대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제9권4호
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  • Pages.455-463
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  • 2014
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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글라스톤 기법을 이용한 연부조직가동술과 자가근막이완술이 넙다리뒤근 유연성에 미치는 영향

Effects of the Graston Technique and Self-myofascial Release on the Range of Motion of a Knee Joint

  • 김도현 (국립재활원 뇌신경재활과) ;
  • 김태호 (대구대학교 물리치료학과) ;
  • 정도영 (중부대학교 물리치료학과) ;
  • 원종혁 (중부대학교 물리치료학과)
  • Kim, Do-Hyun (Department of Brain Injury Rehabilitation, National Rehabilitation Center) ;
  • Kim, Tae-Ho (Department of Physical Therapy, Dae-gu Univeristiy) ;
  • Jung, Do-Young (Department of Physical Therapy, Joongbu University) ;
  • Weon, Jong-Hyuck (Department of Physical Therapy, Joongbu University)
  • 투고 : 2014.10.09
  • 심사 : 2014.11.05
  • 발행 : 2014.11.30
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초록

PURPOSE: The purpose of this study was to compare the effects of Graston and self-myofascial release (SMR) techniques on knee joint flexibility, hamstring, and quadriceps strength. METHODS: Twenty subjects with hamstring shortness participated in this study. The subjects were assigned randomly to one of two groups: The Graston technique (GT) group received intervention using a Graston instrument for one minute, and the SMR group performed self-exercises using a foam roll for one minute. The range of motion (ROM) of the knee joint was measured by active knee extension test, and a handheld dynamometer was utilized to collect the hamstring and quadriceps muscle strength. This experiment was performed by two physical therapists. The significant level was set at ${\alpha}$=0.05. RESULTS: The results were as follows: 1) The ROM of the knee joint and quadriceps muscle strength were significantly increased in both groups. 2) Hamstring muscle strength was significantly reduced in both groups. 3) There were no significant differences between the GT group and SMR group for any variable. CONCLUSION: The results of this study suggest that SMR is an effective and easy technique for restoring proper muscle length and strength in subjects with hamstring shortness. We recommend that SMR technique be used for treat hamstring shortness in clinical setting and home-program.

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참고문헌

  1. Bandy WD, Irion JM. The effect of time on static stretch on the flexibility of the hamstring muscles. Phys Ther. 1994;74(9):845-50.
  2. 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(10):1090-6.
  3. Bohannon RW. Test-retest reliability of hand-held dynamometry during a single session of strength assessment. Phys Ther. 1986;66(2):206-9.
  4. 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. 2014(1):8-15.
  5. 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(4):279-86. https://doi.org/10.1016/j.math.2005.07.002
  6. Ettema GJ, Huijing PA. Effects of distribution of muscle fiber length on active length-force characteristics of rat gastrocnemius medialis. Anat Rec. 1994;239(4):414-20. https://doi.org/10.1002/ar.1092390408
  7. Feland JB, Myrer J, Merrill R. Acute changes in hamstring flexibility: PNF versus static stretch in senior athletes. Phys Ther Sport. 2001;2(4):186-93. https://doi.org/10.1054/ptsp.2001.0076
  8. Fisher NM, Pendergast D, Gresham G, et al. Muscle rehabilitation: its effect on muscular and functional performance of patients with knee osteoarthritis. Arch Phys Med Rehabil. 1991;72(6):367-74.
  9. Fowler S, Wilson JK, Sevier TL. Innovative approach for the treatment of cumulative trauma disorders. Work. 2000;15(1):9-14.
  10. 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(1):139-44. https://doi.org/10.1016/j.jbmt.2013.04.005
  11. Hammer WI, Pfefer MT, Treatment of a case of subacute Lumbar compartment syndrome using the Graston technique. J Manipulative Physiol Ther. 2005;28(3):199-204. https://doi.org/10.1016/j.jmpt.2005.02.010
  12. Hanten WP, Chandler SD. Effects of myofascial release leg pull and sagittal plane isometric contract-relax techniques on passive straight-leg raise angle. J Orthop Sports Phys Ther. 1994;20(3):138-44. https://doi.org/10.2519/jospt.1994.20.3.138
  13. Howitt S, Wong J, Zabukovec S. The conservative treatment of trigger thumb using graston techniques and active release techniques. J Can Chiropr Assoc. 2006;50(4):249.
  14. Janda V, Jull G. Muscles and motor control in low back pain: assessment and management. 1st Ed. Edinburgh: Churchill Livingstone, 1987.
  15. 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 90s. Phys Ther Sport. 2014;15(2):101-5. https://doi.org/10.1016/j.ptsp.2013.03.006
  16. Kain J, Martorello L, Swanson E, et al. Comparison of an indirect tri-planar myofascial release(MFR) technique and a hot pack for increasing range of motion. J Bodyw Mov Ther. 2011;15(1):63-7. https://doi.org/10.1016/j.jbmt.2009.12.002
  17. Kendall FP, McCreary EK, Provance PG, et al. Muscles, testing and function. 1st Ed. Baltimore, Lippincott Williams & Wilkins, 1983.
  18. Koulouris G, Connell D. Hamstring muscle complex: an imaging review 1. Radiographics. 2005;25(3):571-86. https://doi.org/10.1148/rg.253045711
  19. MacDonald GZ, Penney MD, Mullaley ME, et al. An acute bout of self-myofascial release increases range of motion without a subsequent decrease in muscle activation or force. The Journal of Strength & Conditioning Research. 2013;27(3):812-21. https://doi.org/10.1519/JSC.0b013e31825c2bc1
  20. Mohr A, Long B, Goad C. Foam rolling and static stretching on passive hip flexion range of motion. J Sport Rehabil. 2014;Jan 21. In Press.
  21. 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 Musculoskelet Rehabil. 2014;Jan 21. In Press.
  22. Robertson M. Self-myofascial release purpose, methods and techniques. 1st Ed. Indianapolis, IN. Robertson Training Systems. 2008.
  23. Sahrmann S. Diagnosis and treatment of movement impairment syndromes, Elsevier Health Sciences, 2002.
  24. Sherrington CS. On plastic tonus and proprioceptive reflexes. Quart J Exper Physiol. 1909;2(2):109-56. https://doi.org/10.1113/expphysiol.1909.sp000032
  25. Worrell TW, Smith TL, Winegardner J. Effect of hamstring stretching on hamstring muscle performance. J Orthop Sports Phys Ther. 1994;20(3):154-9. https://doi.org/10.2519/jospt.1994.20.3.154
  26. Zachazewski J. Improving flexibility. 1st Ed. Philadelphia: JB Lippincott. 1989.

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  2. Immediate effects of Graston Technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain vol.29, pp.2, 2017, https://doi.org/10.1589/jpts.29.224
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  5. Effects of Back Fascia Relaxation Therapy on Foot Shape of Women in their 30-60s vol.15, pp.4, 2017, https://doi.org/10.20402/ajbc.2016.0105
  6. Effect of Graston Technique on Fatigue Recovery after High-Intensity Exercise of the Quadriceps Femoris vol.13, pp.4, 2018, https://doi.org/10.13066/kspm.2018.13.4.9
  7. 도구나 수기를 이용한 연부조직 가동술이 근활성도에 미치는 영향 vol.10, pp.9, 2014, https://doi.org/10.22156/cs4smb.2020.10.09.200
  8. Short-term effect of adding Graston technique to exercise program in treatment of patients with cervicogenic headache: a single-blinded, randomized controlled trial vol.57, pp.5, 2014, https://doi.org/10.23736/s1973-9087.21.06595-3