Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

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


Affiliations
1 Jaslok Hospital & Research Centre, Mumbai, India
2 Seth G. S Medical College & KEM Hospital, Mumbai, India
     

   Subscribe/Renew Journal


Objective: This study was designed to assess the efficacy of the Mulligan's Movement with mobilization & taping technique in functional recovery of lateral ankle sprain when used as an adjunct to conventional therapy & thus establish the role of the hypothesis of positional fault in 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.


Keywords

Lateral Ankle Sprain, Mulligan's Ankle Technique, Mwm, Fibular Taping
Subscription Login to verify subscription
User
Notifications
Font Size


  • 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

  • www.Ankle%20sprain/articlerender.fci8.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


Abstract Views: 377

PDF Views: 0




  • 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

Abstract Views: 377  |  PDF Views: 0

Authors

Punam Ghadi
Jaslok Hospital & Research Centre, Mumbai, India
Chhaya Verma
Seth G. S Medical College & KEM Hospital, Mumbai, India

Abstract


Objective: This study was designed to assess the efficacy of the Mulligan's Movement with mobilization & taping technique in functional recovery of lateral ankle sprain when used as an adjunct to conventional therapy & thus establish the role of the hypothesis of positional fault in 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.


Keywords


Lateral Ankle Sprain, Mulligan's Ankle Technique, Mwm, Fibular Taping

References