alexa The Evidence for Prolonged Muscle Stretching in Ankle J
ISSN: 2165-7025

Journal of Novel Physiotherapies
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Research Article

The Evidence for Prolonged Muscle Stretching in Ankle Joint Management in Upper Motor Neuron Lesions: Considerations for Rehabilitation

Ali A Bani-Ahmad*

Department of Physical Therapy, University of Tabuk (UT), Tabuk, Kingdom of Saudi Arabia (KSA)

*Corresponding Author:
Ali A Bani-Ahmad
Faculty of Applied Medical Sciences
Department of Physical Therapy, University of Tabuk
71491 Tabuk
Kingdom of Saudi Arabia
Tel: (00966) 533933971, 014456 (1602)
E-mail: [email protected], [email protected]

Received date: August 29, 2016; Accepted date: October 15, 2016; Published date: October 25, 2016

Citation: Ahmad AAB (2016) The Evidence for Prolonged Muscle Stretching in Ankle Joint Management in Upper Motor Neuron Lesions: Considerations for Rehabilitation. J Nov Physiother 6: 310. doi: 10.4172/2165-7025.1000310

Copyright: © 2016 Ahmad AAB. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



A normal functional ankle joint is a key factor for a successful gait. Many studies reported significant changes in ankle properties within the affected ankle upper motor neuron lesions (UMNs). As clinicians, muscles stretching approaches are of the most commonly used interventions in rehabilitation. However, there is a need for an in-depth evaluation of research on prolonged stretching in terms of the features of the stretching approaches such as duration and frequency as well as the compatible measures of a successful stretching approach. This review is an effort to synthesize findings from studies on “prolonged” stretching approaches in patients with UMNs including stroke, spinal cord injuries and traumatic brain injuries. The review also investigated the compatible features of successful stretching regimens in terms of reducing spasticity, improving the Active Range of Motion (AROM), Passive Range of Motion (PROM) and gait training of spastic patient with upper motor neuron lesions. Therefore, studies evaluating the effectiveness of “prolonged” stretching on spastic ankle planter flexor muscles and its complications were critically review and the level of evidence were analyzed. This review will add stronger understanding with regard to stretching considerations in rehabilitation following UMNs for clinicians as well researchers to propose exciting possibilities for future research.


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