Acute Effects of Tissue Flossing on Ankle Range of Motion and Tensiomyography Parameters

2021 ◽  
Vol 30 (1) ◽  
pp. 129-135
Author(s):  
Matjaž Vogrin ◽  
Fiona Novak ◽  
Teja Licen ◽  
Nina Greiner ◽  
Samo Mikl ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Plantar Flexion ◽  
Contraction Time ◽  
Acute Effects ◽  
Single Session ◽  
Elastic Band ◽  
Gastrocnemius Medialis ◽  
University Laboratory ◽  
Muscle Contractile ◽  
Ankle Plantar Flexion

Context: Recently, a few papers have suggested that tissue flossing (TF) acutely improves range of motion (ROM) and neuromuscular performance. However, the effects of TF on muscle contractile properties are yet to be defined. Objective: To investigate the acute effects of TF on ankle ROM and associated muscle gastrocnemius medialis displacement and contraction time assessed with tensiomyography. Design: Crossover design in a single session. Setting: University laboratory. Participants: Thirty recreationally trained volunteers (age 23.00 [4.51] y). Intervention: Active ankle plantar flexion and dorsiflexion were performed for the duration of 2 minutes (3 sets, 2-min rest between sets), while a randomly selected ankle was wrapped using TF elastic band (BAND) and the other ankle served as a control condition (CON). Main Outcome Measures: Participants performed an active ankle plantar flexion and dorsiflexion ROM test and muscle gastrocnemius medialis tensiomyography displacement and contraction time measurement pre, 5, 15, 30, and 45 minutes after the floss band application. Results: There were no statistically significant differences between BAND and CON conditions (active ankle plantar flexion ROM: P = .09; active ankle dorsiflexion ROM: P = .85); however, all ROM measurements were associated with medium or large effect sizes in favor of BAND compared with CON. No significant changes were observed in the tensiomyography parameters. Conclusions: The results of this study suggest that TF applied to the ankle is a valid method to increase ROM and at the same time maintaining muscular stiffness.

scholarly journals Effect of mobilization on ankle mobility and balance performance in diabetic patients

Biomedicine ◽  
2020 ◽  
Vol 39 (2) ◽  
pp. 305-309
Author(s):  
Albin Jerome ◽  
Karthikeyan Jeyabalan ◽  
Hoe Kean Keong ◽  
Gaurai Gharote
Keyword(s):  
Range Of Motion ◽  
Conventional Treatment ◽  
Plantar Flexion ◽  
Joint Mobility ◽  
Functional Reach ◽  
Significant Difference ◽  
Functional Reach Test ◽  
Diabetic Population ◽  
Experimental Group ◽  
Ankle Plantar Flexion

Introduction and Aim: Diabetic Cheiroarthropathy is defined as the condition of restriction joint mobility due to pseudo-sclerodermatous hand, the fibrosis of the elastin connective tissues over the skin. It limits joint mobility especially around Tibia fibular mobility that are interrelated with the flexibility of ankle motion that results in the balance disorder in diabetic population. The aim of the study was to determine the effects of the tibia fibular mobilization technique on ankle joint in diabetes mellitus patients. Materials and Methods: 60 diabetic subjects were randomly assigned into experimental group and control, in which experimental group received Tibia fibular mobilization technique and conventional treatment whereas control group received only conventional treatment 1 time a week for 3 weeks. Results: There is no significant difference in Ankle dorsi flexion range of motion in both extremities but there is significant difference in ankle plantar flexion range of motion in both extremities and functional reach test in both extremities. Conclusion: There is a significant difference in the ankle plantar flexion range of motion and functional reach test, Hence, mobilization of Tibiofibular joint will be beneficial in improving the ankle range of motion and balance factor in the diabetic population.  

scholarly journals Validity of a Smartphone Application for Measuring Ankle Plantar Flexion

2018 ◽  
Vol 27 (3) ◽  
Author(s):  
Robert W. Cox ◽  
Rodrigo E. Martinez ◽  
Russell T. Baker ◽  
Lindsay Warren
Keyword(s):  
Range Of Motion ◽  
Repeated Measures ◽  
Plantar Flexion ◽  
Smartphone Application ◽  
Convenience Sample ◽  
Correlational Design ◽  
Valid Instrument ◽  
Highly Correlated ◽  
Motion Assessment ◽  
Ankle Plantar Flexion

Context: Range of motion is a component of a physical examination used in the diagnostic and rehabilitative processes. Following ankle injury and/or during research, it is common to measure plantar flexion with a universal goniometer. The ease and availability of digital inclinometers created as applications for smartphones have led to an increase in using this method of range of motion assessment. Smartphone applications have been validated as alternatives to inclinometer measurements in the knee; however, this application has not been validated for plantar flexion in the ankle. Objectives: The purpose of this study was (1) to assess the validity of the Clinometer Smartphone Application™ produced by Plaincode App Development for use in the ankle (ie, plantar flexion) and (2) to assess the validity of the inclinometer procedures used to measure ankle dorsiflexion for measuring ankle plantar flexion. Design: Blinded repeated measures correlational design. Setting: University-based outpatient rehabilitative clinic. Participants: A convenience sample (N = 50) of participants (27 females and 23 males) who reported to the clinic (mean age = 30.48 y). Intervention: Patients were long seated on a plinth, with the knee in terminal extension. Three plantar flexion measurements were taken with a goniometer on each foot by the primary researcher. The primary researcher then conducted 3 blinded measurements with The Clinometer Smartphone Application™ following the same procedure. A second researcher, who was blinded to the goniometer measurements, recorded the inclinometer measurements. After data were collected, a Pearson’s correlation was calculated to determine the validity of the clinometer app compared with goniometry. Main Outcome Measure: Degrees of motion for ankle plantar flexion. Results: Measurements produced using the Clinometer Smartphone Application™ were highly correlated for right foot (r = .92, P < .001), left foot (r = .92, P < .001), and combined (r = .92, P < .001) with goniometer measurements using a plastic universal goniometer. Conclusion: The Clinometer Smartphone Application™ is a valid instrument for measuring plantar flexion of the ankle.

Acute effects of whole-body vibration on spinal excitability level and ankle plantar flexion spasticity in post-stroke individuals: A randomized controlled trial

2020 ◽  
Vol 24 (2) ◽  
pp. 37-42
Author(s):  
Rafael Moreira Sales ◽  
Mikhail Santos Cerqueira ◽  
André Terácio Bezerra de Morais ◽  
Claúdia Regina O. de Paiva Lima ◽  
Andrea Lemos ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Plantar Flexion ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Acute Effects ◽  
Post Stroke ◽  
Randomized Controlled ◽  
Spinal Excitability ◽  
Ankle Plantar Flexion

Intraobserver and Interobserver Reliability of a Method to Measure Ankle Plantar-Flexion Range of Motion in the Hook-Lying Position

2012 ◽  
Vol 21 (4) ◽  
Author(s):  
Guilherme S. Nunes ◽  
Gabriela S. Bayer ◽  
Leticia M.R. da Costa ◽  
Marcos de Noronha
Keyword(s):  
Range Of Motion ◽  
Physical Therapists ◽  
Interobserver Reliability ◽  
Plantar Flexion ◽  
Method Of Measurement ◽  
Experienced Therapist ◽  
Healthy Participants ◽  
Ankle Plantar Flexion ◽  
Very High ◽  
Treatment Table

Context: Physical therapists often have to measure ankle range of motion (ROM) to decide on intervention and investigate improvements. The most common method of measurement is goniometry, but it has been questioned due to its unsatisfactory levels of reliability. Objective: To investigate the intraobserver and interobserver reliability of a new method of measuring plantar-flexion ROM. Design: Prospective and descriptive. Setting: Laboratory. Participants: 20 healthy participants (12 women and 8 men). Main Outcome Measurements: Ankle plantar flexion was measured by 3 observers (A, B, and C) with 3 methods (goniometry, measurement in hook-lying position [MHP], and static-image analysis [SIA]). Observer A was the most experienced therapist, and C, the least. MHP was performed with the participant in the supine position, knees flexed, and first and fifth metatarsals in contact with the treatment table. SIA was recorded and analyzed in the same position. Goniometry was performed with participant seated, lower legs unsupported, and axis positioned on the lateral malleolus. Results: For the interobserver analysis, the ICC2,1 was high for the MHP (.88), high for SIA (.87), and moderate for goniometry (.57). For the intraobserver analysis, the ICC2,1 was high or very high for MHP (.91-.92), high for SIA (.79-.83), and low to moderate for goniometry (.18-.60). Conclusion: MHP is inexpensive, fast, and more reliable than goniometry for measuring plantar-flexion ROM.

scholarly journals Intrinsic factors associated with medial tibial stress syndrome in athletes: A large case-control study

2013 ◽  
Vol 25 (3) ◽  
pp. 63 ◽  
Author(s):  
M Winters ◽  
H Veldt ◽  
EW Bakker ◽  
MH Moen
Keyword(s):  
Risk Factors ◽  
Range Of Motion ◽  
Plantar Flexion ◽  
Large Population ◽  
Multivariate Logistic Regression Analysis ◽  
Medial Tibial Stress Syndrome ◽  
Stress Syndrome ◽  
Hip Abduction ◽  
Ankle Plantar Flexion ◽  
Dorsal Flexion

Background. Medial tibial stress syndrome (MTSS) is the most common lower-leg injury in athletes, and is thought to be caused by bony overload. To prevent MTSS, both pathophysiological and aetiological factors specific to MTSS need to be identified. The intrinsic risk factors that contribute to the development of MTSS are still uncertain.Objective. To determine the intrinsic risk factors of MTSS by sampling a large population of athletic MTSS patients and controls.Methods. Athletes with MTSS and control subjects were medically examined in terms of range of motion of the leg joints (hip abduction, adduction, internal and external range of motion; ankle plantar and dorsal flexion; hallux extension and flexion; subtalar inversion and eversion), measures of over-pronation and maximal calf girth.Results. Ninety-seven subjects agreed to participate in the study: 48 MTSS patients and 49 active controls. The following variables were considered: gender, age, body mass index (BMI), hip abduction, hip adduction, internal and external hip range of rotation, ankle plantar and dorsal flexion, hallux flexion and extension, subtalar inversion and eversion, maximal calf girth, standing foot angle and navicular drop test. In multivariate logistic regression analysis, hip abduction (odds ratio (OR) 0.82; 95% confidence interval (CI) 0.72 - 0.94), ankle plantar flexion (OR 0.73; 95% CI 0.61 - 0.87) and subtalar inversion (OR 1.24; 95% CI 1.10 - 1.41) were significantly associated with MTSS. The Nagelkerke R2 for this model was 0.76, indicating that 76% of the variance in the presence of MTSS could be explained by these variables.Conclusion. Decreased hip abduction, decreased ankle plantar flexion and an increased subtalar inversion could be considered risk factors for MTSS.

scholarly journals Acute Effects of Tissue Flossing Around the Upper Thigh on Neuromuscular Performance: A Study Using Different Degrees of Wrapping Pressure

2020 ◽  
pp. 1-8
Author(s):  
Matjaž Vogrin ◽  
Miloš Kalc ◽  
Teja Ličen
Keyword(s):  
Range Of Motion ◽  
Vascular Occlusion ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
Knee Extensors ◽  
Contraction Time ◽  
Acute Effects ◽  
Moderate Condition ◽  
Straight Leg Raise ◽  
Voluntary Contractions

Context: It has been recently demonstrated that tissue flossing around the ankle joint can be effectively used to improve ankle range of motion, jump, and sprint ability. However, there is a lack of studies investigating the acute effects of tissue flossing applied using different wrapping pressures. Objective: To investigate the acute effects of tissue flossing and the degree of floss band pressure, around the upper thigh on knee range of motion, strength, and muscle contractile characteristics. Design: Crossover design in 3 distinct sessions. Setting: University laboratory. Participants: A total of 19 recreationally trained volunteers (age 23.8[4.8] y) participated in this study. Intervention: Active knee extension and flexion performed for 3 sets of 2 minutes (2-min rest between sets with wrapped upper thigh). Individualized wrapping pressures were applied to create conditions of high and moderate vascular occlusion, while a loose band application served as a control condition. Main Outcome Measures: Participants were assessed for active straight leg raise test; tensiomyography displacement and contraction time for rectus femoris, vastus medialis, and biceps femoris muscles; and maximum voluntary contractions for knee extensors and flexors for pre, after, and 30 minutes after applying the floss band. Results: There was a statistically significant increase in maximum voluntary contractions for knee extensors and a significant shortening in rectus femoris contraction time for the moderate condition, which was associated with small to medium effects in favor of the moderate condition. There were no statistically significant changes observed between control and high conditions. The active straight leg raise test was unaffected regardless of intervention. Conclusions: The results of this study suggest that tissue flossing around the upper thigh might have a localized as well as pressure-sensitive response, thereby improving neuromuscular function of the knee extensors.

scholarly journals Intrinsic factors associated with medial tibial stress syndrome in athletes: A large case-control study

2013 ◽  
Vol 25 (3) ◽  
pp. 63
Author(s):  
M Winters ◽  
H Veldt ◽  
EW Bakker ◽  
MH Moen
Keyword(s):  
Risk Factors ◽  
Range Of Motion ◽  
Plantar Flexion ◽  
Large Population ◽  
Multivariate Logistic Regression Analysis ◽  
Medial Tibial Stress Syndrome ◽  
Stress Syndrome ◽  
Hip Abduction ◽  
Ankle Plantar Flexion ◽  
Dorsal Flexion

Background. Medial tibial stress syndrome (MTSS) is the most common lower-leg injury in athletes, and is thought to be caused by bony overload. To prevent MTSS, both pathophysiological and aetiological factors specific to MTSS need to be identified. The intrinsic risk factors that contribute to the development of MTSS are still uncertain.Objective. To determine the intrinsic risk factors of MTSS by sampling a large population of athletic MTSS patients and controls.Methods. Athletes with MTSS and control subjects were medically examined in terms of range of motion of the leg joints (hip abduction, adduction, internal and external range of motion; ankle plantar and dorsal flexion; hallux extension and flexion; subtalar inversion and eversion), measures of over-pronation and maximal calf girth.Results. Ninety-seven subjects agreed to participate in the study: 48 MTSS patients and 49 active controls. The following variables were considered: gender, age, body mass index (BMI), hip abduction, hip adduction, internal and external hip range of rotation, ankle plantar and dorsal flexion, hallux flexion and extension, subtalar inversion and eversion, maximal calf girth, standing foot angle and navicular drop test. In multivariate logistic regression analysis, hip abduction (odds ratio (OR) 0.82; 95% confidence interval (CI) 0.72 - 0.94), ankle plantar flexion (OR 0.73; 95% CI 0.61 - 0.87) and subtalar inversion (OR 1.24; 95% CI 1.10 - 1.41) were significantly associated with MTSS. The Nagelkerke R2 for this model was 0.76, indicating that 76% of the variance in the presence of MTSS could be explained by these variables.Conclusion. Decreased hip abduction, decreased ankle plantar flexion and an increased subtalar inversion could be considered risk factors for MTSS.

scholarly journals Reliability of Bi-Axial Ankle Stiffness Measurement in Older Adults

Sensors ◽  
2021 ◽  
Vol 21 (4) ◽  
pp. 1162
Author(s):  
Hogene Kim ◽  
Sangwoo Cho ◽  
Hwiyoung Lee
Keyword(s):  
Older Adults ◽  
Range Of Motion ◽  
Angular Displacement ◽  
Plantar Flexion ◽  
Significant Negative Correlation ◽  
Talocrural Joint ◽  
Ankle Foot Orthosis ◽  
Ankle Stiffness ◽  
Ankle Movement ◽  
Test Retest Reliability

This study involves measurements of bi-axial ankle stiffness in older adults, where the ankle joint is passively moved along the talocrural and subtalar joints using a custom ankle movement trainer. A total of 15 elderly individuals participated in test–retest reliability measurements of bi-axial ankle stiffness at exactly one-week intervals for validation of the angular displacement in the device. The ankle’s range of motion was also compared, along with its stiffness. The kinematic measurements significantly corresponded to results from a marker-based motion capture system (dorsi-/plantar flexion: r = 0.996; inversion/eversion: r = 0.985). Bi-axial ankle stiffness measurements showed significant intra-class correlations (ICCs) between the two visits for all ankle movements at slower (2.14°/s, ICC = 0.712) and faster (9.77°/s, ICC = 0.879) speeds. Stiffness measurements along the talocrural joint were thus shown to have significant negative correlation with active ankle range of motion (r = −0.631, p = 0.012). The ankle movement trainer, based on anatomical characteristics, was thus used to demonstrate valid and reliable bi-axial ankle stiffness measurements for movements along the talocrural and subtalar joint axes. Reliable measurements of ankle stiffness may help clinicians and researchers when designing and fabricating ankle-foot orthosis for people with upper-motor neuron disorders, such as stroke.

scholarly journals Evaluation of Ankle Mobility Loss in Patients Undergoing Subtalar Arthrodesis

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0011
Author(s):  
Tiago S. Baumfeld ◽  
Roberto Zambelli de A. Pinto ◽  
Fernando Araujo S. Lopes ◽  
Daniel Baumfeld ◽  
Camilo Tavares
Keyword(s):  
Range Of Motion ◽  
Plantar Flexion ◽  
Contralateral Side ◽  
Foot And Ankle ◽  
Lower Range ◽  
Open Chain ◽  
Subtalar Arthrodesis ◽  
Closed Chain ◽  
Ankle Mobility ◽  
Dorsal Flexion

Category: Hindfoot Introduction/Purpose: Objective: To evaluate and quantify the loss of ankle mobility in patients undergoing subtalar arthrodesis compared to the contralateral side, through physical examination. Methods: A total of 12 patients who had only the subtalar arthrodesis procedure from various causes in one foot were selected. The same foot and ankle surgeon performed all measurements of bilateral tibiotarsal range of motion, with loaded closed-chain and unloaded open-chain tests. Then, to assess whether there was a difference between the operated and the non-operated side, statistical analysis was performed with the Mann-Whitney test (Hollander and Wolfe 1999). Results: On the loaded closed-chain test, the operated side had a significantly lower range of motion than the contralateral side, with a mean difference of 5.4 degrees for dorsal flexion and 7.6 degrees for plantar flexion. The open-chain tests showed non- significant differences of 3 degrees for dorsal flexion and 5.3 degrees for plantar flexion. Conclusion: Subtalar joint arthrodesis was shown to cause a loss of mobility in the ipsilateral ankle, which is greater in plantar flexion movement.

scholarly journals Acute Effects of Doorway Stretch on the Glenohumeral Rotational Range of Motion and Scapular Position in High-School Baseball Players

2021 ◽  
Author(s):  
Takashi Higuchi ◽  
Yuichi Nakao ◽  
Yasuaki Tanaka ◽  
Masashi Sadakiyo ◽  
Koki Hamada ◽  
...  
Keyword(s):  
High School ◽  
Range Of Motion ◽  
Acute Effects ◽  
Baseball Players
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