Manual therapy in joint and nerve structures plus exercises may add to benefits in ankle sprain management

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Manual therapy in joint and nerve structures plus exercises may add to benefits in ankle sprain management

Recurrent ankle sprains involve residual symptoms for which patients often perform proprioceptive or/and strengthening exercises. Nevertheless, the effectiveness of mobilization to influence significant nerve structures is ambiguous due to its anatomical distribution.

Plaza-Manzano G, et. Al., a randomized, single-blind controlled clinical trial to assess the effects of proprioceptive/strengthening exercises versus the same exercises and manual therapy comprising mobilizations to influence joint and nerve structures in the management of recurrent ankle sprains.

A total of 56 patients with recurrent ankle sprains and regular sports practice were randomly assigned to experimental or control group. For 4 weeks, the control group performed proprioceptive/strengthening exercises and the experimental group performed the same exercises combined with manual therapy (mobilizations to influence joint and nerve structures). In the ankle joint before the intervention, just after initiating and one month after the interventions, the pain, self-reported functional ankle instability, pressure pain threshold (PPT), ankle muscle strength and active range of motion (ROM) were estimated.

According to the results, differences within the group portrayed the improvements in all of the variables in both the groups with the course of time. The experimental group showed lower pain levels and self-reported functional ankle instability and higher PPT, ankle muscle strength and ROM values as distinguished from the control group soon after the interventions and one month later.

It was thus concluded that a protocol encompassing the proprioceptive and strengthening exercises and manual therapy (mobilizations to influence joint and nerve structures) caused greater improvements in pain, self-reported functional joint stability, strength and ROM as compared to exercises alone.

Source:

Manual therapy

Link to the source:

http://www.mskscienceandpractice.com/article/S1356-689X(16)30701-9/abstract

The original title of the article:

Manual therapy in joint and nerve structures combined with exercises in the treatment of recurrent ankle sprains: A randomized, controlled trial

Authors

Gustavo Plaza-Manzano et al.

 

 

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