Firat Tan, Zilan Bazancir-Apaydin, Defne Kaya Utlu, Ahmet Gurler, Mehmet Orçun Akkurt, Hande Guney-Deniz
{"title":"压缩肌筋膜释放对跟腱修复参与者被动力学特性和功能结果的直接影响。","authors":"Firat Tan, Zilan Bazancir-Apaydin, Defne Kaya Utlu, Ahmet Gurler, Mehmet Orçun Akkurt, Hande Guney-Deniz","doi":"10.1080/09593985.2025.2547294","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the immediate effects of two manual therapy techniques - Compressive Myofascial Release (CMR) and Talocrural Joint Mobilization (TJM) - on passive mechanical properties, ankle mobility, and functional performance in individuals following Achilles tendon repair.</p><p><strong>Methods: </strong>Twenty participants with surgically repaired Achilles tendons received a single session of either CMR or TJM. Passive mechanical properties (tone, elasticity, stiffness) of the medial/lateral gastrocnemius and Achilles tendon were assessed via handheld myotonometer. Functional outcomes included the Weight-Bearing Lunge Test (WBLT), Achilles Tendon Resting Angle (ATRA), and heel-rise height. Patient-reported outcomes were the Achilles Tendon Total Rupture Score (ATRS) and Foot and Ankle Outcome Score (FAOS).</p><p><strong>Results: </strong>Demographic variables were similar between groups (<i>p</i> > .05). The mean time since surgery was 12.8 ± 10.3 months in the TJM group and 16.8 ± 13.25 months in the CMR group. CMR led to significantly greater improvements in MG stiffness (<i>p</i> = .007, <i>r</i> = 0.85), MG tone (<i>p</i> = .032, <i>r</i> = 0.68), and LG stiffness (<i>p</i> = .005, <i>r</i> = 0.89), with changes exceeding minimal detectable change (MDC) values. Although Achilles tendon stiffness also decreased significantly (<i>p</i> = .037, <i>r</i> = 0.66), this change did not exceed its MDC. Both groups showed statistically and clinically meaningful gains in ATRA, heel-rise height, and WBLT (all <i>p</i> < .01, <i>r</i> > 0.85). ATRS and FAOS indicated high functional recovery.</p><p><strong>Conclusion: </strong>CMR yielded greater short-term improvements in clinically relevant muscle-tendon mechanical properties than TJM and may be a valuable therapeutic option following Achilles tendon repair.</p><p><strong>Level of evidence: </strong>Level II.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.5000,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Immediate effects of Compressive Myofascial Release versus Talocrural Joint Mobilization on passive mechanical properties and functional outcomes in participants with Achilles tendon repair.\",\"authors\":\"Firat Tan, Zilan Bazancir-Apaydin, Defne Kaya Utlu, Ahmet Gurler, Mehmet Orçun Akkurt, Hande Guney-Deniz\",\"doi\":\"10.1080/09593985.2025.2547294\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To compare the immediate effects of two manual therapy techniques - Compressive Myofascial Release (CMR) and Talocrural Joint Mobilization (TJM) - on passive mechanical properties, ankle mobility, and functional performance in individuals following Achilles tendon repair.</p><p><strong>Methods: </strong>Twenty participants with surgically repaired Achilles tendons received a single session of either CMR or TJM. Passive mechanical properties (tone, elasticity, stiffness) of the medial/lateral gastrocnemius and Achilles tendon were assessed via handheld myotonometer. Functional outcomes included the Weight-Bearing Lunge Test (WBLT), Achilles Tendon Resting Angle (ATRA), and heel-rise height. Patient-reported outcomes were the Achilles Tendon Total Rupture Score (ATRS) and Foot and Ankle Outcome Score (FAOS).</p><p><strong>Results: </strong>Demographic variables were similar between groups (<i>p</i> > .05). The mean time since surgery was 12.8 ± 10.3 months in the TJM group and 16.8 ± 13.25 months in the CMR group. CMR led to significantly greater improvements in MG stiffness (<i>p</i> = .007, <i>r</i> = 0.85), MG tone (<i>p</i> = .032, <i>r</i> = 0.68), and LG stiffness (<i>p</i> = .005, <i>r</i> = 0.89), with changes exceeding minimal detectable change (MDC) values. Although Achilles tendon stiffness also decreased significantly (<i>p</i> = .037, <i>r</i> = 0.66), this change did not exceed its MDC. Both groups showed statistically and clinically meaningful gains in ATRA, heel-rise height, and WBLT (all <i>p</i> < .01, <i>r</i> > 0.85). ATRS and FAOS indicated high functional recovery.</p><p><strong>Conclusion: </strong>CMR yielded greater short-term improvements in clinically relevant muscle-tendon mechanical properties than TJM and may be a valuable therapeutic option following Achilles tendon repair.</p><p><strong>Level of evidence: </strong>Level II.</p>\",\"PeriodicalId\":48699,\"journal\":{\"name\":\"Physiotherapy Theory and Practice\",\"volume\":\" \",\"pages\":\"1-13\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-08-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Theory and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09593985.2025.2547294\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2025.2547294","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
目的：比较两种手工治疗技术-压缩肌筋膜释放（CMR）和Talocrural关节活动(TJM) -对跟腱修复后个体被动机械性能、踝关节活动和功能表现的直接影响。方法：20例手术修复跟腱的患者接受单次CMR或TJM。通过手持式肌力计评估腓肠肌内侧/外侧和跟腱的被动力学特性（张力、弹性、刚度）。功能指标包括负重弓步试验（WBLT）、跟腱静息角（ATRA）和跟高。患者报告的结果是跟腱总断裂评分（ATRS）和足踝关节结局评分（FAOS）。结果：组间人口学变量相似（p < 0.05）。TJM组术后平均时间12.8±10.3个月，CMR组术后平均时间16.8±13.25个月。CMR可显著改善MG刚度(p =。007, r = 0.85)， MG音(p =。032, r = 0.68)， LG刚度(p =。005, r = 0.89)，变化超过最小可检测变化（MDC）值。虽然跟腱刚度也明显降低(p =。037, r = 0.66)，这个变化没有超过它的MDC。两组在ATRA、跟高和WBLT方面均有统计学和临床意义的提高（p < 0.05）。ATRS和FAOS显示功能恢复程度高。结论：与TJM相比，CMR在临床相关的肌腱力学性能方面有更大的短期改善，可能是跟腱修复后有价值的治疗选择。证据等级：二级。
Immediate effects of Compressive Myofascial Release versus Talocrural Joint Mobilization on passive mechanical properties and functional outcomes in participants with Achilles tendon repair.
Objective: To compare the immediate effects of two manual therapy techniques - Compressive Myofascial Release (CMR) and Talocrural Joint Mobilization (TJM) - on passive mechanical properties, ankle mobility, and functional performance in individuals following Achilles tendon repair.
Methods: Twenty participants with surgically repaired Achilles tendons received a single session of either CMR or TJM. Passive mechanical properties (tone, elasticity, stiffness) of the medial/lateral gastrocnemius and Achilles tendon were assessed via handheld myotonometer. Functional outcomes included the Weight-Bearing Lunge Test (WBLT), Achilles Tendon Resting Angle (ATRA), and heel-rise height. Patient-reported outcomes were the Achilles Tendon Total Rupture Score (ATRS) and Foot and Ankle Outcome Score (FAOS).
Results: Demographic variables were similar between groups (p > .05). The mean time since surgery was 12.8 ± 10.3 months in the TJM group and 16.8 ± 13.25 months in the CMR group. CMR led to significantly greater improvements in MG stiffness (p = .007, r = 0.85), MG tone (p = .032, r = 0.68), and LG stiffness (p = .005, r = 0.89), with changes exceeding minimal detectable change (MDC) values. Although Achilles tendon stiffness also decreased significantly (p = .037, r = 0.66), this change did not exceed its MDC. Both groups showed statistically and clinically meaningful gains in ATRA, heel-rise height, and WBLT (all p < .01, r > 0.85). ATRS and FAOS indicated high functional recovery.
Conclusion: CMR yielded greater short-term improvements in clinically relevant muscle-tendon mechanical properties than TJM and may be a valuable therapeutic option following Achilles tendon repair.
期刊介绍：
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
