Study of the efficacy of the Mulligan's Movement with Mobilization and Taping Technique as an Adjunct to the Conventional Therapy for Lateral Ankle Sprain
Study Design: Cohort study involving 30 patients diagnosed with grade 1 & 2 lateral ankle sprain divided randomly in 2 groups of 15, one control group & another experimental group.
Methodology: Control group received conventional therapy which involved RICE or ultrasound & home exercise program according to the stage of healing, while experimental group received Mulligan's MWM & taping along with conventional therapy. Duration of the treatment was 6 days or till VAS on walking reduces to 1.
Results: VAS on walking & tender point palpation showed significantly greater reduction in experimental group (p
Conclusion: When Mulligan's ankle technique & fibular taping is used along with the conventional therapy, there is a faster functional recovery. This study highlights the importance of positional fault concept in clinical practice.
- Levangie, P. K.; Norkin, C C. 3rd Edition FA Davis Co; Philadelphia, PA: 2001. Joint Structure & Function: A Comprehensive Analysis; pp.379-415.
- www.podiatry.curtin.edu.au/encyclopedia/ ankle2
- www.steadman-hawkins.com/ankle/ overview.asp
- Mulligan, B R 3rd ed Plane view Services Ltd, Wellington New Zealand 1995. Manual therapy: “NAGS”, “SNAGS”, “MWMS”, etc pp 95-101.
- Merlin DJ, McEwan I, Thom JM.XIV international congress on sports rehabilitation & traumatology, 2005.
- Kavangh J Is there a positional fault at the inferior tibio fibular joint in patients with acute chronic ankle sprains compared to normals?Man Ther 1999; 4:19-24
- Hethrington B Case study: lateral ligament strains on the ankle. Do they exist? Man Ther, 1996; 1:274- 275
- Milgrom C, Shlamkovich N, FinestoneA et al. Risk factors fpr lateral ankle sprain: a prospective study among military recruits. Foot Ankle 1991; 12:26-30
- www.wrongdiagnosis.com/a/amkle_sprain/ intro.htm
- O Brien T, Vicenzino B. A Study of the effects of Mulligan’s mobilization with movement treatment of lateral ankle sprain using a case study design. Man Ther. 1998; 3:78-84.
- Meadows, J TS. McGraw-Hill; New York, NY: 1999. Orthopedic differential diagnosis in Physical Therapy: A Case Study Approach; pp. 114-115.
- Dananberg S J, Shearstone J, Guillano M. Manipulation method for treatment of Ankle equinus. J AM Podiatr Med Association, 2000; 90:385-389.
- Schoeing S, Physical Therapy, Feb 2004.
- Craig R.Denegar & Sayers J Miller, III. J Athletic training 2002 Oct -Dec; 37(4):430-435.
- Hertel J. The role of non steroidal anti inflammatory drugs in the treatment of acute soft tissue injuries. J Athl Train. 1997; 32:352-358.
- Low & Reed, Electrotherapy explained. pg 172- 211
- Bullock Saxton J E. Sensory changes associated with servers ankle sprain. Scand J Rehab Med. 1995; 27:161-167.
- Konradson L, Ravn J B.Ankle Instability caused by prolonged peroneal reaction time Acta Ortho Scand. 1990; 61:388-390.
- Lynch S A, Eklund U, Go ttlieb D Renstrom PA, Beynnon B. Electromyographic latency changes in the ankle musculature during inversion moments. Am J Sports Med 1996; 24:362-369.
- Karlsson J, Sward L & Andresson G 1993. The effect of taping on ankle instability Sports Medicine, 6(3), pp 210-215
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