Browse > Article
http://dx.doi.org/10.20540/JIAPTR.2018.9.2.1468

Effects of Negative Pressure Soft Tissue Therapy to Ankle Plantar Flexor on Muscle Tone, Muscle Stiffness, and Balance Ability in Patients with Stroke  

Kim, Kyu Ryeong (HaeSung Rehabilitation Hospital)
Shin, Houng Soo (Kyungwoon University)
Lee, Sang Bin (Namseoul University)
Hwang, Hyun Sook (Cheju Halla University)
Shin, Hee Joon (Kyungwoon University)
Publication Information
Journal of International Academy of Physical Therapy Research / v.9, no.2, 2018 , pp. 1468-1474 More about this Journal
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.
Keywords
Negative pressure soft tissue therapy; Muscle tone; Balance ability;
Citations & Related Records
연도 인용수 순위
  • Reference
1 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.
2 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.
3 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.
4 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.   DOI
5 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.
6 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.   DOI
7 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.   DOI
8 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
9 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.   DOI
10 Masi AT, Hannon JC. Human resting muscle tone (HRMT): narrative introduction and modern concepts. J bodyw Mov Ther. 2008; 12(4): 320-32.   DOI
11 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.   DOI
12 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.
13 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.
14 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.   DOI
15 Muscolino JE, Cipriani S. Pilates and the "powerhouse"- 1. J Bodywork and Movement Ther. 2004; 8: 15-24.   DOI
16 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.   DOI
17 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.   DOI
18 Harlaar J, Becher JG, Snijders CJ et al. Passive stiffness characteristics of ankle plantar flexors in hemiplegia. Clin Biomech. 2000; 15(4): 261-70.   DOI
19 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.   DOI
20 Masi AT, Hannon JC. Human resting muscle tone (HRMT): narrative introduction and modern concepts. J bodyw Mov Ther. 2008; 12(4): 320-32.   DOI
21 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.
22 O'Dwyer NJ, Ada L, Neilson PD. Spasticity and muscle contracture following stroke. Brain. 1996; 119(5): 1737-49.   DOI
23 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.   DOI
24 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.
25 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.
26 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.   DOI
27 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.   DOI
28 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.   DOI
29 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.   DOI
30 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.
31 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.   DOI
32 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.   DOI
33 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.
34 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.