Different Mobilization Techniques on Balance, Gait, Jumping and Foot Plantar Pressure

Summary

Adequate ankle dorsiflexion range of motion is important for normal performance of functional activities such as walking, running and climbing stairs. It is important to gain the ankle dorsiflexion range of motion, which affects the functional activities and sports associated with squats and lunges. Stretching and manual therapy are the most frequently used applications to gain range of motion. Manual therapy has been proposed as a possible treatment to improve mobility and restore arthrokinematics of joints. Movement mobilization, which is a manual therapy method, is an active joint mobilization concept. Talocrural mobilization with the movement technique is an extension of traditional joint mobilizations and allows the patient to engage in therapy in an active, partial weight-bearing lunge position. There are variations of this technique that can be applied by the clinician or by the individual himself. Our aim in this study is to compare the effects of movement and mobilization applications, which can be applied by the clinician or by the individual himself, on balance, gait, jumping and plantar pressure. Healthy asymptomatic individuals between the ages of 18-35 whose active ankle dorsiflexion range of motion as measured by the weight-bearing lunge test in the dominant extremity is below 45˚ will be included in the study. According to the inclusion criteria, the individuals to be included in the study will be randomly divided into three groups. Mobilization technique by the clinician will be applied to one group, and the mobilization technique by the individual himself will be applied to another group. The third group will be the control group. Evaluations will be made before and after mobilization applications. Balance will be evaluated with Y balance test, gait and jump will be evaluated with G-Walk, and plantar pressure will be evaluated with pedobarography device.

Conditions

• Dorsiflexion Deformity of Foot

Interventions

OTHER

Mobilization with movement for Ankle

The participant will assume a lunge position on a rigid serving table with the relevant extremity in a weight-bearing stance and the foot in a neutral position. An inelastic belt will be placed around the clinician's waist, flush with the lower edge of the medial malleolus, around the distal tibia and fibula. The clinician will stabilize the talus and forefoot with the web spacing of the hands and pressure dimensions on the talus and forefoot, and maintain posterior to anterior sliding of the tibia over the talus using the arch. The clinician will continue to apply pressure while the person is reporting discomfort and/or while the lunge moves, which will continue until the end of the range of motion. Mobilization will be performed as a 3 set of 10 repetitions.

Sponsors & Collaborators

• Muhammet Ayhan ORAL

  lead OTHER

Principal Investigators

• Muhammed Yusuf DEMIRKAN, Bachelors · Kırıkkale University

• Nevin GUZEL, Prof. · Gazi University

• Gamze COBANOGLU, Master · Gazi University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

35 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2023-11-30

Primary Completion

2024-02-01

Completion

2024-03-01

Countries

• Turkey (Türkiye)

Study Locations