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距骨前后关节松动术中施加的力及其对背屈活动度影响的研究。

Study of the force applied during anteroposterior articular mobilization of the talus and its effect on the dorsiflexion range of motion.

作者信息

Venturini Claudia, Penedo Meliana Moller, Peixoto Gustavo Henrique, Chagas Mauro Heleno, Ferreira Manuela Loureiro, de Resende Marcos Antônio

机构信息

Physiotherapy Department of the Catholic Pontifícia University of Minas Gerais, Brazil.

出版信息

J Manipulative Physiol Ther. 2007 Oct;30(8):593-7. doi: 10.1016/j.jmpt.2007.08.002.

Abstract

OBJECTIVE

The aim of this study was to investigate the behavior of the force applied during the Maitland grade III anteroposterior joint mobilization of the talus and its effect on dorsiflexion range of motion (ROM).

METHODS

Two examiners performed measurements of dorsiflexion ROM on both ankles of healthy volunteers using a universal goniometer. The anteroposterior talus mobilization was first applied by examiner A for 30 seconds. Examiner B then repeated the same procedure. A platform was placed under the volunteer's leg to register the forces obtained during mobilization. After the procedure, examiner A assessed the ankle dorsiflexion.

RESULTS

The results showed consistency regarding maximal forces applied throughout the 30 seconds of mobilization as well as low consistency upon the minimal forces. A significant increase in dorsiflexion ROM of the ankle was found immediately after joint mobilization.

CONCLUSIONS

The results of the present study have shown consistent maximal forces applied by one examiner and inconsistent minimal forces during an ankle mobilization in healthy volunteers when the same examiner was compared. Moreover, the applied force was able to increase dorsiflexion ROM after the Maitland grade III anteroposterior mobilization of the talus.

摘要

目的

本研究旨在探讨距骨麦特兰德三级前后向关节松动术中施加的力的行为及其对背屈活动度(ROM)的影响。

方法

两名检查者使用通用角度计对健康志愿者的双侧踝关节进行背屈ROM测量。检查者A首先进行距骨前后向松动30秒。然后检查者B重复相同步骤。在志愿者腿部下方放置一个平台,以记录松动过程中获得的力。操作结束后,检查者A评估踝关节背屈情况。

结果

结果显示,在整个30秒的松动过程中,施加的最大力具有一致性,而最小力的一致性较低。关节松动后,踝关节背屈ROM立即显著增加。

结论

本研究结果表明,在健康志愿者的踝关节松动过程中,当比较同一名检查者时,一名检查者施加的最大力具有一致性,而最小力不一致。此外,在距骨麦特兰德三级前后向松动后,施加的力能够增加背屈ROM。

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