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Phys. Ther. Korea 2022; 29(4): 274-281

Published online November 20, 2022

https://doi.org/10.12674/ptk.2022.29.4.274

© Korean Research Society of Physical Therapy

Effects of Floss Bands on Ankle Joint Range of Motion and Balance Ability

Byoung-Hyoun Moon1 , PT, MS, Ji-Won Kim2 , PT, PhD

1Department of Physical Therapy, The Graduate School, Nambu University, 2Department of Physical Therapy, Nambu University, Gwangju, Korea

Correspondence to: Ji-Won Kim
E-mail: rehab@nambu.ac.kr
https://orcid.org/0000-0002-6362-2312

Received: October 27, 2022; Revised: November 13, 2022; Accepted: November 13, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: The range of motion (ROM) and balance ability of the ankle joint affect the stability of the ankle and prevent injuries or hurts from falling. In the clinical tests conducted recently, the floss band is widely used to enhance the range of joint motion and exercise performance, and there are many studies that have applied it to ankle joint increasing dorsi flexion (DF) angle. Objects: This study compared the effects on the range of ankle motion and static/dynamic balance ability of the ankle through three conditions (before floss band intervention, after floss band intervention, and after active exercise intervention) for adults.
Methods: One intervention between floss band and active exercise was applied randomly and another intervention was applied the next day. After each intervention, the ROM of the ankle joints and the static balance was checked by measuring conducting one leg test. And the dynamic balance was checked by conducting a Y-balance test.
Results: In the case of DF, the range of joint motion showed a significant increase after floss band intervention compared to before floss band intervention (p < 0.05). Static balance ability showed a significant increase after the intervention of floss band and active exercise compared to before the intervention of floss band (p < 0.05). The dynamic balance ability showed a significant increase after the intervention of the floss band compared to before intervention of the floss band and after active exercise intervention (p < 0.05).
Conclusion: Based on these results, it was confirmed that the application of floss band to the ankle joint increases DF and improves the static and dynamic balance ability. Based on this fact, we propose the application of a floss band as an intervention method to improve the ROM of the ankle joint and improve the stability of the ankle in clinical field.

Keywords: Ankle joint, Dynamic balance, Floss band, Range of motion, Static balance

Article

Original Article

Phys. Ther. Korea 2022; 29(4): 274-281

Published online November 20, 2022 https://doi.org/10.12674/ptk.2022.29.4.274

Copyright © Korean Research Society of Physical Therapy.

Effects of Floss Bands on Ankle Joint Range of Motion and Balance Ability

Byoung-Hyoun Moon1 , PT, MS, Ji-Won Kim2 , PT, PhD

1Department of Physical Therapy, The Graduate School, Nambu University, 2Department of Physical Therapy, Nambu University, Gwangju, Korea

Correspondence to:Ji-Won Kim
E-mail: rehab@nambu.ac.kr
https://orcid.org/0000-0002-6362-2312

Received: October 27, 2022; Revised: November 13, 2022; Accepted: November 13, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: The range of motion (ROM) and balance ability of the ankle joint affect the stability of the ankle and prevent injuries or hurts from falling. In the clinical tests conducted recently, the floss band is widely used to enhance the range of joint motion and exercise performance, and there are many studies that have applied it to ankle joint increasing dorsi flexion (DF) angle. Objects: This study compared the effects on the range of ankle motion and static/dynamic balance ability of the ankle through three conditions (before floss band intervention, after floss band intervention, and after active exercise intervention) for adults.
Methods: One intervention between floss band and active exercise was applied randomly and another intervention was applied the next day. After each intervention, the ROM of the ankle joints and the static balance was checked by measuring conducting one leg test. And the dynamic balance was checked by conducting a Y-balance test.
Results: In the case of DF, the range of joint motion showed a significant increase after floss band intervention compared to before floss band intervention (p < 0.05). Static balance ability showed a significant increase after the intervention of floss band and active exercise compared to before the intervention of floss band (p < 0.05). The dynamic balance ability showed a significant increase after the intervention of the floss band compared to before intervention of the floss band and after active exercise intervention (p < 0.05).
Conclusion: Based on these results, it was confirmed that the application of floss band to the ankle joint increases DF and improves the static and dynamic balance ability. Based on this fact, we propose the application of a floss band as an intervention method to improve the ROM of the ankle joint and improve the stability of the ankle in clinical field.

Keywords: Ankle joint, Dynamic balance, Floss band, Range of motion, Static balance

Fig 1.

Figure 1.Flow chart of this study. ROM, range of motion.
Physical Therapy Korea 2022; 29: 274-281https://doi.org/10.12674/ptk.2022.29.4.274

Fig 2.

Figure 2.Floss bands intervention.
Physical Therapy Korea 2022; 29: 274-281https://doi.org/10.12674/ptk.2022.29.4.274

Fig 3.

Figure 3.Effects of among three conditions on ankle range of motion. *p < 0.05.
Physical Therapy Korea 2022; 29: 274-281https://doi.org/10.12674/ptk.2022.29.4.274

Fig 4.

Figure 4.Effects of among three conditions on ankle static and dynamic balance ability. OLT, one leg test; ANT, anterior; PL, posterior-lateral; PM, posterior-medial; CS, composite score. *p < 0.05.
Physical Therapy Korea 2022; 29: 274-281https://doi.org/10.12674/ptk.2022.29.4.274

Table 1 . General characteristics of subjects (N = 25).

VariableSubject
Age (y)29.4 ± 3.6
Height (cm)168.4 ± 8.2
Weight (kg)67.4 ± 17.3
Body mass index (kg/m2)23.4 ± 4.2

Values are presented as mean ± standard deviation..


Table 2 . Comparison of ROM and balance ability among three conditions (N = 25).

Pre-interventionFloss bandActive exerciseFp-valuepost hoc
DF (°)9.0 ± 4.1413.36 ± 3.9610.52 ± 3.4839.7850.000*A
PF (°)48.8 ± 10.3749.72 ± 10.1249.2 ± 9.851.0170.377
OLT (mm2)28.52 ± 14.013.24 ± 6.1617.86 ± 8.0336.8430.000*D,E
ANT61.12 ± 6.3967.0 ± 5.9861.78 ± 4.7135.0220.000*A,C
PL108.0 ± 9.60117.36 ± 9.27110.71 ± 7.1613.4260.000*A
PM105.49 ± 9.52113.36 ± 7.35108.45 ± 8.4429.2440.000*A
CS91.54 ± 6.6199.24 ± 6.1193.65 ± 5.3546.3230.000*A,C

Values are presented as mean ± standard deviation. Significant difference by Bonferroni adjustment (p < 0.05/3). A: Pre-intervention < Floss band, B: Pre-intervention < Active exercise, C: Active exercise < Floss band, D: Floss band < Pre-intervention, E: Active exercise < Pre-intervention. ROM, range of motion; DF, dorsi flexion; PF, plantar flexion; OLT, one leg test; ANT, anterior; PL, posterior-lateral; PM, posterior-medial; CS, composite score. *p < 0.05..