Comparison of Thrust Manipulation versus Non-Thrust Mobilization on Functional Deficit in Athletes with Chronic Ankle Sprain; A Randomized Clinical Trial
Manual Therapy in Athletes with Ankle Sprain
DOI:
https://doi.org/10.55735/hjprs.v2i3.91Keywords:
Chronic Ankle Sprain, Non-Thrust Mobilization, Thrust ManipulationAbstract
Background: Chronic ankle sprain is a widespread musculoskeletal injury affecting functional performance with long-term health cost effects on the quality of an athlete’s life. Manual therapy techniques performed on the ankle joint are an effective intervention that should be part of a complete treatment plan for athletes with an ankle sprain. Objective: To compare the effects of thrust manipulation with non-thrust mobilization on pain in chronic ankle sprain among athletes. Methods: It was a randomized controlled trial conducted at Pakistan Sports Board and Model Town Football Club, Lahore. A purposive sampling technique was used to collect the data as per the inclusion criteria of the participants aged between 16 to 40 years’ males. Participants were randomized into two groups; Group A received the thrust manipulation group and group B of non-thrust mobilization was given to the rear foot. Each group was given a baseline exercise protocol. The patient completed the foot & ankle ability measure scale being used as the primary outcome measure and 15 points of the Global Rating of Change scale. Using SPSS version 24, baseline characteristics were presented as mean and standard deviation. Between-group comparison using independent samples t-test was done, with a p-value≤0.05 considered
significant. Results: The results regarding sociodemographic patients’ characteristics showed that the mean and standard deviation for age and body mass index were found to be 22.50±2.00 and 22.65±1.14 in the thrust manipulation group while 23.37±2.66 and 23.03±1.97 in the non-thrust mobilization group respectively with the statistical difference of p>0.005. The results regarding between-group comparison using an independent sample t-test showed a significant difference at the post-interventional level for both scales in favor of thrust manipulation (p<0.001). Conclusion: This study found that both muscle thrust manipulation and non-thrust mobilization were effective, but the method of thrust manipulation was clinically and statistically more effective in improving functional capacity in athletes with chronic ankle sprain.
References
Halabchi F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World journal of orthopedics. 2020;11(12):534.
Gulbrandsen M, Hartigan DE, Patel KA, Makovicka JL, Tummala SV, Chhabra A. Ten-year epidemiology of ankle injuries in men's and women's collegiate soccer players. Journal of athletic training. 2019;54(8):881-8.
Kawaguchi K, Taketomi S, Mizutani Y, Inui H, Yamagami R, Kono K, et al. Hip abductor muscle strength deficit as a risk factor for inversion ankle sprain in male college soccer players: a prospective cohort study. Orthopaedic Journal of Sports Medicine. 2021;9(7):23259671211020287.
Kikumoto T, Akatsuka K, Nakamura E, Ito W, Hirabayashi R, Edama M. Quantitative evaluation method for clarifying ankle plantar flexion angles using anterior drawer and inversion stress tests: a cross-sectional study. Journal of Foot and Ankle Research. 2019;12(1):1-9.
Gerstner JB, Lavergne OAM, Blanco FA, Saucedo JG, Dávila CER. Arthroscopically Assisted Technique for Combined Medial and Lateral Ligament Repair in Multidirectional Ankle Instability. Techniques in Foot & Ankle Surgery. 2021;20(4):233-40.
Koshino Y, Samukawa M, Murata H, Osuka S, Kasahara S, Yamanaka M, et al. Prevalence and characteristics of chronic ankle instability and copers identified by the criteria for research and clinical practice in collegiate athletes. Physical Therapy in Sport. 2020;45:23-9.
Abassi M, Whiteley R. Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention–A Case Series. International Journal of Sports Physical Therapy. 2021;16(4):1158.
Vuurberg G, Spennacchio P, Laver L, Pereira J, Diniz P, Kerkhoffs G. Current Concepts in Ankle Sprain Treatment. Lateral Ankle Instability. 2021:93-104.
D’Hooghe P, Cruz F, Alkhelaifi K. Return to play after a lateral ligament ankle sprain. Current Reviews in Musculoskeletal Medicine. 2020;13(3):281-8.
Cruz-Díaz D, Hita-Contreras F, Martínez-Amat A, Aibar-Almazán A, Kim K-M. Ankle-joint self-mobilization and CrossFit training in patients with chronic ankle instability: a randomized controlled trial. Journal of athletic training. 2020;55(2):159-68.
Shin H-J, Kim S-H, Jung HJ, Cho H-y, Hahm S-C. Manipulative Therapy Plus Ankle Therapeutic Exercises for Adolescent Baseball Players with Chronic Ankle Instability: A Single-Blinded Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2020;17(14):4997.
Shi X, Han J, Witchalls J, Waddington G, Adams R. Does treatment duration of manual therapy influence functional outcomes for individuals with chronic ankle instability: a systematic review with meta-analysis? Musculoskeletal Science and Practice. 2019;40:87-95.
Wikstrom EA, McKeon PO. Predicting manual therapy treatment success in patients with chronic ankle instability: improving self-reported function. Journal of athletic training. 2017;52(4):325-31.
Izaola-Azkona L, Vicenzino B, Olabarrieta-Eguia I, Saez M, Lascurain-Aguirrebeña I. Effectiveness of Mobilization of the Talus and Distal Fibula in the Management of Acute Lateral Ankle Sprain. Physical therapy. 2021;101(8):pzab111.
Ahmed U, Karimi H, Amir S, Ahmed AJJoimr. Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial. 2021;49(11):03000605211059413.
Matheny LM, Clanton TO. Rasch analysis of reliability and validity of scores from the foot and ankle ability measure (FAAM). Foot & Ankle International. 2020;41(2):229-36.
Nordqvist SF, Boesen VB, Rasmussen ÅK, Feldt-Rasmussen U, Hegedüs L, Bonnema SJ, et al. Determining minimal important change for the thyroid-related quality of life questionnaire ThyPRO. Endocrine connections. 2021;10(3):316-24.
de Ruvo R, Russo G, Lena F, Giovannico G, Neville C, Turolla A, et al. The Effect of Manual Therapy Plus Exercise in Patients with Lateral Ankle Sprains: A Critically Appraised Topic with a Meta-Analysis. Journal of Clinical Medicine. 2022;11(16):4925.
Truyols-Domínguez S, Salom-Moreno J, Abian-Vicen J, Cleland JA, Fernández-De-Las-Peñas C. Efficacy of thrust and nonthrust manipulation and exercise with or without the addition of myofascial therapy for the management of acute inversion ankle sprain: a randomized clinical trial. journal of orthopaedic & sports physical therapy. 2013;43(5):300-9.
Vuurberg G, Hoorntje A, Wink LM, Van Der Doelen BF, Van Den Bekerom MP, Dekker R, et al. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. British journal of sports medicine. 2018;52(15):956-.
Weerasekara I, Osmotherly P, Snodgrass S, Marquez J, de Zoete R, Rivett DA. Clinical benefits of joint mobilization on ankle sprains: a systematic review and meta-analysis. Archives of physical medicine and rehabilitation. 2018;99(7):1395-412. e5.
Guðfinnsson H, Andersson M. The Role of Joint Manipulation and MET in the Treatment of Lateral Ankle Sprain and Chronic Ankle Instability. 2021.
Brantingham JW, Bonnefin D, Perle SM, Cassa TK, Globe G, Pribicevic M, et al. Manipulative therapy for lower extremity conditions: update of a literature review. Journal of manipulative and physiological therapeutics. 2012;35(2):127-66.
Madsen LP, Booth RL, Volz JD, Docherty CL. Using normative data and unilateral hopping tests to reduce ambiguity in return-to-play decisions. Journal of Athletic Training. 2020;55(7):699-706.
Brandolini S, Lugaresi G, Santagata A, Ermolao A, Zaccaria M, Marchand AM, et al. Sport injury prevention in individuals with chronic ankle instability: Fascial Manipulation® versus control group: A randomized controlled trial. Journal of bodywork and movement therapies. 2019;23(2):316-23.
Bassett SF, Prapavessis H. Home-based physical therapy intervention with adherence-enhancing strategies versus clinic-based management for patients with ankle sprains. Physical therapy. 2007;87(9):1132-43.
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