Warning You have reached the maximum number of saved studies Comparison of Two Manual Therapy Techniques on Ankle Dorsiflexion The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U. Federal Government. Read our disclaimer for details. Last Update Posted : March 18, Study Description. Ankle rigidity is a common musculoskeletal disorder affecting the talocrural joint, which can impair weight-bearing ankle dorsiflexion WBADF.

Detailed Description:. Arms and Interventions. Outcome Measures. Primary Outcome Measures : Electromechanical device measurement of MAS Lehmann device, [ Time Frame: Change from baseline until discharge of treatment same day, single session ] The electromechanical device used to quantify musculoarticular stiffness had been used in previous research studies and has ben shown to have high precision, reliability and accuracy. Eligibility Criteria. Information from the National Library of Medicine Choosing to participate in a study is an important personal decision.

Inclusion Criteria: male gender, aged between 18 to 40 years, with a chronic unilateral mobility deficit of the talocrural joint; i. Subjects were recruited with chronic unilateral mobility deficit of the talocrural joint, which could be following a previous history of ankle injury or without previous history of ankle injury. Exclusion Criteria: a history of ankle joint surgery or injury to the foot, ankle, knee or hip in the previous one-year.

Contacts and Locations. Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials. More Information. Quantitative assessment of anaesthetic nerve block and neurotomy in spastic equinus foot: a review of two cases. J Rehabil Med. Nature of passive musculoarticular stiffness increase of ankle in female subjects with fibromyalgia syndrome. Eur J Appl Physiol. Epub Feb 6. The effects of mobilization with movement on dorsiflexion range of motion, dynamic balance, and self-reported function in individuals with chronic ankle instability.

Man Ther. Short-term effects of Mulligan mobilization with movement on pain, disability, and kinematic spinal movements in patients with nonspecific low back pain: a randomized placebo-controlled trial. J Manipulative Physiol Ther. Epub Jul Spasticity: quantitative measurements as a basis for assessing effectiveness of therapeutic intervention. Arch Phys Med Rehabil. Journal List J Athl Train v.

J Athl Train. Brian G. Phillip A. Author information Copyright and License information Disclaimer. Address e-mail to ude. This article has been cited by other articles in PMC. Abstract Context: Clinicians perform therapeutic interventions, such as stretching, manual therapy, electrotherapy, ultrasound, and exercises, to increase ankle dorsiflexion. Objective: To determine the magnitude of therapeutic intervention effects on and the most effective therapeutic interventions for restoring normal ankle dorsiflexion after ankle sprain.

Study Selection: Eligible studies had to be written in English and include the means and standard deviations of both pretreatment and posttreatment in patients with acute, subacute, or chronic ankle sprains.

Conclusions: Static-stretching intervention as a part of standardized care yielded the strongest effects on dorsiflexion after acute ankle sprains. Key Words: chronic ankle instability, range of motion, stretching, joint mobilization. Key Points. Open in a separate window. Figure 1. Selection Criteria We identified research articles in which authors evaluated various therapeutic intervention techniques. We examined the full text of studies identified through the electronic searches and the cross-referenced bibliographies of these studies to determine whether they met the following inclusion criteria Figure 1 : The authors included participants only with acute, subacute, or recurrent ankle sprains.

Data Extraction The primary author extracted the relevant information in the selected studies. Methodologic Quality After the research articles were identified for inclusion in the review, we applied the Physiotherapy Evidence Database PEDro scale 37 , 38 to rate their quality. Data Synthesis To be combined for data analysis, we categorized the included studies into 2 primary groupings of evidence based on onset of injury.

Table 1 Article Content Summary. Placebo: sham mobilization; 2. Rest, ice, compression, and elevation for 20 min; 2. The joint mobilization group achieved full, pain-free dorsiflexion with fewer sessions. Treatments were provided once a day with 5 sessions per wk. Table 2 Methodologic Quality of the Included Studies. Abbreviation: NA indicates not applicable. Manual Therapy Two included studies 30 , 31 in which the investigators evaluated MWM and Maitland passive oscillatory joint mobilization after acute or subacute ankle sprain were categorized into this group Table 3 , Figure 2.

Figure 2. Therapeutic Modalities In 3 of the 7 studies, investigators examined the effectiveness of therapeutic modalities, specifically HVPS plus conventional treatment, 32 hyperbaric oxygen, 33 and biomechanical muscle stimulation BMS 36 after an acute ankle sprain on dorsiflexion.

Figure 3. Therapeutic Exercises Only 1 study was categorized into this group. Figure 4. Psychological Intervention This category included only 1 study. Figure 5.

Recurrent Ankle Sprain In 2 reports, researchers 28 , 29 studied 39 patients with recurrent ankle sprains. Figure 6. Epidemiology of lower extremity injuries among U.

Acad Emerg Med. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. Prospective epidemiological study of basketball injuries during one competitive season: ankle sprains and overuse knee injuries.

J Sports Sci Med. A systematic review on ankle injury and ankle sprain in sports. Sports Med. A prospective study of ankle injury risk factors. Am J Sports Med. Lateral ankle sprains: a comprehensive review. Part 1: etiology, pathoanatomy, histopathogenesis, and diagnosis. Med Sci Sports Exerc. Limited dorsiflexion predisposes to injuries of the ankle in children. J Bone Joint Surg Br.

The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sports Phys Ther. Rethinking management of lateral ankle sprains. Hubbard TJ, Hertel J. Mechanical contributions to chronic lateral ankle instability. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Functional instability following lateral ankle sprain.

Neely FG. Biomechanical risk factors for exercise-related lower limb injuries. The effect of foot structure and range of motion on musculoskeletal overuse injuries. Effects of ankle dorsiflexion range and pre-exercise calf muscle stretching on injury risk in army recruits.

Aust J Physiother. Dorsiflexion deficit during jogging with chronic ankle instability. J Sci Med Sport. Intrinsic risk factors for inversion ankle sprains in male subjects: a prospective study. Relation between running injury and static lower limb alignment in recreational runners.

Br J Sports Med. The influence of foot positioning on ankle sprains. J Biomech. Factors associated with chronic plantar heel pain: a systematic review. Risk factors for plantar fasciitis: a matched case-control study. J Bone Joint Surg Am. Backman LJ, Danielson P. Low range of ankle dorsiflexion predisposes for patellar tendinopathy in junior elite basketball players: a 1-year prospective study.

Early ankle mobilization, part I: the immediate effect on acute, lateral ankle sprains a randomized clinical trial Mil Med. Manipulative therapy for lower extremity conditions: expansion of literature review.

J Manipulative Physiol Ther. Mulligan's mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature. Man Ther. Manipulative therapy effectiveness following acute lateral ankle sprains: a systematic review.

Athl Train Sports Health Care. Some conservative strategies are effective when added to controlled mobilisation with external support after acute ankle sprain: a systematic review.

Efficacy of mobilization with movement for patients with limited dorsiflexion after ankle sprain: a crossover trial. Physiother Can. Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain.

The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains. Phys Ther. Effect of high-voltage pulsed current plus conventional treatment on acute ankle sprain.

Rev Bras Fisioter. The OPTP manual wedge if placed at the medial calcaneus to maintain a subtalar neutral position. Please refer to Figure 5a — b. Figure 6a. In order to improve ankle dorsiflexion in the closed chain the patient maintains the stride-stance position described in Figure 5a- b. This hand directs a force to the dorsal and distal tibial malleolus in a ventral direction as is indicated by the arrow above. With this hand the therapist simultaneously generates a spin force to the tibia into an externally rotated position.

Please refer to Figure 6a above. Figure 6b. With this hand the therapist simultaneously generates a spin force to the tibia into an internally rotated position. Please refer to Figure 6b above. Manual Therapy and stretching improve function and range of motion following ankle sprain but not neuromotor control Blog.

Setting: A large public university. References: Anandacoomarasamy A. Long term outcomes of inversion ankle injuries. Sports Med. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. Sports Phys. Talocrural Joint Manual Physical Therapy Interventions 1a — To perform talocrural joint resting position traction the patient should be belted down to stop caudal tibial motion with the caudal pull of the talus and ankle.

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