Browse > Article
http://dx.doi.org/10.13066/kspm.2018.13.4.9

Effect of Graston Technique on Fatigue Recovery after High-Intensity Exercise of the Quadriceps Femoris  

Son, Ho-Hee (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
Publication Information
Journal of the Korean Society of Physical Medicine / v.13, no.4, 2018 , pp. 9-17 More about this Journal
Abstract
PURPOSE: This study was conducted to compare the effects of the Graston-based massage method and microcurrent application on muscle fatigue after causing muscle fatigue of the quadriceps femoris by applying high-intensity exercise. METHODS: Study subjects (56 healthy subjects in their 20s) were randomized into a microcurrent group (MG), Graston group (GG), and control group (CG). To induce fatigue of the quadriceps femoris, the subjects performed squats 100 times without a break within about 5 minutes. Muscle fatigue was measured immediately after performing squats and 15 minutes after intervention. To measure muscle fatigue, surface electromyogram (EMG) was used to obtain and compare the median frequency. Microcurrent or Graston massage was applied to their quadriceps muscles 15 minutes after performing the squats. RESULTS: Muscle fatigue increased significantly in the vastus lateralis before and after intervention in the Graston group (p<.05), while no significant difference was observed in the rectus femoris and vastus medialis (p>.05). There were also no significant differences in the microcurrent group or the control group. CONCLUSION: Both the microcurrent group and Graston group showed a tendency for increasing median frequency values compared to the control group, but there was no significant difference except in the vastus lateralis treated with the Graston technique. Although there was no significant difference, the Graston technique could be utilized to reduce the occurrence of DOMS by preventing muscle fatigue in clinical practice or sports medicine.
Keywords
Graston massage; Microcurrent; Muscle fatigue;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Mori H, Ohsawa H, Tanaka TH, et al. Effect of massage on blood flow and muscle fatigue following isometric lumbar exercise. Med Sci Monit. 2004;10(5):173-8.
2 Nieman DC, Miller AR, Henson DA, et al. Effect of highversus moderate-intensity exercise on lymphocyte subpopulations and proliferative response. Int J Sports Med. 1994;15(4):199-206.   DOI
3 Resnick PB. Comparing the Effects of Rest and Massage on Return to Homeostasis Following Submaximal Aerobic Exercise: a Case Study. Int J Ther Massage Bodywork. 2016;9(1):4-10.
4 Ahn I, Jeon J, Kim D. The Immediate Effects of Kinesio Taping on Quadriceps Induced Fatigue by Short-term Squat. The Journal of Korean Academy of Orthopecic Manual Therapy. 2015;21(1):21-8.
5 Badier M, Guillot C, Lagier-Tessonnier F, et al. EMG power spectrum of respiratory and skeletal muscles during static contraction in healthy man. Muscle Nerve. 1993;16(6):601-9.   DOI
6 Tanaka TH, Leisman G, Mori H, et al. The effect of massage on localized lumbar muscle fatigue. BMC Complement Altern Med. 2002;2(1):1-9.   DOI
7 Senturk UK, Gunduz F, Kuru O, et al. Exercise-induced oxidative stress leads hemolysis in sedentary but not trained humans. J Appl Physiol (1985). 2005;99(4):1434-41.   DOI
8 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.
9 Stulen FB, De Luca CJ. Muscle fatigue monitor: a noninvasive device for observing localized muscular fatigue. IEEE Trans Biomed Eng. 1982;29(12):760-8.
10 Todd I, Clothier RH, Huggins ML, et al. Electrical stimulation of transforming growth factor-beta 1 secretion by human dermal fibroblasts and the U937 human monocytic cell line. Altern Lab Anim. 2001;29(6): 693-701.
11 Whitcomb E, Monroe N, Hope-Higman J, et al. Demonstration of a microcurrent-generating wound care device for wound healing within a rehabilitation center patient population. J Am Coll Clin Wound Spec. 2012;4(2): 32-9.   DOI
12 Yokoe A, Ohira M. Effect of cooling down after strenuous exercise on the quality of sleep the same day, and the level of fatigue the following morning. Sleep Medicine. 2017;40(1):e356.
13 De Luca CJ. Myoelectrical manifestations of localized muscular fatigue in humans. Crit Rev Biomed Eng. 1984; 11(4):251-79.
14 Ce E, Limonta E, Maggioni MA, et al. Stretching and deep and superficial massage do not influence blood lactate levels after heavy-intensity cycle exercise. J Sports Sci. 2013;31(8):856-66.   DOI
15 Craig JA, Barlas P, Baxter GD, et al. Delayed-onset muscle soreness: lack of effect of combined phototherapy/low-intensity laser therapy at low pulse repetition rates. J Clin Laser Med Surg. 1996;14(6):375-80.   DOI
16 Cram JR, Lloyd J, Cahn TS. The reliability of EMG muscle scanning. Int J Psychosom. 1990;37(1-4):68-72.
17 Crothers AL, French SD, Hebert JJ, et al. Spinal manipulative therapy, Graston technique(R) and placebo for non-specific thoracic spine pain: a randomised controlled trial. Chiropr Man Therap. 2016;24:16.   DOI
18 Curtis D, Fallows S, Morris M, et al. The efficacy of frequency specific microcurrent therapy on delayed onset muscle soreness. J Bodyw Mov Ther. 2010;14(3):272-9.   DOI
19 Eguchi Y, Jinde M, Murooka K, et al. Stretching versus transitory icing: which is the more effective treatment for attenuating muscle fatigue after repeated manual labor? Eur J Appl Physiol. 2014;114(12):2617-23.   DOI
20 Elfving B, Liljequist D, Dedering A, et al. Recovery of electromyograph median frequency after lumbar muscle fatigue analysed using an exponential time dependence model. Eur J Appl Physiol. 2002;88(1-2): 85-93.   DOI
21 Fujiya H, Ogura Y, Ohno Y, et al. Microcurrent electrical neuromuscular stimulation facilitates regeneration of injured skeletal muscle in mice. J Sports Sci Med. 2015;14(2):297-303.
22 Gehlsen GM, Ganion LR, Helfst R. Fibroblast responses to variation in soft tissue mobilization pressure. Med Sci Sports Exerc. 1999;31(4):531-5.   DOI
23 Hong SY, Lee SH, Yoon HR, et al. The Study of Muscle Fatique Index Searching in terms of Median Frequency Analysis of EMG Signals during Isotonic Exercise. Journal of Biomedical Engineering Research. 2003;24(3):175-81.
24 Gomes Neto M, Duraes AR, Conceicao LSR, et al. High intensity interval training versus moderate intensity continuous training on exercise capacity and quality of life in patients with heart failure with reduced ejection fraction: A systematic review and meta-analysis. Int J Cardiol. 2018;261:134-41.   DOI
25 Hammer WI, Pfefer MT. Treatment of a case of subacute lumbar compartment syndrome using the Graston technique. J Manipulative PhysiolTher. 2005;28(3): 199-204.   DOI
26 Hemmings B, Smith M, Graydon J, et al. Effects of massage on physiological restoration, perceived recovery, and repeated sports performance. Br J Sports Med. 2000;34(2):109-14.   DOI
27 Joo M. Changes of Blood Oxidative Stress Markers after a High-Intensity Exercise in Young Women. Korean journal of health promotion and disease prevention. 2008;8(3):150-7.
28 Jurell KC. Surface EMG and fatigue. Phys Med Rehabil Clin N Am. 1998;9(4):933-47.   DOI
29 Kang JI, Jeong DK, Choi H. Effects of microcurrent and cryotherapy on C-reactive protein levels and muscle tone of patients with rotator cuff reconstruction. J Phys Ther Sci. 2018;30(1):37-41.   DOI
30 Kienbacher T, Habenicht R, Starek C, et al. The potential use of spectral electromyographic fatigue as a screening and outcome monitoring tool of sarcopenic back muscle alterations. J NeuroengRehabil. 2014; 11(1):106-17.
31 Kim D, Kim T, Jung D, et al. Effects of the Graston Technique and Self-myofascial Release on the Range of Motion of a Knee Joint. Journal of the Korean Society of Physical Medicine. 2014;9(4):455-63.   DOI
32 Lee JH, Lee DK, Oh JS. 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(6): 1852-5.   DOI
33 Kim S, Park H, Jung H. The Comparison of Effect of MC Intensity in Pain and ROM in Delayed Onset Muscle Soreness. Journal of the Korean Academy of Clinical Electrophysiology. 2009;7(1):1-6.   DOI
34 Kwon DR, Kim J, Kim Y, et al. Short-term microcurrent electrical neuromuscular stimulation to improve muscle function in the elderly: A randomized, double-blinded, sham-controlled clinical trial. Medicine (Baltimore). 2017;96(26):7407.   DOI
35 Lambert MI, Marcus P, Burgess T, et al. Electro-membrane microcurrent therapy reduces signs and symptoms of muscle damage. Med Sci Sports Exerc. 2002; 34(4):602-7.   DOI
36 Lee JW, Kang JS, Park SJ, et al. Effects of Inter-electrode Distance on Delayed Onset Muscle Soreness in Microcurrent Therapy. J Phys Ther Sci. 2013;25(11): 1451-4.   DOI
37 Lou JW, Bergquist AJ, Aldayel A, et al. Interleaved neuromuscular electrical stimulation reduces muscle fatigue. Muscle Nerve. 2017;55(2):179-89.   DOI
38 Lyons MF, Rouse ME, Baxendale RH. Fatigue and EMG changes in the masseter and temporalis muscles during sustained contractions. J Oral Rehabil. 1993;20(3): 321-31.   DOI
39 Moon JH, Jung JH, Won YS, et al. 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(2):224-7.   DOI
40 Millet GY, Lepers R. Alterations of neuromuscular function after prolonged running, cycling and skiing exercises. Sports Med. 2004;34(2):105-16.   DOI
41 Moraska A. Therapist education impacts the massage effect on postrace muscle recovery. Med Sci Sports Exerc. 2007;39(1):34-7.   DOI