scholarly journals The Effects of Deep Oscillation Therapy for Individuals with Lower-Leg Pain

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
McCall Christian ◽  
Riley Koenig ◽  
Zachary Winkelmann ◽  
Kenneth Games
Keyword(s):  
Lymph Node ◽  
Range Of Motion ◽  
Weight Bearing ◽  
Lower Leg ◽  
Ankle Dorsiflexion ◽  
Popliteal Lymph Node ◽  
Triceps Surae ◽  
Leg Pain ◽  
Minimal Detectable Change ◽  
Lower Leg Pain

Purpose: Lower extremity (LE) pain accounts for 13-20% of injuries in the active population. LE pain has been contributed to inflexibility and fascial restrictions. Deep oscillation therapy (DOT) has been proposed to improve range of motion and reduce pain following musculoskeletal injuries. Therefore, our objective was to determine the effectiveness of DOT on ankle dorsiflexion range of motion (ROM) and pain in individuals with and without lower-leg pain. Methods: We used a single blind, pre-post experimental study in a research laboratory. Thirty-two active participants completed this study. Sixteen individuals reporting lower-leg pain and sixteen non-painful individuals completed the study. Participants received a single session of DOT performed by one researcher to their affected limb or matched limb. The intervention parameters included a 1:1 mode and 70-80% dosage. The intervention began by stimulating the lymphatic channels at the cisterna chyli, the inguinal lymph node, and the popliteal lymph node at a frequency of 150 Hz all for a minute each. Next, the researcher treated the triceps surae complex for 11 minutes at three different frequencies. Finally, the participant was treated distal to the popliteal lymph node at 25 Hz for 5 minutes. The main outcome measures included pain using the VAS and ankle dorsiflexion ROM with the weight-bearing lunge test (WBLT). Statistical analyses included descriptive statistics and F-test comparisons between and within groups. Results: The average WBLT measures for all participants increased 0.6 cm, which not to the minimal detectable change for passive ankle dorsiflexion ROM. Significant differences from pre-post measures were identified for pain on the VAS. Conclusion: While increases in ROM were identified, the difference was not clinically important. DOT was successful in decreasing lower-leg pain

scholarly journals Increased Contact Time and Strength Deficits in Runners With Exercise-Related Lower Leg Pain

2020 ◽  
Vol 55 (12) ◽  
pp. 1247-1254
Author(s):  
Rachel M. Koldenhoven ◽  
Amy Virostek ◽  
Alexandra F. DeJong ◽  
Michael Higgins ◽  
Jay Hertel
Keyword(s):  
Range Of Motion ◽  
Contact Time ◽  
Stride Length ◽  
Wearable Sensors ◽  
Lower Leg ◽  
Leg Pain ◽  
Great Toe ◽  
Ankle Eversion ◽  
Lower Leg Pain ◽  
Laboratory Measures

Context Exercise-related lower leg pain (ERLLP) is common in runners. Objective To compare biomechanical (kinematic, kinetic, and spatiotemporal) measures obtained from wearable sensors as well as lower extremity alignment, range of motion, and strength during running between runners with and those without ERLLP. Design Case-control study. Setting Field and laboratory. Patients or Other Participants Of 32 young adults who had been running regularly (>10 mi [16 km] per week) for ≥3 months, 16 had ERLLP for ≥2 weeks and 16 were healthy control participants. Main Outcome Measure(s) Both field and laboratory measures were collected at the initial visit. The laboratory measures consisted of alignment (arch height index, foot posture index, navicular drop, tibial torsion, Q-angle, and hip anteversion), range of motion (great toe, ankle, knee, and hip), and strength. Participants then completed a 1.67-mi (2.69-km) run along a predetermined route to calibrate the RunScribe devices. The RunScribe wearable sensors collected kinematic (pronation excursion and maximum pronation velocity), kinetic (impact g and braking g), and spatiotemporal (stride length, step length, contact time, stride pace, and flight ratio) measures. Participants then wore the sensors during at least 3 training runs in the next week. Results The ERLLP group had a slower stride pace than the healthy group, which was accounted for as a covariate in subsequent analyses. The ERLLP group had a longer contact time during the stance phase of running (mean difference [MD] = 18.00 ± 8.27 milliseconds) and decreased stride length (MD = −0.11 ± 0.05 m) than the control group. For the clinical measures, the ERLLP group demonstrated increased range of motion for great-toe flexion (MD = 13.9 ± 4.6°) and ankle eversion (MD = 6.3 ± 2.7°) and decreased strength for ankle inversion (MD = −0.49 ± 0.23 N/kg), ankle eversion (MD = −0.57 ± 0.27 N/kg), and hip flexion (MD = −0.99 ± 0.39 N/kg). Conclusions The ERLLP group exhibited a longer contact time and decreased stride length during running as well as strength deficits at the ankle and hip. Gait retraining and lower extremity strengthening may be warranted as clinical interventions in runners with ERLLP.

scholarly journals Reliability of the weight-bearing ankle dorsiflexion range of motion measurement using a smartphone goniometer application

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11977
Author(s):  
Helena Zunko ◽  
Renata Vauhnik
Keyword(s):  
Range Of Motion ◽  
Weight Bearing ◽  
Intraclass Correlation ◽  
Ankle Dorsiflexion ◽  
Minimal Detectable Change ◽  
Rater Reliability ◽  
Motion Measurement ◽  
Left Ankle ◽  
The Right ◽  
Daily Physical Activities

Background Weight-bearing ankle dorsiflexion range of motion measurement (weight-bearing lunge test) is gaining in popularity because it mimics lower extremity function in daily physical activities. The purpose of the study is to assess the intra-rater and the inter-rater reliability of the weight-bearing ankle dorsiflexion range of motion measurement with a flexed knee using a smartphone application Spirit Level Plus installed on an Android smartphone. Methods Thirty-two young, healthy subjects participated in the study and were measured in four sessions by two examiners. One measurement was taken on each ankle in every session. Eight measurements were taken from each participant. A total of 256 were taken from all the participants. The measurements for the individual subject were repeated no sooner than 24 hours after the first session. In order to assess the reliability, intraclass correlation coefficients (ICC), standard error measurements (SEM) and minimal detectable change (MDC) at the 95% confidence interval were calculated. Results Statistical data analysis revealed moderate intra-rater reliability for the right ankle (ICC = 0.72, 95% CI [0.49–0.85]) and good intra-rater reliability for the left ankle (ICC = 0.82, 95% CI [0.66–0.91]). Inter-rater reliability is moderate for the right (ICC = 0.73, 95% CI [0.52–0.86]) and the left ankle (ICC = 0.65, 95% CI [0.39–0.81]). Conclusion The observed method is moderately reliable and appropriate when the main objective is to assess ankle dorsiflexion mobility in weight-bearing when weight-bearing is not contraindicated. The concurrent validity of the Spirit Level Plus application is excellent.

scholarly journals Exercise induced neuropathic lower leg pain due to a tibial bone exostosis

2021 ◽  
Author(s):  
van den Hurk Loreen ◽  
van den Besselaar marijn ◽  
Scheltinga Marc R
Keyword(s):  
Lower Leg ◽  
Leg Pain ◽  
Tibial Bone ◽  
Exercise Induced ◽  
Lower Leg Pain

scholarly journals Recurrent Exertional Lower Leg Pain in an Adolescent Female Multi-Sport Athlete

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Allison Schroeder ◽  
Dharmesh Vyas ◽  
Kentaro Onishi
Keyword(s):  
Lower Leg ◽  
Leg Pain ◽  
Adolescent Female ◽  
Sport Athlete ◽  
Lower Leg Pain

scholarly journals Chronic Lower Leg Pain in Athletes

2011 ◽  
Vol 4 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Rachel Biber Brewer ◽  
Andrew J. M. Gregory
Keyword(s):  
Lower Leg ◽  
Leg Pain ◽  
Lower Leg Pain

Shin-splints: Common exercise-related syndromes affecting the lower leg

2014 ◽  
Vol 100 (3) ◽  
pp. 272-276
Author(s):  
BL Williamson ◽  
CHC Arthur
Keyword(s):  
Soft Tissues ◽  
Lower Leg ◽  
Leg Pain ◽  
Shin Splints ◽  
Common Complaint ◽  
Acute Injuries ◽  
Exertional Compartment Syndrome ◽  
As Stress ◽  
Lower Leg Pain ◽  
The Military

AbstractLower leg pain is a common complaint of athletically active individuals, often limiting physical activities. As such, the group of lower leg conditions related to athletic pursuits and physical exercise confer considerable operational implications for the military. Whilst acute injuries to the lower limb are commonly encountered and are clearly of significance, this article focuses instead on chronic conditions related to physical activity. These include insults to bone such as stress fractures and medial tibial stress syndrome, and those related to the soft tissues such as chronic exertional compartment syndrome. In this article we will examine the presentation and management of these conditions.

scholarly journals Chronic Lower Leg Pain in Athletes: Overview of Presentation and Management

2019 ◽  
Vol 16 (1) ◽  
pp. 86-100 ◽  
Author(s):  
Neil Mohile ◽  
Jose Perez ◽  
Michael Rizzo ◽  
Christopher P. Emerson ◽  
Greg Foremny ◽  
...  
Keyword(s):  
Lower Leg ◽  
Leg Pain ◽  
Lower Leg Pain
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