Raed Alamri, Kimmery Migel, M Spencer Cain, Kyeongtak Song, Brian Pietrosimone, J Troy Blackburn, Jason R Franz, Jaeho Jang, Feng-Chang Lin, Erik A Wikstrom
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引用次数: 0
Abstract
Objectives: Chronic ankle instability (CAI) is characterized by persistent neuromechanical impairments following an initial lateral ankle sprain. Ankle joint mobilization and plantar massage have improved the range of motion and static postural control in those with CAI. This study aimed to determine the impact of two-week joint mobilization and plantar massage interventions on gait kinematics and kinetics in individuals with CAI.
Methods: A single-blind randomized trial was conducted with 60 participants with CAI, randomized into three groups: joint mobilization (n = 20), plantar massage (n = 20), and control (n = 20). The two treatment groups received six 5-min sessions manual therapy over a 2-week, while the control group received no intervention. Gait biomechanics were assessed on an instrumented treadmill before and after the intervention using 3D kinematics and kinetics analysis. Analyses compared biomechanical outcomes from each treatment group to the control group individually using a 1-dimensional statistical parametric mapping. The alpha level was set at p < 0.05.
Results: Eighteen participants per group were part of the final analysis. No significant main or interactions effects were found for ankle sagittal or frontal plane positions following either intervention (p > 0.05 for all comparisons). COP location relative to the lateral border of the foot also did not change (p > 0.05).
Conclusion: The findings suggest that two-week joint mobilization and plantar massage interventions do not significantly alter gait biomechanics in individuals with CAI. These results support the need for gait-specific interventions to modify biomechanics in this population.
目的：慢性踝关节不稳定（CAI）的特点是在最初的外侧踝关节扭伤后出现持续的神经机械损伤。踝关节活动和足底按摩可改善 CAI 患者的活动范围和静态姿势控制。本研究旨在确定为期两周的关节活动和足底按摩干预对 CAI 患者步态运动学和动力学的影响：该研究进行了一项单盲随机试验，将 60 名 CAI 患者随机分为三组：关节动员组（20 人）、足底按摩组（20 人）和对照组（20 人）。两个治疗组在两周内接受六次每次 5 分钟的手法治疗，而对照组则不接受任何干预。采用三维运动学和动力学分析方法，在干预前后在带仪器的跑步机上对步态生物力学进行评估。使用一维统计参数图对每个治疗组和对照组的生物力学结果进行了比较分析。α水平设定为 p 结果：每组有 18 名参与者参与了最终分析。两组干预后的踝关节矢状面或额面位置均未发现明显的主效应或交互效应（所有比较的 p > 0.05）。COP相对于脚外侧边界的位置也没有变化（P > 0.05）：结论：研究结果表明，为期两周的关节活动和足底按摩干预不会显著改变 CAI 患者的步态生物力学。这些结果表明，有必要采取针对步态的干预措施来改变这类人群的生物力学。
期刊介绍：
The Journal of Manual & Manipulative Therapy is an international peer-reviewed journal dedicated to the publication of original research, case reports, and reviews of the literature that contribute to the advancement of knowledge in the field of manual therapy, clinical research, therapeutic practice, and academic training. In addition, each issue features an editorial written by the editor or a guest editor, media reviews, thesis reviews, and abstracts of current literature. Areas of interest include: •Thrust and non-thrust manipulation •Neurodynamic assessment and treatment •Diagnostic accuracy and classification •Manual therapy-related interventions •Clinical decision-making processes •Understanding clinimetrics for the clinician
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