Immediate effects of a tibiofibular joint manipulation on lower extremity H-reflex measurements in individuals with chronic ankle instability

Grindstaff, Terry L.; Beazell, James R.; Sauer, Lindsay D.; Magrum, Eric M.; Ingersoll, Christopher D.; Hertel, Jay

doi:10.1016/j.jelekin.2011.03.011

Cited by 47 publications

(55 citation statements)

References 42 publications

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“…Additionally, it has been estimated that the reinjury rate following an inversion ankle sprain may be as high as 80%, suggesting the need to identify the most effective management strategies for this condition. 56 It has been suggested that patients with recurrent inversion ankle sprains frequently demonstrate dysfunction at the proximal tibiofibular, 3,31 distal tibiofibular, 34 talocrural, 17 or subtalar joint. 30 In addition, individuals with a history of an inversion ankle sprain may exhibit deficits in strength of the ankle inverters and increased sway with single-leg stance tested on a stable (eyes closed) or unstable surface.…”

Section: T T Resultsmentioning

confidence: 99%

“…47,50 The authors of these studies have suggested that this might be the result of altered mechanoreceptors following the ankle sprain, leading to a disrupted neural feedback system to the dynamic stabilizers of the ankle. Interestingly, Grindstaff et al 31 demonstrated that patients with chronic ankle instability who were treated with manipulation to the distal tibiofibular joint exhibited increased soleus activation. Perhaps manual therapy interventions stimulate mechanoreceptors and thereby assist the improvement of neural feedback, which may aid in dynamic stability and maximize the benefits of therapeutic exercise.…”

Section: Discussion Tmentioning

confidence: 99%

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Manual Physical Therapy and Exercise Versus Supervised Home Exercise in the Management of Patients With Inversion Ankle Sprain: A Multicenter Randomized Clinical Trial

Cleland

Mintken²,

McDevitt³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Randomized clinical trial. Objective To compare the effectiveness of manual therapy and exercise (MTEX) to a home exercise program (HEP) in the management of individuals with an inversion ankle sprain. Background An in-clinic exercise program has been found to yield similar outcomes as an HEP for individuals with an inversion ankle sprain. However, no studies have compared an MTEX approach to an HEP. Methods Patients with an inversion ankle sprain completed the Foot and Ankle Ability Measure (FAAM) activities of daily living subscale, the FAAM sports subscale, the Lower Extremity Functional Scale, and the numeric pain rating scale. Patients were randomly assigned to either an MTEX or an HEP treatment group. Outcomes were collected at baseline, 4 weeks, and 6 months. The primary aim (effects of treatment on pain and disability) was examined with a mixed-model analysis of variance. The hypothesis of interest was the 2-way interaction (group by time). Results Seventy-four patients (mean ± SD age, 35.1 ± 11.0 years; 48.6% female) were randomized into the MTEX group (n = 37) or the HEP group (n = 37). The overall group-by-time interaction for the mixed-model analysis of variance was statistically significant for the FAAM activities of daily living subscale (P<.001), FAAM sports subscale (P<.001), Lower Extremity Functional Scale (P<.001), and pain (P⩽.001). Improvements in all functional outcome measures and pain were significantly greater at both the 4-week and 6-month follow-up periods in favor of the MTEX group. Conclusion The results suggest that an MTEX approach is superior to an HEP in the treatment of inversion ankle sprains. Registered at clinicaltrials.gov (NCT00797368). Level of Evidence Therapy, level 1b-. J Orthop Sports Phys Ther 2013;43(7):443–455. Epub 29 April 2013. doi:10.2519/jospt.2013.4792

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Section: T T Resultsmentioning

confidence: 99%

Section: Discussion Tmentioning

confidence: 99%

Manual Physical Therapy and Exercise Versus Supervised Home Exercise in the Management of Patients With Inversion Ankle Sprain: A Multicenter Randomized Clinical Trial

Cleland

Mintken²,

McDevitt³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

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“…12,47,56 We have previously demonstrated that a distal tibiofibular joint manipulation results in an immediate increase in soleus motoneuron pool excitability. 26 Additionally, joint mobilization applied to the ankle has been shown to reduce pain and pressure pain threshold. 11,13,65 It is thought that ankle joint mobilization may alter afferent sensory input from the ankle, which may influence perception of pain and efferent motor output via a gating mechanism.…”

Section: Tablementioning

confidence: 99%

Effects of a Proximal or Distal Tibiofibular Joint Manipulation on Ankle Range of Motion and Functional Outcomes in Individuals With Chronic Ankle Instability

Beazell

Grindstaff²,

Sauer

et al. 2012

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Randomized clinical trial. Objectives To determine whether manipulation of the proximal or distal tibiofibular joint would change ankle dorsiflexion range of motion and functional outcomes over a 3-week period in individuals with chronic ankle instability. Background Altered joint arthrokinematics may play a role in chronic ankle instability dysfunction. Joint mobilization or manipulation may offer the ability to restore normal joint arthrokinematics and improve function. Methods Forty-three participants (mean ± SD age, 25.6 ± 7.6 years; height, 174.3 ± 10.2 cm; mass, 74.6 ± 16.7 kg) with chronic ankle instability were randomized to proximal tibiofibular joint manipulation, distal tibiofibular joint manipulation, or a control group. Outcome measures included ankle dorsiflexion range of motion, the single-limb stance on foam component of the Balance Error Scoring System, the step-down test, and the Foot and Ankle Ability Measure sports subscale. Measurements were obtained prior to the intervention (before day 1) and following the intervention (on days 1, 7, 14, and 21). Results There was no significant change in dorsiflexion between groups across time. When groups were pooled, there was a significant increase (P<.001) in dorsiflexion at each postintervention time interval. No differences were found among the Balance Error Scoring System foam, step-down test, and Foot and Ankle Ability Measure sports subscale scores. Conclusions The use of a proximal or distal tibiofibular joint manipulation in isolation did not enhance outcome effects beyond those of the control group. Collectively, all groups demonstrated increases in ankle dorsiflexion range of motion over the 3-week intervention period. These increases might have been due to practice effects associated with repeated testing. Level of Evidence Therapy, level 2b-. J Orthop Sports Phys Ther 2012;42(2):125–134. doi:10.2519/jospt.2012.3729

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“…Isto poderia explicar o aumento da instabilidade somente no eixo ântero-posterior, no presente estudo, já que a manipulação foi aplicada diretamente no tornozelo. Grindstaff et al (2011) observaram que a manipulação tíbio-társica distal produziu, de forma aguda, um aumento na ativação do músculo sóleo, porém, após 10-30 minutos, tanto para estes quanto para os músculos fibulares longos, houve diminuição de atividade. Beazell et al (2012) não observaram melhora, em indivíduos manipulados com relação a um grupo controle, tanto para a amplitude de movimento quanto para a função, em casos de instabilidade crônica do tornozelo.…”

Section: Discussionunclassified

“…Contudo, técnicas de manipulação articular não estão totalmente embasadas na literatura (SILVA et al, 2012), e há de pobre à limitada evidência para o uso da manipulação em casos de entorses de tornozelo (BRANTINGHAM et al, 2012). Observa-se que a literatura ainda é pobre e com resultados conflitantes sobre o uso da manipulação em tornozelo (GRINDSTAFF et al, 2011;BEAZELL et al, 2012).…”

Section: Introductionunclassified

Efeito imediato da manipulação osteopática tibiotársica no equilíbrio estático de mulheres jovens

Carvalho

Ré

Lam

et al. 2013

Rev. Bras. Ciênc. Esporte

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RESUMO Objetivou-se verificar o efeito imediato da manipulação osteopática para anterioridade tibiotársica sobre o equilíbrio estático, em mulheres jovens. Metodologia: Vinte mulheres foram divididas igualmente em dois grupos: manipulação do tornozelo (GMT) e controle (GC). Analisou-se o deslocamento ântero-posterior (Y) e médio-lateral (X), de olhos abertos e fechados, em um Baropodômetro. Resultados: Na análise intergrupos, o GMT apresentou

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Immediate effects of a tibiofibular joint manipulation on lower extremity H-reflex measurements in individuals with chronic ankle instability

Cited by 47 publications

References 42 publications

Manual Physical Therapy and Exercise Versus Supervised Home Exercise in the Management of Patients With Inversion Ankle Sprain: A Multicenter Randomized Clinical Trial

Manual Physical Therapy and Exercise Versus Supervised Home Exercise in the Management of Patients With Inversion Ankle Sprain: A Multicenter Randomized Clinical Trial

Effects of a Proximal or Distal Tibiofibular Joint Manipulation on Ankle Range of Motion and Functional Outcomes in Individuals With Chronic Ankle Instability

Efeito imediato da manipulação osteopática tibiotársica no equilíbrio estático de mulheres jovens

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