Klinik Araştırma
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The Immediate Effect of Graston Technique on Ankle Range of Motion and Vertical Jump Performance in Athletes

Yıl 2025, , 223 - 228, 15.01.2025
https://doi.org/10.37990/medr.1543935

Öz

Aim: A limited number of studies have demonstrated the effects of Graston and static stretching on different muscle groups and sports performance. The study aimed to investigate the immediate effect of the Graston technique on vertical jump performance and ankle range of motion in athletes.
Material and Method: A quasi-experimental study included 30 participants aged 18-40 among active, licensed basketball players between January 2023 and May 2023. The 30 participants were divided into a graston group (n=15) and a static stretching group (n=15). A vertical jump test was performed for performance after the ankle joint range of motion was measured with a goniometer. Behind the first assessment session, a Graston or static stretching was applied to the groups. Thereafter, the vertical jump performance and goniometer measurement was repeated.
Results: Graston and static stretching had similar results in vertical jump performance (p<0.05). Graston on the gastrocnemius, soleus muscles and Achilles tendon was superior to static stretching, particularly in left foot dorsiflexion (p<0.05).
Conclusion: Graston application can be preferred to increase vertical jumping and ankle range of motion performance in athletes with similar and superior effects to static stretching. Including Graston and static stretching in the rehabilitation protocols can provide an effective range of motion and jumping performance.

Etik Beyan

The study was carried out in accordance with the ethical principles and the Helsinki Declaration. Written informed consents of the patients were obtained. The study protocol was approved by the ethics committee of Muğla Sıtkı Koçman University (No: 141).

Destekleyen Kurum

None

Teşekkür

None

Kaynakça

  • Terada M, Pietrosimone BG, Gribble PA. Therapeutic interventions for increasing ankle dorsiflexion after ankle sprain: a systematic review. J Athl Train. 2013;48:696-709.
  • Haines M, Murray AM, Glaviano NR, et al. Restricting ankle dorsiflexion does not mitigate the benefits of external focus of attention on landing biomechanics in healthy females. Human Movement Science. 2020;74:102719.
  • Shashua A, Flechter S, Avidan L, et al. The effect of additional ankle and midfoot mobilizations on plantar fasciitis: a randomized controlled trial. J Orthop Sports Phys Ther. 2015;45:265-72.
  • Kim D-H, Kim T-H, Jung D-Y, Weon J-H. Effects of the Graston technique and self-myofascial release on the range of motion of a knee joint. J Korean Soc Phys Med. 2014;9:455-63.
  • Behm DG, Kay AD, Trajano GS, Blazevich AJ. Mechanisms underlying performance impairments following prolonged static stretching without a comprehensive warm-up. Eur J Appl Physiol. 2021;121:67-94.
  • Morse CI, Degens H, Seynnes OR, et al. The acute effect of stretching on the passive stiffness of the human gastrocnemius muscle tendon unit. J Physiol. 2008;586:97-106.
  • Behm DG, Blazevich AJ, Kay AD, McHugh M. Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review. Appl Physiol Nutr Metab. 2016;41:1-11.
  • Costa PB, Graves BS, Whitehurst M, Jacobs PL. The acute effects of different durations of static stretching on dynamic balance performance. J Strength Cond Res. 2009;23:141-7.
  • Coratella G, Longo S, Rampichini S, et al. Passive stretching decreases muscle efficiency in balance tasks. Plos One. 2021;16:e0256656.
  • Perez-Gomez J, Calbet J. Training methods to improve vertical jump performance. J Sports Med Phys Fitness. 2013;53:339-57.
  • Çankaya C, Arabacı R, Kurt E, et al. Examining the effects of the pliometric (jump squat) exercise on vertical jump in female volleyball players. European Journal of Physical Education and Sport Science. 2018;5:115-24.
  • Chtourou H, Aloui A, Hammouda O, et al. Effect of static and dynamic stretching on the diurnal variations of jump performance in soccer players. PloS One. 2013;8:e70534.
  • Black DW. Treatment of knee arthrofibrosis and quadriceps insufficiency after patellar tendon repair: a case report including use of the graston technique. Int J Ther Massage Bodywork. 2010;3:14-21.
  • Ikeda N, Otsuka S, Kawanishi Y, Kawakami Y. Effects of instrument-assisted soft tissue mobilization on musculoskeletal properties. Med Sci Sports Exerc. 2019;51:2166-72. Erratum in: Med Sci Sports Exerc. 2020;52:524.
  • Klavora P. Vertical-jump tests: a critical review. Strength & Conditioning Journal. 2000;22:70.
  • Konor MM, Morton S, Eckerson JM, Grindstaff TL. Reliability of three measures of ankle dorsiflexion range of motion. Int J Sports Phys Ther. 2012;7:279-87.
  • Lee J-H, Lee D-K, Oh J-S. The effect of Graston technique on the pain and range of motion in patients with chronic low back pain. J Phys Ther Sci. 2016;28:1852-5.
  • Lempke L, Wilkinson R, Murray C, Stanek J. The effectiveness of PNF versus static stretching on increasing hip-flexion range of motion. J Sport Rehabil. 2018;27:289-94.
  • Stanek J, Sullivan T, Davis S. Comparison of compressive myofascial release and the graston technique for improving ankle-dorsiflexion range of motion. J Athl Train. 2018;53:160-7.
  • Grimston SK, Nigg BM, Hanley DA, Engsberg JR. Differences in ankle joint complex range of motion as a function of age. Foot Ankle. 1993;14:215-22.
  • Brockett CL, Chapman GJ. Biomechanics of the ankle. Orthopaedics and trauma. 2016;30:232-8.
  • Spink MJ, Fotoohabadi MR, Wee E, et al. Foot and ankle strength, range of motion, posture, and deformity are associated with balance and functional ability in older adults. Arch Phys Med Rehabil. 2011;92:68-75.
  • Youdas JW, McLean TJ, Krause DA, Hollman JH. Changes in active ankle dorsiflexion range of motion after acute inversion ankle sprain. J Sport Rehabil. 2009;18:358-74.
  • Pope R, Herbert R, Kirwan J. Effects of ankle dorsiflexion range and pre-exercise calf muscle stretching on injury risk in Army recruits. Aust J Physiother. 1998;44:165-72.
  • Grieve R, Clark J, Pearson E, et al. The immediate effect of soleus trigger point pressure release on restricted ankle joint dorsiflexion: a pilot randomised controlled trial. J Bodyw Mov Ther. 2011;15:42-9.
  • Moon JH, Jung J-H, Won YS, Cho H-Y. Immediate effects of Graston technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain. J Phys Ther Sci. 2017;29:224-7.
  • Tedeschi R. An overview and critical analysis of the Graston technique for foot-related conditions: a scoping review. Manuelle Medizin. 2024;62:22-8.
  • Shrier I. When and whom to stretch? Gauging the benefits and drawbacks for individual patients. Phys Sportsmed. 2005;33:22-6.
  • Smith CA. The warm-up procedure: to stretch or not to stretch. A brief review. J Orthop Sports Phys Ther. 1994;19:12-7.
Yıl 2025, , 223 - 228, 15.01.2025
https://doi.org/10.37990/medr.1543935

Öz

Kaynakça

  • Terada M, Pietrosimone BG, Gribble PA. Therapeutic interventions for increasing ankle dorsiflexion after ankle sprain: a systematic review. J Athl Train. 2013;48:696-709.
  • Haines M, Murray AM, Glaviano NR, et al. Restricting ankle dorsiflexion does not mitigate the benefits of external focus of attention on landing biomechanics in healthy females. Human Movement Science. 2020;74:102719.
  • Shashua A, Flechter S, Avidan L, et al. The effect of additional ankle and midfoot mobilizations on plantar fasciitis: a randomized controlled trial. J Orthop Sports Phys Ther. 2015;45:265-72.
  • Kim D-H, Kim T-H, Jung D-Y, Weon J-H. Effects of the Graston technique and self-myofascial release on the range of motion of a knee joint. J Korean Soc Phys Med. 2014;9:455-63.
  • Behm DG, Kay AD, Trajano GS, Blazevich AJ. Mechanisms underlying performance impairments following prolonged static stretching without a comprehensive warm-up. Eur J Appl Physiol. 2021;121:67-94.
  • Morse CI, Degens H, Seynnes OR, et al. The acute effect of stretching on the passive stiffness of the human gastrocnemius muscle tendon unit. J Physiol. 2008;586:97-106.
  • Behm DG, Blazevich AJ, Kay AD, McHugh M. Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review. Appl Physiol Nutr Metab. 2016;41:1-11.
  • Costa PB, Graves BS, Whitehurst M, Jacobs PL. The acute effects of different durations of static stretching on dynamic balance performance. J Strength Cond Res. 2009;23:141-7.
  • Coratella G, Longo S, Rampichini S, et al. Passive stretching decreases muscle efficiency in balance tasks. Plos One. 2021;16:e0256656.
  • Perez-Gomez J, Calbet J. Training methods to improve vertical jump performance. J Sports Med Phys Fitness. 2013;53:339-57.
  • Çankaya C, Arabacı R, Kurt E, et al. Examining the effects of the pliometric (jump squat) exercise on vertical jump in female volleyball players. European Journal of Physical Education and Sport Science. 2018;5:115-24.
  • Chtourou H, Aloui A, Hammouda O, et al. Effect of static and dynamic stretching on the diurnal variations of jump performance in soccer players. PloS One. 2013;8:e70534.
  • Black DW. Treatment of knee arthrofibrosis and quadriceps insufficiency after patellar tendon repair: a case report including use of the graston technique. Int J Ther Massage Bodywork. 2010;3:14-21.
  • Ikeda N, Otsuka S, Kawanishi Y, Kawakami Y. Effects of instrument-assisted soft tissue mobilization on musculoskeletal properties. Med Sci Sports Exerc. 2019;51:2166-72. Erratum in: Med Sci Sports Exerc. 2020;52:524.
  • Klavora P. Vertical-jump tests: a critical review. Strength & Conditioning Journal. 2000;22:70.
  • Konor MM, Morton S, Eckerson JM, Grindstaff TL. Reliability of three measures of ankle dorsiflexion range of motion. Int J Sports Phys Ther. 2012;7:279-87.
  • Lee J-H, Lee D-K, Oh J-S. The effect of Graston technique on the pain and range of motion in patients with chronic low back pain. J Phys Ther Sci. 2016;28:1852-5.
  • Lempke L, Wilkinson R, Murray C, Stanek J. The effectiveness of PNF versus static stretching on increasing hip-flexion range of motion. J Sport Rehabil. 2018;27:289-94.
  • Stanek J, Sullivan T, Davis S. Comparison of compressive myofascial release and the graston technique for improving ankle-dorsiflexion range of motion. J Athl Train. 2018;53:160-7.
  • Grimston SK, Nigg BM, Hanley DA, Engsberg JR. Differences in ankle joint complex range of motion as a function of age. Foot Ankle. 1993;14:215-22.
  • Brockett CL, Chapman GJ. Biomechanics of the ankle. Orthopaedics and trauma. 2016;30:232-8.
  • Spink MJ, Fotoohabadi MR, Wee E, et al. Foot and ankle strength, range of motion, posture, and deformity are associated with balance and functional ability in older adults. Arch Phys Med Rehabil. 2011;92:68-75.
  • Youdas JW, McLean TJ, Krause DA, Hollman JH. Changes in active ankle dorsiflexion range of motion after acute inversion ankle sprain. J Sport Rehabil. 2009;18:358-74.
  • Pope R, Herbert R, Kirwan J. Effects of ankle dorsiflexion range and pre-exercise calf muscle stretching on injury risk in Army recruits. Aust J Physiother. 1998;44:165-72.
  • Grieve R, Clark J, Pearson E, et al. The immediate effect of soleus trigger point pressure release on restricted ankle joint dorsiflexion: a pilot randomised controlled trial. J Bodyw Mov Ther. 2011;15:42-9.
  • Moon JH, Jung J-H, Won YS, Cho H-Y. Immediate effects of Graston technique on hamstring muscle extensibility and pain intensity in patients with nonspecific low back pain. J Phys Ther Sci. 2017;29:224-7.
  • Tedeschi R. An overview and critical analysis of the Graston technique for foot-related conditions: a scoping review. Manuelle Medizin. 2024;62:22-8.
  • Shrier I. When and whom to stretch? Gauging the benefits and drawbacks for individual patients. Phys Sportsmed. 2005;33:22-6.
  • Smith CA. The warm-up procedure: to stretch or not to stretch. A brief review. J Orthop Sports Phys Ther. 1994;19:12-7.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Özgün Makaleler
Yazarlar

İsmail Uysal 0000-0001-9821-2180

Zehra Yılmaz Bu kişi benim 0009-0005-4822-1181

İrem Çetinkaya 0000-0002-5115-6756

Fatih Özden 0000-0001-6593-3758

Yayımlanma Tarihi 15 Ocak 2025
Gönderilme Tarihi 17 Eylül 2024
Kabul Tarihi 7 Ocak 2025
Yayımlandığı Sayı Yıl 2025

Kaynak Göster

AMA Uysal İ, Yılmaz Z, Çetinkaya İ, Özden F. The Immediate Effect of Graston Technique on Ankle Range of Motion and Vertical Jump Performance in Athletes. Med Records. Ocak 2025;7(1):223-228. doi:10.37990/medr.1543935

 Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

Editors
Assoc. Prof. Serkan Öner
İzmir Bakırçay University, Department of Radiology, İzmir, Türkiye

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