Efficacy of instrument assisted soft tissue mobilization on chronic ankle instability

Marwa Mostafa Ahmed, Fatma Sedeek Amin, Magda Gaid Sedhom


Marwa Mostafa Ahmed, Fatma Sedeek Amin, Magda Gaid Sedhom – Efficacy of instrument assisted soft tissue mobilization on chronic ankle instability. Fizjoterapia Polska 2022; 22(4); 162-170

DOI: https://doi.org/10.56984/8ZG1A6m5D

Abstract
Purpose. To investigate the effect of instrument assisted soft tissue mobilization (IASTM) on ankle pain, range of motion, balance, and Ankle and Foot Outcome Score (FAAOS) in patients with chronic ankle instability.
Methods. Randomized controlled trial. Overall, 50 patients of both genders with age ranged from 16–30 years with chronic ankle instability were recruited and divided randomly into two equal groups; Group (A) (control group), received traditional physical therapy treatment (dynamic balance training) for 4 weeks, Group (B) (experimental group), received the same traditional PT treatment in addition to IASTM for 4 weeks. Pre- and post-treatment assessment using Visual analogue scale (VAS), Plastic goniometer, Biodex balance system and FAAOS were done for all patients.
Results. The comparison between both groups post-treatment revealed statistically significant reductions in VAS, as well as overall stability index in favour of experimental group (B) (p < 0.001) and a significant increase in FAAOS, dorsiflexion, planter flexion, inversion and eversion range of motion in favour of experimental group (B) (p < 0.001).
Conclusion. Instrument assisted soft tissue mobilization has a significant effect on reducing pain, increasing range of motion and improving balance and function in patients with chronic ankle instability.

Keywords
chronic ankle instability, instrument assisted soft tissue mobilization, foot and ankle outcome score

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Effect of Different Lumbar Lordotic Angles on Dynamic Postural Stability in Young Adults

Mostafa Gomaa Mahmoud Ali, Neveen Abdel Latif Abdel Raoof, Magda Gaid Sedhom, Nesma Ahmed Helmy, Hossam Eddien Fawaz

Mostafa Gomaa Mahmoud Ali, Neveen Abdel Latif Abdel Raoof, Magda Gaid Sedhom, Nesma Ahmed Helmy, Hossam Eddien Fawaz – Effect of Different Lumbar Lordotic Angles on Dynamic Postural Stability in Young Adults. Fizjoterapia Polska 2020; 20(2); 142-147

DOI: https://doi.org/10.56984/8ZG0DC30E

Abstract
Objectives. Lumbar lordosis is a main element in maintaining the sagittal balance. Improper postural alignment and trunk stability and excessive spine curvatures such as lordosis, kyphosis and scoliosis can impact our balance system adversely. This study was conducted to investigate the effect of different lumbar lordotic angles on dynamic postural stability and limits of stability in young adults. Methods. 100 normal male subjects participated in this study; their ages were ranged from 20 to 35 years and their BMI were ranged from 18.5 to 24.9 kg/m2. They assigned to two equal groups according to the lumbar lordotic angle. Group (A) (n = 50 males) control group with normal lumbar lordotic angles ranged from 20 to 60 degrees. Group (B) (n = 50 males) hyper lordotic group with lumbar lordotic angles more than 60 degrees. X-ray was done to measure the lumbar lordotic angles using cobb’s angle method and the biodex balance system was used for assessment of dynamic postural stability and limits of stability. Results. The findings of current study using the MANOVA test revealed that there was a significant effect of different lumbar lordotic angles on dynamic postural stability and limits of stability in young adults (p = 0.0001). Conclusion. It was concluded that the difference in lumbar lordotic angles had an effect on dynamic postural stability and limits of stability in young adults. Moreover, subjects with increased lumbar lordotic angles reported poor dynamic postural stability and decreased limits of stability compared with normal ones using the biodex balance system.

Key words:
Lumbar lordotic angles, Dynamic postural stability, Biodex Balance System

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