Graston instrument soft tissue mobilization and home stretching for the management of XXXX : a case series.

@entity1 @entity1422 @entity158 @entity3444
OBJECTIVE: The purpose of this prospective case series was to describe the outcome of a set of @entity1 with @entity3444 treated with Graston Instrument Soft Tissue Mobilization techniques ( @entity1422 ) and a home stretching program. METHODS: Ten @entity1 with a primary report of @entity158 completed self-report questionnaires including the Global Rating of Change Scale (GRC), the Numeric Pain Rating Scale, and the Lower Extremity Functional Scale. @entity1 were treated with @entity1422 directed to the triceps surae, soleus, plantar fascia, and medial calcaneal tubercle. @entity1 received a maximum of 8 treatments over a time frame ranging from 3 to 8 weeks at a frequency of 1 to 2 sessions per week. Each @entity1 was instructed to perform the stretching program at home 3 times daily. @entity1 completed all outcome measures at baseline, sixth visit (GRC), and at discharge or the eighth visit. The number of successful outcomes on the GRC was examined using a binomial test. Dependent t tests were used to examine if a significant difference existed in secondary outcome measures of @entity158 and function. RESULTS: The subjects had a mean duration of symptoms of 32.4 weeks (SD, 31.1). @entity1 were treated for an average of 6.9 visits (SD, 1.3). There was a statistically significant difference between the number of @entity1 who did and did not achieve a successful outcome (P = .047). There was also a significant improvement from baseline to follow-up for the Numeric Pain Rating Scale (P = .002) and Lower Extremity Functional Scale (P = .017). CONCLUSIONS: The group of @entity1 selected for this case series who were treated with @entity1422 and home stretching experienced clinically meaningful improvement.
