Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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Effects of Negative Pressure Soft Tissue Therapy to Ankle Plantar Flexor on Muscle Tone, Muscle Stiffness, and Balance Ability in Patients with Stroke

  • Received : 2018.03.11
  • Accepted : 2018.04.20
  • Published : 2018.06.30
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Abstract

The purpose of the study was to investigate the immediate effects of negative pressure soft tissue therapy on muscle tone, muscle stiffness and balance in patients with stroke. In total, 20 patients with stroke and assigned to the negative pressure soft tissue therapy group (NPST, n=10) or, placebo-negative pressure soft tissue therapy group(Placebo-NPST, n=10). Both groups underwent NPST or placebo-NPST once a day during the experimental period. MyotonPRO was used to assess the parameters for muscle tone and stiffness. Biorescue was used to assess the parameters for balance. Each group showed improvements in muscle tone, muscle stiffness, and balance ability (p<.05). Especially, Muscle tone, muscle stiffness, and anterior length in the limit of stability were the significant improvement on NPST group (p<.05). The results of the study suggest that the NPST is effective in improving muscle tone, muscle stiffness, and balance ability in patients with stroke.

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References

  1. Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Arch Phys med Rehabil. 1997; 78(11): 1231-6. https://doi.org/10.1016/S0003-9993(97)90337-3
  2. Given JD, Dewald JP, Rymer WZ. Joint dependent passive stiffness in paretic and contralateral limbs of spastic patients with hemiparetic stroke. J Neurol Neurosurg Psychiatry. 1995; 59(3): 271-9. https://doi.org/10.1136/jnnp.59.3.271
  3. Harlaar J, Becher JG, Snijders CJ et al. Passive stiffness characteristics of ankle plantar flexors in hemiplegia. Clin Biomech. 2000; 15(4): 261-70. https://doi.org/10.1016/S0268-0033(99)00069-8
  4. Leonard CT. Motor behavior and neural changes following perinatal and adult-onset brain damage: Implicatrions for therapeutic interventions. Phys Ther. 1994; 74(8): 753-67. https://doi.org/10.1093/ptj/74.8.753
  5. Masi AT, Hannon JC. Human resting muscle tone (HRMT): narrative introduction and modern concepts. J bodyw Mov Ther. 2008; 12(4): 320-32. https://doi.org/10.1016/j.jbmt.2008.05.007
  6. Thilmann AF, Fellows SJ, Garms E. The mechanism of spastic muscle hypertonus: variation in reflex gain over the time course of spasticity. Brain. 1991; 114(1): 233-44.
  7. O'Dwyer NJ, Ada L, Neilson PD. Spasticity and muscle contracture following stroke. Brain. 1996; 119(5): 1737-49. https://doi.org/10.1093/brain/119.5.1737
  8. Allison SC, Abraham LD, Peterson CL. Reliability of the Modified Ashworth Scale in the assessment of plantar flexor muscle spasticity in patients with traumatic brain injury. Int J Rehabil Res. 1996; 19(1): 67-78. https://doi.org/10.1097/00004356-199603000-00007
  9. Mullix J, Warner M, Stokes M. Testing muscle tone and mechanical properties of rectus femoris and biceps femoris using a novel hand held MyotonPRO device: relative ratios and reliability. Working Papers in the Health Sciences. 2012; 1(1): 1-8.
  10. Agyapong-Badu S, Aird L, Bailey L et al. Interrater reliability of muscle tone, stiffness and elasticity measurements of rectus femoris and biceps brachii in healthy young and older males. Working Papers in the Health Sciences 2013; 1(1): 1-11.
  11. Chuang LL, Wu CY, Lin KC. Reliability, validity, and responsiveness of myotonometric measurement of muscle tone, elasticity, and stiffness in patients with stroke. Arch Phys Med Rehabil. 2012; 93(3): 532-40. https://doi.org/10.1016/j.apmr.2011.09.014
  12. Marusiak J, Jaskolska A, Koszewicz M et al. Myometry revealed medication-induced decrease in resting skeletal muscle stiffness in Parkinson's disease patients. Clin Biomech. 2012; 27(6): 632-5. https://doi.org/10.1016/j.clinbiomech.2012.02.001
  13. Cho HY, In TS, Cho KH et al. A single trial of transcutaneous electrical nerve stimulation (TENS) improves spasticity and balance in patients with chronic stroke. Tohoku J Exp Med. 2013; 229(3): 187-93. https://doi.org/10.1620/tjem.229.187
  14. Ng SS, Hui-Chan CW. Transcutaneous electrical nerve stimulation combined with task-related training improves lower limb functions in subjects with chronic stroke. Stroke. 2007; 38(11): 2953-9. https://doi.org/10.1161/STROKEAHA.107.490318
  15. Sabut SK, Sikdar C, Kumar R et al. Functional electrical stimulation of dorsiflexor muscle: Effects on dorsiflexor strength, plantar flexor spasticity, and motor recovery in storke patients. NeuroRehabilitation. 2011; 29(4): 393-400.
  16. Yan T, Hui-chan CW, Li LS. Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke: a randomized placebo-controlled trial. Stroke. 2005; 36(1): 80-5. https://doi.org/10.1161/01.STR.0000149623.24906.63
  17. Suh HR, Han HC, Cho HY. Immediate therapeutic effect of interferential current therapy on spasticity, balance, and gait function in chronic stroke patients: a randomized control trial. Clin Rehabil. 2014; 28(9): 885-91. https://doi.org/10.1177/0269215514523798
  18. Airaksinen O, Vuorinen V-P, Raittila S. Influence of LymphaTouch(R)-treatment method for pain and edema in context of active physiotherapy. Internal Research Report. 2011.
  19. Rontynen J, Tuomainen M. The effectiveness of LymphaTouch-treatment in Carpal Tunnel Syndrome. B.Sc. Thesis for Degree Programme of PhysioTherapy, Social Service, Health and Sports, Savonia University of Applied Sciences. 2011.
  20. Vuorinen V-P, Iivarinen J, Jurvelin J et al. Lymphatic therapy using negative pressure, A clinical study with the LymphaTouch device. Research Report, Finnish Funding Agency for Technology and Innovation. 2013.
  21. Mullix J, Warner M, Stokes M. Testing muscle tone and mechanical properties of rectus femoris and biceps femoris using a novel hand held MyotonPRO device: relative ratios and reliability. Working Papers in the Health Sciences. 2012; 1(1): 1-8.
  22. Bailey L, Samuel D, Warner M et al. Parameters representing muscle tone, elasticity and stiffness of biceps brachii in healthy older males: symmetry and within-session reliability using the MyotonPRO. J Neurol Disord. 2013; 1(1): 1-7.
  23. Viir R, Laiho K, Kramarenko J et al. Repeatability of trapezius muscle tone assessment by a myometric method. J Mech Med Biol. 2006; 6(2): 215-28. https://doi.org/10.1142/S0219519406001856
  24. Tasi KH, Yeh CY, Chang HY et al. Effects of a single session of prolonged muscle stretch in spastic muscle of stroke patients. Proc Nati Sci Counc Repub China B. 2001; 25(2): 76-81.
  25. Caillet F, Mertens P, Rabaséda S et al. [Three dimensional gait analysis and controlling spastic foot on stroke patients]. Ann Readapt Med Phys. 2003; 46(3): 119-31. https://doi.org/10.1016/S0168-6054(03)00015-1
  26. Yaggie JA, McGregor SJ. Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Arch Phys Med Rehabil. 2002; 83(2): 224-8. https://doi.org/10.1053/apmr.2002.28032
  27. Shumway-Cook A, Wollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci. 2000; 55A: M10-6
  28. Vedula S, Kearney RE, Wagner R et al. Decoupling of stretch reflex and background muscle activity during anticipatory postural adjustments in human. Exp Brain Res. 2010; 205(2): 205-13. https://doi.org/10.1007/s00221-010-2357-5
  29. Masi AT, Hannon JC. Human resting muscle tone (HRMT): narrative introduction and modern concepts. J bodyw Mov Ther. 2008; 12(4): 320-32. https://doi.org/10.1016/j.jbmt.2008.05.007
  30. Guissard N & Duchateau J. Effect of static stretch training on neural and mechanical properties of the human plantar-flexor muscles. Muscle & nerve. 2004; 29(2): 248-55. https://doi.org/10.1002/mus.10549
  31. Tasi KH, Yeh CY, Chang HY et al. Effects of a single session of prolonged muscle stretch in spastic muscle of stroke patients. Proc Nati Sci Counc Repub China B. 2001; 25(2): 76-81.
  32. Vuorinen V-P, Iivarinen J, Jurvelin J et al. Lymphatic therapy using negative pressure, A clinical study with the LymphaTouch device. Research Report, Finnish Funding Agency for Technology and Innovation. 2013.
  33. Vedula S, Kearney RE, Wagner R et al. Decoupling of stretch reflex and background muscle activity during anticipatory postural adjustments in human. Exp Brain Res. 2010; 205(2): 205-13. https://doi.org/10.1007/s00221-010-2357-5
  34. Muscolino JE, Cipriani S. Pilates and the "powerhouse"- 1. J Bodywork and Movement Ther. 2004; 8: 15-24. https://doi.org/10.1016/S1360-8592(03)00057-3