Specialist Technology Treatment


The Graston Technique®, originally developed by athletes, is changing the way clinicians — including physical and occupational therapists, hand therapists, chiropractors and athletic trainers — and patients view treatment of acute and chronic soft tissue injuries.

Graston Technique® is an innovative, evidence-based form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.


James Dunn – Professional Motocross Rider receives Graston treatment from Laura Robson – Physiotherapist


Isokinetic testing often uses a computer-driven device to examine individual muscle groups. The machine usually accommodates patients with limited motion ranges and muscle weaknesses, although all participants are expected to put forth their best efforts to receive accurate results.

Based on feedback from the machine, a physiotherapist may prescribe a rehabilitation program to improve muscle and joint health. In general, isokinetic testing provides accurate data, although it may not be suitable for all applications.

The usual purpose of isokinetic testing is to assess muscle function during different intervals of exercise. Patients may receive this testing pre and post-operatively to gauge surgery results, to measure the complications of joint arthritis or to quantify physical impairments from injury or disease. In turn, this testing may also be used to exercise specific muscle groups for rehabilitation or strength-building.

Isokinetic testing normally assesses a specific group of muscles, such as those in the shoulder or ankle. The patient’s movements often need to be as quick and powerful as possible to obtain accurate readings.

During the initial assessment, a physiotherapist or trained technician often operates a dynamometer machine that applies continual resistance to the muscles tested.

Isokinetic testing essentially allows patients to work on muscle function in a safe and controlled manner. Such a rehabilitation program, which is usually prescribed based on test results, can also be tailored to meet individual needs and expected outcomes.

Periodic re-testing may occur to monitor patient progress and to gauge developing muscle strength.


Katie Ormerod – Professional Snowboarder working with Doug Jones – Clinical Director at Spire Manchester Hospital.