A review of a randomized single-blind controlled trial by Schaefer and Sandrey was done to determine the effects of Graston soft tissue mobilization (GISTM) and dynamic balance training (DBT) on dynamic postural control of young athletes with chronic ankle instability (CAI). Three intervention groups were utilized in this study. The first group interventions consisted of dynamic balance training and Graston instrument-assisted soft-tissue mobilization (DBT/GISTM). The second group interventions consisted of dynamic balance training and Graston instrument-assisted soft-tissue mobilization sham (DBT/GISTM-S). The third group intervention was dynamic balance training as a control group (DBT/C). Based on the following outcome measures: Foot and Ankle Ability Measure (FAAM), activities of daily living (ADL), FAAM Sport, visual analog scale (VAS), and Star Excursion Balance Test (SEBT); all three intervention groups had statistically significant improvements from pre to post-assessments. All intervention groups exceeded the minimal detectable change/minimally clinical important difference for all outcome measures with the exception of the VAS. This article supports the use of GISTM and DBT when treating high school and collegiate athletes with CAI. This study does not provide clinicians with knowledge of the effects of GISTM alone on CAI. Limitations of the study include convenient sampling, single blind controlled trial, and short treatment duration (4 weeks) with no long term follow-up.
Schmierer, Brandie, "Graston Soft Tissue Mobilization And Dynamic Balance Training Effects On Pain And Dynamic Postural Control Of Young Athletes With Chronic Ankle Instability" (2014). Critically Appraised Topics (CAT). 10.