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

Cleland, Joshua A.; Mintken, Paul E.; McDevitt, Amy W.; Bieniek, Melanie L.; Carpenter, Kristin J.; Kulp, Katherine; Whitman, Julie M.

doi:10.2519/jospt.2013.4792

Cited by 75 publications

(93 citation statements)

References 57 publications

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“…In comparative effectiveness studies of the addition of MT to a comprehensive rehabilitation program, patients improved at earlier time points as compared to the exercise-centric control interventions. 1,7,23 Patients who return to function quicker are likely to be discharged from care sooner, which could explain the decreased health care utilization and cost in this treatment group.…”

Section: Limitationsmentioning

confidence: 99%

“…31 Distinct patients who were billed for 1 or more of these 3 CPT codes were counted only once in comprehensive rehabilitation program, is more effective in reducing pressure pain thresholds and improving function in patients with PF when compared to comparative interventions. 1,7,20,23,26 Despite the growth of evidence for MT and supervised rehabilitation in recent years, practice patterns often lag behind published evidence. 15 This gap between evidence and practice is multifactorial and may be attributed to a clinician's access to the evidence, 15,27 difficulty appraising the evidence, 15,27 interest and perceived role in utilizing evidence, 27 and poor self-efficacy due to lack of training or comfort level with searching, analyzing, and implementing evidence.…”

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confidence: 99%

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Utilization of Physical Therapy Intervention Among Patients With Plantar Fasciitis in the United States

Fraser¹,

Glaviano²,

Hertel³

2017

J Orthop Sports Phys Ther

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7% of all patients in the database. Only 7.1% (95% confidence interval: 7.0%, 7.1%) of patients received a physical therapist evaluation. Of the 57 800 patients evaluated by a physical therapist (59.8% female), 50 382 (87.2% ± 0.4%) received manual therapy, with significant increases in utilization per annum. A large proportion (89.5% ± 0.4%) received rehabilitation following physical therapist evaluation. T t CONCLUSION:Despite plantar fasciitis being a frequently occurring musculoskeletal condition, a small proportion of patients with plantar fasciitis were seen by physical therapists. Most patients who were evaluated by a physical therapist received manual therapy and a course of supervised rehabilitation as part of their plan of care. T t LEVEL OF EVIDENCE:Treatment, level 2a.

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Section: Limitationsmentioning

confidence: 99%

mentioning

confidence: 99%

Utilization of Physical Therapy Intervention Among Patients With Plantar Fasciitis in the United States

Fraser¹,

Glaviano²,

Hertel³

2017

J Orthop Sports Phys Ther

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“…Improvements in both studies were reportedly retained 1 month and 6 months beyond the treatment period, suggesting that TJM may have a long-term effect on recovery from inversion ankle sprain. 1,4 The technical descriptions of TJM were similar between the studies. All of the authors reported placing patients in a supine position with the knee in full extension and applying the manipulative thrust in a caudal direction.…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 90%

“…1,4,5 These studies, summarized in Table 1, were all RCTs. All 3 studies investigated the efficacy of TJM on patients with a history of inversion ankle sprain.…”

Section: Results Of Searchmentioning

confidence: 99%

“…Cleland et al 4 and Pellow and Brantingham 1 used multiple TJMs, while Andersen et al 5 examined the impact of a single TJM on DF ROM. Pellow and Brantingham 1 did not provide additional interventions beyond TJM, while Cleland et al used TJM treatments in conjunction with additional manual-therapy techniques and exercise.…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

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Does Talocrural Joint-Thrust Manipulation Improve Outcomes After Inversion Ankle Sprain?

Krueger

Becker²,

Leemkuil³

et al. 2015

Journal of Sport Rehabilitation

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Clinical Scenario: Ankle sprains account for roughly 10% of sport-related injuries in the active population. The majority of these injuries occur from excessive ankle inversion, leading to lateral ligamentous injury. In addition to pain and swelling, limitations in ankle range of motion (ROM) and self-reported function are common findings. These limitations are thought to be due in part to loss of mobility in the talocrural joint. Accordingly, some investigators have reported using high-velocity, low-amplitude thrust-manipulation techniques directed at the talocrural joint to address deficits in dorsiflexion (DF) ROM and function. This review was conducted to ascertain the impact of talocrural joint-thrust manipulation (TJM) on DF ROM, selfreported function, and pain in patients with a history of ankle sprain. Focused Clinical Question: In patients with a history of inversion ankle sprain, does TJM improve outcomes in DF ROM, self-reported function, and/or pain?Keywords: exercise, injury management, rehabilitation, range of motion, physical therapy Clinical ScenarioAnkle sprains account for roughly 10% of sport-related injuries in the active population. 1 The majority of these injuries occur from excessive ankle inversion, leading to lateral ligamentous injury. In addition to pain and swelling, limitations in ankle range of motion (ROM) and self-reported function are common findings. These limitations are thought to be due in part to loss of mobility in the talocrural joint. Accordingly, some investigators have reported using high-velocity, low-amplitude thrust manipulation techniques directed at the talocrural joint to address deficits in dorsiflexion (DF) ROM and function. 2,3 This review was conducted to ascertain the impact of talocrural joint-thrust manipulation (TJM) on DF ROM, self-reported function, and pain in patients with a history of ankle sprain. Focused Clinical QuestionIn patients with a history of inversion ankle sprain, does TJM improve outcomes in DF ROM, self-reported function, and/or pain? Summary of Search, "Best Evidence" appraised, and Key Findings• The literature was searched for studies that investigated the effect of TJM on DF ROM, self-reported function, and/or pain in patients with a history of inversion ankle sprain.• Three moderate-to high-quality randomized controlled trials (RCTs) were included. • The authors of 1 RCT reported that patients treated up to 8 times with TJM had greater improvements in function and pain at the 1-month follow-up than patients who received multiple detuned (sham) ultrasound treatments.• In another study, improvements in pain, patient-perceived progress, and ankle-specific functional scales were reportedly superior at 4-week and 6-month follow-up in patients treated with a combination of exercise, TJM, nonthrust talocrural and subtalar posterior joint mobilizations, weight-bearing talocrural joint mobilization with movement, and proximal and distal tibiofibular joint mobilization or manipulation to those of patients treated with home exercise alone. • In...

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Conservative Treatment of Peroneal Tendon Injuries: Rehabilitation

Folmar

Gans²

2020

The Peroneal Tendons

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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

Cited by 75 publications

References 57 publications

Utilization of Physical Therapy Intervention Among Patients With Plantar Fasciitis in the United States

Utilization of Physical Therapy Intervention Among Patients With Plantar Fasciitis in the United States

Does Talocrural Joint-Thrust Manipulation Improve Outcomes After Inversion Ankle Sprain?

Conservative Treatment of Peroneal Tendon Injuries: Rehabilitation

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