Graston Instrument Assisted Soft Tissue Mobilization (GITSM) is a tool used by therapists and chiropractors to help break down scar tissue and replace it with fibroblasts allowing for quicker recoveries (Black 2010). A series of heat exercises, GISTM, and therefore strength and flexibility exercises are necessary (Black 2010). Numerous studies have been conducted, by certified therapists trained in GISTM, to examine recovery styles and periods following injury. After undergoing treatment, patients are measured based on their range of motion (ROM) to see whether the treatments were effective or not (Black 2010). ROM can vary depending on the region of the body being treated, but the overall goal of GISTM is to allow a person to return to the normal routine they had before the injury. A study conducted by Logan College of Chiropractic shows that plantar (foot) fasciitis can be treated with GISTM on the first day of treatment (Daniels and Morrell 2012). Another study from Duke University shows that GISTM may be effective for post-surgery patients who have suffered a patellar (knee) tendon injury (Black 2010). After several treatments, GISTM can also be used to treat a compression fracture in the lower back (back) (Papa 2012). Each study shows the GISTM method, the patient's recovery period along with the recovery methods. Plantar fasciitis is caused by muscles and ligaments that affect the calcaneus (the large bone on the hill of the foot) (Daniels and Morrell 2012). The alteration of these muscles and ligaments will cause pain and discomfort to the patient and, if left untreated, will cause the ligaments, bones and muscles to fail. The patient was tested with a simple squat technique that showed the heels lifting off the ground (Daniels and M...... center of paper......). This patient, after treatment, had full ROM and was able to return to daily activities (Papa 2012). GISTM has been proven to work on all types of injuries, regardless of whether the patient has 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 CitedBlack D. 2010. Treatment of knee arthrofibrosis and quadriceps failure after patellar tendon repair: a case report including use of the grastone technique. International magazine 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. Chiropractic. Ass:29-39
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