The initial effects of a Mulligan's mobilisation-with-movement techniques on dorsiflexion and pain in sub-acute ankle sprains

Journal article


Collins, Natalie, Teys, Pamela and Vicenzino, Bill. (2004). The initial effects of a Mulligan's mobilisation-with-movement techniques on dorsiflexion and pain in sub-acute ankle sprains. Musculoskeletal Science and Practice. 9(2), pp. 77-82. https://doi.org/10.1016/S1356-689X(03)00101-2
AuthorsCollins, Natalie, Teys, Pamela and Vicenzino, Bill
Abstract

Physiotherapists frequently use manipulative therapy techniques to treat dysfunction and pain resulting from ankle sprain. This study investigated whether a Mulligan’s mobilization with movement (MWM) technique improves talocrural dorsiflexion, a major impairment following ankle sprain, and relieves pain in subacute populations. Fourteen subjects with subacute grade II lateral ankle sprains served as their own control in a repeated measures, double-blind randomized controlled trial that measured the initial effects of the MWM treatment on weight bearing dorsiflexion and pressure and thermal pain threshold. The subacute ankle sprain group studied displayed deficits in dorsiflexion and local pressure pain threshold in the symptomatic ankle. Significant improvements in dorsiflexion occurred initially post-MWM (Fð2;26Þ ¼ 7:82; P ¼ 0:002), but no significant changes in pressure or thermal pain threshold were observed after the treatment condition. Results indicate that the MWM treatment for ankle dorsiflexion has a mechanical rather than hypoalgesic effect in subacute ankle sprains. The mechanism by which this occurs requires investigation if we are to better understand the role of manipulative therapy in ankle sprain management.

Keywordsmanipulation; ankle; pain; movement
Year01 Jan 2004
JournalMusculoskeletal Science and Practice
Journal citation9 (2), pp. 77-82
PublisherElsevier Australia
ISSN1356-689X
Digital Object Identifier (DOI)https://doi.org/10.1016/S1356-689X(03)00101-2
Web address (URL)https://www.sciencedirect.com/science/article/pii/S1356689X03001012?via%3Dihub
Open accessPublished as non-open access
Page range77-82
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online21 Oct 2003
Publication process dates
Accepted21 Aug 2003
Deposited10 May 2024
Additional information

© 2003 Elsevier Ltd. All rights reserved.

Place of publicationUnited Kingdom
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