Effect of Mulligan Taping and Flossing Bands on Q-angle and Lower Limb Muscular Activity in Men with Chronic Ankle Instability

멀리건 테이핑과 플로싱 밴드가 만성 발목 불안정성 남성 환자의 Q-각과 하지 근 활성도에 미치는 효과

  • Jeong, Hyo-chang (Dept. of Physical Therapy, Graduate School, Nambu University) ;
  • Park, Se-jin (Dept. of Physical Therapy, Graduate School, Nambu University) ;
  • Yu, Seung-hun (Dept. of Physical Therapy, Nambu University)
  • 정효창 (남부대학교 대학원 물리치료학과) ;
  • 박세진 (남부대학교 대학원 물리치료학과) ;
  • 유성훈 (남부대학교 물리치료학과)
  • Received : 2021.10.22
  • Accepted : 2021.12.02
  • Published : 2021.12.31

Abstract

Background: The study aimed to examine changes in muscle activity by measuring the Q-angle and lower extremity activity when going down the stairs, after the application of either Mulligan taping or flossing bands to patients with chronic ankle instability. Methods: A total of 19 men with chronic ankle instability in their 20s and 30s participated in the study. Participants were randomly divided into two groups: the Mulligan taping group (n = 9) and the flossing band group (n=10). The Mulligan taping group had three sets of Mulligan joint operations repeated 10 times, after which the Mulligan tape was applied. The flossing band group either performed functional activities or exercised for 2 minutes after flossing band application. After the application of either Mulligan taping or flossing bands, changes in the Q-angle and lower limb muscular activity while going down the stairs were measured and compared. Results: In the Mulligan taping group, the Q-angle significantly decreased from 13.63° to 12.7° during the step down. Similarly, the Q-angle of the flossing band group significantly decreased from 15.95° to 15.48° (p<.05). There was no difference in lower limb muscle activity between the two groups when going down the stairs. The muscle activity of the tibialis anterior significantly increased from 34.12% to 40.2%, and the difference between the two groups were statistically significant (p<.05). Conclusions: The study found that the application of Mulligan taping and flossing bands to patients with chronic ankle instability decreased the Q-angle and lower limb muscle activity when going down the stairs.

Keywords

References

  1. Bae HI. Immediate Effect of Ankle Spread Taping on Balance and Gait Function in Patients with Chronic Stroke. Daegu University. Master Thesis. 2019.
  2. Beynnon BD, Renstrom PA, Alosa DM, et al. Ankle ligament injury risk factors: A prospective study of college athletes. J Orthop Res. 2001;19(2):213-220. http://doi.org/10.1016/S0736-0266(00)90004-4.
  3. Hopper D, Samsson K, Hulenik T, et al. The influence of Mulligan ankle taping during balance performance in subjects with unilateral chronic ankle instability. PTS. 2009;10(1):125 -130. https://doi.org/10.1016/j.ptsp.2009.07.005.
  4. Delahunt E, Remus A. Risk factors for lateral an- kle sprains and chronic ankle instability. JOAT. 2019;54(6):611-616. Http://doi.org/10.4085/1062-6050-44-18.
  5. Delfa JM, Diego IMA, Rueda F, et al. The Mulligan ankle taping does not affect balance performance in healthy subjects: A prospective, randomized blinded trial. 2015;27(5):1597-1602. Http://doi.org/10.1589/jpts.27.1597.
  6. Driller M, Makay K, Mills B, et al. Tissue flossing on ankle range of motion, jump and sprint performance: A follow-up study. PTSP. 2017;28(1):29-33. https://doi.org/10.1016/j.ptsp.2017.08.081.
  7. Driller WM, Ryan GO. The effects of tissue flossing on ankle range of motion and jump performance. Physical Therapy in Sport. 2017;25(1):20-24. https://doi.org/10.1016/j.ptsp.2016.12.004
  8. Delahunt E, Remus A. Risk factors for lateral ankle sprains and chronic ankle instability. JOAT. 2019;54(6):611-616. Http://doi.org/10.4085/1062-6050-44-18.
  9. Han SW. The effect of vibration foam roll and flossing band exercise on muscle strengthing and balance in olders. AOSPT. 2019;15(1):1-9. https://doi.org/10.24332/aospt.2019.15.1.01.
  10. Heiderscheit BC, Hamill J, Cald WGE, et al. Influence of Q-angle on lower-extremity running kinematic. JOSPT. 2000;30(5):271-278. https://doi.org/10.2519/jospt.2000.30.5.271.
  11. Hopper D, Samsson K, Hulenik T, et al. The influence of Mulligan ankle taping during balance performance in subjects with unilateral chronic ankle instability. PTS. 2009;10(1):125 -130. https://doi.org/10.1016/j.ptsp.2009.07.005.
  12. Jeong KY, Kim TG. A study on the one-leg drop landing pattern and muscular activity de- pending on chronic ankle instability among basketball club members. The Society of Digital Policy & Management. 2021;19(2):481-488. https://doi.org/10.14400/JDC.2021.19.2.481.
  13. Kim KJ, Jegal H, Jun HJ, et al. The comparison of balance using cumberland ankle instability tool to stable and instability ankle. KSPM. 2013;8(3):361-368. https://doi.org/10.13066/kspm.2013.8.3.361.
  14. Kim TS, Kim SS. The influence of 8-weeks general and nordic walking on lumbosacral angle, Q-angle, lumbar power and pain for male college student with low back pain. JSLS. 2020;80(1):419-428. https://doi.org/10.51979/KSSLS.2020.04.80.419
  15. Lee DH, Lee NJ, Lim BV. The effects of ROM and VAS by taping approach method with low back pain. JCD. 2012;14(3):88-94.
  16. Lee SA, Kim AR, Yoo KT, et al. Evaluation of muscle activity and foot pressure during gait, and isokinetic strength and balance in persons with functional ankle instability. J Korean Soc Phys Med. 2018;13(3):27-37. https://doi.org/10.13066/kspm.2018.13.3.27
  17. Lee WH. Effects of gastrocnemius muscle length on the dynamic balance and antero-posterior pressure distribution of foot. KAIS. 2019;20(6):150-157. https://doi.org/10.5762/KAIS.2019.20.6.150.
  18. Moghadam HZ, Hoseini ST, Hashemian AM, et al. The relation of Q Angle and anthropometric measures with ankle sprain; A case-control study. AAEM. 2017;5(1):e9.
  19. Mills B, Mayo B, Tavares FB, et al. The effect of tissue flossing on ankle range of motion, jump, and sprint performance in elite rugby union athletes. J Sport Rehabilitation. 2020;29(3):282-286. https://doi.org/10.1123/jsr.2018-0302.
  20. Mine K, Ishigro K, Nakayama T. Immediate effects of two different ankle taping techniques on ankleinversion during quick lateral cutting movements; A pilot crossover randomised controlled trial. J Phys Ther Sports Med. 2018;2(1):5-9 https://doi.org/10.35841/physical-therapy.2.1.5-9.
  21. Mulligan B. The painful dysfunctional shoulder: A new treatment approach using 'mobilisation-with movement. NZ J Physiother. 2003;31(3):140.
  22. Nambi SG, Tarun BS. Kinesio taping versus Mulligan's mobilization with movement in sub-acute lateral ankle sprain in secondary school Hockey players - Comparative study. International. JPHCS. 2012;2(2):2249-5738.
  23. Noronha MD, Kathryn MR, Crosbie J, et al. Relationship between functional ankle instability and postural control. JOSPT 2008;38(12):782-789. Http://doi.org/10.2519/jospt.2008.2766.
  24. Roland K, Stechman K, Eggers H, et al. Flossing. 2017;10-24. Medical Plus, Berlin, Germany.
  25. Someeh M, Norasteh AA, Daneshmandi H, et al. Immediate effects of Mulligan's fibular re- positioning taping on postural control in athletes with and without chronic ankle instability. PTSP. 2015;16(2):135-139. Http://doi.org/10.1016/j.ptsp.2014.08.003.
  26. Someeh. M, Norasteh. AA, Daneshmandi H, et al. Influence of Mulligan ankle taping on functional performance tests in healthy athletes and athletes with chronic ankle instability. International Journal of Athletic Therapy and Training. 2015;20(1):39-45. https://doi.org/10.1123/ijatt.2014-0050.
  27. Ross S, Kandassamy G. The effects of 'Tack and Floss' active joint mobilisation on ankle dorsiflexion range of motion using voodoo floss bands. Sport & Physical Activity. 2017;18:1-22.
  28. Tmmruk M, Tomruk MS, Alkan E, et al. Immediate effects of ankle joint mobilization with movement on postural control, range of motion, and muscle strength in healthy individuals: A Randomized, Sham-controlled trial. JSR. 2019;29(8):1060-1068. https://doi.org/10.1123/jsr.2019-0198
  29. Yeung MS, Chan KM, So CH, et al. An epidemiological survey on ankle sprain. Br J Sports Med. 1994;28(2):112-116. http://doi.org/10.1136/bjsm.28.2.112.