Effects of joint mobilization and stretching on the range of motion for ankle joint and spatiotemporal gait variables in stroke patients

Cho, Kyun-Hee; Park, Shin-Jun

doi:10.1016/j.jstrokecerebrovasdis.2020.104933

Cited by 18 publications

(22 citation statements)

References 32 publications

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“…However, spasticity exacerbates joint contracture and muscles weakness, as well as changes in the muscle contractile properties [ 46 ]. Ankle joint mobilization can be applied to reduce the spasticity of the soleus muscles and [ 33 ] restore ankle joint flexibility [ 19 , 32 ]. In addition, ankle joint mobilization causes articular reflexogenic effects, increasing dorsiflexor muscle strength [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, ankle joint mobilization causes articular reflexogenic effects, increasing dorsiflexor muscle strength [ 47 ]. It has been found that for stroke patients, joint mobilization is a way to increase a variety of ankle ranges of motion rather than stretching exercises [ 19 ]. Therefore, joint mobilization can be used as an intervention method to increase ankle mobility in children with CP.…”

Section: Discussionmentioning

confidence: 99%

“…Ankle dorsiflexion ROM was measured in the supine position and sitting position [ 19 , 39 ]. For the measurement, a goniometer (goniometer, jamar) was used.…”

Section: Methodsmentioning

confidence: 99%

“…Manual mobilization serves as an important component of neurorehabilitation to treat spasticity and limited ankle movements [ 19 , 20 , 21 , 22 ]. Manual mobilization is a passive movement performed to relieve pain, complete joint motion, and restore arthrokinematics rather than osteokinematics.…”

Section: Introductionmentioning

confidence: 99%

“…Manipulation is a high-velocity (thrust) technique, while joint mobilization is a relatively safe technique with low-velocity techniques [ 28 ]. Manual therapy has been supported by several researchers that it can be used as a separate intervention method to treat secondary problems of musculoskeletal system in patients with spasticity (CP or stroke) [ 19 , 20 , 21 , 26 , 27 , 29 , 30 , 31 , 32 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

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Changes in Ankle Range of Motion, Gait Function and Standing Balance in Children with Bilateral Spastic Cerebral Palsy after Ankle Mobilization by Manual Therapy

Youn

Cho²,

Park

2020

Children

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The aim of this study was to investigate the effect of ankle joint mobilization in children with cerebral palsy (CP) to ankle range of motion (ROM), gait, and standing balance. We recruited 32 children (spastic diplegia) diagnosed with CP and categorized them in two groups: the ankle joint mobilization (n = 16) group and sham joint mobilization (n = 16) group. Thus, following a six-week ankle joint mobilization, we examined measures such as passive ROM in ankle dorsiflexion in the sitting and supine position, center of pressure (COP) displacements (sway length, area) with eyes open (EO) and closed (EC), and a gait function test (timed up and go test (TUG) and 10-m walk test). The dorsiflexion ROM, TUG, and 10-m walk test significantly increased in the mobilization group compared to the control group. Ankle joint mobilization can be regarded as a promising method to increase dorsiflexion and improve gait in CP-suffering children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Ankle dorsiflexion ROM was measured in the supine position and sitting position [ 19 , 39 ]. For the measurement, a goniometer (goniometer, jamar) was used.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Changes in Ankle Range of Motion, Gait Function and Standing Balance in Children with Bilateral Spastic Cerebral Palsy after Ankle Mobilization by Manual Therapy

Youn

Cho²,

Park

2020

Children

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Systematic review and meta‐analysis of the effects of foot and ankle physical therapy, including mobilisations and exercises, in people with diabetic peripheral neuropathy on range of motion, peak plantar pressures and balance

Lepesis

Marsden

Rickard

et al. 2023

Diabetes Metabolism Res

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To evaluate the effects of foot and ankle physical therapy on ankle and first metatarsophalangeal joint range of motion (ROM), peak plantar pressures (PPPs) and balance in people with diabetes. MEDLINE, EBSCO, Cochrane Database of Systematic Reviews, Joanna Briggs Institute Database of Systematic Reviews, PROSPERO, EThOS, Web of Science and Google Scholar were searched in April 2022. Randomised Controlled Trials (RCT), quasi‐experimental, pre‐post experimental design and prospective cohort studies were included. Participants were people with diabetes, neuropathy and joint stiffness. Interventions included physical therapy such as mobilisations, ROM exercises and stretches. Outcome measures focused on ROM, PPPs and balance. Methodological quality was assessed with Critical Appraisal Skills Programme RCT and Risk‐of‐Bias 2 tool. Meta‐analyses used random‐effects models and data was analysed using the inverse variance method. In total, 9 studies were included. Across all studies, participant characteristics were similar; however, type and exercise dosage varied greatly. Meta‐analysis was performed with four studies. Meta‐analysis showed significant effects of combined exercise interventions in increasing total ankle ROM (3 studies: MD, 1.76; 95% CI, 0.78–2.74; p = 0; I2 = 0%); and reducing PPPs in the forefoot area (3 studies; MD, −23.34; 95% CI, −59.80 to 13.13; p = 0.21, I2 = 51%). Combined exercise interventions can increase ROM in the ankle and reduce PPPs in the forefoot. Standardisation of exercise programmes with or without the addition of mobilisations in the foot and ankle joints needs further research.

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Preliminary investigation on the effect of extracorporeal shock wave combined with traction on joint contracture based on PTEN‐PI3K/AKT pathway

Zhang,

Zhou

et al. 2023

Journal Orthopaedic Research

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To investigate the intervention effect of extracorporeal shock wave combined with manual traction on fixation‐induced knee contracture and its influence on PTEN‐PI3K/AKT signaling pathway. 36 SD male rats were randomly divided into 6 groups. The left knee joints were not fixed in the control group (C group). Rats in other groups underwent brace fixation in the extended position of the left knee. After 4 weeks bracing, it is randomly divided into five groups: Model group (M group), natural recovery group (NR group), extracorporeal shock wave treatment group (ET group), manual traction group (MT group), and extracorporeal shock wave combined with manual traction group (CT group). Joint range of motion (ROM) of left knee was carried out to assess joint function. Hematoxylin‐eosin (HE) staining and masson staining were respectively used to assess the cell number and collagen deposition expression. Immunohistochemical staining and Western blot were used to assess protein levels of phosphatase and tensin homolog (PTEN), phosphatidylinositol 3‐kinase (PI3K), and protein kinase B (AKT). The combined therapy was more effective than ESWT or manual traction alone against the joint range of motion, cell number and the collagen deposition,low‐expression of PTEN and over‐expression of PI3K/AKT in the anterior joint capsule of rats with knee extension contracture.Extracorporeal shock wave combined with manual traction can promote the histopathological changes of anterior joint capsule fibrosis, upregulate the protein expression of PTEN and downregulate the protein expression of PI3K/AKT in the fibrotic joint capsule in a rat joint contracture model.This article is protected by copyright. All rights reserved.

show abstract

Effects of joint mobilization and stretching on the range of motion for ankle joint and spatiotemporal gait variables in stroke patients

Cited by 18 publications

References 32 publications

Changes in Ankle Range of Motion, Gait Function and Standing Balance in Children with Bilateral Spastic Cerebral Palsy after Ankle Mobilization by Manual Therapy

Changes in Ankle Range of Motion, Gait Function and Standing Balance in Children with Bilateral Spastic Cerebral Palsy after Ankle Mobilization by Manual Therapy

Systematic review and meta‐analysis of the effects of foot and ankle physical therapy, including mobilisations and exercises, in people with diabetic peripheral neuropathy on range of motion, peak plantar pressures and balance

Preliminary investigation on the effect of extracorporeal shock wave combined with traction on joint contracture based on PTEN‐PI3K/AKT pathway

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