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ASTYM and Graston Applications

ASTYM and Graston Applications. Dustin Lind Tasi Kelemete Keelan McCaffrey. Intro to Graston & ASTYM. Form of tissue massage Instruments used to achieve Relaxation of muscle Increased Range of Motion (ROM) Decreased pain during activity Combined with other therapy. Our stance.

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ASTYM and Graston Applications

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  1. ASTYM and Graston Applications Dustin Lind Tasi Kelemete Keelan McCaffrey

  2. Intro to Graston & ASTYM Form of tissue massage Instruments used to achieve Relaxation of muscle Increased Range of Motion (ROM) Decreased pain during activity Combined with other therapy

  3. Our stance Both methods are approved for all ages Graston is not appropriate for: Young populations (Pain tolerance) Sedentary populations (No research) The elderly (Easy bruising)

  4. Graston Technique What is it? • Six Stainless Steel Instruments • Weekend course completion • M1 Basic- 12 hours $550 • M2 Advanced- 14 hours $695

  5. Graston Technique • Who Uses It? • 16,775 clinicians (Graston, 2013). • Physical Therapist • Athletic Trainers • Occupational Therapist

  6. Issues with Graston • Bruising of the area • Pain tolerance

  7. Issues with Graston Cont.

  8. Personal Interview • Course not hard, hands on • All ages are acceptable • Scar tissue, lasting, post surgery • Couple times a week • Depends on person’s pain tolerance

  9. ASTYM Technique • Soft tissue therapy • Benefits • Quick and effective • Non-invasive • Reduced therapy sessions (ASTYM, 2012)

  10. ASTYM Technique • Who can be certified? • Three day certification course • Upper extremity 15.75 hours • Lower extremity 8 hours (ASTYM, 2012)

  11. ASTYM Technique Cont. • Video example • Personal experience

  12. Issues Related to ASTYM • Harsh form of therapy • Other forms of therapy without pain

  13. Applications of ASTYM and Graston When is Graston appropriate to use? • Approved for all ages (Graston, 2013) • Professionals don’t use on children (Wotowey, 2013) • Research limited to athletic populations • Positive results in research studies (Looney, B., Srokose, T., Penas, C., & Cleland, J. 2010)

  14. Graston Use Cont. • Very good results with athletes (Wotowey, 2013) • Better results with active patients (Looney, B., Srokose, T., Penas, C., & Cleland, J. 2010)

  15. Conclusion • Graston/ASTYM are useful techniques • ASTYM suitable for widespread use • Virtually all populations can benefit (Humphrey, 2013) • Graston is not suitable for: • Infants, children, elderly, sedentary populations

  16. Conclusion Cont. • Graston needs more research on: • Infants, children, elderly, and sedentary populations • Graston use should be with: • Athletic/active populations

  17. References McCormack, J. R. (2012). The Management of Mid-portion Achilles Tendinopathy with ASTYM and Eccentric Exercise. International Journal of Sports Physical Therapy. 7(6), pp. 672-677. Papa, J. A. (2012). Two cases of work-related lateral epicondylopathy treated with Graston Technique and conservative rehabilitation. Journal of the Canadian Chiropractic Association,56(3),192-200. Schaefer, J. L., & Sandrey, M. A. (2012). Effects of a 4-week Dynamic-balance-training program supplemented with Graston instrument-assisted soft-tissue mobilization for chronic ankle Instability. Journal of Sport Rehabilation, 21(4), 313-326.

  18. References Silbugh, K. (2009). The validity of instrument assisted soft tissue mobilization for detecting myofascial adhesions through secondary diagnostic ultrasound analysis. Applied Medicine and Rehabilitation. 5(4), pp. 124-128. Stow, R. (2011). Instrument-assisted soft tissue mobilization. International Journal of Athletic Therapy &Training, 16(3), 5-8.

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