Department of Physical Therapy, Graduate School, Korea National University of Transportation, Daehakro, Chungcheongbuk, South Korea.
Department of Physical Therapyd, College of Health and Life Science, Korea National University of Transportation, Daehakro, Chungcheongbuk, South Korea.
Med Sci Monit. 2023 Aug 11;29:e941398. doi: 10.12659/MSM.941398.
BACKGROUND This study aimed to identify the immediate effect of applying ankle mobilization to the elderly with chronic ankle instability on the range of joint motion, balance, and lower extremity muscle activity. MATERIAL AND METHODS This study, the Cumberland Ankle Instability Tool (CAIT) was used to evaluate chronic ankle instability, and as a result, 65-year-olds with a score of 24 or less were conducted. In this study, the grade III of Maitland mobilization was used to increase the range of joint motion in older people with chronic ankle instability. And four joint mobilizations were administered for a total of 40 minutes, 10 minutes per run. In the pre-examination, the range of motion of ankle joints, balance, and lower extremity muscle activity in the Limit of Stability (LOS) position prior to ankle mobilization. The reexamination was taken a right after the intervention to see the immediate effect of applying joint mobilization. This study was conducted after receiving the approval of the Institutional Review Board of the Korea National University of Transportation. RESULTS The study results show that, as a result of applying the ankle mobilization intervention, the range of dorsi flexor and plantar flexor motion increased, resulting in the improvement of balance and an immediate effect on the lower extremity muscle activity when measuring the Limit of Stability. CONCLUSIONS The conclusion of this study is ankle mobilization may be a useful intervention method in preventing falls and improving balance in older adults with chronic ankle instability.
本研究旨在探讨踝关节松动术对慢性踝关节不稳老年人关节活动度、平衡和下肢肌肉活动的即刻影响。
本研究采用坎伯兰踝关节不稳工具（CAIT）评估慢性踝关节不稳，结果显示，得分在 24 分或以下的 65 岁老年人进行了评估。在本研究中，使用 Maitland 关节松动术 III 级来增加慢性踝关节不稳老年人的关节活动度。共进行 4 次关节松动术，每次 10 分钟，共 40 分钟。在预检查中，在进行踝关节松动术之前，在 LOS 位置测量踝关节活动度、平衡和下肢肌肉活动。在干预后立即进行复查，以观察关节松动术的即刻效果。本研究在获得韩国交通大学机构审查委员会的批准后进行。
研究结果表明，踝关节松动术干预后，背屈和跖屈运动范围增加，平衡得到改善，在测量 LOS 时下肢肌肉活动的即刻效果得到改善。
本研究的结论是，踝关节松动术可能是预防慢性踝关节不稳老年人跌倒和改善平衡的一种有用的干预方法。
