Effects of Homologous instrument assisted mobilization (HIM) on ankle movement, gait-related muscle activation, and plantar pressure distribution in ankle dorsiflexion syndrome: : A randomized single control trial
Abstract
Background:
While the limited ankle dorsiflexion syndrome (ADS) is common in neuro-musculoskeletal conditions, the instrument-assisted mobilization focused on the shortened gastro-soleus myofascial structure (IMI) rather than the homologous structure (both gastrosoleus and tibiliais anterior muscles, HIM).
Objective:
We aimed to compare the immediate therapeutic effects between IMH and IMI treatment groups on the ankle dorsiflexion angle, muscle activation and foot pressure distribution during dynamic gait in ADS.
Methods:
Neuromechanical tests including kinematics (ankle mobility), kinetics (center of pressure distribution), and electromyography were used to determine the immediate therapeutic effects between HIM and IMI treatment groups in 24 participants with ADS.
Results:
The ankle joint angle analysis demonstrated a more improved active DF angle in the group who received HIM intervention when compared to the group who received IMI intervention. (11.26% and 3.58%, respectively) EMG analysis showed more decreased mean and peak TA activation amplitudes in the group who received HIM intervention (9.1% and 9%) when compared to the group who received IMI intervention (11.48% and 1.48%). Plantar pressure distribution analysis showed difference that the forefoot/area decreased in the group who received HIM intervention (8.1%), but rather increased in the group who received IMI intervention (14.3%).
Conclusions:
Our neuromechanical results demonstrated promising positive effects on ankle joint mobility, muscle activation and foot pressure distribution during gait in ADS.
References
[1]
Adillón C, Gallegos M, Treviño S, Salvat I. Ankle joint dorsiflexion reference values in non-injured youth federated basketball players: a cross-sectional study. Int J Environ Res Public Health. 2022; 19(18): 11740.
[2]
Grieve R, Byrne B, Clements C, Davies LJ, Durrant E, Kitchen O. The effects of foam rolling on ankle dorsiflexion range of motion in healthy adults: A systematic literature review. J Bodywork Mov Ther. 2022; 30: 53-59.
[3]
Farrag A, Elsayed W. Habitual Use of High-Heeled Shoes Affects Isokinetic Soleus Strength More Than Gastrocnemius in Healthy Young Females. Foot Ankle Int. 2016; 37(9): 1008-16. Epub 2016 May 9. 27162223.
[4]
Yoon JY, Hwang YI, An DH, Oh JS. Changes in kinetic, kinematic, and temporal parameters of walking in people with limited ankle dorsiflexion: pre-post application of modified mobilization with movement using talus glide taping. J Manip Physiol Ther. 2014; 37(5): 320-325.
[5]
Kwon Y, Shin G. Foot kinematics and leg muscle activation patterns are altered in those with limited ankle dorsiflexion range of motion during incline walking. Gait Posture. 2022; 92: 315-320.
[6]
Kadel NJ, Segal A, Orendurff M, Shofer J, Sangeorzan B. The efficacy of two methods of ankle immobilization in reducing gastrocnemius, soleus, and peroneal muscle activity during stance phase of gait. Foot Ankle Int. 2004; 25(6): 406-409.
[7]
Aronow MS, Diaz-Doran V, Sullivan RJ, Adams DJ. The effect of triceps surae contracture force on plantar foot pressure distribution. Foot Ankle Int. 2006; 27(1): 43-52.
[8]
Bush HM, Stanek JM, Wooldridge JD, Stephens SL, Barrack JS. Comparison of the Graston technique with instrument-assisted soft tissue mobilization for increasing dorsiflexion range of motion. J Sport Rehab. 2020; 30(4): 587-594.
[9]
Lee J, Cynn H, Shin A, Kim B. Combined effects of gastrocnemius stretch and tibialis anterior resistance exercise in subjects with limited ankle dorsiflexion. Phys Ther Rehabil Sci. 2021; 10(1): 10-15.
[10]
Lee JJ, Lee JJ, Kim DH, You SJH. Inhibitory effects of instrument-assisted neuromobilization on hyperactive gastrocnemius in a hemiparetic stroke patient. Biomed Mater Eng. 2014; 24(6); 2389-2394.
[11]
Lee J, Park C, Cha Y, You JSH. Comparative effects of different manual techniques on electromyography activity, kinematics, and muscle force in limited ankle dorsiflexion syndrome. J Back Musculoskelet Rehabil. 2021; 34(6): 1105-1112.
[12]
Rowlett CA, Hanney WJ, Pabian PS, McArthur JH, Rothschild CE, Kolber MJ. Efficacy of instrument-assisted soft tissue mobilization in comparison to gastrocnemius-soleus stretching for dorsiflexion range of motion: A randomized controlled trial. J Bodyw Mov Ther. 2019; 23(2): 233-240.
[13]
Johanson MA, Cuda BJ, Koontz JE, Stell JC, Abelew TA. Effect of stretching on ankle and knee angles and gastrocnemius activity during the stance phase of gait. J Sport Rehabil. 2009; 18(4): 521–534.
[14]
Park JH, Rhyu HS, Rhi SY. The effects of instrument-assisted soft tissue mobilization rehabilitation exercise on range of motion, isokinetic strength, and balance in chronic ankle instability taekwondo players. J Exerc Rehabil. 2020; 16(6): 516-521. 33457388.
[15]
Purves D, Augustine GJ, Fitzpatrick D, et al., editors. Neuroscience. 2nd edition. Sunderland (MA): Sinauer Associates; 2001. Mechanoreceptors Specialized to Receive Tactile Information. Available from: https//www.ncbi.nlm.nih.gov/books/NBK10895/.
[16]
Balle SS, Magnusson SP, McHugh MP. Effects of contract- 510 relax vs static stretching on stretch-induced strength loss and 511 length-tension relationship. Scand J Med Sci Sports. 2015; 25(6): 764-769.
[17]
You JY, Lee HM, Luo HJ, Leu CC, Cheng PG, Wu SK. Gastrocnemius tightness on joint angle and work of lower extremity during gait. Clin Biomech. 2009; 24(9): 744-750.
[18]
Johanson MA, Cooksey A, Hillier C, Kobbeman H, Stambaugh A. Heel lifts and the stance phase of gait in subjects with limited ankle dorsiflexion. J Athl Train. 2006; 41(2): 159.
[19]
Jeon IC, Kwon OY, Yi CH, Cynn HS, Hwang UJ. Ankle-dorsiflexion range of motion after ankle self-stretching using a strap. J Athl Train. 2015; 50(12): 1226-1232.
[20]
Lee JJ, You JH. Movement measurement validity and reliability of the Image J Program for kinematic analysis. J Mech Med Biol. 2016; 16(8): 1640028.
[21]
Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. Journal of electromyography and Kinesiology. 2000; 10(5); 361-374.
[22]
Bell J, Bell C. The anatomy and physiology of the human body. Collins & Company. 1827; 1.
[23]
Selby-Silverstein L, Farrett WD, Jr., Maurer BT, Hillstrom HJ. Gait analysis and bivalved serial casting of an athlete with shortened gastrocnemius muscles: a single case design. J Orthop Sports Phys Ther. 1997; 25(4): 282-288.
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Published: 01 January 2024
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