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ISSN : 2092-8475(Print)
ISSN : (Online)
Journal of International Academy of Physical Therapy Research Vol.9 No.4 pp.1642-1650
DOI : https://doi.org/10.20540/JIAPTR.2018.9.4.1642

The Effect of Joint Mobilization with PNF Stretch Exercise on Ankle Joint Range of Motion, Plantar Pressure, and Balance in Patients with Stroke

Byeong Ho Ryu
The One Convalescent Hospital,Yongin , Republic of Korea
Address for correspondence
Byeong Ho Ryu, PT, Ph.D Department of Physical Therapy, Nameoul University, 91 Daehak-ro, Seonghwaneup, Seobuk-gu, Cheonan, Korea Tel: 82-41-580-2530

Abstract

The purpose of this study was to identify the effect of proprioceptive neuromuscular facilitation (PNF) stretching exercise and joint mobilization on ankle joint range of motion (ROM), plantar pressure, and balance in subjects with stroke. Thirty patients (n=30) were organized into three groups, each of which received different treatments: PNF stretching (n=10), joint mobilization (n=10), and joint mobilization and PNF stretching combined (n=10). Each group received three exercise sessions per week for four weeks. The ankle ROM was measured using a goniometer, and plantar pressure and balance ability were measured using BioResque static posturography. In comparison within each group, the joint mobilization group and the joint mobilization with PNF stretching group showed significant improvements in ankle ROM, plantar pressure, and balance ability (p<.05). In comparison between the groups, a statistically significant difference was found in SECS change between the PNF stretching group, joint mobilization group and the joint mobilization with PNF stretching group. This study found demonstrates that the joint mobilization and joint mobilization with the PNF stretching methods were effective in improving ankle ROM, plantar pressure, and balance ability in stroke patients.

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