Purpose: Although a primary goal of many manual therapy techniques is to improve joint range of motion (ROM), efficacy studies evaluating the effect of treatment on ROM are limited. The purpose of this study was to evaluate the effect of a talocrural joint mobilization-with-movement (MWM) technique on dorsiflexion ROM in participants demonstrating decreased range following lateral ankle sprain. Method: Twenty-three participants who had sustained unilateral ankle sprains within the past two years and exhibited a restriction in weight-bearing dorsiflexion participated in the study. We used a crossover design with random assignment to either a sham mobilization or an MWM technique. One week later, participants returned and received the alternate technique. Dorsiflexion was assessed using a weight-bearing lunge test. Results: The change in dorsiflexion following the MWM technique (0.63 6 0.89 cm) was significantly greater (p 5 0.02) than the change following the sham technique (0.18 6 0.35 cm). Conclusions: These findings suggest that a talocurual MWM improves ankle dorsiflexion immediately following treatment. Future research evaluating the effectiveness of multiple treatments on functional outcomes is warranted.
These results suggest that doubling the physiotherapy time available for patients in a stroke unit will not provide a measurable benefit for all patients. The subgroup analysis of patterns of recovery must be regarded as speculative, but provides the basis for hypotheses about those likely to respond well to more intensive therapy.
These data illustrate that the quality of life after successful femorodistal bypass is higher than after primary or secondary amputation. To attain the maximum quality of life in patients with critical ischaemia, femorodistal bypass should be performed wherever feasible.
A simple, nonsurgical treatment in a Caucasian population appeared to be very effective in correcting congenital ear abnormalities with no complications and high patient/parent satisfaction.
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