The Effects of a Floss Band on Ankle Range of Motion, Balance, and Gait in Chronic Stroke: A Randomized Controlled Study

Background/Objectives: Stroke patients generally have balance and gait dysfunction due to decreased range of motion (ROM) and muscle strength of the ankle joint. A therapist can apply a floss band to enhance ROM, pain control, jump performance, strength, myofascial release, and recovery from fatigue. This study compared the immediate effects of floss band application on ankle ROM, balance, and gait ability in stroke patients. Methods: This study randomized 40 chronic stroke patients to either the floss (n = 20) or sham (n = 20) band group. The intervention consisted of wrapping the ankle with a band (floss and sham). Balance and gait ability were measured using APDM Mobility Lab system equipment. Outcome measures were assessed at baseline and immediately after applying the floss or sham band. Results: There were significant improvements in dorsiflexion (DF), WBLT, static balance, and foot strike in those who used the floss band compared to the sham group (all p < 0.05). Conclusions: The floss band improved ankle DF, balance, and gait, indicating that it is a feasible therapeutic method for improving ankle DF, balance, and gait in chronic stroke patients.