Four-week training involving ankle mobilization with movement versus static muscle stretching in patients with chronic stroke: a randomized controlled trial

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

doi:10.1080/10749357.2018.1550614

Cited by 17 publications

(24 citation statements)

References 29 publications

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“…Additionally, in the TST group, the static balance ability significantly decreased by 72.7% after the TST intervention compared with baseline. These results are consistent with those of previous studies (Kim and Lee, 2018;Park et al, 2019). Kim and Lee (2018) reported significant improvements in ankle ROM, static balance ability, TUG test, and dynamic gait index following weight-bearing-based mobilization with movement application in patients with stroke.…”

Section: Discussionsupporting

confidence: 92%

“…Kim and Lee (2018) reported significant improvements in ankle ROM, static balance ability, TUG test, and dynamic gait index following weight-bearing-based mobilization with movement application in patients with stroke. Park et al (2019) applied ankle mobilization with movement in patients with chronic stroke, which produced significant improvements in static balance ability, Berg balance scale, and cadence compared with static calf muscle stretching. In our study, static balance ability significantly improved in the TST group compared to the KT group.…”

Section: Discussionmentioning

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: 92%

Section: Discussionmentioning

confidence: 99%

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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“…Forrester et al (2014) showed that both robotic ankle mobilizations and manual ankle stretching improved gait velocity in stroke patients at hospital discharge compared to baseline 69 . Similarly, Park et al (2018) showed that both static ankle stretching and ankle mobilizations improved gait speed after four weeks of treatment compared to baseline 70 .…”

Section: Stroke Patientsmentioning

confidence: 93%

“…However, only one non-randomized study 49 was identified and included in the current systematic review. Other studies that used stretching in multicomponent programs [66][67][68] or in control groups 69,70 were identified but excluded because of the addition of resistance training or the lack of a control group. Nevertheless, it should be noted that some studies showed improvements between pre-and post-stretching conditions.…”

Section: Stroke Patientsmentioning

confidence: 99%

Effects of stretching exercises on human gait: a systematic review and meta-analysis

et al. 2020

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Background: Stretching is commonly used in physical therapy as a rehabilitation tool to improve range of motion and motor function. However, is stretching an efficient method to improve gait, and if so, for which patient category? Methods: A systematic review of randomized and non-randomized controlled trials with meta-analysis was conducted using relevant databases. Every patient category and every type of stretching programs were included without multicomponent programs. Data were meta-analysed where possible. Estimates of effect sizes (reported as standard mean difference (SMD)) with their respective 95% confidence interval (95% CI) were reported for each outcome. The PEDro scale was used for the quality assessment. Results: Twelve studies were included in the analysis. Stretching improved gait performance as assessed by walking speed and stride length only in a study with a frail elderly population, with small effect sizes (both SMD= 0.49; 95% CI: 0.03, 0.96; PEDro score: 3/10). The total distance and the continuous walking distance of the six-minute walking test were also improved only in a study in an elderly population who had symptomatic peripheral artery disease, with large effect sizes (SMD= 1.56; 95% CI: 0.66, 2.45 and SMD= 3.05; 95% CI: 1.86, 4.23, respectively; PEDro score: 5/10). The results were conflicting in healthy older adults or no benefit was found for most of the performance, spatiotemporal, kinetic and angular related variables. Only one study (PEDro score: 6/10) showed improvements in stance phase duration (SMD=-1.92; 95% CI: -3.04, -0.81), swing phase duration (SMD=1.92; 95 CI: 0.81, 3.04), double support phase duration (SMD= -1.69; 95% CI: -2.76, -0.62) and step length (SMD=1.37; 95% CI: 0.36, 2.38) with large effect sizes. Conclusions: There is no strong evidence supporting the beneficial effect of using stretching to improve gait. Further randomized controlled trials are needed to understand the impact of stretching on human gait.

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“…Such a complex movement disorder requires differentiated therapy strategies, to address both the structural and functional movement limitations. Upper ankle joint i.e., talocrural manual therapy (MT) (6) and MT with movement leads to increased joint ROM alongside balance improvements (7,8).…”

Section: Introductionmentioning

confidence: 99%

Effects of a specific task-oriented training versus its combination with manual therapy on balance and mobility in people post stroke at the chronic stage: study protocol for a pilot randomised controlled trial

Traxler

Schinabeck

Baum

et al. 2020

Preprint

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Background: Large studies have shown that stroke is among the most relevant causes of acquired adult disability. Walking and balance impairment in stroke survivors often contribute to a restriction in daily activities and social participation. Task-oriented training (TOT) is an effective treatment strategy and manual therapy (MT) is used successfully to enhance ankle joint flexibility in this population. No study, however, has compared TOT against its combination with MT in a randomised controlled trial. Aims of this pilot study are therefore to explore the feasibility of a full-scale RCT and the preliminary effects of specific TOT with a combined specific TOT-MT versus a control group in people post stroke.Methods: This is a protocol of a 4-week prospective randomised controlled parallel pilot trial in people post stroke at the chronic stage with limited upper ankle joint mobility and an impairment in balance and mobility. At a German outpatient therapy centre using 1:1:1 allocation, 36 patients will be randomised into one of three groups: 15-minute talocrural joint MT plus 30-minute specific TOT (Group A); 45-minute specific TOT (Group B); controls (Group C). Training will be goal-oriented including tasks that are based on daily activities and increased in difficulty ulilising predefined progression criteria. Interventions will be provided face-to-face 2 times per week, for 4 weeks, in addition to 20-minute concurrent x4 weekly homebased training sessions. Data will be collected by blinded assessors at baseline, post-intervention and 4-week follow-up. The primary outcome will be feasibility assessed by recruitment, retention and adherence rates, compliance, adverse events, falls and the acceptability of the intervention. Secondary outcomes will be walking speed, single and dual tasking functional mobility, ankle range of motion, disability and health-related quality of life.Discussion: Results from this study will inform a larger randomised controlled trial to investigate the effects of specific TOT and specific TOT-MT compared to a post stroke control group. We hope that the study findings help to enhance stroke rehabilitation.Trial registration: German Clinical Trials Register, DRKS00023068. Registered on 21.09.2020, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00023068.

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Four-week training involving ankle mobilization with movement versus static muscle stretching in patients with chronic stroke: a randomized controlled trial

Cited by 17 publications

References 29 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

Effects of stretching exercises on human gait: a systematic review and meta-analysis

Effects of a specific task-oriented training versus its combination with manual therapy on balance and mobility in people post stroke at the chronic stage: study protocol for a pilot randomised controlled trial

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