Joint Mobilization

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Matthew C. Hoch - One of the best experts on this subject based on the ideXlab platform.

  • Joint Mobilization and static stretching for individuals with chronic ankle instability – A pilot study
    Journal of bodywork and movement therapies, 2017
    Co-Authors: Chase M. Feldbrugge, Megan M. Pathoomvanh, Cameron J. Powden, Matthew C. Hoch
    Abstract:

    Abstract Objective To complete preliminary analysis regarding the effects Joint Mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of Joint Mobilization and calf stretching. Design Randomized two-group pretest posttest design. Setting Laboratory. Participants Ten adults (age = 24.4 ± 4.7years; height = 172.1 ± 11.3 cm; weight = 76.2 ± 17.1 kg) with self-reported CAI participated. Interventions Participants completed outcome measures at three collection sessions (baseline, pre-intervention, and post-intervention). Participants were randomized into either into an early-Mobilization or late-Mobilization group in which they completed a Joint Mobilization intervention during the first or last 2 weeks of a 4-week calf stretching intervention. Main outcome measures Outcome measures included: dorsiflexion ROM, dynamic postural control, single-limb postural control, Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure (FAAM), and Fear-Avoidance Beliefs Questionnaire (FABQ). Wilcoxon Sign Rank Tests examined pre-intervention to post-intervention differences for each dependent variable. Mann-Whitney U tests examined differences between early-Mobilization and late-Mobilization groups. Alpha was set a priori at p  Results No significant differences were identified between early-Mobilization and late-Mobilization groups at post intervention (p > .095). FAAM-Activities of Daily Living, DPA, FABQ-Physical Activity, and dorsiflexion ROM were significantly improved at post-intervention compared to pre-intervention (p   .057). Conclusion Preliminarily results suggest the timing of Joint Mobilization when used in conjunction with calf stretching does not effect treatment efficacy. However, the combination of Joint Mobilization and calf stretching can improve dorsiflexion ROM and self-reported function in individuals with CAI. Improvements from the combined intervention are similar to previously reported effects of isolated Joint Mobilization or stretching.

  • Joint Mobilization and static stretching for individuals with chronic ankle instability a pilot study
    Journal of Bodywork and Movement Therapies, 2017
    Co-Authors: Chase M. Feldbrugge, Megan M. Pathoomvanh, Cameron J. Powden, Matthew C. Hoch
    Abstract:

    Abstract Objective To complete preliminary analysis regarding the effects Joint Mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of Joint Mobilization and calf stretching. Design Randomized two-group pretest posttest design. Setting Laboratory. Participants Ten adults (age = 24.4 ± 4.7years; height = 172.1 ± 11.3 cm; weight = 76.2 ± 17.1 kg) with self-reported CAI participated. Interventions Participants completed outcome measures at three collection sessions (baseline, pre-intervention, and post-intervention). Participants were randomized into either into an early-Mobilization or late-Mobilization group in which they completed a Joint Mobilization intervention during the first or last 2 weeks of a 4-week calf stretching intervention. Main outcome measures Outcome measures included: dorsiflexion ROM, dynamic postural control, single-limb postural control, Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure (FAAM), and Fear-Avoidance Beliefs Questionnaire (FABQ). Wilcoxon Sign Rank Tests examined pre-intervention to post-intervention differences for each dependent variable. Mann-Whitney U tests examined differences between early-Mobilization and late-Mobilization groups. Alpha was set a priori at p  Results No significant differences were identified between early-Mobilization and late-Mobilization groups at post intervention (p > .095). FAAM-Activities of Daily Living, DPA, FABQ-Physical Activity, and dorsiflexion ROM were significantly improved at post-intervention compared to pre-intervention (p   .057). Conclusion Preliminarily results suggest the timing of Joint Mobilization when used in conjunction with calf stretching does not effect treatment efficacy. However, the combination of Joint Mobilization and calf stretching can improve dorsiflexion ROM and self-reported function in individuals with CAI. Improvements from the combined intervention are similar to previously reported effects of isolated Joint Mobilization or stretching.

  • Inter-clinician and intra-clinician reliability of force application during Joint Mobilization: A systematic review
    Manual therapy, 2013
    Co-Authors: Kara S. Gorgos, Nicole T. Wasylyk, Bonnie L. Van Lunen, Matthew C. Hoch
    Abstract:

    Joint Mobilizations are commonly used by clinicians to decrease pain and restore Joint arthrokinematics following musculoskeletal injury. The force applied during a Joint Mobilization treatment is subjective to the individual clinician but may have an effect on patient outcomes. The purpose of this systematic review was to critically appraise and synthesize the studies which examined the reliability of clinicians' force application during Joint Mobilization. A systematic search of PubMed and EBSCO Host databases from inception to March 1, 2013 was conducted to identify studies assessing the reliability of force application during Joint Mobilizations. Two reviewers utilized the Quality Appraisal of Reliability Studies (QAREL) assessment tool to determine the quality of included studies. The relative reliability of the included studies was examined through intraclass correlation coefficients (ICC) to synthesize study findings. All results were collated qualitatively with a level of evidence approach. A total of seven studies met the eligibility and were included. Five studies were included that assessed inter-clinician reliability, and six studies were included that assessed intra-clinician reliability. The overall level of evidence for inter-clinician reliability was strong for poor-to-moderate reliability (ICC = -0.04 to 0.70). The overall level of evidence for intra-clinician reliability was strong for good reliability (ICC = 0.75-0.99). This systematic review indicates there is variability in force application between clinicians but individual clinicians apply forces consistently. The results of this systematic review suggest innovative instructional methods are needed to improve consistency and validate the forces applied during of Joint Mobilization treatments. This is particularly evident for improving the consistency of force application across clinicians.

  • Effect of a 2-Week Joint-Mobilization Intervention on Single-Limb Balance and Ankle Arthrokinematics in Those With Chronic Ankle Instability
    Journal of sport rehabilitation, 2013
    Co-Authors: Matthew C. Hoch, David R. Mullineaux, Richard D. Andreatta, Robert A. English, Jennifer M. Medina-mckeon, Carl G. Mattacola, Patrick O. Mckeon
    Abstract:

    Context: A single talocrural Joint-Mobilization treatment has improved spatiotemporal measures of postural control but not ankle arthrokinematics in individuals with chronic ankle instability (CAI). However, the effects of multiple treatment sessions on these aspects of function have not been investigated. Objective: To examine the effect of a 2-wk anterior-to-posterior Joint-Mobilization intervention on instrumented measures of single-limb-stance static postural control and ankle arthrokinematics in adults with CAI. Design: Repeated measures. Setting: Research laboratory. Participants: 12 individuals with CAI (6 male, 6 female; age 27.4 ± 4.3 y, height 175.4 ± 9.78 cm, mass 78.4 ± 11.0 kg). Intervention: Subjects received 6 treatments sessions of talocrural grade II Joint traction and grade III anterior-to-posterior Joint Mobilization over 2 wk. Main Outcome Measures: Instrumented measures of single-limb-stance static postural control (eyes open and closed) and anterior and posterior talar displacement a...

  • Foot and Ankle Ability Measure Scores in Patients with Chronic Ankle Instability Following Joint Mobilization
    International Journal of Athletic Therapy and Training, 2013
    Co-Authors: Megan N. Houston, Patrick O. Mckeon, Matthew C. Hoch
    Abstract:

    Context: Following Joint Mobilizations, individuals with chronic ankle instability (CAI) have reported increased self-reported function as measured by the Foot and Ankle Ability Measure (FAAM). Objective: To examine the effect of a 2-week talocrural Joint Mobilization intervention on individual items of the FAAM in physically active adults with CAI. Participants: Twelve adults with CAI. Intervention: Self-reported function was documented with the FAAM-ADL and FAAM-Sport at preintervention and at 1-week postintervention. The Joint Mobilization intervention consisted of six treatments over 2 weeks. During each treatment, subjects received 4 minutes of talocrural traction and 8 minutes of Maitland Grade-III anterior-to-posterior talocrural Joint Mobilization. Main Outcome Measures: Participants completed the 21-item FAAM-ADL and 8-item FAAM-Sport. Results: Signifcant changes were detected between preintervention and 1-week follow-up measures for “Walking on even ground” (p = 0.06), “Going down stairs” (p = 0...

Chase M. Feldbrugge - One of the best experts on this subject based on the ideXlab platform.

  • Joint Mobilization and static stretching for individuals with chronic ankle instability – A pilot study
    Journal of bodywork and movement therapies, 2017
    Co-Authors: Chase M. Feldbrugge, Megan M. Pathoomvanh, Cameron J. Powden, Matthew C. Hoch
    Abstract:

    Abstract Objective To complete preliminary analysis regarding the effects Joint Mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of Joint Mobilization and calf stretching. Design Randomized two-group pretest posttest design. Setting Laboratory. Participants Ten adults (age = 24.4 ± 4.7years; height = 172.1 ± 11.3 cm; weight = 76.2 ± 17.1 kg) with self-reported CAI participated. Interventions Participants completed outcome measures at three collection sessions (baseline, pre-intervention, and post-intervention). Participants were randomized into either into an early-Mobilization or late-Mobilization group in which they completed a Joint Mobilization intervention during the first or last 2 weeks of a 4-week calf stretching intervention. Main outcome measures Outcome measures included: dorsiflexion ROM, dynamic postural control, single-limb postural control, Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure (FAAM), and Fear-Avoidance Beliefs Questionnaire (FABQ). Wilcoxon Sign Rank Tests examined pre-intervention to post-intervention differences for each dependent variable. Mann-Whitney U tests examined differences between early-Mobilization and late-Mobilization groups. Alpha was set a priori at p  Results No significant differences were identified between early-Mobilization and late-Mobilization groups at post intervention (p > .095). FAAM-Activities of Daily Living, DPA, FABQ-Physical Activity, and dorsiflexion ROM were significantly improved at post-intervention compared to pre-intervention (p   .057). Conclusion Preliminarily results suggest the timing of Joint Mobilization when used in conjunction with calf stretching does not effect treatment efficacy. However, the combination of Joint Mobilization and calf stretching can improve dorsiflexion ROM and self-reported function in individuals with CAI. Improvements from the combined intervention are similar to previously reported effects of isolated Joint Mobilization or stretching.

  • Joint Mobilization and static stretching for individuals with chronic ankle instability a pilot study
    Journal of Bodywork and Movement Therapies, 2017
    Co-Authors: Chase M. Feldbrugge, Megan M. Pathoomvanh, Cameron J. Powden, Matthew C. Hoch
    Abstract:

    Abstract Objective To complete preliminary analysis regarding the effects Joint Mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of Joint Mobilization and calf stretching. Design Randomized two-group pretest posttest design. Setting Laboratory. Participants Ten adults (age = 24.4 ± 4.7years; height = 172.1 ± 11.3 cm; weight = 76.2 ± 17.1 kg) with self-reported CAI participated. Interventions Participants completed outcome measures at three collection sessions (baseline, pre-intervention, and post-intervention). Participants were randomized into either into an early-Mobilization or late-Mobilization group in which they completed a Joint Mobilization intervention during the first or last 2 weeks of a 4-week calf stretching intervention. Main outcome measures Outcome measures included: dorsiflexion ROM, dynamic postural control, single-limb postural control, Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure (FAAM), and Fear-Avoidance Beliefs Questionnaire (FABQ). Wilcoxon Sign Rank Tests examined pre-intervention to post-intervention differences for each dependent variable. Mann-Whitney U tests examined differences between early-Mobilization and late-Mobilization groups. Alpha was set a priori at p  Results No significant differences were identified between early-Mobilization and late-Mobilization groups at post intervention (p > .095). FAAM-Activities of Daily Living, DPA, FABQ-Physical Activity, and dorsiflexion ROM were significantly improved at post-intervention compared to pre-intervention (p   .057). Conclusion Preliminarily results suggest the timing of Joint Mobilization when used in conjunction with calf stretching does not effect treatment efficacy. However, the combination of Joint Mobilization and calf stretching can improve dorsiflexion ROM and self-reported function in individuals with CAI. Improvements from the combined intervention are similar to previously reported effects of isolated Joint Mobilization or stretching.

Megan M. Pathoomvanh - One of the best experts on this subject based on the ideXlab platform.

  • Joint Mobilization and static stretching for individuals with chronic ankle instability – A pilot study
    Journal of bodywork and movement therapies, 2017
    Co-Authors: Chase M. Feldbrugge, Megan M. Pathoomvanh, Cameron J. Powden, Matthew C. Hoch
    Abstract:

    Abstract Objective To complete preliminary analysis regarding the effects Joint Mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of Joint Mobilization and calf stretching. Design Randomized two-group pretest posttest design. Setting Laboratory. Participants Ten adults (age = 24.4 ± 4.7years; height = 172.1 ± 11.3 cm; weight = 76.2 ± 17.1 kg) with self-reported CAI participated. Interventions Participants completed outcome measures at three collection sessions (baseline, pre-intervention, and post-intervention). Participants were randomized into either into an early-Mobilization or late-Mobilization group in which they completed a Joint Mobilization intervention during the first or last 2 weeks of a 4-week calf stretching intervention. Main outcome measures Outcome measures included: dorsiflexion ROM, dynamic postural control, single-limb postural control, Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure (FAAM), and Fear-Avoidance Beliefs Questionnaire (FABQ). Wilcoxon Sign Rank Tests examined pre-intervention to post-intervention differences for each dependent variable. Mann-Whitney U tests examined differences between early-Mobilization and late-Mobilization groups. Alpha was set a priori at p  Results No significant differences were identified between early-Mobilization and late-Mobilization groups at post intervention (p > .095). FAAM-Activities of Daily Living, DPA, FABQ-Physical Activity, and dorsiflexion ROM were significantly improved at post-intervention compared to pre-intervention (p   .057). Conclusion Preliminarily results suggest the timing of Joint Mobilization when used in conjunction with calf stretching does not effect treatment efficacy. However, the combination of Joint Mobilization and calf stretching can improve dorsiflexion ROM and self-reported function in individuals with CAI. Improvements from the combined intervention are similar to previously reported effects of isolated Joint Mobilization or stretching.

  • Joint Mobilization and static stretching for individuals with chronic ankle instability a pilot study
    Journal of Bodywork and Movement Therapies, 2017
    Co-Authors: Chase M. Feldbrugge, Megan M. Pathoomvanh, Cameron J. Powden, Matthew C. Hoch
    Abstract:

    Abstract Objective To complete preliminary analysis regarding the effects Joint Mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of Joint Mobilization and calf stretching. Design Randomized two-group pretest posttest design. Setting Laboratory. Participants Ten adults (age = 24.4 ± 4.7years; height = 172.1 ± 11.3 cm; weight = 76.2 ± 17.1 kg) with self-reported CAI participated. Interventions Participants completed outcome measures at three collection sessions (baseline, pre-intervention, and post-intervention). Participants were randomized into either into an early-Mobilization or late-Mobilization group in which they completed a Joint Mobilization intervention during the first or last 2 weeks of a 4-week calf stretching intervention. Main outcome measures Outcome measures included: dorsiflexion ROM, dynamic postural control, single-limb postural control, Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure (FAAM), and Fear-Avoidance Beliefs Questionnaire (FABQ). Wilcoxon Sign Rank Tests examined pre-intervention to post-intervention differences for each dependent variable. Mann-Whitney U tests examined differences between early-Mobilization and late-Mobilization groups. Alpha was set a priori at p  Results No significant differences were identified between early-Mobilization and late-Mobilization groups at post intervention (p > .095). FAAM-Activities of Daily Living, DPA, FABQ-Physical Activity, and dorsiflexion ROM were significantly improved at post-intervention compared to pre-intervention (p   .057). Conclusion Preliminarily results suggest the timing of Joint Mobilization when used in conjunction with calf stretching does not effect treatment efficacy. However, the combination of Joint Mobilization and calf stretching can improve dorsiflexion ROM and self-reported function in individuals with CAI. Improvements from the combined intervention are similar to previously reported effects of isolated Joint Mobilization or stretching.

Cameron J. Powden - One of the best experts on this subject based on the ideXlab platform.

  • Joint Mobilization and static stretching for individuals with chronic ankle instability – A pilot study
    Journal of bodywork and movement therapies, 2017
    Co-Authors: Chase M. Feldbrugge, Megan M. Pathoomvanh, Cameron J. Powden, Matthew C. Hoch
    Abstract:

    Abstract Objective To complete preliminary analysis regarding the effects Joint Mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of Joint Mobilization and calf stretching. Design Randomized two-group pretest posttest design. Setting Laboratory. Participants Ten adults (age = 24.4 ± 4.7years; height = 172.1 ± 11.3 cm; weight = 76.2 ± 17.1 kg) with self-reported CAI participated. Interventions Participants completed outcome measures at three collection sessions (baseline, pre-intervention, and post-intervention). Participants were randomized into either into an early-Mobilization or late-Mobilization group in which they completed a Joint Mobilization intervention during the first or last 2 weeks of a 4-week calf stretching intervention. Main outcome measures Outcome measures included: dorsiflexion ROM, dynamic postural control, single-limb postural control, Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure (FAAM), and Fear-Avoidance Beliefs Questionnaire (FABQ). Wilcoxon Sign Rank Tests examined pre-intervention to post-intervention differences for each dependent variable. Mann-Whitney U tests examined differences between early-Mobilization and late-Mobilization groups. Alpha was set a priori at p  Results No significant differences were identified between early-Mobilization and late-Mobilization groups at post intervention (p > .095). FAAM-Activities of Daily Living, DPA, FABQ-Physical Activity, and dorsiflexion ROM were significantly improved at post-intervention compared to pre-intervention (p   .057). Conclusion Preliminarily results suggest the timing of Joint Mobilization when used in conjunction with calf stretching does not effect treatment efficacy. However, the combination of Joint Mobilization and calf stretching can improve dorsiflexion ROM and self-reported function in individuals with CAI. Improvements from the combined intervention are similar to previously reported effects of isolated Joint Mobilization or stretching.

  • Joint Mobilization and static stretching for individuals with chronic ankle instability a pilot study
    Journal of Bodywork and Movement Therapies, 2017
    Co-Authors: Chase M. Feldbrugge, Megan M. Pathoomvanh, Cameron J. Powden, Matthew C. Hoch
    Abstract:

    Abstract Objective To complete preliminary analysis regarding the effects Joint Mobilization timing during a 4-week calf stretching intervention on clinician-oriented and patient-oriented outcomes in individuals with chronic ankle instability (CAI). Additionally, a secondary objective was to examine the combined effect of Joint Mobilization and calf stretching. Design Randomized two-group pretest posttest design. Setting Laboratory. Participants Ten adults (age = 24.4 ± 4.7years; height = 172.1 ± 11.3 cm; weight = 76.2 ± 17.1 kg) with self-reported CAI participated. Interventions Participants completed outcome measures at three collection sessions (baseline, pre-intervention, and post-intervention). Participants were randomized into either into an early-Mobilization or late-Mobilization group in which they completed a Joint Mobilization intervention during the first or last 2 weeks of a 4-week calf stretching intervention. Main outcome measures Outcome measures included: dorsiflexion ROM, dynamic postural control, single-limb postural control, Disablement in the Physically Active Scale (DPA), Foot and Ankle Ability Measure (FAAM), and Fear-Avoidance Beliefs Questionnaire (FABQ). Wilcoxon Sign Rank Tests examined pre-intervention to post-intervention differences for each dependent variable. Mann-Whitney U tests examined differences between early-Mobilization and late-Mobilization groups. Alpha was set a priori at p  Results No significant differences were identified between early-Mobilization and late-Mobilization groups at post intervention (p > .095). FAAM-Activities of Daily Living, DPA, FABQ-Physical Activity, and dorsiflexion ROM were significantly improved at post-intervention compared to pre-intervention (p   .057). Conclusion Preliminarily results suggest the timing of Joint Mobilization when used in conjunction with calf stretching does not effect treatment efficacy. However, the combination of Joint Mobilization and calf stretching can improve dorsiflexion ROM and self-reported function in individuals with CAI. Improvements from the combined intervention are similar to previously reported effects of isolated Joint Mobilization or stretching.

Zhiwei Deng - One of the best experts on this subject based on the ideXlab platform.