The efficacy of manual joint mobilisation/manipulation in treatment of lateral ankle sprains: a systematic review
This review is the first study with the intent of investigating the effect of mobilization/ manipulation of the ankle joint in the acute and subacute/ chronic stages, as the only intervention chosen.
Five studies investigated the effect on subacute/ chronic ankle sprains. A single study evaluated Maitland techniques, showing improved range of motion (ROM) and pressure pain threshold. A further two articles described Mulligan mobilization techniques, showing improved ROM as the only improved parameter. Two studies involving manipulation techniques were included. One study found improved ROM, pain and functional scores. The second study showed a significant increase in foot area, which may indicate greater ankle stability.
The review concludes that dorsiflexion ROM improves in all groups and with different techniques. In the subacute/ chronic group an improved function is also gained. No detrimental effects were found, if these techniques are applied to appropriate participants. > From: Loudon et al., Br J Sports Med 48 (2014) 365-70. All rights reserved to BMJ Publishing Group Ltd.
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