Objective: To determine whether ankle plantar flexors stretching exercise affects functional reach in elderly men.
Method: Twenty elderly men with an average age of 78.2 years were selected for this study. A active range of motion of ankle dorsiflexion and a functional reach (FR) distance were measured before and after ankle stretching exercise. The ankle dorsiflexion was measured by goniometer in knee extended position. The FR distance was measured in standing position. Ankle plantar flexors stretching exercises were carried out by physical therapist 4 times per week for 4 weeks. At 4 weeks after the stretching exercise, we retested the active range of motion of ankle dorsiflexion and the FR distance using the same method.
Results: At 4 weeks after the stretching exercise, the active range of motion of right ankle dorsiflexion was increased from 2.81⁑3.26o to 5.98⁑4.34o, and the left ankle dorsiflexion was increased from 3.15⁑3.77o to 6.35⁑2.45o. The FR distance was increased form 12.22⁑7.54 cm to 19.69⁑8.59 cm after the stretching exercise.
Conclusion: The FR distance was significantly increased after the ankle plantar flexors stretching exercise (p<0.01). This results suggest that the ankle plantar flexors stretching excercise may be capable of increasing the FR distance in elderly.
Objective To examine the validity of the fuctional reach test (FRT) for evaluation of standing balance in hemiplegic patients. Method: Twenty three hemiplegic patients who were capable of standing without assistive devices were assessed on the FRT only with intact upper limb, the one-legged stance, the timed up and go test (TUG), the 10 meter walking time (10 mWT), the 'Hauser' ambulation index (AI), and the standing balance of Bohannon. Results: The forward reach of FRT demonstrated significant correlation with the TUG and the 10 mWT (p<0.01), but no significant relationship with the one-legged stance, standing balance of Bohannon and AI. Conclusion: The forward reach of FRT may be simple and useful tool for assessing the clinical balance function and reflecting gait ability and fall-down risk in hemiplegic patients. (J Korean Acad Rehab Med 2002; 26: 647-651)