Novel treatment of lateral ankle sprains using the Mulligan concept: an exploratory case series analysis

Hudson, Robinetta; Baker, Russell T.; May, James M.; Reordan, Don; Nasypany, Alan

doi:10.1080/10669817.2017.1332557

Cited by 11 publications

(4 citation statements)

References 33 publications

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“…There is evidence that the same is true for lateral ankle sprains, range of motion limitations, and meniscal lesions, in which tissue is the supposed cause of the dysfunction. [36][37][38] The tissue model hypothesis has not been supported across any of these pathologies because the time to discharge, change in function, and/or resolution of pain was faster than the time that would be necessary for true tissue healing and/or changes to have occurred. [36][37][38][39] While the present study did not include a treatment component, similar questions could be raised about the actual cause of tendon pain.…”

Section: Clinical Applicationmentioning

confidence: 99%

“…[36][37][38] The tissue model hypothesis has not been supported across any of these pathologies because the time to discharge, change in function, and/or resolution of pain was faster than the time that would be necessary for true tissue healing and/or changes to have occurred. [36][37][38][39] While the present study did not include a treatment component, similar questions could be raised about the actual cause of tendon pain. In a case study performed by Baker et al, a patient presenting with reactive tendinopathy of the proximal biceps tendon was pain-free and discharged after three days of manual therapy treatment, with no return of symptoms after resuming physical activity.…”

Section: Clinical Applicationmentioning

confidence: 99%

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Point-of-Care Research: Retrospective Analysis of the Evaluation and Classification of Tendon Pathology in Athletic Training

Reeves¹

2020

Clin Prac Athl Train

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Tendon pathology has been studied across healthcare professions but remains poorly understood. Imaging and clinical findings have been used to diagnose tendon pathology, but these findings are discrepant. It is vital that clinicians use sound clinical judgment to determine the most accurate clinical diagnosis and treatment options given documented clinical findings. The purposes of this study were to assess athletic trainers': 1) documented clinical findings for patients presenting with tendon pain, 2) use of documented findings to inform clinical diagnosis of tendon pathology, and 3) change in tendon pathology classification when presented with a novel diagnostic term. A total of 430 patients (20.70 ± 7.35y) from a multisite research database were included in the study. Pain at the site of injury was documented in 95.8% of cases (n = 412). Pain during exercise that changed activity (n = 274, 63.7%), and an identified tender point (n = 259, 60.2%) were also present in almost two-thirds of cases. Of the patients diagnosed with tendinitis, 35.0% had pain as the only documented inflammatory sign. Of the initial set of clinical diagnosis options, tendinopathy was the most commonly (n = 290, 67.4%) selected. There was a 46.0% and 15.0% decrease in the number of tendinopathy and tendinitis diagnoses, respectively, when 'tendinalgia' was an option as a diagnostic classification term. There does not appear to be adequate clinical evidence to label tendon pathology as either inflammatory or degenerative. Furthermore, clinicians either appear to be: 1) relying on few symptoms to identify a diagnosis or 2) not at first fully considering all clinical findings when diagnosing a patient. According to these findings, tendinalgia seems to be the most appropriate term to describe tendon pain, to help clinicians understand tendon pathology as a pain condition rather than as inflammatory or degenerative.

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Section: Clinical Applicationmentioning

confidence: 99%

Section: Clinical Applicationmentioning

confidence: 99%

Point-of-Care Research: Retrospective Analysis of the Evaluation and Classification of Tendon Pathology in Athletic Training

Reeves¹

2020

Clin Prac Athl Train

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“…El tratamiento habitual incluye el reposo, la aplicación de hielo, compresión y elevación. En los últimos años se ha propuesto como técnica novedosa el método Mulligan (8,9,10).…”

Section: Introductionunclassified

El método Mulligan en el tratamiento de esguinces de tobillo grado I-II. Revisión bibliográfica.

Sánchez Lozano,

Martínez Pizarro

2024

Revista Archivos SOCHMEDEP

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Introduction: A sprain is a tear of the ligaments that is produced by a mechanical action. The most common location is the ankle. Its incidence is one per ten thousand inhabitants per day, representing 15-20% of sports injuries. If it is not treated properly, it can reappear and/or leave sequelae. Treatment includes rest, ice, compression, and elevation. In recent years, the Mulligan method has been proposed as a novel technique. The objective of this work is to review the efficacy of the Mulligan method in patients with grade I-II ankle sprains. Method: A review was carried out following the PRISMA regulations. The PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, and WOS databases were consulted. The Cochrane tool was used to assess the risk of bias and the quality of the evidence was assessed GRADE. Results: The Mulligan method is effective in the treatment of grade I and II ankle sprains. The total sample was 242 patients from six studies. The frequency in the application of the therapy was 2-3 sessions per week for two or three weeks. All studies showed safety, tolerability and no major side effects occurred. Conclusions: The Mulligan method improves ankle dorsiflexion movement, postural control, self- reported instability, pain, balance, and disability in patients with grade I-II ankle sprains.

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“…MWM can be applied in weight-bearing positions to the ankle joint to reduce pain perception and improve the ankle dorsiflexion range of motion by introducing glide to the talus in an anteroposterior direction active ankle dorsiflexion range of motion movement [14,29]. Many positive findings were reported by various researchers towards the short-term effects of MWM application in LAS on pain reduction, improving ankle dorsiflexion range of motion, and foot and ankle functions [10,14,30,31]. However, scanty evidence is presented in the literature about combining the MWM and proprioceptive exercises on functional outcomes.…”

Section: Introductionmentioning

confidence: 99%

Effect of MobEx Model Intervention Program on Post Lateral Ankle Sprain Functional Outcomes among Athletes

Sankaravel¹,

Choo²,

Elumalai³

2021

International Journal of Physiotherapy

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Background: Lateral Ankle Sprain (LAS) is one of the common sports-related soft tissue injuries that occur mainly in weight-bearing positions with plantar flexion and inversion mechanism and affects the athlete's functional ability's at ankle joint. Thus this study was aimed to find out the effects of MobEx intervention on functional ability among athletes. Methods: A total of 27 athletes with unilateral LAS were recruited for this study. The athletes were grouped by randomization into three groups. The experimental group (n=9) underwent MobEx intervention for six weeks, the placebo group (n=9) underwent placebo intervention for six weeks, and the Control group (n=9) with no interventions. The functional ability was measured by Foot and Ankle Ability Measures (FAAM) questionnaire for daily living, and sports subscale activities were assessed before the intervention, six weeks after intervention, and one month after the intervention. Results:The results revealed a significant difference in athletes' functional ability with a p-value of 0.000 (< 0.05). Conclusion:MobEx intervention was effective in improving the functional ability both in activities of daily living and sports subscale among athletes.

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Novel treatment of lateral ankle sprains using the Mulligan concept: an exploratory case series analysis

Cited by 11 publications

References 33 publications

Point-of-Care Research: Retrospective Analysis of the Evaluation and Classification of Tendon Pathology in Athletic Training

Point-of-Care Research: Retrospective Analysis of the Evaluation and Classification of Tendon Pathology in Athletic Training

El método Mulligan en el tratamiento de esguinces de tobillo grado I-II. Revisión bibliográfica.

Effect of MobEx Model Intervention Program on Post Lateral Ankle Sprain Functional Outcomes among Athletes

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