Journal of Orthopaedic Research
We examined the effect of a 2-week anterior-to-posterior ankle joint mobilization intervention on weight-bearing dorsiflexion range of motion (ROM), dynamic balance, and self-reported function in subjects with chronic ankle instability (CAI). In this prospective cohort study, subjects received six Maitland Grade III anterior-to-posterior joint mobilization treatments over 2 weeks. Weight-bearing dorsiflexion ROM, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and self-reported function on the Foot and Ankle Ability Measure (FAAM) were assessed 1 week before the intervention (baseline), prior to the first treatment (pre-intervention), 24-48 h following the final treatment (post-intervention), and 1 week later (1-week follow-up) in 12 adults (6 males and 6 females) with CAI. The results indicate that dorsiflexion ROM, reach distance in all directions of the SEBT, and the FAAM improved (p < 0.05 for all) in all measures following the intervention compared to those prior to the intervention. No differences were observed in any assessments between the baseline and pre-intervention measures or between the post-intervention and 1-week follow-up measures (p > 0.05). These results indicate that the joint mobilization intervention that targeted posterior talar glide was able to improve measures of function in adults with CAI for at least 1 week.
Original Publication Citation
Hoch, M. C., Andreatta, R. D., Mullineaux, D. R., English, R. A., McKeon, J. M. M., Mattacola, C. G., & McKeon, P. O. (2012). Two-week joint mobilization intervention improves self-reported function, range of motion, and dynamic balance in those with chronic ankle instability. Journal of Orthopaedic Research, 30(11), 1798-1804. doi:10.1002/jor.22150
Hoch, Matthew C.; Andreatta, Richard D.; Mullineaux, David R.; English, Robert A.; Medina McKeon, Jennifer M.; Mattacola, Carl G.; and McKeon, Patrick O., "Two-week Joint Mobilization Intervention Improves Self-Reported Function, Range of Motion, and Dynamic Balance in Those With Chronic Ankle Instability" (2012). Human Movement Sciences Faculty Publications. 56.