Valores Normativos para amplitude de movimento de dorsiflexão: revisão de literatura

Abstract

Introduction: The impact of ankle dorsiflexion (DF) reduction in the range of motion (ROM) has been widely reported in the literature. Given its relation with the alteration of lower limbs kinematics and appearance of musculoskeletal injuries, the evaluation of DF ROM became essential in the clinical evaluation. The weight bearing lunge test (WBLT) is a good tool for the evaluation of DF in the closed kinematic chain (CCF). However, there is no consensus of reference values reported on the literature in different populations. Objective: The objective of this study was to perform a survey of the ROM reference values of DF found in different populations through WBLT. Methods: The search was performed in 5 databases MEDLINE, Scielo, PEDro, Virtual Health Library (BIREME) and Cochrane Library. Scientific studies published in the period of January 2009 and May 2019 in english, without design restrictions. Keywords used were: "Dorsiflexion" and "Normative Values" OR "Normative Data" OR "Evaluation" and "Weight Bearing Test" OR "Lunge Test". We included studies that used the WBLT in the evaluation of DF ROM in any population that had more than 20 individuals. Results: A total of 203 results were found. At the end of the data extraction, only 5 studies were selected for the full reading, and one study was excluded cause the values collected from the DF were not reported. Four articles with normative values in community distinctions were selected, ranging from 33 to 48º DF. Conclusion: The activity of the patient should be considered during the evaluation and the therapist should interpret the value that best suits the individual's demand.