Effects of Talocrural Mobilization with Movement on Ankle Strength, Mobility, and Weight-Bearing Ability in Hemiplegic Patients with Chronic Stroke: A Randomized Controlled Trial

An, Chang-Man; Jo, Shin-Ok

doi:10.1016/j.jstrokecerebrovasdis.2016.09.005

Cited by 31 publications

(40 citation statements)

References 27 publications

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“…Additionally, in the TST group, the DF-PROM significantly increased by 37.6% after the TST intervention compared with baseline. These results are consistent with those of previous studies (An and Jo, 2017;Kang et al, 2014). An and Jo (2017) reported significant improvements in ankle DF-PROM, ankle strength, and weight-bearing ability following talocrural mobilization with movement application in patients with chronic stroke.…”

Section: Discussionsupporting

confidence: 94%

“…These results are consistent with those of previous studies (An and Jo, 2017;Kang et al, 2014). An and Jo (2017) reported significant improvements in ankle DF-PROM, ankle strength, and weight-bearing ability following talocrural mobilization with movement application in patients with chronic stroke. Another recent study showed that ankle DF-PROM and heel-off time in the stance phase of gait were increased after walking with TST application in people with ankle limited DF-PROM (Kang et al, 2014).…”

Section: Discussionsupporting

confidence: 94%

“…Stroke patients require long-term treatment and often experience difficulties in daily activities (Carandang et al, 2006). Limited ankle dorsiflexion passive range of motion (DF-PROM) is a common impairment for people with chronic stroke, which leads to impaired balance and increased fall risk in standing or gait (An and Jo, 2017;Kluding and Santos, 2008;Yarkony and Sahgal, 1987). Furthermore, limited ankle DF-PROM results in difficulties in weight transfer toward the paretic lower limb during both standing or gait in patients with stroke (Dickstein et al, 1984;Kluding and Santos, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Various interventions, such as kinesio taping (KT), nonelastic taping, and talocrural joint mobilization have been used to improve balance ability and gait functions in individual patients with stroke (An and Jo, 2017;Nam et al, 2015;Rojhani-Shirazi et al, 2015). KT has been used as a rehabilitation program for pain relief, muscle strength enhancement, to correct joint positions, to control joint instability, improve posture alignment, increase proprioception, and to increase range of motion (ROM).…”

Section: Introductionmentioning

confidence: 99%

“…TST provides the posterior talar glide and allows active ankle dorsiflexion movement in a weight-bearing position during walking (Mau and Baker, 2014;Yoon et al, 2014). Evidence on the use of ankle joint mobilization techniques in stroke patients is limited, although researchers have found that talocrural joint mobilization can be useful for improving the balance ability in patients with chronic stroke (An and Jo, 2017) and TST has been recommended to improve ankle DF-PROM and gait functions in cases of people with limited ankle dorsiflexion (Yoon et al, 776 http://www.e-jer.org…”

Section: Introductionmentioning

confidence: 99%

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Effects of talus stabilization taping versus ankle kinesio taping in patients with chronic stroke: a randomized controlled trial

Park¹,

Lee

2019

J Exerc Rehabil

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Talus stabilization taping (TST) can be utilized to stabilize posteriorly glide of the talus and allows active ankle dorsiflexion movement during walking. The purpose of this study was to compare the effects of ankle kinesio taping with those of TST on ankle dorsiflexion passive range of motion, static balance, the Timed Up and Go test, and the fall risk in patients with chronic stroke and limited ankle dorsiflexion. Participants were randomized into the kinesio taping (n= 11) and TST groups (n= 11). Both groups were applied the appropriate taping and were asked to walk on the treadmill for 10 min. The ankle dorsiflexion passive range of motion, static balance ability, Timed Up and Go test, and fall risk were assessed in all participants before and after the intervention. The TST group showed greater improvement than the ankle kinesio taping group in all outcomes measured (P< 0.05). Furthermore, both groups had significantly decreased in the Timed Up and Go results (P< 0.05). This study shows that TST improves functional ability of the ankles of patients with chronic stroke in comparison to the kinesio taping method.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effects of talus stabilization taping versus ankle kinesio taping in patients with chronic stroke: a randomized controlled trial

Park¹,

Lee

2019

J Exerc Rehabil

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Mobilization with movement is effective for improving ankle range of motion and walking ability in individuals after stroke: A systematic review with meta‐analysis

Nascimento,

Boening,

Ribeiro

et al. 2024

PM&R

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BackgroundMobilization with movement has been recommended to improve foot mobility in people with ankle impairments and could improve walking after stroke.ObjectiveTo examine the effects of the addition of mobilization with movement to commonly used exercises in physiotherapy for improving ankle range of motion and walking in people who have had a stroke.DesignSystematic review of randomized controlled trials.SettingsNot applicable.ParticipantsAmbulatory adults at any time after stroke.InterventionThe experimental intervention was exercises plus ankle mobilization with movement, in comparison with exercises alone.Main outcomeAnkle range of motion.MeasurementsWalking parameters (ie., walking speed, cadence, step length).ResultsSix trials, involving 160 participants, were included. The mean PEDro score of the trials was 6 (range 4 to 7). Mobilization with movement in addition to exercises improved range of motion by 4° (95% CI 2 to 6), walking speed by 0.08 m/s (95% CI 0.05 to 0.11), cadence by 9 steps/min (95% CI 7 to 12), and step length by 5 cm (95% CI 3 to 7) more than exercises alone. The quality of evidence was low for range of motion and moderate for walking outcomes.ConclusionThis systematic review provided evidence that the addition of mobilization with movement to commonly used exercises in neurological rehabilitation increases ankle dorsiflexion, and benefits are carried over to improving walking speed, cadence, and step length in moderately disabled individuals with chronic stroke.Review RegistrationPROSPERO (CRD42023405130).

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Nonsurgical Treatment Options for Muscle Contractures in Individuals With Neurologic Disorders: A Systematic Review With Meta-Analysis

Svane

Nielsen

Lorentzen

2021

Archives of Rehabilitation Research and Clinical Translation

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Objective To investigate whether nonsurgical treatment can reduce muscle contractures in individuals with neurologic disorders. The primary outcome measure was muscle contractures measured as joint mobility or passive stiffness. Data Sources Embase, MEDLINE, Cumulative Index to Nursing and Allied Health, and Physiotherapy Evidence Database in June-July 2019 and again in July 2020. Study Selection The search resulted in 8020 records, which were screened by 2 authors based on our patient, intervention, comparison, outcome criteria. We included controlled trials of nonsurgical interventions administered to treat muscle contractures in individuals with neurologic disorders. Data Extraction Authors, participant characteristics, intervention details, and joint mobility/passive stiffness before and after intervention were extracted. We assessed trials for risk of bias using the Downs and Black checklist. We conducted meta-analyses investigating the short-term effect on joint mobility using a random-effects model with the pooled effect from randomized controlled trials (RCTs) as the primary outcome. The minimal clinically important effect was set at 5°. Data Synthesis A total of 70 trials (57 RCTs) were eligible for inclusion. Stretch had a pooled effect of 3° (95% CI, 1-4°; prediction interval (PI)=−2 to 7°; I 2 =66%; P <.001), and robot-assisted rehabilitation had an effect of 1 (95% CI, 0-2; PI=−8 to 9; I 2 =73%; P =.03). We found no effect of shockwave therapy ( P =.56), physical activity ( P =.27), electrical stimulation ( P =.11), or botulinum toxin ( P =.13). Although trials were generally of moderate to high quality according to the Downs and Black checklist, only 18 of the 70 trials used objective measures of muscle contractures. In 23 trials, nonobjective measures were used without use of assessor-blinding. Conclusions We did not find convincing evidence supporting the use of any nonsurgical treatment option. We recommend that controlled trials using objective measures of muscle contractures and a sufficiently large number of participants be performed.

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Effects of Talocrural Mobilization with Movement on Ankle Strength, Mobility, and Weight-Bearing Ability in Hemiplegic Patients with Chronic Stroke: A Randomized Controlled Trial

Cited by 31 publications

References 27 publications

Effects of talus stabilization taping versus ankle kinesio taping in patients with chronic stroke: a randomized controlled trial

Effects of talus stabilization taping versus ankle kinesio taping in patients with chronic stroke: a randomized controlled trial

Mobilization with movement is effective for improving ankle range of motion and walking ability in individuals after stroke: A systematic review with meta‐analysis

Nonsurgical Treatment Options for Muscle Contractures in Individuals With Neurologic Disorders: A Systematic Review With Meta-Analysis

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