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Journal of Traditional Chinese Medicine >

2025 , Vol. 45 >Issue 3: 667 - 675

DOI: https://doi.org/10.19852/j.cnki.jtcm.2025.03.019

Rotating-pulling-poking manipulation in gait analysis for lateral ankle sprain treatment

  • Mingshan FENG ,
  • Haibao WEN ,
  • Wenlong ZHAO ,
  • Changxiao HAN ,
  • Chunyu GAO ,
  • Luguang LI ,
  • Jinqiao ZOU ,
  • Wuyin DU ,
  • Liguo ZHU ,
  • Jinghua GAO
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  • 1 Department of Spine Surgery Ⅱ, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China
    2 Beijing Key Laboratory of Digitalized Intelligent Traditional Chinese Medicine for Prevention and Treatment of Bone and Joint Degenerative Diseases, Beijing 100102, China
    3 School of Acupuncture and Tuina, Beijing University of Chinese Medicine, Beijing 100102, China

Received date: 2024-03-18

  Accepted date: 2024-06-29

  Online published: 2025-05-21

Supported by

National Traditional Chinese Medicine Inheritance and Innovation Team Project: Traditional Chinese Medicine Innovation Team for Prevention and Treatment of Bone and Joint Degenerative Diseases(ZYYCXTD-C-202003);National Natural Science Foundation of China: the study on the Quantification and Mechanism of the rotating-pulling-poking manipulation in the Treatment of Lateral Ankle Sprain(81473694);China Academy of Chinese Medical Sciences Science and Technology Innovation Project: Establishment and Promotion of a Simulation Operation Evaluation System for Rotating-pulling-poking Manipulation(CI2021A02015)

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Abstract

OBJECTIVE: To compare the changes in gait parameters before and after the treatment of lateral ankle sprain using the rotating-pulling-poking manipulation, and explore the potential bio-mechanical mechanism of this manipulation.
METHODS: Forty patients with lateral ankle sprains were randomly divided into two groups in a 1:1 ratio using a random number table. The experimental group were treated by rotating-pulling-poking manipulation and elastic bandage external fixation, while the control group were treated by ice compress and elastic bandage external fixation. The treatment courses of the two groups were both 2 weeks. We used a three-dimensional motion capture system for kinematic measurements and a Bertec gait analysis force measurement system for mechanical measurements, and compared the changes in gait parameters between the two groups of patients before and after treatment.
RESULTS: Intragroup comparison showed that the support time, swing time, peak of back extension, peak of plantar flexion, peak of toe pedal force, and peak of heel landing force of the affected feet in the experimental group were significantly improved compared to those before treatment (P < 0.05). The swing time of the affected feet in the control group was significantly improved compared to that before treatment (P < 0.05). The inter group comparison showed that the gait speed, stride length, peak of back extension, peak of plantar flexion, peak of toe pedal force, and peak of heel landing force of the affected feet in the experimental group were significantly better than those in the control group (P < 0.05).
CONCLUSIONS: The rotating-pulling-poking manipulation can effectively improve the patient's gait and range of motion of the affected ankle joint, and enhance the negative gravity in the vertical direction of the affected foot, and the braking and driving forces in the front and back directions. This may be the potential biomechanical mechanism of the rotating-pulling-poking manipulation for treating lateral ankle sprain.

Key words： gait analysis; rotating-pulling-poking manipulation; lateral ankle sprain

Cite this article

Mingshan FENG , Haibao WEN , Wenlong ZHAO , Changxiao HAN , Chunyu GAO , Luguang LI , Jinqiao ZOU , Wuyin DU , Liguo ZHU , Jinghua GAO . Rotating-pulling-poking manipulation in gait analysis for lateral ankle sprain treatment[J]. Journal of Traditional Chinese Medicine, 2025 , 45(3) : 667 -675 . DOI: 10.19852/j.cnki.jtcm.2025.03.019

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