DOI QR코드

DOI QR Code

The Effect of a Proximal and Distal Tibiofibular Joint Manipulation on Dorsiflexion and Balance in Individuals with a History of Lateral Ankle Sprain

  • Chae, Yun-Won (Department of Physical Therapy, Gwangju Health College) ;
  • Park, Ji-Won (Department of Physical Therapy, College of Medical Health, Catholic University of Daegu) ;
  • Nam, Ki-Seok (Department of Physical Therapy, Yeungnam University College)
  • 투고 : 2017.03.16
  • 심사 : 2017.04.30
  • 발행 : 2017.04.30

초록

Purpose: This study aimed to evaluate the changes in dorsiflexion and balance following proximal and distal tibiofibular joint manipulation in individuals with a history of lateral ankle sprain (LAS). Methods: Fifteen participants with a history of unilateral LAS, exhibiting a restriction in ankle dorsiflexion were included in this study. LAS ankle received a manipulation to the proximal and distal tibiofibular joint, while the opposite control ankle received no manipulation intervention. The outcome measures included ankle dorsiflexion and balance. Ankle dorsiflexion was measured using weight-bearing lunge test. Static and dynamic balances were measured using the overall, anterioposterior, and mediolateral balance index via the biodex balance system. Measurements were obtained prior to and following manipulation. Results: This study showed that ankle dorsiflexion and dynamic balance were improved following the manipulation compared to those prior to the manipulation (p<0.05). There was no significant change in static balance (p>0.05). Conclusion: The joint manipulation technique applied to the ankle of those with a history of LAS appears to improve ankle dorsiflexion and dynamic balance. This suggest that a manipulation to the proximal and distal tibiofibular joint could be provided as preliminary data regarding the prophylactic effects of recurrent LAS.

키워드

참고문헌

  1. Barker HB, Beynnon BD, Renstron PA. Ankle injury risk factors in sports. Sports Med. 1997;23:69-74. https://doi.org/10.2165/00007256-199723020-00001
  2. Feger MA1, Glaviano NR, Donovan L et al. Current trends in the management of lateral ankle sprain in the United States. Clin J Sport Med. 2017;27(2):145-52. https://doi.org/10.1097/JSM.0000000000000321
  3. Fallat L, Grimm DJ, Saracco JA. Sprained ankle syndrome: Prevalence and analysis of 639 acute injuries. J Foot Ankle Surg. 1998;37(4):280-5. https://doi.org/10.1016/S1067-2516(98)80063-X
  4. Hubbard TJ, Wikstrom EA. Ankle sprain: Pathophysiology, predisposing factors, and management strategies. Open Access J Sports Med. 2010; 16:115-22.
  5. Czajka CM, Tran E, Cai AN et al. Ankle sprains and instability. Med Clin North Am. 2014;98(2):313-29. https://doi.org/10.1016/j.mcna.2013.11.003
  6. van Rijn RM, van Os AG, Bernsen RM et al. What is the clinical course of acute ankle sprains? a systematic literature review. Am J Med. 2008; 121(4):324-31. https://doi.org/10.1016/j.amjmed.2007.11.018
  7. Martin RL, Davenport TE, Paulseth S et al. Ankle stability and movement coordination impairments: Ankle ligament sprains. J Orthop Sports Phys Ther. 2013;43(9):A1-40.
  8. Drewes LK, McKeon PO, Kerrigan DC et al. Dorsiflexion deficit during jogging with chronic ankle instability. J Sci Med Sport. 2009;12(6):685-7. https://doi.org/10.1016/j.jsams.2008.07.003
  9. Palmieri-Smith RM, Hopkins JT, Brown TN. Peroneal activation deficits in persons with functional ankle instability. Am J Sports Med. 2009; 37(5):982-8. https://doi.org/10.1177/0363546508330147
  10. Halabchi F, Angoorani H, Mirshahi M et al. The prevalence of selected intrinsic risk factors for ankle sprain among elite football and basketball players. Asian J Sports Med. 2016;7(3):e35287.
  11. Cruz-Diaz D, Lomas Vega R, Osuna-Perez MC et al. Effects of joint mobilization on chronic ankle instability: A randomized controlled trial. Disabil Rehabil. 2015;37(7):601-10. https://doi.org/10.3109/09638288.2014.935877
  12. 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;16:10-5. https://doi.org/10.1016/j.ptsp.2014.02.001
  13. 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):464-71. https://doi.org/10.2519/jospt.2006.2265
  14. Cruz-Diaz D, Lomas Vega R, Osuna-Perez MC et al. Effects of joint mobilization on chronic ankle instability: A randomized controlled trial. Disabil Rehabil. 2015;37(7):601-10. https://doi.org/10.3109/09638288.2014.935877
  15. Hoch MC, Andreatta RD, Mullineaux DR et al. Two-week joint mobilization intervention improves self-reported function, range of motion, and dynamic balance in those with chronic ankle instability. J Orthop Res. 2012;30(11):1798-804. https://doi.org/10.1002/jor.22150
  16. Hoch MC, McKeon PO. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J Orthop Res. 2011;29(3):326-32. https://doi.org/10.1002/jor.21256
  17. Fisher BE, Piraino A, Lee YY et al. The effect of velocity of joint mobilization on corticospinal excitability in individuals with a history of ankle sprain. J Orthop Sports Phys Ther. 2016;46(7):562-70. https://doi.org/10.2519/jospt.2016.6602
  18. Huber T, Schmoelz W, Bolderl A. Motion of the fibula relative to the tibia and its alterations with syndesmosis screws: a cadaver study. Foot Ankle Surg. 2012;18(3):203-9. https://doi.org/10.1016/j.fas.2011.11.003
  19. Fujii M, Suzuki D, Uchiyama E et al. Does distal tibiofibular joint mobilization decrease limitation of ankle dorsiflexion? Man Ther. 2010; 15(1):117-21. https://doi.org/10.1016/j.math.2009.08.008
  20. Bennell KL, Talbot RC, Wajswelner H et al. Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion. Aust J Physiother. 1998;44(3):175-80. https://doi.org/10.1016/S0004-9514(14)60377-9
  21. Beazell JR, Grindstaff TL, Sauer LD et al. Effects of a proximal or distal tibiofibular joint manipulation on ankle range of motion and functional outcomes in individuals with chronic ankle instability. J Orthop Sports Phys Ther. 2012;42(2):125-34 https://doi.org/10.2519/jospt.2012.3729
  22. Fryer GA, Mudge JM, McLaughlin PA. The effect of talocrural joint manipulation on range of motion at the ankle. J Manipulative Physiol Ther. 2002;25(6):384-90. https://doi.org/10.1067/mmt.2002.126129
  23. Harkey M, McLeod M, Van Scoit A 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):351-9. https://doi.org/10.1123/JSR.2013-0085
  24. Andersen S, Fryer GA, McLaughlin P. The effect of talo-crural joint manipulation on range of motion at the ankle joint in subjects with a history of ankle injury. Australas Chiropr Osteopathy. 2003;11(2):57-62.
  25. Hubbard TJ, Hertel J. Anterior positional fault of the fibula after sub-acute lateral ankle sprains. Man Ther. 2008;13(1):63-7. https://doi.org/10.1016/j.math.2006.09.008
  26. Fukuhara T, Sakamoto M, Nakazawa R et al. Anterior positional fault of the fibula after sub-acute anterior talofibular ligament injury. J Phys Ther Sci. 2012;24:115-7. https://doi.org/10.1589/jpts.24.115
  27. Kavanagh J. Is there a positional fault at the inferior tibiofibular joint in patients with acute or chronic ankle sprains compared to normals? Man Ther. 1999;4:19-24. https://doi.org/10.1016/S1356-689X(99)80005-8
  28. Moiler K, Hall T, Robinson K. The role of fibular tape in the prevention of ankle injury in basketball: a pilot study. J Orthop Sports Phys Ther. 2006;36(9):661-8. https://doi.org/10.2519/jospt.2006.2259
  29. Grindstaff TL1, Beazell JR, Sauer LD et al. Immediate effects of a tibiofibular joint manipulation on lower extremity H-reflex measurements in individuals with chronic ankle instability. J Electromyogr Kinesiol. 2011;21(4):652-8. https://doi.org/10.1016/j.jelekin.2011.03.011