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Questions and Answers

When was the Graston Technique therapy created?

1994

How many GT instruments are there?

6

What does Graston Technique Therapy incorporate?

The use of 6 specifically designed stainless steel instruments to aid the clinician in the detection and treatment of soft tissue dysfunction.

What type of method is Graston Technique therapy?

<p>An evidence-based method of instrument-assisted soft tissue mobilization (IASTM) combined with rehabilitative exercises.</p> Signup and view all the answers

What are the rules when handling the Graston instruments?

<p>Pick them up one at a time, do not bang, clank, clutch or drop them, and store instruments in the foam tray when not being used.</p> Signup and view all the answers

What is M1 of the 'M' series?

<p>Basic applications.</p> Signup and view all the answers

What is M2 of the 'M' series?

<p>Advanced applications.</p> Signup and view all the answers

What must you score on the online exam to pass and become certified?

<p>80% or higher within 30 days of completing M2.</p> Signup and view all the answers

What is the non-completion policy for the course?

<p>Participants who miss more than one lab section will not be issued a certificate of completion of CEUs.</p> Signup and view all the answers

What is IASTM?

<p>Instrument-assisted soft tissue mobilization.</p> Signup and view all the answers

What is the unique approach of Graston Technique?

<p>Assessment + Unique Treatment Strokes (IASTM) + Exercise + Reassessment.</p> Signup and view all the answers

How do the Graston instruments work?

<p>They detect and amplify the tactile feel of soft tissue restrictions to the hands.</p> Signup and view all the answers

What are the benefits of GT for clinicians?

<p>Increased diagnostic skills, mechanical advantage, decreased treatment time and clinician fatigue, and increased specificity of tissue treatment.</p> Signup and view all the answers

What are the benefits of GT for patients?

<p>Quicker, improved outcomes; patients feel abnormal tissue textures, facilitating involvement in their treatment.</p> Signup and view all the answers

What are the clinical indications for the Graston Technique?

<p>Tendinopathies, fascial syndromes, myofascial pain syndromes, ligament pain syndromes, edema reduction, scar tissue/adhesions, and entrapment syndromes.</p> Signup and view all the answers

What are absolute contraindications for the Graston Technique?

<p>Open wounds, thrombophlebitis, uncontrolled hypertension, and contagious or infectious skin conditions.</p> Signup and view all the answers

What are the stages of tissue healing?

<p>Inflammatory stage: 24-48 hours, granulation stage: 2-14 days, fibroblastic stage: 1-12 weeks, maturation stage: up to 18 months.</p> Signup and view all the answers

What does mechanotherapy refer to?

<p>The use of mechanical force to achieve a physiologic response.</p> Signup and view all the answers

What is the Piezoelectric Phenomenon?

<p>The ability of soft tissue to generate electrical signals when collagen fibers are sheared past one another.</p> Signup and view all the answers

What is the ratable score needed for Graston Technique certification?

<p>80% or higher within 30 days of completing M2.</p> Signup and view all the answers

What is the recommended frequency of treatment with Graston Technique?

<p>2 times/week with 2-3 days in between.</p> Signup and view all the answers

What should be done if bruising occurs after treatment?

<p>Reduce the intensity of GT, continue icing, perform home exercises focusing on stretching, and inform the patient about bruising potential.</p> Signup and view all the answers

What is the purpose of preparatory supplies in Graston Technique?

<p>To ensure convenient access to instruments, lubricant, and disinfectants.</p> Signup and view all the answers

What should the clinician's positioning be during Graston Technique treatment?

<p>The forearm should be aligned with the direction of the treatment force.</p> Signup and view all the answers

What does the term tensegrity mean in relation to the human fascial system?

<p>Tensegrity = tension + integrity.</p> Signup and view all the answers

What is the clinical application for GT1?

<p>Evaluating and treating soft tissue restrictions over larger surface areas; localizing and treating specific soft tissue restrictions with knob.</p> Signup and view all the answers

What is the clinical application for GT2?

<p>Evaluating and treating CONVEX shaped soft tissue with curved treatment surface; localizing and treating specific soft tissue restrictions with knob.</p> Signup and view all the answers

What is the clinical application for GT3?

<p>Localizing and treating specific (smaller) soft tissue restrictions.</p> Signup and view all the answers

What is the clinical application for GT4?

<p>Evaluating and treating CONCAVE shaped soft tissue; focal treatment of CONVEX shaped soft tissue.</p> Signup and view all the answers

What is the clinical application for GT5?

<p>Evaluating and treating CONVEX shaped tissue; treating intercostal areas.</p> Signup and view all the answers

What is the clinical application for GT6?

<p>Evaluating and treating carpal tunnel, digits, and specific localized soft tissue restrictions.</p> Signup and view all the answers

What are the basic strokes used?

<p>Sweep, fan, brush, strum, J-stroke, swivel, scoop, framing.</p> Signup and view all the answers

Which treatment techniques apply to 'Sweep'?

<p>GT2</p> Signup and view all the answers

Which treatment techniques apply to 'Fan'?

<p>GT4</p> Signup and view all the answers

Which treatment techniques apply to 'Brush'?

<p>GT3</p> Signup and view all the answers

Which treatment techniques apply to 'Strum'?

<p>GT6</p> Signup and view all the answers

Which treatment techniques apply to 'J-stroke'?

<p>GT3</p> Signup and view all the answers

Which treatment techniques apply to 'Swivel'?

<p>GT1</p> Signup and view all the answers

Which treatment techniques apply to 'Scoop'?

<p>GT5</p> Signup and view all the answers

Which treatment techniques apply to 'Framing'?

<p>GT6</p> Signup and view all the answers

What are the steps in the M1 GT Treatment Algorithm?

<ol> <li>Scan and ID soft tissue lesions 2. Rx: sweep, fan, brush, strum, J-stroke, swivel, scoop, frame. 3. Introduce appropriate therapeutic exercise 4. Repeat.</li> </ol> Signup and view all the answers

What are the main areas targeted in the knee and thigh?

<p>Quadriceps and patellar tendons, retinaculum, coronary ligaments, MCL and LCL, pes anserine, distal ITB, hamstrings.</p> Signup and view all the answers

What are the main areas targeted in the thigh and gluteal regions?

<p>Gluteals, ITB, TFL, rectus femoris, hamstrings, piriformis, adductors, SI joint.</p> Signup and view all the answers

What are some exercises for knee and thigh?

<p>Seated knee extension, partial squat, quadriceps stretch, knee flexion with weight, hamstring stretch.</p> Signup and view all the answers

What are some exercises for thigh and glute?

<p>Hip abduction, clamshells, piriformis stretch, hip adduction, adductor stretch.</p> Signup and view all the answers

Study Notes

Graston Technique Overview

  • Developed in 1994 as a therapy for soft tissue dysfunction.
  • Utilizes six stainless steel instruments for treatment and diagnosis.
  • Integrates evidence-based instrument-assisted soft tissue mobilization (IASTM) with rehabilitative exercises.

Training and Certification

  • M1 Training focuses on basic applications, leading to designation as a Graston Technique therapy Provider upon completion.
  • M2 Training covers advanced applications, leading to certification as Graston Technique therapy Specialist (GTS).
  • Online exam requirement: score of 80% or higher within 30 days of M2 completion.
  • Non-completion policy prohibits certification for participants missing more than one lab section.

Course Objectives

  • Understand Graston Technique basic concepts, instruments, methods, and patient care integration.
  • Identify indications and contraindications for Graston Technique.
  • Learn about soft tissue healing and treatment responses with Graston Technique.
  • Achieve competency for safe and effective Graston Technique application.

Instrument-Assisted Techniques

  • IASTM employs various instruments to mobilize soft tissue and achieve therapeutic effects.
  • Graston Technique uniquely combines assessment, specific treatment strokes, and exercise for comprehensive therapy.

Instrument Handling and General Guidelines

  • Pick up instruments one at a time; avoid dropping or clanking.
  • Store instruments securely in a foam tray when not in use.
  • Monitor treatment edge, adapting techniques to changing tissue contours.

Clinical Applications and Benefits

  • Graston Technique beneficial for clinicians by enhancing diagnostic skills, decreasing treatment time, and improving specificity in tissue treatment.
  • Provides patients with quick recovery and greater engagement through tactile feedback.
  • Referral sources may experience faster patient recovery and improved outcomes.

Indications and Contraindications

  • Clinical indications include tendinopathies, myofascial pain syndromes, and edema reduction.
  • Relative contraindications: cancer, pregnancy, diabetes, anticoagulant medications.
  • Absolute contraindications: open wounds, hematoma, active infections.

Tissue Types and Healing Stages

  • Connective tissue functions to support and connect body tissues; consists primarily of collagen, elastin, and glycosaminoglycans.
  • Healing stages include inflammatory (24-48 hours), granulation (2-14 days), fibroblastic (1-12 weeks), and maturation (up to 18 months).

Mechanotransduction and Physiological Effects

  • Mechanotransduction refers to how cells respond to mechanical loads, promoting tissue repair and remodeling.
  • Graston Technique enhances fibroblastic activity, blood perfusion, and altered neural activity through its physical application.

Instrument Specifications

  • Instruments (GT1-GT6) have unique designs and applications based on body surface area and tissue type.
  • The treatment edges vary (single bevel, double bevel) to accommodate different techniques and areas of the body.

Treatment Parameters and Techniques

  • Key parameters: angle of application, stroke rate, pressure, amplitude, duration, and frequency of treatment sessions.
  • Basic strokes used: sweep, fan, brush, strum, j-stroke, swivel, scoop.
  • Treatment frequency generally recommended at twice a week with appropriate intervals.

Adjusting Treatment Based on Condition

  • Different approaches for acute vs chronic conditions focusing on edema control, pain management, and tissue remodeling.
  • Treatment intensity varies based on patient tolerance and specific tissue depth.

General Principles and Lab Guidelines

  • Prioritize patient comfort and tolerance; communicate treatment expectations.
  • Maintain hygiene by cleaning instruments and using appropriate supplies (lubricants, disinfectants).
  • Adjust techniques for localized treatment while ensuring effective communication regarding the intensity of the therapy.

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