From: Interventions for increasing ankle joint dorsiflexion: a systematic review and meta-analysis
Study ID | Intervention(s) | Sample size | Follow-up period | Measurement method | SMD (95% CI)* |
---|---|---|---|---|---|
STRETCHING | |||||
Bohannon 1994 [31] | A: Control | A: 18 | Same day measures taken after 3 sets of stretching | Digital images | Insufficient data |
B: Stretch | B: 18 | ||||
Dinh 2011 [1] | A: WB stretch | A: 14 | 3Â weeks | Goniometer (WB) | B vs A |
B: NWB stretch | B: 14 | Left: -0.33 (−1.08 to 0.42) | |||
Right: 0.26 (−0.49 to 1) | |||||
 |  |  |  | Goniometer (NWB) | B vs A |
Left: 0.16 (−0.88 to 0.9) | |||||
Right: 0.18 (−0.56 to 0.93) | |||||
Christiansen 2008 [12] | A: Control | A: 20 | 8Â weeks | Goniometer (NWB) | B vs A: 0.71 (0.07 to 1.35) |
B: Stretch | B: 20 | ||||
Etnyre 1986 [15] | A: Static stretch | A: 12 | 3 sessions | Goniometer (active assist) | B vs A: -0.04 (−0.85 to 0.76) |
B: Contract-relax PNF stretch | B: 12 | ||||
C: 12 | C vs A: 1.90 (0.92 to 2.88 ) | ||||
C: Contract-relax-agonist-contract PNF stretch | |||||
Gajdosik 2005 [5] | A: Control | A: 9 | 8 weeks | Electro-goniometer | B vs A: 0.69 (−0.24 to 1.62) |
B: WB stretch | B: 10 | ||||
Gajdosik 2007 [18] | A: Control | A: 4 | 6 weeks | Electro-goniometer | B vs A: 0.91 (−0.44 to 2.25) |
B: WB stretch | B: 6 | ||||
Johanson 2009 [3] | A: Control | A: 8 | 3Â weeks | Goniometer | B vs A |
B: WB stretch | B: 8 | Left: 1.19 (0.11 to 2.26) | |||
Right: 0.55 (−0.45 to 1.55) | |||||
Kasser 2009 [19] | A: Control | A: 9 | 6Â weeks | Universal goniometer | Insufficient Data |
B: WB stretch | B: 9 | ||||
Knight 2001 [21] | A: Control | A: 18 | 6Â weeks | Goniometer (passive ROM) | B vs A: 0.71 (0.05 to 1.38) |
B: Static Stretch | B: 19 | ||||
Goniometer (active ROM) | B vs A: 0.7 (0.03 to 1.36) | ||||
Peres 2002 [23] | A: Control | A: 8 | 3 weeks | Digital inclinometer | B vs A: 0.85 (−0.10 to 1.81) |
B: Stretch | B: 11 | ||||
Pratt 2003 [32] | A: Control | A: 12 | 3Â days | Digital images | Insufficient data |
B: Stretch | B: 12 | ||||
Rees 2007 [25] | A: Control | A: 10 | 4Â weeks | Goniometer | B vs A |
B: PNF stretch | B: 10 | Left: 0.82 (−0.1 to 1.74) | |||
Right: 0.84 (−0.08 to 1.76) | |||||
Youdas 2003 [29] | A: Control | A: 24 | 6 weeks | Goniometer (active assist) | B vs A: 0.45 (−0.14 to 1.04) |
B: 30Â sec stretch | B: 22 | ||||
C: 1 minute stretch | C: 22 | C vs A: 0.24 (−0.34 to 0.83) | |||
D: 2Â minute stretch | D: 21 | ||||
D vs A: 0.46 (−0.14 to 1.05) | |||||
STRETCHING COMBINED WITH OTHER INTERVENTIONS | |||||
Draper 1998 [14] | A: Stretch | A: 20 | 10 sessions | Inclinometer | B vs A: 0 (−0.62 to 0.62) |
B: Ultrasound + Stretch | B: 20 | ||||
Kasser 2009 [19] | A: WB stretch | A: 9 | 6Â weeks | Universal goniometer | Insufficient data |
C: Tibialis anterior strengthening | C: 9 | ||||
Knight 2001 [21] | A: Control | A: 18 | 6Â weeks | Goniometer (passive ROM) | C vs A: 0.70 (0.04 to 1.37) |
C: Heel raise + static stretch | C: 19 | ||||
D: 21 | D vs A: 0.84 (0.18 to 1.50) | ||||
D: Superficial moist heat + static stretch | E: 20 | ||||
E vs A: 0.95 (0.27 to 1.62) | |||||
E: Ultrasound + static stretch | |||||
 |  |  |  | Goniometer (active ROM) | C vs A: 0.77 (0.10 to 1.44) |
D vs A: 0.65 (0 to 1.30) | |||||
E vs A: 0.91 (0.24 to 1.58) | |||||
McNair 1996 [22] | A: WB soleus stretch | A: 24 | 3 sessions | Electro-goniometer | B vs A: 0.05 (−0.52 to 0.62) |
B: Aerobic exercise | B: 24 | ||||
Peres 2002 [23] | A: Control | A: 8 | 3Â weeks | Digital Inclinometer | C vs A: 1.12 (0.05 to 2.18) |
C: Stretch + | C: 8 | ||||
Diathermy | D: 9 | D vs A: 1.16 (0.12 to 2.20) | |||
D: Stretch + Diathermy + Ice | |||||
Zakas 2006 [30] | A: Warm up | A:18 | 3 sessions | Flexometer | B vs A: 0.72 (0.04 to 1.39) |
B: Stretch | B: 18 | ||||
C: Warm up + stretch | C: 18 | C vs A: 0.87 (0.18 to 1.55) | |||
MANUAL THERAPY | |||||
Fryer 2002 [16] | A: Control | A: 41 | Immediate | Dynamometer (NWB) | B vs A: 0 (−0.44 to 0.44) |
B: Manipulation | B: 40 | ||||
De Souza 2008 [39] | A: Control | A: 25 | Immediate | Biplane goniometer | B vs A: 0.19 (−0.37 to 0.75) |
B: Mobilisation | B: 25 | ||||
SOLEAL TRIGGER POINT THERAPY | |||||
Grieve 2011 [2] | A: Control | A: 10 | Immediate | Goniometer (NWB assisted) | B vs A: 0.72 (−0.18 to 1.63) |
 | B: Soleal trigger point therapy | B: 10 |  |  |  |