Browse > Article

The Immediate Effect of Soft Tissue Mobilization Before Mobilization with Movement on the Ankle Range of Motion, Muscle Tissue, Balance in Stroke Patients  

Jang, Woo-seok (Dept. of Physical Therapy, Korean Academy of Orthopedic Manual Physical Therapy in Seoul)
Choi, Soon-ho (Dept. of Physical Therapy, Seoul Seok Hospital)
Publication Information
The Journal of Korean Academy of Orthopedic Manual Physical Therapy / v.26, no.1, 2020 , pp. 37-46 More about this Journal
Abstract
Background: The present study aimed to investigate the immediate effects of Soft Tissue Mobilization (STM) before Mobilization with Movement (MWM) on ankle ROM, pennation angle, balance in stroke patients. Methods: A total of 22 subjects were randomly assigned to one of two groups: the experimental group and the control group. The experimental group received intervention STM before MWM. STM was applied for one minute, MWM was applied one set of six times, in a total 3 sets. The passive ankle joint range of motion (ROM) was measured using a goniometer, the pennation angle was measured using RUSI, and the balance was measured using Timed Up & Go Test. Results: The ROM of the ankle dorsi-flexion, muscle tissue (pennation angle) and balance were significantly increased. Conclusion: In this study, it was confirmed that the ankle dorsi-flexion ROM, pennation angle of the medial gastrocnemius muscle, and balance were significantly improved in the group where STM was performed before the MWM intervention. Therefore, the physiotherapists should consider these results in their intervention. If MWM is applied to stroke patients, applying STM first is a better intervention.
Keywords
Ankle ROM; Balance; Pennation angle; Soft tissue mobilization; Stroke;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Lee JJ, Lee JJ, Kim DH, et al. Inhibitory effects of instrument-assisted neuromobilization on hyperactive gastrocnemius in a hemiparetic stroke patient. Biomed Mater Eng. 2014;24(6):2389-2394. http://dx.doi.10.3233/BME-141052
2 Lee JH, Lee JH, Min DK, et al. Effect of the instrument assisted soft tissue mobilization and static stretching on the range of motion and plantar foot pressure of an ankle joint. Korean J Orthop Manu Ther. 2017;23(2):27-32.
3 Lee WH, Cho KH, Lee KS, et al. Medial Gastrocnemius Ultrasound Imaging of Delayed Onset Muscle Soreness over time. JKAIS. 2012;13(6):2632-2640. http://dx.doi.org/10.5762/KAIS.2012.13.6.2632.
4 Mercier C, Bourbonnais D. Relative shoulder flexor and Hand grip strength is related to upper limb function after stroke. Clin Rehabil. 2004;18(2):215-221. https://doi.org/10.1191/0269215504cr724oa.   DOI
5 Mishra NK, Khadilkar SV. Stroke Programme of India. Ann Indian Acad Neurol 2010;13:28-32.   DOI
6 Mulligan, B. Mobilisation with movement (MWM's). JMMT. 1993;1(4):154-156. https://doi.org/10.1179/jmt.1993.1.4.154.   DOI
7 O'Sullivan SB, Schmitz TJ. Physical Rehabilitation. Fifth Edition. 2006.
8 Park YH, Kim YM, Lee BH. An ankle proprioceptive control program improves balance, gait ability of chronic stroke patients. J Phys Ther Sci. 2013;25(10):1321-1324. https://doi.org/10.1589/jpts.25.1321.   DOI
9 Podsiadlo D, Richardson A. The timed Up & Go: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x.   DOI
10 Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: Effects on function and spasticity. Arch Phys Med Rehabil, 1997;78(11):1231-1236. https://doi.org/10.1016/S0003-9993(97)90337-3.   DOI
11 Vicenzino B, Branjerdporn M, Teys P, et al. Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain. J Orthop Sports Phys Ther. 2006;36(7):464-471. https://10.2519/jospt.2006.2265.   DOI
12 Srivastava A, Taly AB, Gupta A, et al. Post-stroke balance training: role of force platform with visual feedback technique. J Neurol Sci, 2009;287(1-2):89-93. https://doi.org/10.1016/j.jns.2009.08.051.   DOI
13 Statistics Korea. Cause of Death Statistics. 2018. https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=377606.
14 Vardiman J, Siedlik J, Herda T, et al. Instrument-assisted soft tissue mobilization: Effects on the properties of human plantar flexors. Int J Sports Med. 2015;36(03):197-203. https://10.1055/s-0034-1384543.
15 Braun M, Schwickert M, Nielsen A, et al. Effectiveness of traditional chinese "gua sha" therapy in patients with chronic neck pain: A randomized controlled trial. Pain Med. 2011;12(3):362-369. https://doi.org/10.1111/j.1526-4637.2011.01053.x.   DOI
16 An CM. Effects of Ankle Joint Mobilization with Movement and Weight-Bearing Exercise on Lower Extremities Muscle Strength, Range of Motion, Postural Control, and Gait in Stroke Patients. Jeonju University. Master Thesis. 2013.
17 An CM, Jo SO. Effects of talocrural mobilization with movement on ankle strength, mobility, and weight-bearing ability in hemiplegic patients with chronic stroke: A randomized controlled trial. J Stroke Cerebrovasc Dis, 2017;26(1):169-176. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.09.005.   DOI
18 Bayliss AJ, Klene FJ, Gundeck EL, et al. Treatment of a patient with post-natal chronic calf pain utilizing instrument-assisted soft tissue mobilization: A case study. J Man Mani Ther. 2011;19(3):127-134. https://doi.org/10.1179/2042618611Y.0000000006.   DOI
19 Burke J, Buchberger DJ, Carey-Loghmani Mt, et al. A pilot study comparing two manual therapy interventions for carpal tunnel syndrome. J Manipulative Physiol Ther. 2007;30(1):50-61.   DOI
20 Burridge JH, Taylor PN, Hagan SA, et al. The effects of common peroneal stimulation on the effort and speed of walking: A randomized controlled trial with chronic hemiplegic patients. Clin Rehabil. 1997;11(3):201-210. https://doi.org/10.1177/026921559701100303.   DOI
21 Cho KH, Lee HJ, Lee WH. Reliability of rehabilitative ultrasound imaging for the medial gastrocnemius muscle in post stroke patients. Clin Physiol Funct Imaging. 2014;34(1):26-31. https://doi.org/10.1111/cpf.12060.   DOI
22 Choi YJ, Sim HP, Lee JY. The pilot study on the immediate effects of graston technique for lower extremity range of motion, muscle strength, walking ability in hemiplegic patients. Korean J Orthop Manu Ther. 2019;25(1):21-27.
23 Christopoulos D, Nicolaides A, Cook A, et al. Pathogenesis of venous ulceration in relation to the calf muscle pup function. Surgery. 1989;106(5):829-835. https://doi.org/10.5555/uri:pii:0039606089901517.
24 Donald A, Neumann, D. Kinesiology of the Musculoskeletal System: Founstions for Physical Rehabilitation. Mosby. 2002.
25 Fowler S, Wilson JK, Sevier TL. Innovative approach for the treatment of cumulative trauma disorders. Work. 2000;15(1):9-14.
26 Fukunaga T, Kawakami Y, Kuno S, et al. Muscle architecture and function in humans. J. Biomech. 1997;30(5):457-463. https://doi.org/10.1016/S0021-9290(96)00171-6.   DOI
27 Geiger RA, Allen JB, O'Keefe J, et al. Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005. https://doi.org/10.1093/ptj/81.4.995.   DOI
28 Hwang DY, Lee HJ, Lee GC, et al. Treadmill training with tilt sensor functional electrical stimulation for improving balance, gait, and muscle architecture of tibialis anterior of survivors with chronic stroke: A randomized controlled trial. Technol Health Care. 2015;23(4):443-452. https://10.3233/THC-150903.   DOI
29 Green, T, Refshauge, K, Crosbie, J, et al. A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains. Phys Ther. 2001;81(4): 984-994. https://doi.org/10.1093/ptj/81.4.984.   DOI
30 Hoppenfeld S. Physical Examination Of The Spine And Extremity. Yeongmunsa. Seoul. 2009;91-125.
31 Jang MH, The Effects of Joint Mobilization on Ankle joint ROM, Plantar Pressure and Balance in Elderly Diabetic. Sahmyook University. Master Thesis. 2016.
32 Jang WS. Effects of Weight-Bearing Mobilization with Movement, with Task-Oriented Training on Range of Motion, Muscle Structure, Balance and Gait in Chronic Stroke Patients. Sahmyook University. Master Thesis. 2019.
33 Kim DH, Kim TH, Jung DY, et al. Effects of the graston technique and self-myofascial release on the range of motion of a knee joint. J Korean Soc Phys Med. 2014;9(4)455-463. https://doi.org/10.13066/kspm.2014.9.4.455.   DOI
34 Kim TH, Yoon JS, Lee JH. The effect of ankle joint muscle strengthening training and static muscle stretching training on stroke patients' COP sway amplitude. J Phys Ther Sci. 2013;2(12),1613-1616. https://10.1589/jpts.25.1613.
35 Kim SL, Lee BH. Effect of Mulligan's mobilization with movement technique on gait function in stroke patients. J Phys Ther Sci. 2016;28(8):2326-2329. https://doi.org/10.1589/jpts.28.2326.   DOI
36 Lee HJ, Kim MK, Ha HG, et al. Comparison of muscle architecture of lower extremity using rehabilitative ultrasound image in young adults: A comparative study of muscle cross-sectional area of lower extremity of seoul and hanoi in vietnam. J Korean Soc Phys Ther. 2014;26(5):324-330.
37 Kluding, PM, Santos, M. Effects of ankle joint mobilization in adults poststroke: A pilot study. Arch Phys Med Rehabil. 2008;89(3):449-456. https://doi.org/10.1016/j.apmr.2007.12.005.   DOI