Effects of Mulligan’s Mobilization with Movement on Talofibular Interval in Subjects with Chronic Ankle Instability

다국어 초록 (Multilingual Abstract)

Purpose: This study was conducted to determine the effects of Mulligan’s mobilization with movement (MWM) on changes in the talofibular interval in the sagittal plane in subjects with chronic ankle instability (CAI).
Methods: Sixteen subjects with chronic ankle instability participated in this study. The talofibular intervals were measured from US images, and the weight-bearing lunge test was used to assess dorsiflexion of the ankle joint. Each dependent variable were measured on the both affected side and sound side in three trials in pre- and post-MWM. Dependent variables were examined with a two-way mixed-design analysis of variance (ANOVA). The two factors were side (sound side versus affected side) and intervention (pre- versus post-intervention). For post hoc analysis, paired t-tests were performed to compare the dependent variables. A p<0.05 was considered to indicate significance.
Results: Dorsiflexion and talofibular interval differed significantly pre- and post-intervention (p<0.05). Post-hoc analysis revealed that the talofibular interval post-MWM was significantly less than that pre-MWM on the both the affected and sound side (p<0.05). The ankle dorsiflexion in the post-MWM group was significantly greater than that in the pre-MWM group on the affected side and the sound side (p<0.05).
Conclusion: The Mulligan’s MWM decreased the talofibular interval in subjects with CAI. These findings suggest that the MWM technique can change the position of the talus relative to the fibular in the weight bearing position.

참고문헌 (Reference)

1 구창회, "아급성기의 발목 외측 염좌 환자에게 수동적 관절가동기법과 마사지가 미치는 영향" 대한물리치료학회 17 (17): 457-467, 2005

2 Fujii T, "The manual stress test may not be sufficient to differentiate ankle ligament injuries" 15 (15): 619-623, 2000

3 Collins n, "The initial effects of a Mulligan’s mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains" 9 (9): 77-82, 2004

4 Marrón-Gómez D, "The effect of two mobilization techniques on dorsiflexion in people with chronic ankle instability" 16 (16): 10-15, 2015

5 Fryer GA, "The effect of talocrural joint manipulation on range of motion at the ankle" 25 (25): 384-390, 2002

6 Andersen S, "The effect of talo-crural joint manipulation on range of motion at the ankle joint in subjects with a history of ankle injury" 11 (11): 57-62, 2003

7 Johnson EE, "The contribution of the anterior talofibular ligament to ankle laxity" 65 (65): 81-88, 1983

8 최호석, "The Relationship between Functional Movement Screen and Ankle Dysfunctions with Chronic Ankle Instability" 대한물리치료학회 26 (26): 459-463, 2014

9 Wikstrom EA, "Talar positional fault in persons with chronic ankle instability" 91 (91): 1267-1271, 2010

10 Wikstrom EA, "Talar positional fault in persons with chronic ankle instability" 91 (91): 1267-1271, 2010

11 Venturini C, "Study of the force applied during anteroposterior articular mobilization of the talus and its effect on the dorsiflexion range of motion" 31 (31): 285-292, 2008

12 Maffulli N, "Sport injuries: a review of outcomes" 97 (97): 47-80, 2011

13 Tegner Y, "Rating systems in the evaluation of knee ligament injuries" 198 : 43-49, 1985

14 Bennell K, "Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion" 44 (44): 175-180, 1998

15 Vicenzino B, "Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain" 36 (36): 464-471, 2006

16 Hertel J, "Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability" 37 (37): 364-375, 2002

17 De Souza MV, "Force-displacement relationships during anteroposterior mobilization of the ankle joint" 31 (31): 285-292, 2008

18 Hubbard TJ, "Fibular position in individuals with self-reported chronic ankle instability" 36 (36): 3-9, 2006

19 Hubbard TJ, "Fibular position in individuals with self-reported chronic ankle instability" 36 (36): 3-9, 2006

20 김제호, "Effect of Ankle Stabilization Training Using Biofeedback on Balance Ability and Lower Limb Muscle Activity in Football Players with Functional Ankle Instability" 대한물리치료학회 28 (28): 189-194, 2016

21 Drewes LK, "Dorsiflexion deficit during jogging with chronic ankle instability" 12 (12): 685-687, 2009

22 Hoch MC, "Dorsiflexion and dynamic postural control deficits are present in those with chronic ankle instability" 15 (15): 574-579, 2012

23 Croy T, "Differences in lateral ankle laxity measured via stress ultrasonography in individuals with chronic ankle instability, ankle sprain copers, and healthy individuals" 42 (42): 593-600, 2012

24 Croy T, "Anterior talocrural joint laxity : diagnostic accuracy of the anterior drawer test of the ankle" 43 (43): 911-919, 2013

25 Croy T, "Active ankle motion may result in changes to the talofibular interval in individuals with chronic ankle instability and ankle sprain copers : a preliminary study" 21 (21): 127-133, 2013

26 Green T, "A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains" 81 (81): 984-994, 2001