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Randomized Controlled Trial
. 2023 Jul 11;23(1):262.
doi: 10.1186/s12883-023-03315-2.

The hip joint mobilization with movement technique improves muscle activity, postural stability, functional and dynamic balance in hemiplegia secondary to chronic stroke: a blinded randomized controlled trial

Soudeh Arabzadeh  1 , Fahimeh Kamali  2 , Soha Bervis  3 , Mohsen Razeghi  4
Affiliations
Randomized Controlled Trial

The hip joint mobilization with movement technique improves muscle activity, postural stability, functional and dynamic balance in hemiplegia secondary to chronic stroke: a blinded randomized controlled trial

Soudeh Arabzadeh et al. BMC Neurol. .

Abstract

Background: People with stroke generally experience abnormal muscle activity and develop balance disorder. Based on the important role of the proximal joints of the lower extremity in balance maintenance, hip joint mobilization with movement technique can be applied to enhance normal joint arthrokinematics. Therefore, the present study aimed to investigate the effectiveness of hip joint mobilization with movement technique on stroke patients' muscle activity and balance.

Methods: Twenty patients aged between 35 and 65 years old with chronic stroke were randomly assigned either to an experimental group (n = 10) or to a control group (n = 10). Both groups participated in a 30-minute conventional physiotherapy session 3 times per week for 4 weeks. The experimental group received an additional 30-minute's session of hip joint mobilization with movement technique on the affected limb. The muscle activity, berg balance scale, time up and go, and postural stability were measured at baseline, 1-day and 2-week follow-up by a blinded assessor.

Results: The experimental group showed a significant improvement in berg balance scale, time up and go, and postural stability (p ≤ 0.05). The rectus femoris, tibialis anterior, biceps femoris, and medial gastrocnemius muscles' activations of the affected limb during static balance test markedly changed along with the biceps femoris, erector spine, rectus femoris, and tibialis anterior muscles during dynamic balance test after hip joint mobilization with movement technique. The mean onset time of rectus abdominus, erector Spine, rectus femoris, and tibialis anterior muscles activity significantly decreased in the affected limb after hip joint mobilization with movement technique compared to the control group (p ≤ 0.05).

Conclusions: The results of the present study suggest that a combination of hip joint mobilization with movement technique and conventional physiotherapy could improve muscle activity and balance among chronic stroke patients.

Trial registration number: The study was registered in the Iranian Registry of Clinical Trials (No; IRCT20200613047759N1). Registration date: 2/08/2020.

Keywords: Balance; EMG; Hip; Stroke; Stroke Rehabilitation.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flow chart of the study
Fig. 2
Fig. 2
EMG activation during dynamic and static balance test before, one day and two weeks after intervention in each group. The figure on the left side indicates the mean activation of the affected sided muscles in each group. The figure on the right indicates the mean activation of the less- affected side in each group. BF – biceps femoris; MG – medial gastrocnemius; RF – rectus femoris; TA – tibialis anterior; RA – rectus femoris; ES – erector spine. * and ٭٭ show significant differences in muscle activation and onset time between pre-post and pre-follow up interventions, respectively (P < 0.05)
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References

    1. Newell KM, Vaillancourt DE. Dimensional change in motor learning. Hum mov sci. 2001;20(4–5):695–715. doi: 10.1016/S0167-9457(01)00073-2. - DOI - PubMed
    1. Shumway-Cook A, Woollacott MH. Motor Control: theory and practical applications. 2. Baltimore, MD: Lippincot Williams and Wilkens; 2000.
    1. Dickstein R, Abulaffio N. Postural sway of the affected and nonaffected pelvis and leg in stance of hemiparetic patients. Arch Phys Med Rehabil. 2000;81(3):364–7. doi: 10.1016/S0003-9993(00)90085-6. - DOI - PubMed
    1. Genthon N, Gissot A-S, Froger J, Rougier P, Pérennou D. Posturography in patients with stroke: estimating the percentage of body weight on each foot from a single force platform. Stroke. 2008;39(2):489. doi: 10.1161/STROKEAHA.107.493478. - DOI - PubMed
    1. Nadler SF, Malanga GA, DePrince M, Stitik TP, Feinberg JH. The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes. Clin J Sport Med. 2000;10(2):89–97. doi: 10.1097/00042752-200004000-00002. - DOI - PubMed

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