Erik A Wikstrom, M Spencer Cain, Kyeongtak Song, Brian Pietrosimone, J Troy Blackburn, Jason R Franz, Kimmery Migel, Jaeho Jang, Feng-Chang Lin
{"title":"Impact of Plantar Massage and Ankle Mobilization on Visual Reliance in Those With Chronic Ankle Instability: A Randomized Controlled Trial.","authors":"Erik A Wikstrom, M Spencer Cain, Kyeongtak Song, Brian Pietrosimone, J Troy Blackburn, Jason R Franz, Kimmery Migel, Jaeho Jang, Feng-Chang Lin","doi":"10.1123/jsr.2024-0299","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Those with chronic ankle instability (CAI) rely more on visual information to maintain postural control. Plantar massage and ankle joint mobilization are moderately successful at improving CAI-associated postural control impairments. Manual therapies may have a larger influence on the underlying sensory strategy used to maintain postural control, but their effect on these strategies remains unknown.</p><p><strong>Objective: </strong>To evaluate the effects of separate 2-week plantar massage and ankle joint mobilization interventions on estimates of visual reliance during single-limb stance in those with CAI and determine whether changes in visual reliance estimates were driven by concurrent changes in peripheral- or spinal-level sensorimotor function.</p><p><strong>Design: </strong>Randomized controlled clinical trial.</p><p><strong>Setting: </strong>Research laboratory.</p><p><strong>Patients: </strong>Sixty participants with CAI.</p><p><strong>Interventions: </strong>Participants were equally randomized into plantar massage, ankle joint mobilization, and control (no intervention) groups. The manual therapy groups received six 5-minute treatments of their respective interventions over a 2-week period.</p><p><strong>Main outcome measure: </strong>A percentage modulation outcome quantified an individual's reliance on visual information by estimating the weight given to visual information during eyes-open stance based on the magnitude of postural instability that occurs with vision removed. Secondary measures included joint position sense, plantar light-touch thresholds, and the H-reflex. Outcomes were captured before (baseline), immediately after (post), and 1-month (follow-up) after the 2-week intervention.</p><p><strong>Results: </strong>Plantar massage resulted in significant percentage modulation changes in sagittal (P ≤ .046) but not frontal plane outcomes (P ≥ .069) relative to the control group. Joint mobilization did not alter percentage modulation changes (P ≥ .413). Significant correlations between percentage modulation changes and peripheral sensorimotor function were noted primarily at the 1-month follow-up.</p><p><strong>Conclusions: </strong>A 2-week plantar massage but not an ankle joint mobilization intervention alters sagittal plane percentage modulation values during single-limb stance in those with CAI. These changes may be driven by changes in peripheral sensorimotor function.</p>","PeriodicalId":50041,"journal":{"name":"Journal of Sport Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":1.3000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sport Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1123/jsr.2024-0299","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
背景：慢性踝关节不稳定（CAI）患者更依赖视觉信息来维持姿势控制。足底按摩和踝关节活动在改善与 CAI 相关的姿势控制障碍方面效果一般。徒手疗法可能会对用于维持姿势控制的基本感觉策略产生较大影响，但它们对这些策略的影响仍然未知：目的：评估分别进行为期两周的足底按摩和踝关节活动干预对 CAI 患者单肢站立时视觉依赖估计值的影响，并确定视觉依赖估计值的变化是否由外周或脊柱水平感觉运动功能的并发变化驱动：随机对照临床试验：研究实验室：患者：60 名 CAI 患者：参与者被随机分为足底按摩组、踝关节活动组和对照组（无干预）。在为期两周的时间内，手法治疗组分别接受六次 5 分钟的治疗：主要结果测量：百分比调制结果量化了个人对视觉信息的依赖程度，方法是在睁眼站立时，根据视线消失后出现的姿势不稳定性的程度，估算出视觉信息所占的比重。次要测量指标包括关节位置感、足底轻触阈值和 H 反射。结果包括两周干预前（基线）、干预后（后期）和干预后 1 个月（随访）：结果：与对照组相比，足底按摩能显著改变矢状面结果的百分比调制（P ≤ .046），但不能改变额面结果的百分比调制（P ≥ .069）。关节活动没有改变百分比调制变化（P ≥ .413）。百分比调制变化与外周感觉运动功能之间的显著相关性主要体现在1个月的随访中：结论：对 CAI 患者进行为期 2 周的足底按摩而非踝关节活动干预可改变单肢站立时的矢状面百分比调制值。这些变化可能是由外周感觉运动功能的变化引起的。
Impact of Plantar Massage and Ankle Mobilization on Visual Reliance in Those With Chronic Ankle Instability: A Randomized Controlled Trial.
Context: Those with chronic ankle instability (CAI) rely more on visual information to maintain postural control. Plantar massage and ankle joint mobilization are moderately successful at improving CAI-associated postural control impairments. Manual therapies may have a larger influence on the underlying sensory strategy used to maintain postural control, but their effect on these strategies remains unknown.
Objective: To evaluate the effects of separate 2-week plantar massage and ankle joint mobilization interventions on estimates of visual reliance during single-limb stance in those with CAI and determine whether changes in visual reliance estimates were driven by concurrent changes in peripheral- or spinal-level sensorimotor function.
Design: Randomized controlled clinical trial.
Setting: Research laboratory.
Patients: Sixty participants with CAI.
Interventions: Participants were equally randomized into plantar massage, ankle joint mobilization, and control (no intervention) groups. The manual therapy groups received six 5-minute treatments of their respective interventions over a 2-week period.
Main outcome measure: A percentage modulation outcome quantified an individual's reliance on visual information by estimating the weight given to visual information during eyes-open stance based on the magnitude of postural instability that occurs with vision removed. Secondary measures included joint position sense, plantar light-touch thresholds, and the H-reflex. Outcomes were captured before (baseline), immediately after (post), and 1-month (follow-up) after the 2-week intervention.
Results: Plantar massage resulted in significant percentage modulation changes in sagittal (P ≤ .046) but not frontal plane outcomes (P ≥ .069) relative to the control group. Joint mobilization did not alter percentage modulation changes (P ≥ .413). Significant correlations between percentage modulation changes and peripheral sensorimotor function were noted primarily at the 1-month follow-up.
Conclusions: A 2-week plantar massage but not an ankle joint mobilization intervention alters sagittal plane percentage modulation values during single-limb stance in those with CAI. These changes may be driven by changes in peripheral sensorimotor function.
期刊介绍：
The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant.
JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
