Graston instrument-assisted soft tissue mobilization (GITSM) is a tool used by therapist and chiropractors to help break up the scar tissue and replace it with fibroblast allowing for faster recoveries (Black 2010). A series of heat, GISTM, then strength and flexibility training are required (Black 2010). Numerous studies have been conducted, by certified therapist qualified in GISTM, to examine the styles and recovery periods after an injury. After going through the treatment, patients are measured by their range of motion (ROM) to see if the treatments were effective or not (Black 2010). ROM can vary depending on the region of the body that is being treated, but the overall goal of GISTM is to allow a person to get back to their regular routines they had before their injury. A study conducted by Logan College of Chiropractic shows that plantar fasciitis (foot) can be treated by GISTM on the first day of treatment (Daniels and Morrell 2012). Another study by Duke University shows that GISTM can be effective for patients after surgery that had an injury in the Patellar tendon (knee) (Black 2010). After several treatments, GISTM can, also, be used to treat a compression fracture in the lumbar (back) (Papa 2012). Each study shows the method of GISTM, the patient’s recovery period along with the methods of recovery.
Plantar fasciitis is caused from muscles and ligaments that alter the calcaneous (the big bone on hill of foot) (Daniels and Morrell 2012). The alteration of these muscles and ligaments will inflict pain and discomfort on the patient, and if not treated will cause failure of ligaments, bones, and muscles. The patient was tested with a simple squat technique that showed his heels were coming off the ground (Daniels and M...
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...). This patient, after treatment, had complete ROM and was able to get back to daily activities (Papa 2012). GISTM has shown to work on all types of injuries whether the patient had surgery or not. GISTM is becoming a well-known tool in the clinical world and is a reason for faster recovery periods (Black 2010).
Works Cited
Black D. 2010. Treatment of knee arthrofibrosis and quadriceps insufficiency after patellar tendon repair: a case report including use of the graston technique. International journal of therapeutic massage and bodywork. Volume 3, Issue 2:14-21
Daniels C, Morrell A. 2012. Chiropractic management of pediatric plantar fasciitis: a case report. Journal of chiropractic medicine. Volume 11, Issue 1:58-63,
Papa J. 2012. Conservative management of a lumbar compression fracture in an osteoporotic patient: a case report. J. Can. Chiropr. Assoc:29-39
Achilles tendinopathy and its contributing pathologies has been a heavily researched topic throughout multiple professions. Although a unified consensus and classification on the underlying pathology is yet to be reached, a shift from the term tendinitis to tendinosis has slowly been adopted, and is now believed to follow a continuum. Previous incorrect belief of an inflammatory pathophysiology has lead to the development of treatment options that are inappropriate and unsuccessful, leaving the tendon unable to adequately heal or strengthen increasing its risk of repetitive re-injury and the development of chronic Achilles tendinopathy. As a result an understanding of the pathophysiology, its effect on lower limb function and biomechanical risk factors contributing to the development of Achilles tendinopathy need to be considered when developing a rehabilitation program to coincide with new research and to address the underlying degeneration and failed healing of the tendon.
This case involved a 53 year old man who sustained a significant tear of his rotator cuff while playing baseball. He underwent surgical repair and was given a referral for physical therapy. The referral was to begin passive ROM 3 times per week for 2 weeks then initiate a supervised home program of active exercise for 2 weeks, and elastic resistance exercises for internal and external rotation every other day for a month. 2 weeks after surgery, he had his first PT visit in a sports medicine clinic that was managed by an athletic trainer (ATC).”
Over pronation of the foot happens when too much weight is transferred to the medial part (the arch) of the foot. This can often be confused with plantar fasciitis. Over pronation of the foot is normally an over use injury that is developed over time. A person that goes a long period of time with this issue is putting a great deal of stress on the ligaments in the medial aspect of the ankle and this can result in a great deal of damage to them. An excess amount of damage can be con the muscles, tendons and ligaments of the ankle. Because being over pronated pulls the foot down, damage to the knees hips and back can also be caused from not being properly aligned.
In 1973, Dr. Kenso Kase created Kinesiology Tape (KT-Tape) in order to reduce physiology effects such as pain, joint misalignment, and to further support the range of motion in muscles (Kase et al., 1998). Since then the fields of physical and alternative therapy have been using it to complement their patient’s exercise programs. This form of treatment has been found promising for sport injuries and musculoskeletal disorders, but also as treatment for side effects of cancer (Smykla, 2013). In addition, the tape’s popularity comes from the fact that it can be worn from one to four days before reapplication is needed.
Snap, crackle, pop. That is the horrific sound a baseball pitcher hears after throwing a pitch. The UCL tear used to haunt pitchers forever until 1974, when a man named Tommy John had a surgery to repair his UCL tendon and it was successful causing this surgery to transform baseball. Before his arrival, Tommy John Surgery was known as a “dead arm” injury (Tommy John Surgery). When doctors diagnose players with this injury, it’s no longer a total shock as today you are easily able to come back from this surgery as when 30 years ago, you couldn’t. In my paper I will talk about the basics of the injury, history of the UCL, ways to diagnose a UCL tear, and how to recover from Tommy John surgery along with some unbelievable facts about this distressing injury. This injury and surgery has revolutionized baseball and prolonged the careers of many great players in the MLB.
The footbed is molded for maximum comfort. When you have conditions like Plantar Fasciitis, heel spurs, or neuropathy, you have to be careful about the types of shoes you wear. RYKA customers have specifically mentioned how much the shoes have helped their foot pain and issues. You don't want to give up walking because you have foot pain, but walking can be painful and almost impossible with some conditions.
Recent trends have pointed the continuing promise and growth of massage therapy as a health care career. Applied kinesiology is the scientific study of muscular movement, physical activities and the anatomy, physiology, and mechanics of the movement of body parts. Kinesiology was first created by the American/Italian chiropractor Anthony Gil in Milano, Italy. This relatively new study has many different branches of specialized studies. Many similar goals of kinesiology are to: restore normal nerve functions, have... ...
through the Eyes of a Participant Observer." Chiropractic & Manual Therapies. Vol. 20, No. 1, 19 Jan. 2012, p. 1. EBSCOhost. 2017 October 25.
Anterior knee pain plagues the athletic community, the most common being runner’s knee or patellofemoral pain syndrome (PFPS). One point or another in an athlete’s career they have experienced this kind of pain. When comparing between male and female athletes and who has the higher chance of knee pain, female athletes have a higher prevalence than male athletes (Dolak KL). There are several different mechanisms of patellofemoral pain a few being: pes planus,an increased Q angle, weak, tight or an imbalance in the quadriceps or hip muscles. Recently in my clinic site as the spring sports such as, baseball, soccer and track and field the athlete’s perform a lot of squatting, running, and kneeling which load the patellofemoral joint. We are now starting to see several and treat several athletes with patellofemoral knee pain. Each of them experiencing the pain from a different mechanism. As an athletic trainer we want to treat not only the symptoms, but the mechanism of injury to prevent further injuries down the road. If patellofemoral pain syndrome is not properly treated it can develop into chronic diseases such as chondromalacia or arthritis, maybe eventually leading to a total knee plan. (Lee SE) Treatment while the athletes are young and symptoms aren’t severe is key to preventing further injury.
Once school was out last year, I had done something to my foot. I don’t know what happened to it, but I know a general time frame it happened in. At first, I thought it was just my foot getting used to the new summer conditioning. After about three weeks, the pain had moved towards my achilles tendon. Once that happened, I only had pain when I pointed my toes, or pushed through my toes. The pain was to a point where my coach was noticing a change in tumbling, so she had me go to a doctor to make sure everything was
Zhang Y, Wang X. (1994). 56 cases of disturbance in small articulations of the lumbar vertebrae treated by puncturing the effective points- a new system of acupunctue.Journal of Traditional Chinese Medicine, 14(2), 115-20.
The solution to this problem is located in the lab. Researchers across the country are working day in and day out to come up with a solution to accelerate the healing of soft tissues. They have come up with many solutions, from vibration therapy, to personalized rehab plans, but none of these are yielding truly significant results. I believe the solution lies at the molecular level. I believe that we can observe the healing of these soft connective tissues and learn from it. Then we can design a method from the observations to accelerate the production of the fibrils and collagen that will go on to make up the soft connective tissue. I have begun to take the beginning steps in solving this problem through my mentorship with Dr. Weinhold. Our research goals go hand in hand, which has led us to beginning research on the release of an angiogenic growth factor through a gelatin that will coat sutures. In theory, this angiogenic growth factor, once released from the crosslinking with the gelatin will stimulate the development of blood vessels around the recently repaired collagenous tissue. This, in turn, will allow the tendon/ligament to have a better oxygen supply and allow for quicker
Tendon disorders and injuries comprise 30% to 50% of all activity-related injuries; chronic degenerative tendon disorders (tendinopathy) occur frequently and are difficult to treat (Vos 144). What PRP does is release the growth factor into the degenerative tendons while intentionally inflaming your muscles and tendons, to encourage healing. In an experiment conducted by Doctor Vos and his colleagues, they examined whether a PRP injection would actually improve the outcome in chronic mid-portion Achilles tendinopathy. The control group was given a placebo while the others were given the PRP injections. At the conclusio...
In this study by Rompe et al. 8 a shockwave is generated in a handheld device then transferred to the patient using standard ultrasound gel as the coupling agent. The energy generated by the device varies greatly depending on the parameters used. In this instance, SWT was given three different times, with a week between each of the sessions. Each time a patient received treatment, 2000 pulses were delivered at a pressure of 2.5 bars. Participants in this study were divided between two different groups, and performed either eccentric loading exercises, or received SWT. The outcome measures of interest for the researchers were the subjects’ VISA-A score and whether or not they rated their achilles as worse, no difference, much improved, or fully recovered. These measures were taken at baseline and at the end of the study at 16 weeks. At 16 weeks, there was no significant difference between the ELE and SWT groups in mean VISA-A scores. The patient’s rating of the function of their achilles, however, showed significant difference. In the ELE group, only 28% of patients rated their achilles either much improved or fully recovered compared to 64% in the SWT group. This difference was statistically significant and demonstrated better recovery in the SWT group than in the ELE
in soft tissue mobilization pressure.” Medicine and Science in Sports and Exercise. April 1999: 531-5.