Background: This study aimed to investigate the effect of maitland mobilization and mobilization with movement (MWM) applied to the ankle joint on ankle dorsiflexion range of motion (ROM), static and dynamic balance, plantar pressure, and gait ability. Methods: A total of 24 individuals were assigned to either the maitland mobilization group (n=12) or the MWM group (n=12). Dorsiflexion ROM, static and dynamic balance, plantar pressure, 10-meter walk test were measured before and 4 weeks after the intervention. Results: Both groups showed a significant difference in the evaluation after 4 weeks as the dorsiflexion ROM of the ankle increased (p<.05), and the sway length and sway area indicating static balance decreased (p<.05). Furthermore, the movement area showing dynamic balance showed a significant increase (p<.05), the plantar pressure difference between both feet significantly decreased (p<.05). In the 10-meter walk test, there was a significant difference as the time decreased (p<.05). However, no significant difference between the two groups was observed (p>.05). Conclusion: According to the results of this study where, maitland mobilization and MWM were applied to the ankle joint of hemiplegic patients for 4 weeks, we found no difference between the two groups. However, each technique was found to be effective for dorsiflexion ROM, static and dynamic balance, plantar pressure, and gait.
Ⅲ. 연구 결과
1. 대상자의 일반적 특성
2. 메이틀랜드 관절가동술 적용 전, 후 발등굽힘 관절가동범위, 정적 및 동적 균형, 족저압, 보행의 변화
3. 움직임을 동반한 관절가동술 적용 전, 후 발등굽힘 관절가동범위, 정적 및 동적 균형, 족저압, 보행의 변화
4. 두 그룹 간 중재 전과 후 발목 관절가동범위, 정적 및 동적 균형, 족저압, 보행 변화 차이