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The immediate effects of two manual therapy techniques on ankle musculoarticular stiffness and dorsiflexion range of motion in people with chronic ankle rigidity: A randomized clinical trial

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Hidalgo, Benjamin [UCL] hall, Toby Berwart, Mathilde [UCL] Biernaux, Elinor [UCL] Detrembleur, Christine [UCL]

OBJECTIVE: Ankle rigidity is a common musculoskeletal disorder affecting the talocrural joint, which can impair weightbearing ankle dorsiflexion (WBADF) and daily-life in people with or without history of ankle injuries. Our objective was to compare the immediate effects of efficacy of Mulligan Mobilization with Movement (MWM) and Osteopathic Mobilization (OM) for improving ankle dorsiflexion range of motion (ROM) and musculoarticular stiffness (MAS) in people with chronic ankle dorsiflexion rigidity. DESIGN: A randomized clinical trial with two arms. METHODS: Patients were recruited by word of mouth and via social network as well as posters, and analyzed in the neuro musculoskeletal laboratory of the “Université Catholique de Louvain-la-Neuve”, Brussels, Belgium. PARTICIPANTS: 67 men (aged 18–40 years) presenting with potential chronic non-specific and unilateral ankle mobility deficit during WBDF were assessed for eligibility and finally 40 men were included and randomly allocated to single session of either MWM or OM. INTERVENTIONS: Two modalities of manual therapy indicated for hypothetic immediate effects in chronic ankle dorsiflexion stiffness, i.e. MWM and OM, were applied during a single session on included patients. MAIN OUTCOME MEASURES: Comprised blinding measures of MAS with a specific electromechanical device (namely: Lehmann’s device) producing passive oscillatory ankle joint dorsiflexion and with clinical measures of WBADF-ROM as well. RESULTS: A two-way ANOVA revealed a non-significant interaction between both techniques and time for all outcome measures. For measures of MAS: elastic-stiffness (p = 0.37), viscous-stiffness (p = 0.83), total-stiffness (p = 0.58). For WBADFROM: toe-wall distance (p = 0.58) and angular ROM (p = 0.68). Small effect sizes between groups were determined with Cohen’s d ranging from 0.05 to 0.29. One-way ANOVA demonstrated non-significant difference and small to moderate effects sizes (d = 0.003–0.58) on all outcome measures before and after interventions within both groups. A second two-way ANOVA analyzed the effect of each intervention on the sample categorized according to injury history status, and demonstrated a significant interaction between groups and time only for viscous stiffness (p = 0.04, d = 􀀀0.55). CONCLUSION: A single session of MWM and OM targeting the talocrural joint failed to immediately improve all measures in

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2018
Language Anglais
Journal information "Journal of Back and Musculoskeletal Rehabilitation" - Vol. 1, p. 1-10 (2018)
Peer reviewed yes
Publisher I O S Press (Amsterdam)
issn 1053-8127
e-issn 1878-6324
Publication status Accepté/Sous presse
Affiliation UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab
Keywords Ankle stiffness ; talocrural joint ; Mulligan mobilization with movement ; osteopathic medicine ; orthopaedic manual therapy
Links
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Bibliographic reference Hidalgo, Benjamin ; hall, Toby ; Berwart, Mathilde ; Biernaux, Elinor ; Detrembleur, Christine. The immediate effects of two manual therapy techniques on ankle musculoarticular stiffness and dorsiflexion range of motion in people with chronic ankle rigidity: A randomized clinical trial. In: Journal of Back and Musculoskeletal Rehabilitation, Vol. 1, p. 1-10 (2018)
Permanent URL http://hdl.handle.net/2078.1/194123