Effects of a 4-Week Self-Ankle Mobilization with Movement Intervention on Ankle Passive Range of Motion, Balance, Gait, and Activities of Daily Living in Patients with Chronic Stroke: A Randomized Controlled Study

Park, Donghwan; Lee, Ji‐Hyun; Kang, Tae-Woo; Cynn, Heon-Seock

doi:10.1016/j.jstrokecerebrovasdis.2018.08.010

Cited by 6 publications

(23 citation statements)

References 25 publications

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“…Abstracts and full texts were screened for inclusion criteria. Finally, 8 randomized trials 19-26 met eligibility for this systematic review and meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“…19 Overall, 137 males and 85 females completed the trials, out of which 109 participants underwent ankle mobilization intervention and 116 participants stretching or active movements or weight-bearing exercise. Four RCTs, 19, 21, 22, 24 compared ankle mobilization with movements, 2 RCTs, 20, 23 compared ankle mobilization with lunges, and the remaining 2 RCTs, 25, 26 compared ankle mobilization with calf stretches. Background treatments provided in both the groups were similar in all the RCTs.…”

Section: Resultsmentioning

confidence: 99%

“…The average methodological quality of included RCTs was 6 out of 10 in PEDro. Five RCTs, 19, 21, 23, 25, 26 with scores ranging from 6 to 10 were graded as high quality, and 3 RCTs, 20, 22, 24 with scores from 4 to 5 were graded as fair quality. Most of the studies have not blinded participants and therapists providing treatment.…”

Section: Resultsmentioning

confidence: 99%

“…14 Recently, the scope for joint mobilization technique has been extended its practice in neurorehabilitation, with the increase in the number of studies 15-18 supporting its effect on improving ROM in upper motor neuron disorders. Studies 19-26 reporting on ankle mobilization for post-stroke subjects have demonstrated mixed findings with variation among studies regarding participant characteristics, intervention types, and treatment regimens. Moreover, research to date has not yet provided a clear consensus of evidence on the effectiveness of ankle mobilization in improving gait-related outcomes of stroke survivors.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Ankle Joint Mobilization on Dorsiflexion Range and Gait Parameters in Chronic Stroke Survivors: A Systematic Review and Meta-analysis

Ravichandran

Janakiraman

2021

Journal of Stroke Medicine

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Background: Ankle dorsiflexion movement restriction is a common presentation in most of the chronic stroke survivors. Spasticity and connective tissue changes around ankle, limits dorsiflexion, and interferes with balance and gait performances. Improving functional range of dorsiflexion is essential in post-stroke rehabilitation. Objectives: This meta-analysis analyzed the effects of ankle mobilization techniques in improving dorsiflexion range and gait parameters among chronic stroke survivors. Method: Articles published up to July 2020 were searched in CINAHL, PubMed, Embase, PsyINFO, and OpenGrey. English version of randomized controlled trials (RCTs) assessing the effects of ankle joint mobilization among chronic stroke subjects, with dorsiflexion range of motion (ROM) and gait parameters as outcome, were included. Characteristics of participants, interventions, outcome measure, and measures of variability were extracted. Methodological quality of included trials was assessed using PEDro scale and Cochrane Collaboration tool for the risk of bias. Pooled standardized mean difference was calculated using random effects model for dorsiflexion ROM, gait velocity, step length, cadence, and timed up and go (TUG). Results: Eight RCTs including 226 stroke patients, with mean methodological score of 6 out of 10 in PEDro, were eligible for this meta-analysis. Ankle joint mobilization demonstrated statistically significant improvement on passive dorsiflexion ROM, gait velocity, step length (affected side), and cadence outcomes. Nonsignificance was found in step length (unaffected side) and in TUG. Conclusion: The ankle mobilization techniques are effective in improving passive dorsiflexion ROM, gait velocity, and cadence in chronic stroke survivors. However, the retention effect of ankle mobilization among stroke subjects is not known.

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“…Abstracts and full texts were screened for inclusion criteria. Finally, 8 randomized trials 19-26 met eligibility for this systematic review and meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effects of Ankle Joint Mobilization on Dorsiflexion Range and Gait Parameters in Chronic Stroke Survivors: A Systematic Review and Meta-analysis

Ravichandran

Janakiraman

2021

Journal of Stroke Medicine

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“…Previous studies showed that MWM improved ankle DF-ROM, gait function, and balance among people with chronic stroke. 15 , 16 Studies done by Park et al, reported that self-ankle MWM with a 10° inclined board (MWM10°) combined with conventional physiotherapy resulted in improved motor functions of subjects with chronic stroke. 16 However, there is a lack of comprehensive evidence about the efficacy of ankle joint MWMs in ROM, balance, and gait function in people with chronic stroke.…”

Section: Introductionmentioning

confidence: 99%

Effect of Ankle Joint Mobilization with Movement on Range of Motion, Balance and Gait Function in Chronic Stroke Survivors: Systematic Review of Randomized Controlled Trials

Alamer

Melese

Getie

et al. 2021

DNND

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Background Ankle joint mobilization with movement has been speculated to be an important intervention for enhancing range of motion, balance, and gait functions in chronic stroke survivors. Nonetheless, there is a scarcity of recent conclusive evidence that evaluates its efficacy in chronic stroke patients. The purpose of this review was to synthesize existing evidence on the efficacy of mobilization with movement therapy on range of motion, balance, and gait performance in subjects after stroke. Methods A comprehensive systematic search of literature was performed using the following databases: PubMed/Medline, CINAHL, AMED, PEDro, Cochrane Library, and Scopus. Physiotherapy Evidence Database (PEDro) scale was used to evaluate the methodological quality of included trials. The primary outcome measures of this review were dorsiflexion range of motion (DF-ROM), and Berg balance scale (BBS). This review was reported in accordance with PRISMA statement guidelines. Due to variations in relevant trials, meta-analysis was not carried out. Results and Conclusions Seven randomized controlled trials with a total of 224 subjects were analyzed. Evidence of overall quality was graded from moderate to high. This review found that mobilization with movement therapy could be an alternative rehabilitative intervention for subjects with chronic stroke to increase range of motion, balance, and gait ability. However, the evidence remains preliminary due to the small number of participants. Large-scale RCTs in the future are warranted to investigate the efficacy of mobilization with movement in subgroups of chronic stroke subjects.

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Assistive technologies, including orthotic devices, for the management of contractures in adults after a stroke

Mohammed Meeran,

Durairaj,

Sekaran

et al. 2024

Cochrane Database of Systematic Reviews

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Effects of a 4-Week Self-Ankle Mobilization with Movement Intervention on Ankle Passive Range of Motion, Balance, Gait, and Activities of Daily Living in Patients with Chronic Stroke: A Randomized Controlled Study

Cited by 6 publications

References 25 publications

The Effects of Ankle Joint Mobilization on Dorsiflexion Range and Gait Parameters in Chronic Stroke Survivors: A Systematic Review and Meta-analysis

The Effects of Ankle Joint Mobilization on Dorsiflexion Range and Gait Parameters in Chronic Stroke Survivors: A Systematic Review and Meta-analysis

Effect of Ankle Joint Mobilization with Movement on Range of Motion, Balance and Gait Function in Chronic Stroke Survivors: Systematic Review of Randomized Controlled Trials

Assistive technologies, including orthotic devices, for the management of contractures in adults after a stroke

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