Ankle contractures in people with multiple sclerosis : Implications, measurement and treatment
Psarakis, Michael. (2020). Ankle contractures in people with multiple sclerosis : Implications, measurement and treatment [PhD Thesis]. Australian Catholic University School of Behavioural and Health Sciences https://doi.org/10.26199/acu.8vywz
|Qualification name||Doctor of Philosophy|
Contractures (loss of passive joint range of motion) are common in people with Multiple Sclerosis (MS) and the ankle joint is the most common site. Ankle contractures are disabling as they impede ankle range of motion (ROM). Full ankle ROM is essential for normal ambulation therefore, ankle contractures play a role in the loss of mobility and physical independence in people with MS. Methods explored in this thesis focused on the implications, measurement and subsequent treatment of ankle contractures in people with MS.
Reduced ankle ROM was associated with an increase in compensatory head and pelvic movements that influenced gait stability in people with MS. Compared to healthy controls, people with MS had greater asymmetry in head and pelvic movements (Cohen’s d=1.85 & 1.60) and were less stable (Cohen’s d=-1.61 to -3.06) even after adjusting for slower walking speeds. Our method of screening for excessive compensatory movements provided clinically-important information that impacted on mobility, symmetry and stability in people with MS.
|Publisher||Australian Catholic University|
|Digital Object Identifier (DOI)||https://doi.org/10.26199/acu.8vywz|
File Access Level
|10 Jun 2020|
|Online||30 Apr 2021|
|Publication process dates|
|Deposited||30 Apr 2021|
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