PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Modified PNF Ankle Movement Patterns on Active Dorsiflexion Range of Motion and Leg Muscle Activity

수정된 PNF 발목 움직임 패턴이 능동적 발등 굽힘 가동범위 및 다리 근활성도에 미치는 영향

  • In-Gyun Kim (Seoul Sky Rehabilitation Hospital) ;
  • Su-hong Choi (Department of Rehabilitation Medicine, Busan National University Hospital) ;
  • Sang-Yeol Lee (Department of Physical Therapy, Kyungsung University)
  • 김인균 (서울스카이재활의학과의원) ;
  • 최수홍 (부산 대학교병원 재활의학과) ;
  • 이상열 (경성대학교 물리치료학과)
  • Received : 2023.10.18
  • Accepted : 2023.11.13
  • Published : 2023.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the effects of modified ankle movement patterns on participants' active dorsiflexion range of motion and leg muscle activity. Methods: This study recruited twenty-five participants, all of whom were healthy individuals with no abnormalities in the ankle or knee joints. The research methodology involved measuring the active dorsiflexion range of motion and muscle activity in each person's legs based on the presence or absence of toe extension while the subjects were in a comfortable, supine position. A statistical analysis was conducted using SPSS 25.0, and a paired samples t-test was employed. The significance level was set at 0.05. Results: When the participants demonstrated the modified ankle movement pattern with a controlled toe grip, there was an increase in their active dorsiflexion angle. However, during the proprioceptive neuromuscular facilitation technique without a controlled toe grip, a higher level of activity was observed in the leg muscles. Conclusion: The results of this study could be used as foundational data for establishing a rehabilitation exercise program designed to enhance range of motion and muscle activation in the ankle joint.

Keywords

References

  1. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide. Springer. Science & Business Media. 2007. 
  2. Collins N, Teys P, Vicenzino B. The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Manual therapy. 2004;9(2):77-82.  https://doi.org/10.1016/S1356-689X(03)00101-2
  3. Duquette AM, Andrews DM. Tibialis anterior muscle fatigue leads to changes in tibial axial acceleration after impact when ankle dorsiflexion angles are visually controlled. Human Movement Science. 2010;29(4):567-577.  https://doi.org/10.1016/j.humov.2010.03.004
  4. Franck WM, Olk A, Hennig FF. Combined rupture of the tibialis anterior and the extensor hallucis longus tendons-functional reconstruction. Archives of Orthopedic and Trauma Surgery. 2005;125(4):277-280.  https://doi.org/10.1007/s00402-004-0722-1
  5. Lee JH, Cho JW. Comparative study on the immediate effect of performing gastrocnemius stretching with and without myofascial release of the sole on ankle dorsiflexion angles and gastrocnemius muscle tone in subjects with limited ankle dorsiflexion. Journal of The Korean Society of Physical Medicine. 2022;17(1):109-116.  https://doi.org/10.13066/kspm.2022.17.1.109
  6. Jeon IC, Jang JH. Comparison of prone hip extension exercise and prone hip extension exercise after iliopsoas stretching on lumbopelvic control and gluteus maximus activity in subjects with short iliopsoas. Journal of Musculoskeletal Science and Technology. 2017;1(1):19-25.  https://doi.org/10.29273/jkema.2017.1.1.19
  7. Kang MH, Kim JW, Yoon JY, et al. The effect of changes in patellar height using infra-patellar strap on the EMG activity of quadriceps muscles during a squat exercise in adults with patellar baja. Physical Therapy Korea. 2012;19(1):37-45.  https://doi.org/10.12674/ptk.2012.19.1.037
  8. Kendall FP, McCreary EK, Provance PG. Muscles: testing and function with posture and pain. Baltimore. Williams and Wilkins. 2005. 
  9. Kim DY, Park CI, Jang YW, et al. Kinematic and kinetic comparison between stair climbing and level walking. Journal of the Korean Academy of Rehabilitation Medicine. 2001;25(6):1048-1058. 
  10. Kisner C, Colby LA. Therapeutic exercise: foundation and techniques, 6th edition. Philadelpia. FA Davis Company. 2012. 
  11. Ko EH, Choi HS, Kim TH, et al. The effect of high-heeled shoes with total contact inserts in the gait characteristics of young female adults during lower extremity muscle fatigue. Korean Research Society of Physical Therapy. 2008;15(1):38-45. 
  12. Kwon OY, Tuttle LJ, Johnson JE, et al. Muscle imbalance and reduced ankle joint motion in people with hammer toe deformity. Clinical Biomechanics. 2009;24(8): 670-675.  https://doi.org/10.1016/j.clinbiomech.2009.05.010
  13. Kwon YJ, Lee HO. Activity of Knee Flexors and Extensors on Change of Ankle Joint Position. Korea Proprioceptive Neuromuscular Facilitation Association. 2013;11(2):111-117. 
  14. Lagas IF, Meuffels DE, Visser E, et al. Effects of eccentric exercises on improving ankle dorsiflexion in soccer players. BMC Musculoskeletal Disorders. 2021; 22(1):485. 
  15. Martinez AF, Scattone SR., Paschoal, BLF, et al. Association of ankle dorsiflexion and landing forces in jumping athletes. Sports Health. 2022;14(6):932-937.  https://doi.org/10.1177/19417381211063456
  16. Munuera PV, Trujillo P, Guiza I. Hallux interphalangeal joint range of motion in feet with and without limited first meta-tarsophalangeal joint dorsiflexion. Journal of the American Podiatric Medical Association. 2012;102(1):47-53.  https://doi.org/10.7547/1020047
  17. Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation. Elsevier Health Sciences. 2016. 
  18. Perry J, Burnfield JM. Gait analysis. Normal and pathological function, 2nd ed. California. Slack. 2010. 
  19. Reynard F, Deriaz O, Bergeau J. Foot varus in stroke patients: muscular activity of extensor digitorum longus during the swing phase of gait. The Foot. 2009;19(2):69-74  https://doi.org/10.1016/j.foot.2008.11.012
  20. 1.1. Ryu BH, Hong HP. The comparison of the effects of joint mobilization, incline board and PNF stretching to increase the dorsiflexion of the ankle joint on ankle dosiflexion and the muscle tone of the plantar flexor the ankle in subjects with stroke. Korean Academy of Orthopedic Manipulative Physical Therapy. 2022;26(1):55-63. 
  21. Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines. St. Louis. Elsevier Health Sciences, 2010. 
  22. Shrivastava T, Kumar S, Viratia V. Kinesio Taping Along with PNF Stretching Improved Ankle Dorsiflexion in Children with Spastic Diplegic Cerebral Palsy. The Scientific Temper. 2022;13(02):302-308.  https://doi.org/10.58414/SCIENTIFICTEMPER.2022.13.2.44
  23. Siddiqi A, Arjunan SP, Kumar D. Improvement of isometric dorsiflexion protocol for assessment of tibialis anterior muscle strength. MethodsX. 2015;2:107-111.  https://doi.org/10.1016/j.mex.2015.02.006
  24. Stecco C, Porzionato A, Lancerotto L, et al. Histological study of the deep fasciae of the limbs. Journal of Bodywork and Movement Therapies. 2008;12(3):225-230  https://doi.org/10.1016/j.jbmt.2008.04.041
  25. Titchenal MR, Chu CR, Erhart-Hledik JC, et al. Early changes in knee center of rotation during walking after anterior cruciate ligament reconstruction correlate with later changes in patient-reported outcomes. The American Journal of Sports Medicine. 2017;45(4):915-921.  https://doi.org/10.1177/0363546516673835
  26. Weon YS, Ahn SH., Kim JH, et al. Comparison of knee muscle strength and ankle dorsiflexion range of motion between standing workers with and without patellofemoral pain syndrome. Physical Therapy Korea. 2020;27(4):241-249.  https://doi.org/10.12674/ptk.2020.27.4.241
  27. Wilder RP, Shikha S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clinics in Sports Medicine. 2004;23(1):55-81. https://doi.org/10.1016/S0278-5919(03)00085-1