Anterior to posterior talocrural joint mobilizations provides no benefit for ankle sprains .
This report has been verified
by one or more authors of the
original publication.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2014;2(5):9 J Man Manip Ther. 2011 May;19(2):76-83. doi: 10.1179/2042618610Y.000000000517 patients were randomized to investigate the effects of a single bout of anterior to posterior (AP) talocrural joint mobilization for acute lateral ankle sprains. Patients received either a single 30-second bout of grade III AP talocrural joint mobilization or no intervention and were assessed after the first 24 hours. A single bout of AP talocrural joint mobilizations was revealed to have no immediate effect on ankle dorsiflexion range of motion (ROM), posterior talar translation, or self-reported function; however, an immediate effect on pain perception was observed.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
Sì = 1
Incerto = 0,5
Non rilevante = 0
No = 0
La valutazione dei criteri di segnalazione valuta la trasparenza con cui gli autori riportano le caratteristiche metodologiche e sperimentali dello studio all'interno della pubblicazione. La valutazione è suddivisa in cinque categorie che vengono presentate di seguito.
4/4
Randomization
3/4
Outcome Measurements
3/4
Inclusion / Exclusion
3/4
Therapy Description
3/4
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
L'Indice di Fragilità è uno strumento che aiuta l'interpretazione dei risultati significativi, fornendo una misura della forza di un risultato. L'Indice di Fragilità rappresenta il numero di eventi consecutivi che devono essere aggiunti a un risultato dicotomico per rendere il risultato non più significativo. Un numero piccolo rappresenta un risultato più debole, mentre un numero grande rappresenta un risultato più forte.
Perché questo studio era necessario ora?
Following a lateral ankle sprain, it has been reported that individuals may experience decreased dorsiflexion ROM and posterior talar glide. While these individuals may benefit from joint mobilization, there has been no previous study evaluating the use of anterior to posterior (AP) talocrural joint mobilizations in patients with acute lateral ankle sprains. Thus, this study aimed to investigate the immediate effects of a single bout of grade III AP talocrural joint mobilization on ankle dorsiflexion ROM, posterior talar translation, and self-reported pain and function in these patients.
Qual era la domanda di ricerca principale?
Did a single bout of AP talocrural joint mobilization lead to better ankle dorsiflexion ROM, posterior talar translation, and self-reported pain and function, compared to no intervention, in acute lateral ankle sprains when assessed after the first 24 hours?
- In regard to dorsiflexion ROM, there was not a significant group by time interaction (F2,30 = 0.17, P = 0.85, 1-beta = 0.07) or group main effect (F2, 30 = 0.21, P = 0.66, 1-beta = 0.07); however, there was a significant main effect for time (F2,30 = 3.67, P = 0.04, 1-beta = 0.63).
- While there was a significant improvement in dorsiflexion ROM from baseline to 24 hour follow-up (P=0•037), there was no significant difference between the treatment (6.49 (SD 6.43) to 8.82 (SD 7.29)) and control (7.36 (SD 6.38) to 9.94 (SD 4.02)) groups (P > 0.05).
- There was no significant difference (P > 0.05) regarding posterior talar translation measures between the treatment (7.09 (SD 3.54) to 7.06 (SD 2.99)) and control (5.86 (SD 2.81) to 6.95 (SD 3.64)) groups from baseline to the 24 hour follow-up. No significant group by time interaction (F2,30= 0.58, P = 0.57, 1-beta = 0.14), group main effect (F2,30 = 0.45, P = 0.51, 1-beta = 0.10), or time main effect (F2,30 = 0.86, P = 0.43, 1-beta = 0.18) were seen.
- In respect to the FADI-ADL and FADI-sport, there were no significant group by time interactions (F1,15 = 0.43, P = 0.52, 1-beta = 0.09; F1,15 = 0.04, P = 0.84, 1-beta = 0.05, respectively) or group main effects (F1,15 = 1.51, P = 0.24, 1-beta = 0.21; F1,15 = 0.00, P = 0.99, 1-beta = 0.05).
- The treatment group demonstrated a 20% reduction in pain (t8 = -3.74, P = 0.006) at the 24 hour follow-up when compared to the control group (t7 = 0.00, P = 1.0).
Che cosa devo ricordare di più?
A single bout of AP talocrural joint mobilization for acute ankle sprains displayed no effect in increasing ankle dorsiflexion ROM, decreasing posterior talar glide, or improving self-reported function. However, individuals receiving joint mobilization demonstrated decreased pain compared to those who did not receive the intervention.
Come influenzerà l'assistenza ai miei pazienti?
This study suggests that joint mobilization provides no apparent benefit in ankle dorsiflexion ROM, posterior talar translation, or self-reported function when treating acute lateral ankle sprains. However, there may be a positive benefit in terms of pain perception immediately following treatment. Future research is required to investigate the long-term effects of multiple applications of joint mobilizations.
DISCLAIMER
Il contenuto di questa pagina è solo a scopo informativo e non intende sostituire la consulenza, la diagnosi o il trattamento medico professionale. Se ha bisogno di cure mediche, si rivolga sempre al suo medico o al pronto soccorso più vicino. Le opinioni, le convinzioni e i punti di vista espressi dalle persone sui contenuti presenti in questa pagina non riflettono le opinioni, le convinzioni e i punti di vista di OrthoEvidence.
0 di 4 articoli mensili GRATUITI sbloccati
