Comparative Effectiveness of Plantar-Massage Techniques on Postural Control in Those With Chronic Ankle Instability

Wikstrom, Erik A.; Song, Kun; Lea, Ashley; Brown, Nastassia

doi:10.4085/1062-6050-52.4.02

Cited by 23 publications

(16 citation statements)

References 34 publications

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“…The unsupervised sessions for the FIRE intervention will consist of single-limb balance, triceps surae stretching, supination and pronation resistance band, and intrinsic foot muscle exercises. Additionally, plantar massage will be self-administered by rolling the plantar surface of the foot on a textured massage ball on the ground [ 50 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of foot intensive rehabilitation (FIRE) on clinical outcomes for patients with chronic ankle instability: a randomized controlled trial protocol

Hoch

Hertel

Gribble

et al. 2023

BMC Sports Sci Med Rehabil

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Background Lateral ankle sprains account for a large proportion of musculoskeletal injuries among civilians and military service members, with up to 40% of patients developing chronic ankle instability (CAI). Although foot function is compromised in patients with CAI, these impairments are not routinely addressed by current standard of care (SOC) rehabilitation protocols, potentially limiting their effectiveness. The purpose of this randomized controlled trial is to determine if a Foot Intensive REhabilitation (FIRE) protocol is more effective compared to SOC rehabilitation for patients with CAI. Methods This study will use a three-site, single-blind, randomized controlled trial design with data collected over four data collection points (baseline and post-intervention with 6-, 12-, and 24-month follow-ups) to assess variables related to recurrent injury, sensorimotor function, and self-reported function. A total of 150 CAI patients (50 per site) will be randomly assigned to one of two rehabilitation groups (FIRE or SOC). Rehabilitation will consist of a 6-week intervention composed of supervised and home exercises. Patients assigned to SOC will complete exercises focused on ankle strengthening, balance training, and range of motion, while patients assigned to FIRE will complete a modified SOC program along with additional exercises focused on intrinsic foot muscle activation, dynamic foot stability, and plantar cutaneous stimulation. Discussion The overall goal of this trial is to compare the effectiveness of a FIRE program versus a SOC program on near- and long-term functional outcomes in patients with CAI. We hypothesize the FIRE program will reduce the occurrence of future ankle sprains and ankle giving way episodes while creating clinically relevant improvements in sensorimotor function and self-reported disability beyond the SOC program alone. This study will also provide longitudinal outcome findings for both FIRE and SOC for up to two years. Enhancing the current SOC for CAI will improve the ability of rehabilitation to reduce subsequent ankle injuries, diminish CAI-related impairments, and improve patient-oriented measures of health, which are critical for the immediate and long-term health of civilians and service members with this condition. Trial Registration Clinicaltrials.gov Registry: NCT #NCT04493645 (7/29/20).

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Section: Methodsmentioning

confidence: 99%

Effects of foot intensive rehabilitation (FIRE) on clinical outcomes for patients with chronic ankle instability: a randomized controlled trial protocol

Hoch

Hertel

Gribble

et al. 2023

BMC Sports Sci Med Rehabil

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“…These mechanoreceptors can change by myofascial release. Wikstrom et al [31] have reported that myofascial release by manual, ball, or sensory brush in individuals with chronic ankle instability positively affects static postural-control, and have hypothesized the involvement of mechanoreceptors for these effects. However, this is only a hypothesis and there is not enough scientific evidence to support the changes in mechanoreceptors after myofascial release.…”

Section: Discussionmentioning

confidence: 99%

Effect of Instrument-Assisted Soft Tissue Mobilization on Ankle of Range of Motion and Balance in Older Women: A Preliminary Study

Lee

Beak

Yoon³

et al. 2021

Asian J Kinesiol

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OBJECTIVES This study aims to investigate the effects of instrument-assisted soft tissue mobilization (IASTM) on ankle range of motion (ROM) and balance in older women.METHODS The 20 older women with a history of falls participated in the study, and the study subjects were randomly divided into the IASTM group (n=10) and control group (n=10).RESULTS There were no significant interactions between group and time for ankle ROM and functional reach after 8 weeks of IASTM on older women (<i>P</i>>0.05). Meanwhile, there were significant interactions between group and time for one-leg standing and star excursion balance (<i>P</i><0.05), and in particular, the IASTM group had greater improvements compared to the control group.CONCLUSION In conclusion, the regular application of IASTM has been shown to improve the balance of older women with a history of falls.

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“…The plantar surface of the foot is a part of the sensorimotor system, which consists of plantar receptors of the foot, ankle joint, and musculotendinous receptors [ 19 ]. In some studies, it has been described that the stimulation of sensory receptors may improve sensorimotor function [ 19 , 20 , 21 , 45 ]. LeClaire et al [ 20 ] have reported immediate effects of plantar foot massage on the improvement of postural control in individuals with chronic ankle instability.…”

Section: Discussionmentioning

confidence: 99%

“…Each of these therapies resulted in comparable static postural-control improvements. The researchers suggested that stimulation of the plantar cutaneous receptors may be the underlying mechanism of postural-control improvement following the plantar massage [ 45 ]. McKeon et al [ 19 ] also evaluated the efficacy of the plantar message, triceps surae stretching, and ankle joint mobilisations on the objective and subjective outcome measures regarding sensorimotor dysfunctions and clinical disablement in patients with chronic ankle instability.…”

Section: Discussionmentioning

confidence: 99%

Impact of Short Foot Muscle Exercises on Quality of Movement and Flexibility in Amateur Runners

Sulowska-Daszyk

Mika

Oleksy

2020

IJERPH

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The flexibility and proper functioning of all myofascial chains are crucial for athletes, especially for long-distance runners. Due to the continuity of the myofascial structures, restrictions in one part of the body may cause excessive tension in others. The aim of our study was to evaluate the influence of short foot muscle exercises on muscle flexibility and the quality of movement patterns in amateur runners. Eighty long-distance runners, aged 20–45, were randomly divided into two groups: Group 1 (n = 48) and Group 2 (n = 32). Participants in Group 1 performed foot exercises daily for six weeks. Subjects in Group 2 were without any intervention. At baseline and after six weeks, the quality of movement patterns with the Functional Movement Screen and muscle flexibility was evaluated. In Group 1, significantly higher Functional Movement Screen values in individual tasks and in the total score were noted after six weeks. The total score increased from 17 to 18 points (Median (Me) ± half of interquartile range (IQR/2) (Standard Error of Measurement - SEM) 17 ± 1.5 (0.23) at baseline and 18 ± 1.5 (0.24) after six weeks) (p < 0.01), whereas in Group 2, its level remained at 16 points (Me ± IQR/2 (SEM) 16 ± 1.5 (0.31) at baseline and 16 ± 1.25 (0.31) after six weeks). In Group 1, the significant improvement in muscle flexibility was noted (e.g., results for external rotation muscles: (Mean ± SD (SEM) 60.3 ± 0.4 (1.50) at baseline and 62.4 ± 10.3 (1.49) after six weeks) (p = 0.005). In Group 2, significant improvement was observed only for one task in the Active straight leg raise test (p = 0.005 and 0.02). During the measurement of external rotation muscles, a significant decrease in flexibility was observed (Mean ± SD (SEM) 60.1 ± 9.0 (1.60) at baseline and 58.0 ± 8.5 (1.51) after six weeks) (p = 0.001). Plantar short foot muscle exercises may improve muscle flexibility in the upper parts of the body within myofascial chains and influence the quality of fundamental movement patterns. Such exercises may be beneficial for all physically active people and can be performed as part of overall fitness programmes. Moreover, including such exercises in daily training routines of long-distance runners, as well as by athletes in other sport disciplines is also recommended.

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Comparative Effectiveness of Plantar-Massage Techniques on Postural Control in Those With Chronic Ankle Instability

Cited by 23 publications

References 34 publications

Effects of foot intensive rehabilitation (FIRE) on clinical outcomes for patients with chronic ankle instability: a randomized controlled trial protocol

Effects of foot intensive rehabilitation (FIRE) on clinical outcomes for patients with chronic ankle instability: a randomized controlled trial protocol

Effect of Instrument-Assisted Soft Tissue Mobilization on Ankle of Range of Motion and Balance in Older Women: A Preliminary Study

Impact of Short Foot Muscle Exercises on Quality of Movement and Flexibility in Amateur Runners

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