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Manual therapy AND ankle sprains

Janet E Simon, Erik A Wikstrom, Dustin R Grooms, Carrie L Docherty, Thomas P Dompier, Zachary Y Kerr
CONTEXT:   Limited information exists on the amount and type of care provided by athletic trainers (ATs) treating athletes who sustained ankle sprains in the high school setting. OBJECTIVE:   To describe AT services provided for patients with ankle sprains injured in high school athletics. DESIGN:   Descriptive epidemiology study. SETTING:   Athletic training facility (ATF) visits and AT services collected from 147 high schools in 26 states...
January 26, 2018: Journal of Athletic Training
Georgia Ross, Chris Macfarlane, Brett Vaughan
Mid-portion Achilles tendinopathy is a common injury in sporting populations. There is conflicting evidence about the best approach to conservative management. This report focuses on the rehabilitation of an Achilles tendinopathy utilizing osteopathic manual therapy (OMT) and a structured exercise program in a semi-professional volleyballer. The patient presented with a 4-month history of right mid-portion Achilles tendon pain that began after a lateral inversion sprain of the right ankle. The primary complaint was pain impacting the patients vertical jump performance...
January 2018: Journal of Sports Medicine and Physical Fitness
Erik A Wikstrom, Patrick O McKeon
CONTEXT:   Therapeutic modalities that stimulate sensory receptors around the foot-ankle complex improve chronic ankle instability (CAI)-associated impairments. However, not all patients have equal responses to these modalities. Identifying predictors of treatment success could improve clinician efficiency when treating patients with CAI. OBJECTIVE:   To conduct a response analysis on existing data to identify predictors of improved self-reported function in patients with CAI...
April 2017: Journal of Athletic Training
Cailbhe Doherty, Chris Bleakley, Eamonn Delahunt, Sinead Holden
BACKGROUND: Ankle sprains are highly prevalent with high risk of recurrence. Consequently, there are a significant number of research reports examining strategies for treating and preventing acute and recurrent sprains (otherwise known as chronic ankle instability (CAI)), with a coinciding proliferation of review articles summarising these reports. OBJECTIVE: To provide a systematic overview of the systematic reviews evaluating treatment strategies for acute ankle sprain and CAI...
January 2017: British Journal of Sports Medicine
Cameron J Powden, Kathleen K Hogan, Erik A Wikstrom, Matthew C Hoch
CONTEXT: Talocrural joint mobilizations are commonly used to address deficits associated with chronic ankle instability (CAI). OBJECTIVE: Examine the immediate effects of talocrural joint traction in those with CAI. DESIGN: Blinded, crossover. SETTING: Laboratory. PARTICIPANTS: Twenty adults (14 females; age = 23.80 ± 4.02 y; height = 169.55 ± 12.38 cm; weight = 78.34 ± 16.32 kg) with self-reported CAI participated...
May 2017: Journal of Sport Rehabilitation
Gustavo Plaza-Manzano, Marta Vergara-Vila, Sandra Val-Otero, Cristina Rivera-Prieto, Daniel Pecos-Martin, Tomás Gallego-Izquierdo, Alejandro Ferragut-Garcías, Natalia Romero-Franco
BACKGROUND: Recurrent ankle sprains often involve residual symptoms for which subjects often perform proprioceptive or/and strengthening exercises. However, the effectiveness of mobilization to influence important nerve structures due to its anatomical distribution like tibial and peroneal nerves is unclear. OBJETIVES: To analyze the effects of proprioceptive/strengthening exercises versus the same exercises and manual therapy including mobilizations to influence joint and nerve structures in the management of recurrent ankle sprains...
December 2016: Manual Therapy
Mark A Feger, Neal R Glaviano, Luke Donovan, Joseph M Hart, Susan A Saliba, Joseph S Park, Jay Hertel
OBJECTIVE: To characterize trends in the acute management (within 30 days) after lateral ankle sprain (LAS) in the United States. DESIGN: Descriptive epidemiology study. PATIENTS: Of note, 825 718 ankle sprain patients were identified; 96.2% were patients with LAS. Seven percent had an associated fracture and were excluded from the remaining analysis. SETTING: Primary and tertiary care settings. INTERVENTIONS: We queried a database of national health insurance records for 2007 to 2011 by ICD-9 codes for patients with LAS while excluding medial and syndesmotic sprains and any LAS with an associated foot or ankle fracture...
March 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Ryan P McGovern, RobRoy L Martin
The purpose of this paper is to present a current review of pathoanatomical features, differential diagnosis, objective assessment, intervention, and clinical course associated with managing lateral ankle ligament sprains. Proper diagnosis and identification of affected structures should be obtained through history and objective assessment. From this information, an individualized evidence-based intervention plan can be developed to enable recovery while decreasing the risk of reinjury. An appropriate evaluation is needed not only to determine the correct diagnosis but also to allow for grading and determining the prognosis of the injury in those with an acute lateral ankle sprain...
2016: Open Access Journal of Sports Medicine
Cameron J Powden, Kathleen K Hogan, Erik A Wikstrom, Matthew C Hoch
CONTEXT: Talocrural joint mobilizations are commonly used to address deficits associated with chronic ankle instability (CAI). OBJECTIVE: Examine the immediate effects of talocrural joint traction in those with CAI. DESIGN: Blinded, crossover. SETTING: Laboratory. PARTICIPANTS: Twenty adults (14 females; age=23.80±4.02years; height=169.55±12.38cm; weight=78.34±16.32kg) with self-reported CAI participated...
November 11, 2015: Journal of Sport Rehabilitation
Danielle Southerst, Hainan Yu, Kristi Randhawa, Pierre Côté, Kevin D'Angelo, Heather M Shearer, Jessica J Wong, Deborah Sutton, Sharanya Varatharajan, Rachel Goldgrub, Sarah Dion, Jocelyn Cox, Roger Menta, Courtney K Brown, Paula J Stern, Maja Stupar, Linda J Carroll, Anne Taylor-Vaisey
BACKGROUND: Musculoskeletal disorders (MSDs) of the upper and lower extremities are common in the general population and place a significant burden on the health care system. Manual therapy is recommended by clinical practice guidelines for the management of these injuries; however, there is limited evidence to support its effectiveness. The purpose of our review was to investigate the effectiveness of manual therapy in adults or children with MSDs of the upper or lower extremity. METHODS: Randomized controlled trials (RCTs), cohort studies, and case-control studies evaluating the effectiveness of manual therapy were eligible...
2015: Chiropractic & Manual Therapies
Kenneth C Lam, Alison R Snyder Valier, Tamara C Valovich McLeod
BACKGROUND: The inclusion of clinical practice factors, beyond epidemiologic data, may help guide medical coverage and care decisions. HYPOTHESIS: Trends in injury and treatment characteristics of sport-specific injuries sustained by secondary school athletes will differ based on sport. STUDY DESIGN: Retrospective analysis of electronic patient records. LEVEL OF EVIDENCE: Level 4. METHODS: Participants consisted of 3302 boys and 2293 girls who were diagnosed with a sport-related injury or condition during the study years...
January 2015: Sports Health
John M van Ochten, Marienke van Middelkoop, Duncan Meuffels, Sita M A Bierma-Zeinstra
STUDY DESIGN: Systematic review. Objective To determine the effectiveness of treatments for patients with chronic complaints after ankle sprain. BACKGROUND: Though most people recover completely after a lateral inversion ankle injury, a considerable percentage have persistent complaints. Currently, it is still unclear which treatment options are best for these patients. METHODS: Major databases, including PubMed, Embase, CINAHL, and PEDro, were searched for randomized controlled trials and controlled clinical trials conducted from 1966 to October 2012...
November 2014: Journal of Orthopaedic and Sports Physical Therapy
Dick B Bruin, Harry von Piekartz
OBJECTIVE: The purpose of this case report is to describe the use of mobilization and eccentric exercise training for a patient with ankle pain and a history of chronic ankle sprains and discuss the course of diagnostic decision making when the patient did not respond to care. CLINICAL FEATURES: A 48-year-old police officer who had sustained multiple ankle sprains throughout his life presented with pain and restriction in his ability to walk, run, and work. The Global Rating of Change Scale score was - 6, the Numeric Pain Rating Scale score was 7/10, and the Lower Extremity Functional Scale score was - 33...
September 2014: Journal of Chiropractic Medicine
Brad G Simpson, Corey B Simon
A 40-year old female presented to physical therapy with a one-year history of insidious right anteromedial and anterolateral knee pain. Additionally, the patient had a history of multiple lateral ankle sprains bilaterally, the last sprain occurring on the right ankle 1 year prior to the onset of knee pain. The patient was evaluated and given a physical therapy diagnosis of patellofemoral pain syndrome (PFPS), with associated talocrural and tibiofemoral joint hypomobility limiting ankle dorsiflexion and knee extension, respectively...
May 2014: Journal of Manual & Manipulative Therapy
Janice K Loudon, Michael P Reiman, Jonathan Sylvain
BACKGROUND: Lateral ankle sprains are common and can have detrimental consequences to the athlete. Joint mobilisation/manipulation may limit these outcomes. OBJECTIVE: Systematically summarise the effectiveness of manual joint techniques in treatment of lateral ankle sprains. METHODS: This review employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A computer-assisted literature search of MEDLINE, CINHAL, EMBASE, OVID and Physiotherapy Evidence Database (PEDro) (January 1966 to March 2013) was used with the following keywords alone and in combination 'ankle', 'sprain', 'injuries', 'lateral', 'manual therapy', and 'joint mobilisation'...
March 2014: British Journal of Sports Medicine
Masafumi Terada, Brian G Pietrosimone, Phillip A Gribble
CONTEXT: Clinicians perform therapeutic interventions, such as stretching, manual therapy, electrotherapy, ultrasound, and exercises, to increase ankle dorsiflexion. However, authors of previous studies have not determined which intervention or combination of interventions is most effective. OBJECTIVE: To determine the magnitude of therapeutic intervention effects on and the most effective therapeutic interventions for restoring normal ankle dorsiflexion after ankle sprain...
September 2013: Journal of Athletic Training
(no author information available yet)
Ankle sprains often occur when running, walking on uneven ground, or jumping. Usually, people are told to rest, elevate the foot, apply ice, and use an elastic wrap to reduce swelling. This treatment is typically followed by exercises that can be performed at home. Although the pain and swelling usually improve quickly, more than 70% of people who sprain their ankles continue to have problems with them and up to 80% will sprain their ankles again. This suggests that it is important to better care for ankle sprains...
2013: Journal of Orthopaedic and Sports Physical Therapy
Joshua A Cleland, Paul E Mintken, Amy McDevitt, Melanie L Bieniek, Kristin J Carpenter, Katherine Kulp, Julie M Whitman
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...
2013: Journal of Orthopaedic and Sports Physical Therapy
Carol A Courtney, Jeffrey D Clark, Alison M Duncombe, Michael A O'Hearn
Chronic lower quadrant injuries constitute a significant percentage of the musculoskeletal cases seen by clinicians. While impairments may vary, pain is often the factor that compels the patient to seek medical attention. Traumatic injury from sport is one cause of progressive chronic joint pain, particularly in the lower quarter. Recent studies have demonstrated the presence of peripheral and central sensitization mechanisms in different lower quadrant pain syndromes, such as lumbar spine related leg pain, osteoarthritis of the knee, and following acute injuries such as lateral ankle sprain and anterior cruciate ligament rupture...
November 2011: Journal of Manual & Manipulative Therapy
Michel P J van den Bekerom, Peter A A Struijs, Leendert Blankevoort, Lieke Welling, C Niek van Dijk, Gino M M J Kerkhoffs
CONTEXT: Ankle sprains are common problems in acute medical care. The variation in treatment observed for the acutely injured lateral ankle ligament complex in the first week after the injury suggests a lack of evidence-based management strategies for this problem. OBJECTIVE: To analyze the effectiveness of applying rest, ice, compression, and elevation (RICE) therapy begun within 72 hours after trauma for patients in the initial period after ankle sprain. STUDY SELECTION: Eligible studies were published original randomized or quasi-randomized controlled trials concerning at least 1 of the 4 subtreatments of RICE therapy in the treatment of acute ankle sprains in adults...
July 2012: Journal of Athletic Training
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