Pertille Adriana, Macedo Aline Barbosa, Dibai Filho Almir Vieira, Rêgo Elvyna Melo, Arrais Lara Duarte de Figueiredo, Negri Julia Raquel, Teodori Rosana Macher
Laboratory of Neuromuscular Plasticity, Postgraduate Physical Therapy Program, Methodist University of Piracicaba, Piracicaba, São Paulo, Brazil.
J Manipulative Physiol Ther. 2012 Sep;35(7):549-55. doi: 10.1016/j.jmpt.2012.06.004. Epub 2012 Aug 16.
The purpose of this study was to evaluate the immediate effects of a single treatment session of bilateral grade III mobilization of the talocrural joint on the balance of elderly women.
Thirty-two elderly women (age, 65-80 years) with low physical activity levels completed balance evaluation using baropodometry, the Functional Reach Test and the Timed Up and Go Test, and plantar flexion and dorsiflexion range of motion (ROM), before and immediately after the mobilization (n = 16) or sham (n = 16). Each subject was submitted to a total of twelve 30-second grade III mobilizations, 6 for each ankle, in a single treatment session.
No significant difference was found for intragroup and intergroup comparisons in the balance of elderly women during the following evaluations: Functional Reach Test (P = .851), Timed Up and Go Test (P = .653), anteroposterior oscillation with eyes opened (P = .333) and with eyes closed (P = .652), and mediolateral oscillation with eyes opened (P = .486) and with eyes closed (P = .602). In addition, no significant difference was observed in right (P = .881) and left (P = .060) plantar flexion ROM and in right (P = .540) and left (P = .341) dorsiflexion ROM.
The results of this study suggest that a single session of bilateral grade III mobilization of the talocrural joint does not immediately improve balance and ROM in elderly women with low physical activity levels.
本研究旨在评估距小腿关节双侧III级松动术单次治疗对老年女性平衡能力的即时影响。
32名身体活动水平较低的老年女性（年龄65 - 80岁）在松动术（n = 16）或假手术（n = 16）前后，使用压力板测量法、功能性伸展测试和定时起立行走测试完成平衡评估，并测量跖屈和背屈活动范围（ROM）。在单次治疗中，每位受试者每个踝关节总共接受12次30秒的III级松动术。
在以下评估中，老年女性平衡能力的组内和组间比较均未发现显著差异：功能性伸展测试（P = 0.851）、定时起立行走测试（P = 0.653）、睁眼时的前后摆动（P = 0.333）和闭眼时的前后摆动（P = 0.652），以及睁眼时的内外侧摆动（P = 0.486）和闭眼时的内外侧摆动（P = 0.602）。此外，右（P = 0.881）、左（P = 0.060）侧跖屈ROM以及右（P = 0.540）、左（P = 0.341）侧背屈ROM均未观察到显著差异。
本研究结果表明，距小腿关节双侧III级松动术单次治疗并不能立即改善身体活动水平较低的老年女性的平衡能力和活动范围。
