David Hernández-Guillén , Carmen García-Gomariz , Sergio Roig-Casasús , Beatriz Díaz-Díaz , Fernando Domínguez-Navarro , José Pérez-Maletzki , José-María Blasco
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Quality was assessed with PEDro scale and risk of bias with the Cochrane tool.</p></div><div><h3>Results</h3><p>A total of 8 studies were included in the qualitative and 5 in the quantitative synthesis. Manual therapy was shown to be effective, by overall increasing the ankle ROM by 11.3° (95 % CI 6.4 to 15.6). The monopodal stability was improved in 5.8 s (95 % CI 0.1 to 11.4) and the margins of stability in 4.4 cm (95 % CI 0.6 to 8.6). The static balance improved in terms of the center of pressure swayed area with a decrease of 78.4 mm<sup>2</sup> (95 % CI 46.1 to 110.6), but not of velocity (95 % CI 24.7 to −36.7). The Timed up and go time decreased by 0.86 s (95 % CI 0.38 to −2.08).</p></div><div><h3>Conclusions</h3><p>Manual therapy based on joint mobilization techniques is an effective approach to increase ankle ROM, with benefits on the stability of older adults.</p></div>","PeriodicalId":51068,"journal":{"name":"International Journal of Osteopathic Medicine","volume":"53 ","pages":"Article 100722"},"PeriodicalIF":1.1000,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1746068924000154/pdfft?md5=e4fd0a2f0169237a3275ba8d995f6d60&pid=1-s2.0-S1746068924000154-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Efficacy of ankle mobilization on postural control in older people: A systematic review with meta-analysis\",\"authors\":\"David Hernández-Guillén , Carmen García-Gomariz , Sergio Roig-Casasús , Beatriz Díaz-Díaz , Fernando Domínguez-Navarro , José Pérez-Maletzki , José-María Blasco\",\"doi\":\"10.1016/j.ijosm.2024.100722\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To determine whether manual therapy based on joint mobilization techniques applied to recover a limited range of motion (ROM) in older adults could have a beneficial effect on balance.</p></div><div><h3>Methods</h3><p>Systematic review from MEDLINE, Embase, Cochrane Library, PEDro, WOS, Scopus, and Scielo, including studies with participants over 60, an experimental intervention based on ankle joint mobilization techniques, oriented to restore ankle ROM and assessing the effects on balance and ROM. 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引用次数: 0
摘要
方法对 MEDLINE、Embase、Cochrane 图书馆、PEDro、WOS、Scopus 和 Scielo 的研究进行系统综述，其中包括 60 岁以上参与者的研究、基于踝关节活动技术的实验性干预、旨在恢复踝关节活动度的研究以及评估对平衡和活动度影响的研究。我们进行了描述性综合分析和荟萃分析，根据平均差异估算干预措施对平衡和ROM的影响，CI设定为95%。研究质量采用 PEDro 量表进行评估，偏倚风险采用 Cochrane 工具进行评估。结果表明，手法治疗是有效的，踝关节活动度总体增加了 11.3°（95 % CI 6.4 至 15.6）。单足稳定性提高了 5.8 秒（95 % CI 0.1 至 11.4），稳定性边缘提高了 4.4 厘米（95 % CI 0.6 至 8.6）。静态平衡的压力中心摇摆面积减少了 78.4 平方毫米（95 % CI 46.1 至 110.6），但速度没有减少（95 % CI 24.7 至 -36.7）。结论以关节活动技术为基础的手动疗法是增加踝关节活动度的有效方法，对老年人的稳定性有好处。
Efficacy of ankle mobilization on postural control in older people: A systematic review with meta-analysis
Objective
To determine whether manual therapy based on joint mobilization techniques applied to recover a limited range of motion (ROM) in older adults could have a beneficial effect on balance.
Methods
Systematic review from MEDLINE, Embase, Cochrane Library, PEDro, WOS, Scopus, and Scielo, including studies with participants over 60, an experimental intervention based on ankle joint mobilization techniques, oriented to restore ankle ROM and assessing the effects on balance and ROM. A descriptive synthesis and a meta-analysis were conducted to estimate the effect of the interventions on balance and ROM, based on mean differences, with CI set at 95 %. Quality was assessed with PEDro scale and risk of bias with the Cochrane tool.
Results
A total of 8 studies were included in the qualitative and 5 in the quantitative synthesis. Manual therapy was shown to be effective, by overall increasing the ankle ROM by 11.3° (95 % CI 6.4 to 15.6). The monopodal stability was improved in 5.8 s (95 % CI 0.1 to 11.4) and the margins of stability in 4.4 cm (95 % CI 0.6 to 8.6). The static balance improved in terms of the center of pressure swayed area with a decrease of 78.4 mm2 (95 % CI 46.1 to 110.6), but not of velocity (95 % CI 24.7 to −36.7). The Timed up and go time decreased by 0.86 s (95 % CI 0.38 to −2.08).
Conclusions
Manual therapy based on joint mobilization techniques is an effective approach to increase ankle ROM, with benefits on the stability of older adults.
期刊介绍：
The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine.
The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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