A treatment strategy for recurrent (ankle injuries) in Muay Thai athletes

Eximia Pub Date : 2023-11-30 DOI:10.47577/eximia.v12i1.394
Saad Abbas Fadhil, Sabah Qasim Khalaf
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Abstract

Objective: An efficient solution for stabilization is the mobilization of the joints for the arthrokinematics affected by the positional defect of the CAI (i.e. chronic ankle instability). This study put to comparison the impacts of ankle dorsi flexion range of motion (DFROM) as well as dynamic balance ability (DBA) in the patients who have CAI using PJM (i.e. passive joint mobilization), a technique typically been used in previous works, and active joint mobilization (AJM), a technique which could have a greater impact on cortical excitability with the spontaneous movement. Design: rehabilitation program to treat recurrent ankle. Methods: A total of 10 players from the Iraqi clubs Muay Thai team were registered, 5 from each of the AJM and PJM groups. A total of 12 intervention sessions overall, lasting 10 mins each, were given to each participant over the course of three weeks. AJM employed angular motion of the joints to produce the patient's voluntary motion regarding lateral malleolus posterior gliding as well as medial malleolus anterior gliding, respectively, while PJM utilized Maitland's mobilization approach to perform mobilization of the joints with the talus in the posterior direction. Tape was used for measuring the ankle's DFROM, and the balance system was used to assess the ankle's DBA. Results: With the exception of DBA-right and DBA-anterior variables with regard to PJM group, considerable enhancements were seen following intervention in AJM as well as groups of the PJM. DBA-anterior, DFROM, DBA-right, and DBA-posterior, measures showed statistically significant differences between the PJM group and the AJM group. Conclusions: Joint mobilization, such as voluntary movement, was more successful thanks to the overall improvement regarding DBA and DFROM. The ankle's neuromuscular system is significantly impacted in the case when voluntary movement is present.
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泰拳运动员复发性(踝关节损伤)治疗策略
目的:受 CAI(即慢性踝关节不稳定)位置缺陷影响的关节运动是稳定的有效解决方案。本研究比较了踝关节背屈活动范围(DFROM)和动态平衡能力(DBA)对踝关节不稳患者的影响,前者采用的是被动关节活动(PJM)技术,后者采用的是主动关节活动(AJM)技术,前者可通过自发运动对大脑皮层兴奋性产生更大影响。设计:治疗复发性踝关节的康复计划。方法:伊拉克俱乐部泰拳队共有 10 名队员报名参加,AJM 组和 PJM 组各 5 人。每位参与者在三周内共接受了 12 次干预训练,每次 10 分钟。AJM 采用关节的角度运动来产生患者的自主运动,分别是外侧踝骨后方滑动和内侧踝骨前方滑动;而 PJM 则采用梅特兰的活动方法,以距骨向后方向进行关节活动。胶带用于测量踝关节的DFROM,平衡系统用于评估踝关节的DBA。结果:除了 PJM 组的 DBA-右侧和 DBA-前侧变量外,AJM 组和 PJM 组的干预效果都有显著提高。DBA-前方、DFROM、DBA-右方和 DBA-后方的测量结果显示,PJM 组和 AJM 组之间存在显著的统计学差异。结论由于 DBA 和 DFROM 的整体改善,关节活动(如自主运动)更加成功。在出现自主运动的情况下,踝关节的神经肌肉系统会受到显著影响。
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