The Impact of Ankle Mobilization Techniques on Static Stability in Individuals With Acute Inversion Ankle Sprain: A Randomized Clinical Trial

Journal of chiropractic medicine Pub Date : 2024-12-01 DOI:10.1016/j.jcm.2024.08.002

Cyrus Taghizadeh Delkhoush PhD , Parisa Arzani PhD , Majid Mirmohammadkhani PhD , Rasool Bagheri PhD , Adeleh Norouzi MSc

{"title":"The Impact of Ankle Mobilization Techniques on Static Stability in Individuals With Acute Inversion Ankle Sprain: A Randomized Clinical Trial","authors":"Cyrus Taghizadeh Delkhoush PhD , Parisa Arzani PhD , Majid Mirmohammadkhani PhD , Rasool Bagheri PhD , Adeleh Norouzi MSc","doi":"10.1016/j.jcm.2024.08.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of the study was to compare the impact of the mobilization techniques and mobilization with movement techniques on static balance in individuals with acute inversion ankle sprain.</div></div><div><h3>Methods</h3><div>Volunteers with acute inversion ankle sprain (<em>N</em> = 40) were equally and randomly assigned to 2 groups. Participants in intervention group I received the Mulligan mobilization with movement techniques, whereas participants in intervention group II underwent the Maitland mobilization techniques. Each participant received the intervention every other day for 2 consecutive weeks. To assess static balance, participants assumed a single-leg stance on the affected leg at the center of a force plate with eyes open or closed plate for 20 seconds. The displacement, velocity, and area of the center of pressure were recorded 1 day before and after the intervention.</div></div><div><h3>Results</h3><div>The velocity of the center of pressure in the anterior-posterior direction was significantly reduced only in group I during eyes open (<em>P</em> = .043) and closed (<em>P</em> = .004). However, the displacement of the center of pressure in the anterior-posterior direction was significantly decreased in both group I (<em>P</em> = .024) and group II (<em>P</em> = .028) with eyes open. No significant changes were found in the area of the center of pressure in either group during eyes open or closed (<em>P</em> > .053).</div></div><div><h3>Conclusions</h3><div>Both Mulligan's and Maitland's approaches significantly improved sway displacement. For the individuals with acute inversion ankle sprain who were included in this study, the Mulligan technique were more effective in improving static balance indicators compared to the Maitland technique.</div></div><div><h3>Clinical Trial</h3><div>The study was then registered in the Iranian Registry of Clinical Trials (17/02/2019) (IRCT20190108042292N2).</div></div>","PeriodicalId":94328,"journal":{"name":"Journal of chiropractic medicine","volume":"23 4","pages":"Pages 153-161"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of chiropractic medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1556370724000117","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

The purpose of the study was to compare the impact of the mobilization techniques and mobilization with movement techniques on static balance in individuals with acute inversion ankle sprain.

Methods

Volunteers with acute inversion ankle sprain (N = 40) were equally and randomly assigned to 2 groups. Participants in intervention group I received the Mulligan mobilization with movement techniques, whereas participants in intervention group II underwent the Maitland mobilization techniques. Each participant received the intervention every other day for 2 consecutive weeks. To assess static balance, participants assumed a single-leg stance on the affected leg at the center of a force plate with eyes open or closed plate for 20 seconds. The displacement, velocity, and area of the center of pressure were recorded 1 day before and after the intervention.

Results

The velocity of the center of pressure in the anterior-posterior direction was significantly reduced only in group I during eyes open (P = .043) and closed (P = .004). However, the displacement of the center of pressure in the anterior-posterior direction was significantly decreased in both group I (P = .024) and group II (P = .028) with eyes open. No significant changes were found in the area of the center of pressure in either group during eyes open or closed (P > .053).

Conclusions

Both Mulligan's and Maitland's approaches significantly improved sway displacement. For the individuals with acute inversion ankle sprain who were included in this study, the Mulligan technique were more effective in improving static balance indicators compared to the Maitland technique.

Clinical Trial

The study was then registered in the Iranian Registry of Clinical Trials (17/02/2019) (IRCT20190108042292N2).

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

踝关节活动技术对急性内翻性踝关节扭伤患者静态稳定性的影响：一项随机临床试验。

目的：本研究的目的是比较活动技术和活动结合技术对急性内翻性踝关节扭伤患者静态平衡的影响。方法：将40例急性踝关节内翻性扭伤患者随机分为两组。干预组1采用Mulligan移动技术，干预组2采用Maitland移动技术。每位参与者每隔一天接受干预，连续两周。为了评估静态平衡，参与者假设受影响的腿站在力板中心，眼睛睁开或闭上20秒。记录干预前后1天的位移、速度、压力中心面积。结果：只有I组在睁眼（P = 0.043）和闭眼（P = 0.004）时压力中心的前后方向速度明显降低。然而，在睁眼时，I组（P = 0.024）和II组（P = 0.028）压力中心在前后方向的位移均明显减小。两组睁眼和闭眼时，压心面积均无明显变化（P < 0.05）。结论：Mulligan和Maitland的方法都能显著改善摇摆位移。对于纳入本研究的急性内翻性踝关节扭伤患者，与Maitland技术相比，Mulligan技术在改善静态平衡指标方面更有效。临床试验：该研究随后在伊朗临床试验注册中心（17/02/2019）注册（IRCT20190108042292N2）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助