Comparing the acute effect of myofascial release techniques and passive stretching on hind foot dynamic loading in patients with multiple sclerosis: A cohort-blinded study

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dc.authorwosidFIL, AYLA/J-1181-2013
dc.contributor.authorBalkan, Ayla Fil
dc.contributor.authorKeklicek, Hilal
dc.contributor.authorSalci, Yeliz
dc.contributor.authorAltinkaynak, Umut
dc.contributor.authorArmutlu, Kadriye
dc.date.accessioned2024-06-12T11:08:48Z
dc.date.available2024-06-12T11:08:48Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractStudy aim: It is important for therapists to incorporate new practical methods into therapy programs when they have demonstrable efficacy in the treatment of multiple sclerosis. Investigating the acute effects of myofascial release techniques (MFR) and passive stretching (PS) on hind foot loading and the severity of spasticity in individuals with multiple sclerosis (MS) was the aim of the study. Material and methods: Following the initial evaluation. 10 participants with MS (n = 20 feet) were given MFR for the plantar flexor muscle group. After the day following the first visit, participants were asked to come again and PS was applied to the plantar flexor muscle groups after the evaluation. The severity of spasticity was assessed with the Modified Ashworth Scale (MAS). Dynamic loading parameters of the hind foot - medial and lateral maximum pressure (N/cm(2)), active contact areas (cm(2)), contact percentiles (%) - were evaluated with dynamic pedobarography. Participants of the study were evaluated four times: (1) at the initial evaluation. (2) after MFR application, (3) 24 hours after the initial evaluation (pre-PS), (4) after PS. Results: There were no differences in MAS (p > 0.05) according to time-dependent analyses (p > 0.05). After MFR, the maximum pressure of the medial heel and active contact area were increased (p < 0.05) and there was a carryover effect on the maximum pressure of the right foot. Conclusions: This study showed that MFR was an effective method for management of plantar flexor spasticity in patients with multiple sclerosis in the short term and there was a carryover effect in favor of MFR. There was no additional effect of PS.en_US
dc.identifier.doi10.2478/bhk-2020-0007
dc.identifier.endpage58en_US
dc.identifier.issn0043-9630
dc.identifier.issn2080-2234
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85081723286en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage51en_US
dc.identifier.urihttps://doi.org/10.2478/bhk-2020-0007
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22575
dc.identifier.volume12en_US
dc.identifier.wosWOS:000517092600001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWalter De Gruyter Gmbhen_US
dc.relation.ispartofBiomedical Human Kineticsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMultiple Sclerosisen_US
dc.subjectMusculoskeletal Manipulationsen_US
dc.subjectPlantar Pressure Distributionen_US
dc.subjectGaiten_US
dc.subjectMuscle Stretchen_US
dc.subjectSpasticityen_US
dc.subjectTherapyen_US
dc.subjectGaiten_US
dc.subjectSessionen_US
dc.subjectTorqueen_US
dc.titleComparing the acute effect of myofascial release techniques and passive stretching on hind foot dynamic loading in patients with multiple sclerosis: A cohort-blinded studyen_US
dc.typeArticleen_US

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