J Manipulative Physiol Ther, 2005, 28: 199–204. 14) Olaf E, Jern H: Autostretching: the complete manual of specific stretching, 2nd ed. Sweden: Alfta rehab forlag, 2001. 13) Scott PJ, Huskisson EC: Measurement of functional capacity with visual analogue scales. Rheumatol Rehabil, 1977, 16: 257–259. 6) Radwan A, Bigney KA, Buonomo HN, et al.: Evaluation of intra-subject difference in hamstring flexibility in patients with low back pain: an exploratory study. J Back Musculoskeletal Rehabil, 2014. 9) Forman J, Geertsen L, Rogers ME: Effect of deep stripping massage alone or with eccentric resistance on hamstring length and strength. J Bodyw Mov Ther, 2014, 18: 139–144. 16) Cleland JA, Childs JD, Palmer JA, et al.: Slump stretching in the management of non-radicular low back pain: a pilot clinical trial. Man Ther, 2006, 11: 279–286. 3) Burton AK, Balagué F, Cardon G, et al. COST B13 Working Group on Guidelines for Prevention in Low Back Pain: Chapter 2. European guidelines for prevention in low back pain: November 2004. Eur Spine J, 2006, 15: S136–S168. 10) Johnson AW, Mitchell UH, Meek K, et al.: Hamstring flexibility increases the same with 3 or 9 repetitions of stretching held for a total time of 90 s. Phys Ther Sport, 2014, 15: 101–105. 8) Castellote-Caballero Y, Valenza MC, Puentedura EJ, et al.: Immediate effects of neurodynamic sliding versus muscle stretching on hamstring flexibility in subjects with short hamstring syndrome. J Sports Med Hindawi Publ Corp, 2014, 2014: 127471. 5) Koulouris G, Connell D: Hamstring muscle complex: an imaging review. Radiographics, 2005, 25: 571–586. 18) Bandy WD, Irion JM, Briggler M: The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Ther, 1997, 77: 1090–1096. 17) Bandy WD, Irion JM: The effect of time on static stretch on the flexibility of the hamstring muscles. Phys Ther, 1994, 74: 845–850, discussion 850–852. 4) Halbertsma JP, Göeken LN, Hof AL, et al.: Extensibility and stiffness of the hamstrings in patients with nonspecific low back pain. Arch Phys Med Rehabil, 2001, 82: 232–238. 11) Kim DH, Kim TH, Jung DY, et al.: Effects of the Graston technique and self-myofascial release on the range of motion of a knee joint. Korean Soc Physic Med, 2014, 9: 455–463. 11 12 13 14 15 16 17 18 1 2 3 4 5 6 7 8 9 10 23896197 - Phys Ther Sport. 2014 May;15(2):101-5 24968796 - J Back Musculoskelet Rehabil. 2014 Jun 24;:null 9112706 - Spine (Phila Pa 1976). 1996 Dec 15;21(24):2826-32 15855909 - J Manipulative Physiol Ther. 2005 Mar-Apr;28(3):199-204 10211847 - Med Sci Sports Exerc. 1999 Apr;31(4):531-5 9327823 - Phys Ther. 1997 Oct;77(10):1090-6 8066111 - Phys Ther. 1994 Sep;74(9):845-50; discussion 850-2 26464889 - J Sports Med (Hindawi Publ Corp). 2014;2014:127471 1308095 - Spine (Phila Pa 1976). 1992 Jun;17(6):617-28 24411162 - J Bodyw Mov Ther. 2014 Jan;18(1):139-44 16380286 - Man Ther. 2006 Nov;11(4):279-86 11239316 - Arch Phys Med Rehabil. 2001 Feb;82(2):232-8 414343 - Rheumatol Rehabil. 1977 Nov;16(4):257-9 17298887 - J Sci Med Sport. 2007 Dec;10(6):456-62 16550446 - Eur Spine J. 2006 Mar;15 Suppl 2:S136-68 15888610 - Radiographics. 2005 May-Jun;25(3):571-86 |
| References_xml | – reference: 10) Johnson AW, Mitchell UH, Meek K, et al.: Hamstring flexibility increases the same with 3 or 9 repetitions of stretching held for a total time of 90 s. Phys Ther Sport, 2014, 15: 101–105. – reference: 18) Bandy WD, Irion JM, Briggler M: The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Ther, 1997, 77: 1090–1096. – reference: 6) Radwan A, Bigney KA, Buonomo HN, et al.: Evaluation of intra-subject difference in hamstring flexibility in patients with low back pain: an exploratory study. J Back Musculoskeletal Rehabil, 2014. – reference: 14) Olaf E, Jern H: Autostretching: the complete manual of specific stretching, 2nd ed. Sweden: Alfta rehab forlag, 2001. – reference: 5) Koulouris G, Connell D: Hamstring muscle complex: an imaging review. Radiographics, 2005, 25: 571–586. – reference: 16) Cleland JA, Childs JD, Palmer JA, et al.: Slump stretching in the management of non-radicular low back pain: a pilot clinical trial. Man Ther, 2006, 11: 279–286. – reference: 3) Burton AK, Balagué F, Cardon G, et al. COST B13 Working Group on Guidelines for Prevention in Low Back Pain: Chapter 2. European guidelines for prevention in low back pain: November 2004. Eur Spine J, 2006, 15: S136–S168. – reference: 15) Hammer WI, Pfefer MT: Treatment of a case of subacute lumbar compartment syndrome using the Graston technique. J Manipulative Physiol Ther, 2005, 28: 199–204. – reference: 11) Kim DH, Kim TH, Jung DY, et al.: Effects of the Graston technique and self-myofascial release on the range of motion of a knee joint. Korean Soc Physic Med, 2014, 9: 455–463. – reference: 4) Halbertsma JP, Göeken LN, Hof AL, et al.: Extensibility and stiffness of the hamstrings in patients with nonspecific low back pain. Arch Phys Med Rehabil, 2001, 82: 232–238. – reference: 13) Scott PJ, Huskisson EC: Measurement of functional capacity with visual analogue scales. Rheumatol Rehabil, 1977, 16: 257–259. – reference: 9) Forman J, Geertsen L, Rogers ME: Effect of deep stripping massage alone or with eccentric resistance on hamstring length and strength. J Bodyw Mov Ther, 2014, 18: 139–144. – reference: 7) Miñarro PA, Andújar PS, García PL, et al.: A comparison of the spine posture among several sit-and-reach test protocols. J Sci Med Sport, 2007, 10: 456–462. – reference: 12) Gehlsen GM, Ganion LR, Helfst R: Fibroblast responses to variation in soft tissue mobilization pressure. Med Sci Sports Exerc, 1999, 31: 531–535. – reference: 17) Bandy WD, Irion JM: The effect of time on static stretch on the flexibility of the hamstring muscles. Phys Ther, 1994, 74: 845–850, discussion 850–852. – reference: 8) Castellote-Caballero Y, Valenza MC, Puentedura EJ, et al.: Immediate effects of neurodynamic sliding versus muscle stretching on hamstring flexibility in subjects with short hamstring syndrome. J Sports Med Hindawi Publ Corp, 2014, 2014: 127471. – reference: 2) Deyo RA, Phillips WR: Low back pain. A primary care challenge. Spine, 1996, 21: 2826–2832. – reference: 1) Waddell G, Somerville D, Henderson I, et al.: Objective clinical evaluation of physical impairment in chronic low back pain. Spine, 1992, 17: 617–628. – ident: 7 doi: 10.1016/j.jsams.2006.10.003 – ident: 9 doi: 10.1016/j.jbmt.2013.04.005 – ident: 18 doi: 10.1093/ptj/77.10.1090 – ident: 3 doi: 10.1007/s00586-006-1070-3 – ident: 8 doi: 10.1155/2014/127471 – ident: 15 doi: 10.1016/j.jmpt.2005.02.010 – ident: 17 doi: 10.1093/ptj/74.9.845 – ident: 5 doi: 10.1148/rg.253045711 – ident: 6 doi: 10.3233/BMR-140490 – ident: 2 doi: 10.1097/00007632-199612150-00003 – ident: 4 doi: 10.1053/apmr.2001.19786 – ident: 10 doi: 10.1016/j.ptsp.2013.03.006 – ident: 14 – ident: 12 doi: 10.1097/00005768-199904000-00006 – ident: 11 doi: 10.13066/kspm.2014.9.4.455 – ident: 16 doi: 10.1016/j.math.2005.07.002 – ident: 13 doi: 10.1093/rheumatology/16.4.257 – ident: 1 doi: 10.1097/00007632-199206000-00001 – reference: 23896197 - Phys Ther Sport. 2014 May;15(2):101-5 – reference: 1308095 - Spine (Phila Pa 1976). 1992 Jun;17(6):617-28 – reference: 11239316 - Arch Phys Med Rehabil. 2001 Feb;82(2):232-8 – reference: 26464889 - J Sports Med (Hindawi Publ Corp). 2014;2014:127471 – reference: 9327823 - Phys Ther. 1997 Oct;77(10):1090-6 – reference: 10211847 - Med Sci Sports Exerc. 1999 Apr;31(4):531-5 – reference: 16380286 - Man Ther. 2006 Nov;11(4):279-86 – reference: 15888610 - Radiographics. 2005 May-Jun;25(3):571-86 – reference: 24411162 - J Bodyw Mov Ther. 2014 Jan;18(1):139-44 – reference: 17298887 - J Sci Med Sport. 2007 Dec;10(6):456-62 – reference: 8066111 - Phys Ther. 1994 Sep;74(9):845-50; discussion 850-2 – reference: 9112706 - Spine (Phila Pa 1976). 1996 Dec 15;21(24):2826-32 – reference: 16550446 - Eur Spine J. 2006 Mar;15 Suppl 2:S136-68 – reference: 24968796 - J Back Musculoskelet Rehabil. 2014 Jun 24;:null – reference: 414343 - Rheumatol Rehabil. 1977 Nov;16(4):257-9 – reference: 15855909 - J Manipulative Physiol Ther. 2005 Mar-Apr;28(3):199-204 |
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| SubjectTerms | Graston Technique Hamstring Nonspecific low back pain Original |
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| Title | Immediate effects of Graston Technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain |
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