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Spinal Cord. 2009 Jan;47(1):62-6. doi: 10.1038/sc.2008.71. Epub 2008 Jun 24.

Effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury: a randomized controlled trial.

Author information

  • 1The University of Sydney, Sydney, New South Wales, Australia. l.harvey@usyd.edu.au

Abstract

STUDY DESIGN:

Assessor-blinded within-subject randomized controlled trial.

OBJECTIVE:

To determine the effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury.

SETTING:

Community, Australia.

METHODS:

A total of 20 people with tetraplegia living in the community had one ankle randomized to a control group and the other to an experimental group. Carers administered passive movements to participants' experimental ankles for 10 min, 10 times a week for 6 months. The control ankles were left untreated. The primary outcome was passive ankle dorsiflexion range of motion.

RESULTS:

Adherence was high (mean adherence rate of 96%). Ankle dorsiflexion range of motion decreased by a mean (s.d.) of 2 degrees (4) in control ankles and increased by 2 degrees (4) in experimental ankles. The mean (95% confidence interval, CI) effect on ankle dorsiflexion range of motion was 4 degrees (95% CI, 2-6 degrees ).

CONCLUSION:

Regular passive movements have small effects on ankle joint mobility. It is unclear if these effects are clinically worthwhile.

PMID:
18574489
[PubMed - indexed for MEDLINE]
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