The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effects of Robot Rehabilitation for Range of Motion and Balance in Ankle Sprain Patient: A Single Case Study

  • So Yeong Kim (Department of Physical Therapy, Graduate School, Nambu University) ;
  • Byeong Geun Kim (Department of Physical Therapy, Nambu University)
  • Received : 2023.01.04
  • Accepted : 2023.02.17
  • Published : 2023.02.28
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Abstract

Purpose: Recently, many studies on robotic rehabilitation have been conducted, but such studies on patients with ankle sprains are lacking. This study aimed to investigate the effects of robot-assisted rehabilitation on the range of motion of the ankle and balance in patients with ankle sprain. METHODS: This study used the A-B-A' design and was conducted for a total of fifteen days. The subjects performed general physical therapy for five days each, during the baseline A and A' periods. In period B, robot rehabilitation was performed for five days, along with general physical therapy. The subjects were evaluated based on weight-bearing lunge test (WBLT), single leg stance (SLS), and functional reach test (FRT). RESULTS: The WBLT, STS, and FRT showed significant improvement in periods B and A' compared to period A, but there was no significant improvement in period A' compared to period B. Conclusion: This study confirmed that robot-assisted rehabilitation was an effective intervention for improving the function of patients with ankle sprain. In the future, a study with a control group comparison should be performed.

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References

  1. Waterman BR, Owens BD, Davey S et al. The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am. 2010;92(13):2279-84. https://doi.org/10.2106/JBJS.I.01537
  2. Gribble PA, Bleakley CM, Caulfield BM et al. Evidence review for the 2016 international ankle consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016;50(24):1496-505. https://doi.org/10.1136/bjsports-2016-096189
  3. Baumhauer JF, Alosa DM, Renstrom AF et al. A prospective study of ankle injury risk factors. Am J Sports Med. 1995;23(5):564-70. https://doi.org/10.1177/036354659502300508
  4. Safran MR, Benedetti RS, Bartolozzi AR et al. Lateral ankle sprains: a comprehensive review. Part 1: etiology, pathoanatomy, histopathogenesis, and diagnosis. Med Sci Sports Exerc. 1999;31(7):S429-37. https://doi.org/10.1097/00005768-199907001-00004
  5. Verhagen EA, van Mechelen W, de Vente W. The effect of preventive measures on the incidence of ankle sprains. Clin J Sport Med. 2000;10(4):291-6. https://doi.org/10.1097/00042752-200010000-00012
  6. van Rijn RM, van Os AG, Bernsen RMD et al. What is the clinical course of acute ankle sprains? a systematic literature review. Am J Med. 2008;121(4):324-31. https://doi.org/10.1016/j.amjmed.2007.11.018
  7. Vuurberg G, Hoorntje A, Wink LM et al. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. Br J Sports Med. 2018;52(15):956.
  8. Zech A, Hubscher M, Vogt L et al. Neuromuscular training for rehabilitation of sports injuries: a systematic review. Med Sci Sports Exerc. 2009;41(10):1831-41. https://doi.org/10.1249/MSS.0b013e3181a3cf0d
  9. Bleakley CM, McDonough SM, MacAuley DC. Some conservative strategies are effective when added to controlled mobilisation with external support after acute ankle sprain: a systematic review. Aust J Physiother. 2008;54(1):7-20. https://doi.org/10.1016/S0004-9514(08)70061-8
  10. Postle K, Pak D, Smith TO. Effectiveness of proprioceptive exercises for ankle ligament injury in adults: a systematic literature and meta-analysis. Man Ther. 2012;17(4):285-91. https://doi.org/10.1016/j.math.2012.02.016
  11. Chun MH, Yi JH. Recent development of rehabilitation robots. J Korean Med Assoc. 2013;56(1):23-9. https://doi.org/10.5124/jkma.2013.56.1.23
  12. Lee HJ, Lee SH, Seo K et al. Training for walking efficiency with a wearable hip-assist robot in patients with stroke: a pilot randomized controlled trial. Stroke. 2019;50(12):3545-52. https://doi.org/10.1161/STROKEAHA.119.025950
  13. Kawasaki S, Ohata K, Yoshida T et al. Gait improvements by assisting hip movements with the robot in children with cerebral palsy: a pilot randomized controlled trial. J Neuroeng Rehabil. 2020;17(1):87.
  14. Capecci M, Pournajaf S, Galafate D et al. Clinical effects of robot-assisted gait training and treadmill training for Parkinson's disease. a randomized controlled trial. Ann Phys Rehabil Med. 2019;62(5):303-12. https://doi.org/10.1016/j.rehab.2019.06.016
  15. Alvarez-Perez MG, Garcia-Murillo MA, Cervantes-Sanchez JJ. Robot-assisted ankle rehabilitation: a review. Disabil Rehabil Assist Technol. 2020;15(4):394-408. https://doi.org/10.1080/17483107.2019.1578424
  16. Hussain S, Jamwal PK, Vliet PV et al. Robot assisted ankle neuro-rehabilitation: state of the art and future challenges. Expert Rev Neurother. 2021;21(1):111-21. https://doi.org/10.1080/14737175.2021.1847646
  17. Yeung LF, Lau CCY, Lai CWK et al. Effects of wearable ankle robotics for stair and over-ground training on sub-acute stroke: a randomized controlled trial. J Neuroeng Rehabil. 2021;18(1):19.
  18. Lee HY, Park JH, Kim TW. Comparisons between Locomat and Walkbot robotic gait training regarding balance and lower extremity function among non-ambulatory chronic acquired brain injury survivors. Medicine. 2021;100(18):e25125.
  19. Kim SY, Kim BG, Cho WS et al. Effects of gait training using a robot for balance in total hip arthroplasty patients after bilateral avascular necrosis: a case study. J Kor Phys Ther. 2021;33(5):231-7. https://doi.org/10.18857/jkpt.2021.33.5.231
  20. Bohannon RW, Green MD. Neurologic and musculoskeletal effects of tilt-table standing on adults: a systematic review. J Phys Ther Sci. 2021;33(9):700-6. https://doi.org/10.1589/jpts.33.700
  21. Yoo JI, Oh MK, Lee SU et al. Robot-assisted rehabilitation for total knee or hip replacement surgery patients: a systematic review and meta-analysis. Medicine. 2022;101(40):e30852.
  22. Zou Y, Zhang A, Zhang Q et al. Design and experimental research of 3-RRS parallel ankle rehabilitation robot. Micromachines. 2022;13(6):950.
  23. Powden CJ, Hoch JM, Hoch MC. Reliability and minimal detectable change of the weight-bearing lunge test: a systematic review. Man Ther. 2015;20(4):524-32. https://doi.org/10.1016/j.math.2015.01.004
  24. Konor MM, Morton S, Eckerson JM et al. Reliability of three measures of ankle dorsiflexion range of motion. Int J Sports Phys Ther. 2012;7(3):279-87.
  25. Ageberg E, Roberts D, Holmstrom E et al. Balance in single-limb stance in healthy subjects--reliability of testing procedure and the effect of short-duration sub-maximal cycling. BMC Musculoskelet Disord. 2003;4:14.
  26. Liao CF, Lin S. Effects of different movement strategies on forward reach distance. Gait Posture. 2008;28(1):16-23. https://doi.org/10.1016/j.gaitpost.2007.09.009
  27. Kazdin AE. Single-case research designs. 2nd ed. Seoul, Sigmapress, 2016:1-522.
  28. Denegar CR, Miller SJ. Can chronic ankle instability be prevented? Rethinking management of lateral ankle sprains. J Athl Train. 2002;37(4):430-5.
  29. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364-75.
  30. Drewes LK, McKeon PO, Kerrigan DC et al. Dorsiflexion deficit during jogging with chronic ankle instability. J Sci Med Sport. 2009;12(6):685-7. https://doi.org/10.1016/j.jsams.2008.07.003
  31. Dettori JR, Pearson BD, Basmania CJ et al. Early ankle mobilization, part I: the immediate effect on acute, lateral ankle sprains (a randomized clinical trial). Mil Med. 1994;159(1):15-20. https://doi.org/10.1093/milmed/159.1.15
  32. Reid A, Birmingham TB, Alcock G. Efficacy of mobilization with movement for patients with limited dorsiflexion after ankle sprain: a crossover trial. Physiother Can. 2007;59(3):166-72. https://doi.org/10.3138/ptc.59.3.166
  33. Vicenzino B, Branjerdporn M, Teys P et al. Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain. J Orthop Sports Phys Ther. 2006;36(7):464-71. https://doi.org/10.2519/jospt.2006.2265
  34. Han J, Anson J, Waddington G et al. The role of ankle proprioception for balance control in relation to sports performance and injury. Biomed Res Int. 2015;2015:842804.
  35. Michelson JD, Hutchins C. Mechanoreceptors in human ankle ligaments. J Bone Joint Surg Br. 1995;77(2):219-24. https://doi.org/10.1302/0301-620X.77B2.7706334
  36. Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br. 1965;47(4):678-85. https://doi.org/10.1302/0301-620X.47B4.678
  37. Yakub F, Md Khudzari AZ, Mori Y. Recent trends for practical rehabilitation robotics, current challenges and the future. Int J Rehabil Res. 2014;37(1):9-21. https://doi.org/10.1097/MRR.0000000000000035
  38. Ward NS, Brown MM, Thompson AJ et al. Longitudinal changes in cerebral response to proprioceptive input in individual patients after stroke: an fMRI study. Neurorehabil Neural Repair. 2006;20(3):398-405. https://doi.org/10.1177/1545968306286322
  39. Shumway-Cook A, Woollacott MH. Motor control translating research into clinical practice. Philadelphia, Lippincott Williams & Wilkins, 2007:1-612.