J Korean Phys Ther.  2017 Apr;29(2):95-100. 10.18857/jkpt.2017.29.2.95.

The Effect of a Proximal and Distal Tibiofibular Joint Manipulation on Dorsiflexion and Balance in Individuals with a History of Lateral Ankle Sprain

• Chae YW
• Park JW
• Nam KS

• KMID: 2385185
• DOI: http://doi.org/10.18857/jkpt.2017.29.2.95

Abstract

PURPOSE
This study aimed to evaluate the changes in dorsiflexion and balance following proximal and distal tibiofibular joint manipulation in individuals with a history of lateral ankle sprain (LAS).
METHODS
Fifteen participants with a history of unilateral LAS, exhibiting a restriction in ankle dorsiflexion were included in this study. LAS ankle received a manipulation to the proximal and distal tibiofibular joint, while the opposite control ankle received no manipulation intervention. The outcome measures included ankle dorsiflexion and balance. Ankle dorsiflexion was measured using weight-bearing lunge test. Static and dynamic balances were measured using the overall, anterioposterior, and mediolateral balance index via the biodex balance system. Measurements were obtained prior to and following manipulation.
RESULTS
This study showed that ankle dorsiflexion and dynamic balance were improved following the manipulation compared to those prior to the manipulation (p<0.05). There was no significant change in static balance (p>0.05).
CONCLUSION
The joint manipulation technique applied to the ankle of those with a history of LAS appears to improve ankle dorsiflexion and dynamic balance. This suggest that a manipulation to the proximal and distal tibiofibular joint could be provided as preliminary data regarding the prophylactic effects of recurrent LAS.

Keyword

Lateral ankle sprain; Manipulation; Dorsiflexion; Balance

MeSH Terms

Ankle Injuries*
Ankle*
Joints*
Lung
Outcome Assessment (Health Care)
Weight-Bearing