DOI QR코드

DOI QR Code

Immediate Effects of Joint Mobilization Techniques on Clinical Measures in Individuals with CAI

  • Kim, Byong Hun (Department of Physical Education, Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University) ;
  • Kim, Chang Young (Department of Physical Education, Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University) ;
  • Kang, Tae Kyu (Department of Physical Education, Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University) ;
  • Cho, Young Jae (SOL Hospital) ;
  • Lee, Sae Yong (Department of Physical Education, Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University)
  • Received : 2018.11.08
  • Accepted : 2019.01.07
  • Published : 2018.12.31

Abstract

Objective: Epidemiological research shows that 47 to 73% of athletes suffer from recurrent ankle sprains. Joint mobilization techniques (JMT) implemented in correcting may be beneficial in the management of ankle injuries. The purpose of this study is to examine the immediate JM on ankle complex as clinical measures in individuals with chronic ankle instability (CAI) through intervention. Method: Thirteen subjects with CAI (8 males and 5 females) participated in this study. Each subject tried total four alignments (Navicular drop test: NDT, Standing rearfoot angle: SRA, Tibia torsion: TT, and dorsiflexion range of motion: DFROM). The participants were performed the 10 meter shuttle run after JMT for post-task. Finally, it was tried to compare between pre-post tasks after shuttle run. Results: SRA and DFROM after intervention showed significant differences. SRA (p=.026), and DFROM (p=.034). Conclusion: We concluded that the JMT has resulted in improvement in SRA, DFROM. Increased DFROM and varus shapes of foot would be closed kinetic chain, indicating that reduce the risk factors of ankle sprain. Future study needs to be conducted in order to measure the effects of prolonged intervention of JMT.

Keywords

References

  1. Abidi, N. A., Dhawan, S., Gruen, G. S., Vogt, M. T. & Conti, S. F. (1998). Wound-healing risk factors after open reduction and internal fixation of calcaneal fractures. Foot & Ankle International, 19(12), 856-861. https://doi.org/10.1177/107110079801901211
  2. Chevutschi, A., D'houwt, J., Pardessus, V. & Thevenon, A. (2015). Immediate Effects of Talocrural and Subtalar Joint Mobilization on Balance in the Elderly. Physiotherapy Research International, 20(1), 1-8. https://doi.org/10.1002/pri.1582
  3. Clementz, B.-G. (1989). Assessment of tibial torsion and rotational deformity with a new fluoroscopic technique. Clinical Orthopaedics and Related Research, 245, 199-209.
  4. Collins, N., Teys, P. & Vicenzino, B. (2004). The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Manual Therapy, 9(2), 77-82. doi: 10.1016/S1356-689x(03)00101-2
  5. Denegar, C. R. & Miller III, S. J. (2002). Can chronic ankle instability be prevented? Rethinking management of lateral ankle sprains. Journal of Athletic Training, 37(4), 430.
  6. Gong, W.-T., Ma, S.-Y. & Kim, T.-H. (2009). The effect of ankle joint mobilization technique on equilibrium ability in the individuals with supinated foot. Journal of the Korean Data and Information Science Society, 20(3), 527-539.
  7. Green, T., Refshauge, K., Crosbie, J. & Adams, R. (2001). A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains. Physical Therapy, 81(4), 984-994.
  8. Grindstaff, T. L., Beazell, J. R., Sauer, L. D., Magrum, E. M., Ingersoll, C. D. & Hertel, J. (2011). Immediate effects of a tibiofibular joint manipulation on lower extremity H-reflex measurements in individuals with chronic ankle instability. Journal of Electromyography and Kinesiology, 21(4), 652-658. https://doi.org/10.1016/j.jelekin.2011.03.011
  9. Hertel, J. (2002). Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of Athletic Training, 37(4), 364-375.
  10. Hiller, C. E., Ightingale, E. J. N., Lin, C. W. C., Coughlan, G. F., Caulfield, B. & Delahunt, E. (2011). Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis. British Journal of Sports Medicine, 45(8), 660-672. doi: 10.1136/bjsm.2010.077404
  11. Hoch, M. C., Andreatta, R. D., Mullineaux, D. R., English, R. A., Medina McKeon, J. M., Mattacola, C. G. & McKeon, P. O. (2012). Two-week joint mobilization intervention improves self-reported function, range of motion, and dynamic balance in those with chronic ankle instability. Journal of Orthopaedic Research, 30(11), 1798-1804. https://doi.org/10.1002/jor.22150
  12. Hubbard, T. J. & Hicks-Little, C. A. (2008). Ankle ligament healing after an acute ankle sprain: an evidence-based approach. Journal of Athletic Training, 43(5), 523-529. https://doi.org/10.4085/1062-6050-43.5.523
  13. Kannus, V. (1992). Evaluation of abnormal biomechanics of the foot and ankle in athletes. British Journal of Sports Mmedicine, 26(2), 83-89.
  14. Landrum, E. L., Kelln, B. M., Parente, W. R., Ingersoll, C. D. & Hertel, J. (2008). Immediate effects of anterior-to-posterior talocrural joint mobilization after prolonged ankle immobilization: a preliminary study. Journal of Manual & Manipulative Therapy, 16(2), 100-105. https://doi.org/10.1179/106698108790818413
  15. Menz, H. B. (1998). Alternative techniques for the clinical assessment of foot pronation. Journal of the American Podiatric Medical Association, 88(3), 119-129. https://doi.org/10.7547/87507315-88-3-119
  16. Osborne, M. D. & Rizzo, T. D. (2003). Prevention and treatment of ankle sprain in athletes. Sports Medicine, 33(15), 1145-1150.
  17. Pruyn, E. C., Watsford, M. L., Murphy, A. J., Pine, M. J., Spurrs, R. W., Cameron, M. L. & Johnston, R. J. (2013). Seasonal variation of leg stiffness in professional Australian rules footballers. The Journal of Strength & Conditioning Research, 27(7), 1775-1779. https://doi.org/10.1519/JSC.0b013e318273690f
  18. Ribeiro, A. P., Trombini-Souza, F., Tessutti, V., Rodrigues Lima, F., Sacco, I. D. C. N. & Joao, S. M. A. (2011). Rearfoot alignment and medial longitudinal arch configurations of runners with symptoms and histories of plantar fasciitis. Clinics, 66(6), 1027-1033.
  19. Schwartz, M. & Lakin, G. (2003). The effect of tibial torsion on the dynamic function of the soleus during gait. Gait & Posture, 17(2), 113-118. https://doi.org/10.1016/S0966-6362(02)00058-9
  20. Shultz, S. J., Nguyen, A.-D. & Levine, B. J. (2009). The relationship between lower extremity alignment characteristics and anterior knee joint laxity. Sports Health, 1(1), 54-60. https://doi.org/10.1177/1941738108326702
  21. Terada, M., Pietrosimone, B. G. & Gribble, P. A. (2013). Therapeutic interventions for increasing ankle dorsiflexion after ankle sprain: a systematic review. Journal of Athletic Training, 48(5), 696-709. https://doi.org/10.4085/1062-6050-48.4.11
  22. Valderrabano, V., Hintermann, B., Horisberger, M. & Fung, T. S. (2006). Ligamentous posttraumatic ankle osteoarthritis. The American Journal of Sports Medicine, 34(4), 612-620. https://doi.org/10.1177/0363546505281813
  23. van Rijn, R. M., Van Os, A. G., Bernsen, R. M., Luijsterburg, P. A., Koes, B. W. & Bierma-Zeinstra, S. M. (2008). What is the clinical course of acute ankle sprains? A systematic literature review. The American Journal of Medicine, 121(4), 324-331. e327. https://doi.org/10.1016/j.amjmed.2007.11.018
  24. Vicenzino, B., Branjerdporn, M., Teys, P. & Jordan, K. (2006). Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain. Journal of Orthopaedic & Sports Physical Therapy, 36(7), 464-471. https://doi.org/10.2519/jospt.2006.2265