Force-displacement relationship during anteroposterior mobilization of the ankle joint.

OBJECTIVE: The purpose of this study was to determinate the correlation between force and displacement during passive anteroposterior mobilization of the talus and the effect of this treatment technique on ankle dorsiflexion range of motion (ROM). METHODS: This is an exploratory, methodological stud...

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Publicado en:Journal of Manipulative & Physiological Therapeutics Vol. 31; no. 4; pp. 285 - 293
Autores principales: de Souza MV, Venturini C, Teixeira LM, Chagas MH, de Resende MA
Formato: clinical trial research Journal Article
Publicado: Elsevier B.V. May2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2008
      vid: 31
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        105773625
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        10.1016/j.jmpt.2008.03.005
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        atl: Force-displacement relationship during anteroposterior mobilization of the ankle joint.
      aug:
        au:
          de Souza MV
          Venturini C
          Teixeira LM
          Chagas MH
          de Resende MA
        affil: Physical therapist; Motion Analysis Laboratory, Physical Therapy Department, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Brazil.
      sug:
        subj:
          Ankle Joint Physiology
          Immobilization Physiology
          Manual Therapy Methods
          Range of Motion
          Adult
          Clinical Trials
          Confidence Intervals
          Female
          Male
          Observer Bias
          Human
          Adult: 19-44 years
          Female
          Male
      ab: OBJECTIVE: The purpose of this study was to determinate the correlation between force and displacement during passive anteroposterior mobilization of the talus and the effect of this treatment technique on ankle dorsiflexion range of motion (ROM). METHODS: This is an exploratory, methodological study. Maitland grades III and IV mobilization were applied on the right ankle of 25 healthy subjects (mean age +/- standard deviation, 25.08 +/- 3.01 years) by 2 randomized raters (A and B). Applied forces were measured using a small force plate and displayed for the rater on a computer monitor. Linear displacement of the ankle joint was quantified by a motion analysis system. Synchronization of these 2 systems was obtained by software. Dorsiflexion active ROM, before and after mobilization, was assessed using a biplane goniometer. Statistical analysis was performed using the Pearson correlation coefficient for force and displacement variables and the paired t test to compare dorsiflexion ROM mean values. RESULTS: A fair positive correlation was found between force range and displacement (r = 0.370; P = .049, 1-tailed), and a fair negative correlation was found between minimum forces and displacement (r = 0.404; P = .035, 1-tailed), only for rater A data. Significant increase in dorsiflexion was found in the right ankle (P = .035), comparing ROM before and after mobilization, which did not occur in the left ankle. CONCLUSIONS: These data do not support a linear force-displacement relationship during Maitland grades III and IV passive joint mobilization, although they confirmed an increase in ankle dorsiflexion ROM immediately after joint mobilization. The use of visual feedback may increase interrater reliability of forces applied during ankle joint mobilization.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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