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http://dx.doi.org/10.14474/ptrs.2021.10.1.10

Combined Effects of Gastrocnemius Stretch and Tibialis Anterior Resistance Exercise in Subjects with Limited Ankle Dorsiflexion  

Lee, Jihyun (Department of Physical Therapy, Baekseok University)
Cynn, Heonseock (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, Graduate School, Yonsei University)
Shin, Areum (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, Graduate School, Yonsei University)
Kim, Bobeen (Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, Graduate School, Yonsei University)
Publication Information
Physical Therapy Rehabilitation Science / v.10, no.1, 2021 , pp. 10-15 More about this Journal
Abstract
Objective: Limited ankle dorsiflexion is related to ankle injuries. There are various exercises to increase the flexibility of the gastrocnemius for improving the passive range of motion in ankle dorsiflexion. However, to performances in daily activities and athletic sports and higher efficiency of walking and running, both ankle dorsiflexion passive and active range of motion are needed. To investigate the effects of combined gastrocnemius stretching and tibialis anterior resistance exercise on ankle kinematics (passive and active range of motion of ankle dorsiflexion) and tibialis anterior muscle activity in subjects with limited ankle dorsiflexion. Design: Cross-sectional single-group repeated measures design. Methods: Fourteen subjects with limited ankle dorsiflexion were recruited (in the right ankle in 7 and the left ankle in 7). All subjects performed gastrocnemius stretching alone and tibialis anterior resistance exercise after gastrocnemius stretching. The passive and active range of motion of ankle dorsiflexion were measured after interventions immediately. The tibialis anterior activity was measured during active range of motion of ankle dorsiflexion measurement. Results: There was no significant difference of ankle dorsiflexion passive range of motion between gastrocnemius stretching alone and the tibialis anterior resistance exercise after gastrocnemius stretching. The tibialis anterior resistance exercise after gastrocnemius stretching significantly increased active range of motion of ankle dorsiflexion compared to gastrocnemius stretching alone (p<0.05). The tibialis anterior resistance exercise after gastrocnemius stretching significantly increased tibialis anterior activity better than did gastrocnemius stretching alone. Conclusions: Thus, subjects with limited ankle dorsiflexion should be encouraged to perform tibialis anterior resistance exercises.
Keywords
Ankle; Muscle Stretching Exercises; Resistance;
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1 Kibler WB, Goldberg C, Chandler TJ. Functional biomechanical deficits in running athletes with plantar fasciitis. Am J Sports Med. 1991;19(1):66-71.   DOI
2 Schepsis AA, Jones H, Haas AL. Achilles tendon disorders in athletes. Am J Sports Med. 2002;30(2): 287-305.   DOI
3 Gajdosik RL, Allred JD, Gabbert HL, Sonsteng BA. A stretching program increases the dynamic passive length and passive resistive properties of the calf muscle-tendon unit of unconditioned younger women. Eur J Appl Physiol. 2007;99(4):449-54.   DOI
4 Jung DY, Koh EK, Kwon OY, Yi CH, Oh JS, Weon JH. Effect of medial arch support on displacement of the myotendinous junction of the gastrocnemius during standing wall stretching. J Orthop Sports Phys Ther. 2009;39:867-74.   DOI
5 Kato E, Kurihara T, Kanehisa H, Fukunaga T, Kawakami Y. Combined effects of stretching and resistance training on ankle joint flexibility. Physiology Journal. 2013;.
6 Willems TM, Witvrouw E, Delbaere K, Mahieu N, De Bourdeaudhuij I, De Clercq D. Intrinsic risk factors for inversion ankle sprains in male subjects a prospective study. Am J Sports Med. 2005;33(3):415-23.   DOI
7 Denegar CR, Hertel J, Fonseca J. The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sports Phys Ther. 2002;32(4):166-73.   DOI
8 Marron-Gomez D, Rodriguez-Fernandez AL, Martin-Urrialde JA. The effect of two mobilization techniques on dorsiflexion in people with chronic ankle instability. Phys Ther Sport. 2015;16(1):10-5.   DOI
9 Harkey M, McLeod M, Van Scoit A, Terada M, Tevald M, Gribble P, et al. The immediate effects of an anterior-to-posterior talar mobilization on neural excitability, dorsiflexion range of motion, and dynamic balance in patients with chronic ankle instability. J sport Rehabil. 2014;23(4):351-59.   DOI
10 Kang MH, Kim JW, Choung SD, Park KN, Kwon OY, Oh JS. Immediate effect of walking with talus-stabilizing taping on ankle kinematics in subjects with limited ankle dorsiflexion. Phys Ther Sport. 2014;15:156-61.   DOI
11 Weppler CH, Magnusson SP. Increasing muscle extensibility: a matter of increasing length or modifying sensation? Phys Ther. 2010;90(3):438-49.   DOI
12 Sherrington CS. Note on the knee-jerk and the correlation of action of antagonistic muscles. Proc. R. Soc. Lond. 1892;52(315-320):556-64.
13 Rodacki AL, Souza RM , Ugrinowitsch C, Cristopoliski F, Fowler NE. Transient effects of stretching exercises on gait parameters of elderly women. Man Ther. 2009;14(2):167-72.   DOI
14 Kang MH, Oh JS, Kwon OY, Weon JH, An DH, Yoo WG. Immediate combined effect of gastrocnemius stretching and sustained talocrural joint mobilization in individuals with limited ankle dorsiflexion: A randomized controlled trial. Man Ther. 2015;20:827-34.   DOI
15 Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Ther. 1997;77(10):1090-6.   DOI
16 Youdas JW, Krause DA, Egan KS, Therneau TM, Laskowski ER. The effect of static stretching of the calf muscle-tendon unit on active ankle dorsiflexion range of motion. J Orthop Sports Phys Ther. 2003;33(7):408-17.   DOI
17 Bell J. The anatomy and physiology of the human body. Vol. 1. Collins & Company, NY, USA.
18 Hall EA, Docherty CL, Simon J, Kingma JJ, Klossner JC. Strength-training protocols to improve deficits in participants with chronic ankle instability: a randomized controlled trial. J Athl Train. 2015; 50(1):36-44.   DOI
19 Tainaka K, Takizawa T, Katamoto S, Aoki J. Six-year prospective study of physical fitness and incidence of disability among community-dwelling Japanese elderly women. Geriatr Gerontol Int. 2009;9(1):21-8.   DOI
20 Dinh NV, Freeman H, Granger J, Wong S, Johanson M. Calf stretching in non-weight bearing versus weight bearing. Int J Sports Med. 2011;32:205-10.   DOI
21 Sahrmann S. Movement system impairment syndromes of the extremities, cervical, and thoracic spines. St. Louis, Mo.: Elsevier/Mosby; 2011.