Effects of Midfoot Joint Mobilization on Perceived Ankle–Foot Function in Chronic Ankle Instability: A Crossover Clinical Trial

Jaffri, Abbis; Fraser, John J.; Koldenhoven, Rachel M.; Hertel, Jay

doi:10.1123/jsr.2021-0462

Cited by 1 publication

(17 citation statements)

References 30 publications

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“…For this investigation, the chronic ankle instability outcomes network (COALITION) pooled original, participant-level data from 7 previously published studies [13][14][15][18][19][20][21] to complete our secondary analysis. The COALITION is an alliance of researchers with the goal of advancing the investigation of CAI knowledge through data collaborations.…”

Section: Designmentioning

confidence: 99%

“…The COALITION is an alliance of researchers with the goal of advancing the investigation of CAI knowledge through data collaborations. Each of the included studies [13][14][15][18][19][20][21] investigated the effect of an intervention on self-reported function in those with CAI and based inclusion criteria on the International Ankle Consortium position statement recommendations. 22 Data from 2 randomized controlled trials, 14,18 2 randomized noncontrolled trials, 13,19 one crossover study, 20 and 2 repeated-measures studies 15,21 were included in the analysis.…”

Section: Designmentioning

confidence: 99%

“…Each of the included studies [13][14][15][18][19][20][21] investigated the effect of an intervention on self-reported function in those with CAI and based inclusion criteria on the International Ankle Consortium position statement recommendations. 22 Data from 2 randomized controlled trials, 14,18 2 randomized noncontrolled trials, 13,19 one crossover study, 20 and 2 repeated-measures studies 15,21 were included in the analysis. All included data sets represent a convenience sample of previous investigations conducted by members of the COALITION.…”

Section: Designmentioning

confidence: 99%

“…A total of 136 physical active individuals with self-reported CAI were pooled from the 7 data sets. [13][14][15][18][19][20][21] Demographic characteristics of the included individuals are presented in Table 1. Individuals in the included studies were recruited to represent a physically active (≥24 on the Godin Leisure-Time Exercises Questionnaire 13,15,19 or 20 min of PA 3 times a week 14,20,21 ) adult population (18-45 y of age) with a history of ≥1 ankle sprain at least 12 months previous [13][14][15][18][19][20][21] and ≥2 episode of "giving way" in the last 3 13,15,19 or 6 months.…”

Section: Participantsmentioning

confidence: 99%

“…[13][14][15][18][19][20][21] Demographic characteristics of the included individuals are presented in Table 1. Individuals in the included studies were recruited to represent a physically active (≥24 on the Godin Leisure-Time Exercises Questionnaire 13,15,19 or 20 min of PA 3 times a week 14,20,21 ) adult population (18-45 y of age) with a history of ≥1 ankle sprain at least 12 months previous [13][14][15][18][19][20][21] and ≥2 episode of "giving way" in the last 3 13,15,19 or 6 months. 21 In addition, participants had to indicate ankle instability by either reporting ≥3 "yes" responses on the Ankle Instability Instrument in addition to ≤24 on the Cumberland Ankle Instability Tool 13,15,19 or a score >10 on the Identification of Functional Ankle Instability questionnaire.…”

Section: Participantsmentioning

confidence: 99%

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Participant-Level Analysis of the Effects of Interventions on Patient-Reported Outcomes in Patients With Chronic Ankle Instability

Powden

Koldenhoven

Simon

et al. 2023

Journal of Sport Rehabilitation

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Context: Intervention studies for chronic ankle instability (CAI) often focus on improving physical impairments of the ankle complex. However, using an impairments-focused approach may miss psychological factors that may mediate function and recovery. Patient-reported outcome (PRO) measures can be used to assess several dimensions of the health-related quality of life (HRQoL) and deliver enhanced patient-centered care. Therefore, the purpose of this investigation was to evaluate group-level improvements in HRQoL and treatment response rates following various interventions in patients with CAI. Design: Cross-sectional. Methods: Data from 7 previous studies were pooled by the chronic ankle instability outcomes network for participant-level analysis, resulting in 136 patients with CAI. Several interventions were assessed including balance training, gait biofeedback, joint mobilizations, stretching, and strengthening, with treatment volume ranging from 1 to 4 weeks. Outcome measures were PROs that assessed ankle-specific function (Foot and Ankle Ability Measure), injury-related fear (Tampa Scale of Kinesiophobia and Fear Avoidance Belief Questionnaire), and global well-being (Disablement in the Physically Active); the PROs assessed varied between studies. Preintervention to postintervention changes were evaluated using separate Wilcoxon signed-rank tests and effect sizes, and a responder analysis was conducted for each PRO. Results: Significant, moderate to large improvements were observed in PROs that assessed ankle-specific function, injury-related fear, and global well-being following intervention (P < .001). Responder rates ranged from 39.0% to 53.3%, 12.8% to 51.4%, and 37.8% for ankle specific function, injury-related fear, and global well-being, respectively. Conclusions: Various interventions can lead to positive improvements in HRQoL in patients with CAI. Treatment response rates at improving HRQoL are similar to response rates at improving impairments such as balance, further reinforcing the need for individualized treatment approaches when treating a patient with CAI.

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