Manual therapy in joint and nerve structures combined with exercises in the treatment of recurrent ankle sprains: A randomized, controlled trial

Plaza-Manzano, Gustavo; Vergara-Vila, Marta; Val-Otero, Sandra; Rivera-Prieto, Cristina; Pecos‐Martín, Daniel; Gallego‐Izquierdo, Tomás; Ferragut-Garcías, Alejandro; Romero-Franco, Natalia

doi:10.1016/j.math.2016.08.006

Cited by 21 publications

(42 citation statements)

References 37 publications

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“…Neutral ankle dorsiflexion and supine decubitus position were applied. The mean of three repeated measurements, at 30–60 s intervals, was used for the analysis data based on earlier studies [17,18,19,20,21,22,23].…”

Section: Methodsmentioning

confidence: 99%

“…In fact, tarsal tunnel PPT was assessed in order to evaluate plantar flexor tendons, blood vessels, and tibial nerve trunk soft tissue mechanosensitivity located at 1 cm posterior to the tibial bone medial styloid process [18,19,20,21,22,23]. Fibula PPT was assessed in order to evaluate bone mechanosensitivity located at the center of the ankle lateral malleolus [17].…”

Section: Methodsmentioning

confidence: 99%

“…PPTs of the foot bones and soft tissues have shown the presence of central sensitization in patients with other medical conditions such as migraine [13], low back pain [14], knee osteoarthritis [15], and irritable bowel syndrome [16]. Considering the bone and soft tissue structures of the foot, the lateral malleolus for assessing bone PPT [17] and the tarsal tunnel (including plantar flexor tendons, blood vessels, and tibial nerve trunk) for evaluation of soft tissue PPT [18,19,20,21,22,23] may be considered as one of the most useful sites to assess PPT by means of algometry.…”

Section: Introductionmentioning

confidence: 99%

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Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

Calvo‐Lobo

Painceira-Villar

López‐López

et al. 2018

JCM

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Background: Based on changes in lung function and musculoskeletal disorders in patients with asthma, this study aimed to compare the tarsal tunnel and fibular bone pressure pain thresholds (PPTs) of patients with asthma and healthy matched-paired controls. Methods: A case-control study was performed. One hundred participants were recruited: 50 asthma patients and 50 healthy matched-paired controls. Bilaterally, tarsal tunnel and fibula bone PPTs were registered. Results: Statistically significant differences (p < 0.01) were shown bilaterally for tarsal tunnel PPT. With the exception of fibula PPT (p > 0.05), asthma patients presented less tarsal tunnel PPT than healthy participants. Statistically significant differences (p < 0.05) were shown for two linear regression prediction models of the right (R2 = 0.279) and left (R2 = 0.249) tarsal tunnels PPTs as dependent variables, and based on sex, group, contralateral tarsal tunnel PPT and ipsilateral fibula PPT as independent variables. Conclusions: The study findings showed that a bilateral tarsal tunnel mechanosensitivity increase is exhibited in patients diagnosed with asthma. The presence of asthma may bilaterally predict the PPT of tarsal tunnel. These findings may suggest the presence of central sensitization in asthma patients, which could clinically predispose them to musculoskeletal disorders, such as tarsal tunnel syndrome.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

Calvo‐Lobo

Painceira-Villar

López‐López

et al. 2018

JCM

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“…Manual therapy directed at the ankle joint is an intervention that is part of a comprehensive treatment approach for those with CAI [6][7][8][9] given that alterations in joint structure and function are likely to occur following an ankle sprain. [10][11][12] Authors have reported an anterior displacement of the talus 10 and distal fibula, 11,12 a posterior displacement of the proximal fibula, 13 and a loss of dorsiflexion range of motion (DFROM) following an ankle sprain.…”

mentioning

confidence: 99%

“…However, manual therapy research of the spine suggests a greater effect is seen in outcomes related to pain and disability with the addition of TJM over other forms of manual therapy. 18,19 A limited number of studies have explored the combination of manual therapy and exercise compared with exercise alone on outcomes in individuals with CAI, [6][7][8][9] and even fewer that have explored the addition of TJM to an exercise regimen. 7 Although these studies reported improvement in outcomes for those with CAI, there is lack of literature examining the effects of the addition of TJM to a therapeutic exercise regimen on functional performance.…”

mentioning

confidence: 99%

The Effects of Therapeutic Exercise With and Without Mobilization in Participants With Chronic Ankle Instability: A Randomized Controlled Trial

Bolton¹,

Hale²,

Telemeco³

2021

Journal of Sport Rehabilitation

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Context: Manual therapy (MT) is reported to increase range of motion (ROM), improve balance, and decrease pain in individuals with chronic ankle instability (CAI). Additional literature is needed to examine the effectiveness of the addition of MT to a therapeutic exercise regimen in individuals with CAI. Objective: To examine the combined effects of thrust joint manipulation (TJM) and exercise on function in participants reporting CAI. Design: Randomized controlled trial. Setting: Research laboratory. Participants: A convenience sample of 30 participants (mean age 23.7 [3.65] y; mean height 169.50 [9.50] cm; mean mass 66.48 [10.64] kg). Intervention: Participants were randomly allocated to the exercise (n = 15) or exercise + TJM group (n = 20) and completed an exercise program. The exercise + TJM group also received MT at the talocrural, proximal, and distal tibiofibular joints in the first 3 sessions. Main Outcome Measures: Self-reported outcomes were recorded at baseline and follow-up using the Foot and Ankle Ability Measure (FAAM), the FAAM-Sport (FAAM-S) subscale, and the Ankle Joint Functional Assessment Tool (AJFAT). The side-hop test, figure-of-8 hop test, 3 directions of the Star Excursion Balance Test, and dorsiflexion ROM were also assessed at baseline and follow-up. Results: Only the exercise + TJM group demonstrated an improvement in weight-bearing dorsiflexion with the knee flexed following treatment (P = .02). For all outcome measures, except ROM, subjects improved significantly at follow-up regardless of group assignment (P ≤ .01). Conclusions: Our data suggest that rehabilitation of patients with CAI is related to improved ROM, function, and self-reported outcomes. This provides evidence that the addition of MT to exercise may enhance improvements in ROM as compared with exercise alone. Additional research is needed to identify optimal parameters to maximize therapeutic benefit.

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Rehabilitating the Elite Athlete with Ligamentous Injury of the Foot and Ankle

Short

2022

Ligamentous Injuries of the Foot and Ankle

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Manual therapy in joint and nerve structures combined with exercises in the treatment of recurrent ankle sprains: A randomized, controlled trial

Cited by 21 publications

References 37 publications

Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

The Effects of Therapeutic Exercise With and Without Mobilization in Participants With Chronic Ankle Instability: A Randomized Controlled Trial

Rehabilitating the Elite Athlete with Ligamentous Injury of the Foot and Ankle

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