Comparing Graston Technique and Diacutaneous Fibrolysis for Pain, Disability, and Quality of Life in Patients With Non-Specific Low Back Pain

Graston Technique (GT) is a form of instrument-assisted soft tissue mobilization (IASTM) that uses specially designed stainless-steel instruments to identify and treat areas of soft-tissue restriction, adhesions, and altered tissue mobility. During treatment, the therapist applies the instrument over the affected tissues using controlled strokes and appropriate pressure to facilitate soft-tissue mobilization and improve tissue flexibility. In patients with non-specific low back pain, GT may be applied to the lumbar paraspinal muscles, thoracolumbar fascia, and other relevant soft tissues. The technique is intended to reduce pain, improve soft-tissue mobility, increase lumbar range of motion, and enhance functional performance. In this study, GT is used as the active intervention and its effects are compared with Diacutaneous Fibrolysis on pain, functional disability, and lumbar mobility.

Diacutaneous Fibrolysis (DF) is a manual therapy technique that uses specially designed hook-shaped instruments to apply pressure and traction to soft tissues. The technique aims to mechanically mobilize areas of fibrosis, adhesions, and restricted connective tissue, particularly around muscles, tendons, fascia, and other anatomical structures. In patients with non-specific low back pain, DF can be applied to the lumbar and thoracolumbar regions to improve tissue mobility and reduce mechanical restrictions. The technique may help decrease pain, improve lumbar range of motion, and enhance functional ability. In this study, DF is used as an active intervention and compared with Graston Technique (GT) to determine which approach provides greater improvement in pain, functional disability, and lumbar mobility.