원문정보
초록
영어
The coupled motions of tibial internal rotation (T-IR) and ankle dorsiflex-ion (DF) are necessary for proper lower-limb function. Anecdotally, cli-nicians have been performing techniques to restore T-IR to improve an-kle DF, however, no evidence exists to support their efficacy. Therefore, the two objectives were to: (a) determine the effectiveness of a manual therapy technique for improving T-IR range of motion (ROM) and (b) Ex-amine the relationship between ankle DF and T-IR ROM. Twenty-four participants qualified to participate and were randomly allocated to ei-ther the control (n=12) or manual therapy (n=12) group. Closed-chain ankle DF and T-IR ROM were assessed at baseline and immediately posttreatment. Control group participants sat quietly for 5 minutes. The experimental group performed 3 sets of 15 repetitions of a manual ther-apy, mobilization with movement technique. With the patient in a kneel-ing lunge position, the examiner wrapped an elastic band around the tibia and fibula and was instructed to lunge forward while the examiner simultaneously manually internally rotated the lower leg. T-IR ROM sig-nificantly increased following the intervention for the manual therapy group when compared to the control group. There were no significant changes in standing or kneeling DF ROM. No significant correlation was found between T-IR and both standing and kneeling DF ROM. A single mobilization with movement treatment is effective for improving tibial IR ROM in the short-term compared to no treatment. However, ac-tive tibial IR and end-range dorsiflexion range of motion do not appear to be correlated based on these methods.
목차
INTRODUCTION
MATERIALS AND METHODS
Design
Participants
Instrumentation
Procedures
Statistical analysis
RESULTS
DISCUSSION
CONFLICT OF INTEREST
ACKNOWLEDGMENTS
REFERENCES