Patricia M. Kluding, PT, PhD, Marcio Santos, PT, PhD 

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Presentation transcript:

Effects of Ankle Joint Mobilizations in Adults Poststroke: A Pilot Study  Patricia M. Kluding, PT, PhD, Marcio Santos, PT, PhD  Archives of Physical Medicine and Rehabilitation  Volume 89, Issue 3, Pages 449-456 (March 2008) DOI: 10.1016/j.apmr.2007.12.005 Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 1 CONSORT flow diagram outlining the progress of subjects through the trial. Abbreviations: FP, functional practice; M/FP, functional practice and ankle joint mobilizations. Archives of Physical Medicine and Rehabilitation 2008 89, 449-456DOI: (10.1016/j.apmr.2007.12.005) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 2 View of the rigid plastic piece with 3 IRED markers on the shank and 3 markers on the lateral calcaneus. The tip of the digitizing probe is used to identify the lateral malleolus with the foot and ankle in a neutral position in this illustration. Archives of Physical Medicine and Rehabilitation 2008 89, 449-456DOI: (10.1016/j.apmr.2007.12.005) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 3 Representative trace of vertical force over time during the STS motion from 1 trial of a randomly selected subject. The top, solid line represents force on the stronger leg and the bottom, dashed line represents force on the weaker leg. The transition point that signifies the end of the STS motion was identified manually by referring to the amount of variation in force during static standing (on the far right side of the trace) as a reference point. That transition point is identified by a dashed line in this illustration. Archives of Physical Medicine and Rehabilitation 2008 89, 449-456DOI: (10.1016/j.apmr.2007.12.005) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 4 Illustration of data processing for STS. (A) Vertical force as measured by the forceplate; and (B) the kinematic measurements for ankle dorsiflexion and plantarflexion. The solid line represents the mean of the 3 trials; the light dashed lines represent the trace for each trial. Archives of Physical Medicine and Rehabilitation 2008 89, 449-456DOI: (10.1016/j.apmr.2007.12.005) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig 5 Illustration of data processing for gait. (A) Vertical force as measured by the forceplate; and (B) the kinematic measurements for ankle dorsiflexion and plantarflexion. The solid line represents the mean of the 3 trials; the light dashed lines represent the trace for each trial. Peak dorsiflexion was identified for the period of time that the subject was bearing weight on the forceplate with that limb during the stance phase of gait. Archives of Physical Medicine and Rehabilitation 2008 89, 449-456DOI: (10.1016/j.apmr.2007.12.005) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions