Effect of Mulligan Taping and Flossing Bands on Q-angle and Functional Movement in with Chronic Ankle Instability

멀리건 테이핑과 플로싱 밴드가 만성 발목 불안정성 환자의 한 다리 점프와 Q-각에 미치는 효과

  • Jeong, Hyo-chang (Dept. of Physical Therapy, Graduate School, Nambu University) ;
  • Park, Se-jin (Dept. of Physical Therapy, Graduate School, Nambu University) ;
  • Kim, Seung-hwan (Dept. of Physical Therapy, Graduate School, Nambu University) ;
  • Kim, Wan-ki (Dept. of Physical Therapy, Graduate School, Nambu University) ;
  • Park, Sung-doo (Dept. of Physical Therapy, Good Spine Hospital) ;
  • Yu, Seung-hun (Dept. of Physical Therapy, Nambu University)
  • 정효창 (남부대학교 대학원 물리치료학과) ;
  • 박세진 (남부대학교 대학원 물리치료학과) ;
  • 김성환 (남부대학교 대학원 물리치료학과) ;
  • 김완기 (남부대학교 대학원 물리치료학과) ;
  • 박성두 (허리편한병원 물리치료실) ;
  • 유성훈 (남부대학교 물리치료학과)
  • Received : 2022.03.15
  • Accepted : 2022.04.11
  • Published : 2022.04.30

Abstract

Background: This study investigated the effects of a single-leg hopping test and Q-angle when applying Mulligan taping, flossing bands, and a combination of Mulligan taping and flossing bands to chronic ankle instability (CAI) patients. Methods: The subjects of the study were 68 patients with chronic ankle instability, randomly divided into three groups receiving the following treatments: Mulligan taping (n=22), flossing bands (n=23), and a combination of Mulligan taping and flossing bands (n=23). The immediate effects of the treatments were evaluated using the single-leg hopping test and Q-angle measurement for functional movement before and after the intervention. Results: All three groups showed significant improvements in the single-leg hopping test after the intervention, and there was a significant difference between the performance of the simultaneous application group and the Mulligan taping group (p<.01). As a result of the post-hoc test, there was a significant difference in the simultaneous application group than in the mulligan taping group (p<.01). When measuring the Q-angle change during the activity of descending stairs, there was also a significant effect in all three groups, with no significant differences when comparing the changes between groups (p>.05). Conclusions: In conclusion, Mulligan taping and flossing bands were confirmed as effective interventions for the functional movement of the lower extremities in patients with CAI. This study can provide basic data on the effectiveness of interventions in patients with CAI.

Keywords

Acknowledgement

이 논문은 2021년도 남부대학교 학술연구비의 지원을받아 연구되었음.

References

  1. Ajis A, Maffulli N. Conservative management of chronic ankle instability. FAC. 2006;11(3):531-537. https://doi.org/10.1016/j.fcl.2006.07.004.
  2. Andrew SC, Brandon JW, Phil S. Flossing bands to treat Keinbock's disease in a collegiate men's basketball player: A case report. International Physical Medicine & Rehabilitation Journal. 2018;3(2):166-168. https://doi.org/10.15406/ipmrj.2018.03.00096
  3. Augustsson J, Thomee R, Karlsson J. Ability of a new hop test to determine functional deficits after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2004;12(1):350-356. https://doi.org/10.1007/s00167-004-0518-4
  4. Bahadori S, Fatahi F, Ahmadppor M. The effect of thera-band training on the Q-angle and distance of ankle medial malleolus in individuals with genu valgum deformity. Physical Threatments. 2020;10(3):117-126. https://doi.org/10.32598/ptj.10.3.304.3.
  5. Barkoukis V, Sykaras E, Costa F. Effectiveness of taping and bracing in balance. SAGE. 2002;94(2):566-574. https://doi.org/10.2466/pms.2002.94.2.566.
  6. Beynnon BD, Renstrom PA, Alosa DM, et al. Ankle ligament injury risk factors: A prospective study of college athletes. J Orthop Res. 2001;19(2):213-220. http://doi.org/10.1016/S0736-0266(00)90004-4.
  7. Bryan C, Heiderscheit MS, Joseph H, et al. Influence of Q-angle on lower-extremity running kinematic. JOSPT. 2000;30(5):271-278. https://doi.org/10.2519/jospt.2000.30.5.271
  8. Chou E, Kim KM, Baker AG, et al. Lower leg neuromuscular changes following fibular reposition taping in individuals with chronic ankle instability. Man Ther. 2013;18(4):316-320. http://doi.org/10.1016/j.math.2012.11.004.
  9. Diana H, Karin S, Tobias H, et al. The influence of Mulligan ankle taping during balance performance in subjects with unilateral chronic ankle instability. PTS. 2009;10(1):125 -130. https://doi.org/10.1016/j.ptsp.2009.07.005.
  10. Driller WM, Kelsi M, Blair M, et al. Tissue flossing on ankle range of motion, jump and sprint performance: A follow-up study. PTS. 2017;28(1):29-33. http://doi.org/10.1016/j.ptsp.2017.08.081.
  11. Driller WM, Ryan GO. The effects of tissue flossing on ankle range of motion and jump performance. J Orthop Sports Phys Ther. 2017;25(1):20-24. https://doi.org/10.1016/j.ptsp.2016.12.004.
  12. Fong C, Blackburn JT, Marc FN, et al. Ankle-dorsiflexion range of motion and landing biomechanics. J Athl Train. 2011;46(1):5-10. https://doi.org/10.4085 /1062-6050-46.1.5. https://doi.org/10.4085/1062-6050-46.1.5
  13. Galis J, Cooper DJ. Application of a floss band at differing pressure levels: Effects at the ankle joint. JSCR. 2020;10(5):10-20. https://doi.org/10.1519/JSC.0000000000003833
  14. Gopal NS, Bijal TS. Kinesio taping versus Mulligan's mobilization with movement in subacute lateral ankle sprain in secondary school hockey players-comparative study. International. JPHCS. 2012;2(2):2249-5738.
  15. Grant JKM, Sarah MS, Catherine Y, et al. Mulligan knee taping using both elastic and rigid tape reduces pain and alters lower limb biomechanics in female patients with patellofemoral pain. Orthop J Sports Med. 2020;8(5):1-13. https://doi.org/10.1177/2325967120921673.
  16. Ha JG, Chung KS, Gong DH, et al. Functional tests for determining return to play following anterior cruciate ligament re- construction: Systematic review. Korean J Sports Med. 2020;38(2):67-77. https://doi.org/10.5763/kjsm.2020.38.2.67.
  17. Hamid ZM, Seyed TH, Amir MH, et al. The relation of Q Angle and anthropometric measures with ankle sprain; A case-control study. AAEM. 2017;5(1):e9.
  18. Han SW. The effect of vibration foam roll and flossing band exercise on muscle strengthening and balance in olders. AOSPT. 2019;15(1):1-9. https://doi.org/10.24332/aospt.2019.15.1.01.
  19. Helly KL, Bain, KA, Hoch MC, et al. The effect of attending physical rehabilitation after the first acute lateral ankle sprain on static postural control in patients with chronic ankle instability. JSR. 2021;30(7):1000-1007. http://doi.org/10.1123/jsr.2020-0346.
  20. Jeong HC, Park SJ, Yu SH. Effect of Mulligan taping and flossing bands on Q-angle and lower limb muscular activity in men with chronic ankle instability. The Journal of Korean Orthopedic Manual Physical Therapy. 2021;27(3):17-24.
  21. Kim KJ, Jegal H, Jun HJ, et al. The comparison of balance using cumberland ankle instability tool to stable and instability ankle. KSPM. 2013;8(3):361-368. https://doi.org/10.13066/kspm.2013.8.3.361.
  22. Kim TS, Kim SS. The influence of 8-weeks general and nordic walking on lumbosacral angle, Q-angle, lumbar power and pain for male college student with low back pain. JSLS. 2020;80(1):419-428. https://doi.org/10.51979/KSSLS.2020.04.80.419.
  23. Lee JW, Byun YH. Effects of flossing band exercise on range of motion, vertical jump in taekwondo demonstration athletes with functional ankle instability. Journal of The Korea Society of Computer and Information. 2022;27(1):97-105. https://doi.org/10.9708/jksci.2022.27.01.097
  24. Lee SH. The Immediate effects of Mulligan Taping Application on Pain, Range of Motion, and Balance of Patellofemoral Pain Syndrome with limited Ankle Dorsiflexion. Sahmyook University. Master Thesis. 2019.
  25. Marjan S, Ali AN, Hassan D, et al. Immediate effects of Mulligan's fibular repositioning taping on postural control in athletes with and without chronic ankle instability. PTSP. 2015;16(2):135-139. Http://doi.org/10.1016/j.ptsp.2014.08.003.
  26. Kim KH, Lee SC, Cho JH. The effect of taping on lower extremity during jump landing in subjects with functional ankle instability. KJSB. 2009;19(2):265-272.
  27. Nam SS. Effect of ankle taping treatment for posture stability of the elite athlete. 2019;28(4):1021-1029. https://doi.org/10.35159/kjss.2019.08.28.4.1021.
  28. Mulligan B. The painful dysfunctional shoulder: A new treatment approach using mobilisation with movement. NZ J Physiother. 2003;31(3):140.
  29. Radford JA, Burns J, Buchbinder R, et al. Does stretching increase ankle dorsiflexion range of motion? A systematic review. J Sports Sci Med. 2006;40(10):870-875. https://doi.org/10.1136/bjsm.2006.029348.
  30. Ross S, Kandasamy G, Lecturer P. The effects of 'tack and floss' active joint mobilization on ankle dorsiflexion range of motion using voodoo floss bands. Lecturer in Sports Therapy & Kinesiology. 2017;43(4):1-22.
  31. Scott G, Hylton BM, Newcombe L. Age-related differences in foot structure and function. Gait and posture. 2007;26(1):68-75. http://doi.org/10.1016/j.gaitpost.2006.07.009.
  32. Scott WC, Russell B. Quantification of the rock-floss floss band stretch force at different elongation lengths. J Sport Rehabil. 2019;29(3):377-380. https://doi.org/10.1123/jsr.2019-0034.
  33. Zahradnik D, Uchytil J, Farana R, et al. Ground reaction force and valgus knee loading during landing after a block in female volleyball players. J Hum Kinet. 2014;40(1):67-75. https://doi.org/10.2478/hukin-2014-0008.
  34. Zaleska M, Olszewski WL, Durlik M. The effectiveness of intermittent pneumatic compression in long-term therapy of lymphedema of lower limbs. Lymphat Res Biol, 2014:12(2):103-109. https://doi.org/10.1089/lrb.2013.0033.