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Effects of Combined Functional Electrical Stimulation and Joint Mobilization on Muscle Activation and Mobility of Ankle Joints and Modified Functional Reach Test in Stroke Patients
J Korean Soc Phys Med 2019;14(2):41-51
Published online May 31, 2019;
© 2019 Journal of The Korean Society of Physical Medicine.

Su-Jin Kim, PT · Ho-Hee Son1†

Department of Physical Therapy, Graduate School of Health Sciences, Catholic University of Pusan,
1Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan
Received February 20, 2019; Revised February 22, 2019; Accepted March 18, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
PURPOSE: This study was conducted to investigate the effects of combined Joint Mobilization and Functional Electrical Stimulation on Muscle Activation and Mobility of ankle joints in stroke patients and their Modified Functional Reach Test (MFRT) results.
METHODS: A total of 26 patients with stroke were randomly selected for enrollment in this study. (1) Functional Electrical Stimulation (FES) (2) combined Joint Mobilization and FES. An EMG system was used to measure tibialis anterior and gastrocnemius activities. Range Of Motion (ROM) of Ankle Joint and MFRT for Dynamic Balance. Pre and post intervention results were compared by paired-t-tests and differences in changes after intervention between groups were identified by the independent t-test.
RESULTS: The muscle activation, ROM, and MFRT differed significantly in the experimental group (p<.05). The ROM was significantly different for the active dorsiflexion pre and post intervention in the group that received FES alone (p<.05).
CONCLUSION: The results of this study suggest use of a systematic program of proactive posture control to prevent dysfunction when planning interventions for ankle joints can help stroke patients walk efficiently.
Keywords : Ankle Mobilization, Functional Electrical Stimulation, Modified Functional Reach Test, Muscle Activation of Ankle

May 2019, 14 (2)
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