[Purpose] Physical therapists frequently perform manual stretching of the ankle joints.
Manual stretching procedures are challenging to define because they involve
multidirectional joint motions and external forces. Therefore, in this paper, we propose a
method for quantitatively and statistically analyzing the manual foot stretching
techniques used by physical therapists. [Participants and Methods] The participants were
four physical therapists, and three patients who have a spastic foot. We investigated the
manual foot stretching techniques employed by the physical therapists using a
three-dimensional analysis system and an instrumented brace with force sensors. Principal
motion analysis was applied to the obtained data, and principal motions were determined.
[Results] The first principal motion was the application of force for the dorsiflexion of
the foot; second, the pushing/pulling of the heel; third, the eversion/inversion of the
entire foot; and fourth, the eversion/inversion of the forefoot. Furthermore, the manual
stretching techniques varied among the physical therapists, even for the same patient, and
some techniques occurred only between particular pairs. [Conclusion] This study
demonstrated the effectiveness of the principal motion analysis for the statistical
assessment of manual stretching techniques and clarifying differences in stretching
technique among physical therapists.