Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Comparison of the Effects of Applying Muscle Energy Techniques Versus Stretching Techniques to the Ankle Joint on Ankle Joint Range of Motion, Balance Ability and Gait Ability of Chronic Stroke Patients with Limited Ankle Dorsiflexion

근에너지 기법과 스트레칭 기법의 발목관절 적용이 발등굽힘 제한이 있는 만성 뇌졸중 환자의 발목 관절가동범위, 균형 능력, 보행 능력에 미치는 영향 비교

  • Tae-hyeon Heo (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Suhn-yeop Kim (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 허태현 (대전대학교 보건의료대학원 물리치료학과) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2023.11.10
  • Accepted : 2023.12.01
  • Published : 2024.02.28
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Abstract

PURPOSE: This study compared the effect of the muscle energy technique (MET) and stretching technique on ankle dorsiflexion passive range of motion, balance, and gait ability of stroke patients with limited ankle dorsiflexion. METHODS: Forty-four post-stroke patients participated. The participants were randomized into the MET group (METG; n = 22) and the stretching group (STG; n = 22). The METG was subjected to the MET to relax the dorsiflexion, while the STG was subjected to the dorsiflexion stretching technique. Both groups completed standard neurological physical therapy for 30 min per session. The intervention was conducted five times a week over 3 weeks for a total of 15 times. All participants underwent ankle dorsiflexion passive range of motion measurement and Berg Balance Scale score determination and completed a 10-m walking test and the timed up and go test before and after the intervention. RESULTS: After the 3-week intervention, both groups showed significant improvement after the intervention (p < .05). METG participants showed greater improvements in ankle dorsiflexion passive range of motion and 10-m walking test results compared to STG participants (p < .05). CONCLUSION: Both interventions improved ankle dorsiflexion passive range of motion, balance, and gait ability in stroke patients with limited ankle dorsiflexion. Moreover, the MET was superior to ankle dorsiflexion passive range of motion on the 10-m walking test.

Keywords

References

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