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움직임을 동반한 관절가동술 적용 전 시행된 연부조직가동술이 뇌졸중 환자의 족관절 가동범위, 근 조직, 균형에 미치는 즉각적인 효과

The Immediate Effect of Soft Tissue Mobilization Before Mobilization with Movement on the Ankle Range of Motion, Muscle Tissue, Balance in Stroke Patients

대한정형도수치료학회지 2020년 26권 1호 p.37 ~ 46
장우석, 최순호,
소속 상세정보
장우석 ( Jang Woo-Seok ) - Korean Academy of Orthopedic Manual Physical Therapy in Seoul Department of Physical Therapy
최순호 ( Choi Soon-Ho ) - Seoul Seok Hospital Department of Physical Therapy

Abstract


Background: The present study aimed to investigate the immediate effects of Soft Tissue Mobilization (STM) before Mobilization with Movement (MWM) on ankle ROM, pennation angle, balance in stroke patients.

Methods: A total of 22 subjects were randomly assigned to one of two groups: the experimental group and the control group. The experimental group received intervention STM before MWM. STM was applied for one minute, MWM was applied one set of six times, in a total 3 sets. The passive ankle joint range of motion (ROM) was measured using a goniometer, the pennation angle was measured using RUSI, and the balance was measured using Timed Up & Go Test.
Results: The ROM of the ankle dorsi-flexion, muscle tissue (pennation angle) and balance were significantly increased.

Conclusion: In this study, it was confirmed that the ankle dorsi-flexion ROM, pennation angle of the medial gastrocnemius muscle, and balance were significantly improved in the group where STM was performed before the MWM intervention. Therefore, the physiotherapists should consider these results in their intervention. If MWM is applied to stroke patients, applying STM first is a better intervention.

키워드

Ankle ROM; Balance; Pennation angle; Soft tissue mobilization; Stroke

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