PMID- 27598553
OWN - NLM
STAT- MEDLINE
DCOM- 20171113
LR  - 20220408
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 26
DP  - 2016 Dec
TI  - Manual therapy in joint and nerve structures combined with exercises in the 
      treatment of recurrent ankle sprains: A randomized, controlled trial.
PG  - 141-149
LID - S1356-689X(16)30701-9 [pii]
LID - 10.1016/j.math.2016.08.006 [doi]
AB  - BACKGROUND: Recurrent ankle sprains often involve residual symptoms for which 
      subjects often perform proprioceptive or/and strengthening exercises. However, 
      the effectiveness of mobilization to influence important nerve structures due to 
      its anatomical distribution like tibial and peroneal nerves is unclear. 
      OBJETIVES: To analyze the effects of proprioceptive/strengthening exercises 
      versus the same exercises and manual therapy including mobilizations to influence 
      joint and nerve structures in the management of recurrent ankle sprains. STUDY 
      DESIGN: A randomized single-blind controlled clinical trial. METHOD: Fifty-six 
      patients with recurrent ankle sprains and regular sports practice were randomly 
      assigned to experimental or control group. The control group performed 4 weeks of 
      proprioceptive/strengthening exercises; the experimental group performed 4 weeks 
      of the same exercises combined with manual therapy (mobilizations to influence 
      joint and nerve structures). Pain, self-reported functional ankle instability, 
      pressure pain threshold (PPT), ankle muscle strength, and active range of motion 
      (ROM) were evaluated in the ankle joint before, just after and one month after 
      the interventions. RESULTS: The within-group differences revealed improvements in 
      all of the variables in both groups throughout the time. Between-group 
      differences revealed that the experimental group exhibited lower pain levels and 
      self-reported functional ankle instability and higher PPT, ankle muscle strength 
      and ROM values compared to the control group immediately after the interventions 
      and one month later. CONCLUSIONS: A protocol involving proprioceptive and 
      strengthening exercises and manual therapy (mobilizations to influence joint and 
      nerve structures) resulted in greater improvements in pain, self-reported 
      functional joint stability, strength and ROM compared to exercises alone.
CI  - Copyright (c) 2016 Elsevier Ltd. All rights reserved.
FAU - Plaza-Manzano, Gustavo
AU  - Plaza-Manzano G
AD  - Departamento de Medicina Fisica y Rehabilitacion, Facultad de Medicina, 
      Universidad Complutense de Madrid, Instituto de Investigacion Sanitaria del 
      Hospital Clinico San Carlos (IdISSC), Spain. Electronic address: 
      gustavo@fisioterapiamanual.es.
FAU - Vergara-Vila, Marta
AU  - Vergara-Vila M
AD  - Community Health Centre Maria Wolff, Madrid, Spain; Physiotherapy Department, 
      University of Alcala, E-28871, Madrid, Spain. Electronic address: 
      ver.vergara90@gmail.com.
FAU - Val-Otero, Sandra
AU  - Val-Otero S
AD  - Physiotherapy Department, University of Alcala, E-28871, Madrid, Spain. 
      Electronic address: Val.sandra@hotmail.com.
FAU - Rivera-Prieto, Cristina
AU  - Rivera-Prieto C
AD  - Physiotherapy Department, University of Alcala, E-28871, Madrid, Spain. 
      Electronic address: cris309cr@gmail.com.
FAU - Pecos-Martin, Daniel
AU  - Pecos-Martin D
AD  - Physiotherapy Department, University of Alcala, E-28871, Madrid, Spain. 
      Electronic address: daniel.pecos@uah.es.
FAU - Gallego-Izquierdo, Tomas
AU  - Gallego-Izquierdo T
AD  - Physiotherapy Department, University of Alcala, E-28871, Madrid, Spain. 
      Electronic address: tomas.gallego@uah.es.
FAU - Ferragut-Garcias, Alejandro
AU  - Ferragut-Garcias A
AD  - Physiotherapy and Nursery Department, University of the Balearic Islands, 
      E-07122, Mallorca, Spain. Electronic address: alejandro_sft@yahoo.es.
FAU - Romero-Franco, Natalia
AU  - Romero-Franco N
AD  - Physiotherapy and Nursery Department, University of the Balearic Islands, 
      E-07122, Mallorca, Spain. Electronic address: narf52@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20160829
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Ankle Injuries/*physiopathology/*therapy
MH  - *Exercise Therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Physical Therapy Modalities
MH  - Proprioception/*physiology
MH  - Single-Blind Method
MH  - Sprains and Strains/*physiopathology/*therapy
OTO - NOTNLM
OT  - Ankle sprain
OT  - Exercises
OT  - Manual therapy
OT  - Proprioception
EDAT- 2016/10/31 06:00
MHDA- 2017/11/14 06:00
CRDT- 2016/09/07 06:00
PHST- 2016/03/29 00:00 [received]
PHST- 2016/07/06 00:00 [revised]
PHST- 2016/08/22 00:00 [accepted]
PHST- 2016/10/31 06:00 [pubmed]
PHST- 2017/11/14 06:00 [medline]
PHST- 2016/09/07 06:00 [entrez]
AID - S1356-689X(16)30701-9 [pii]
AID - 10.1016/j.math.2016.08.006 [doi]
PST - ppublish
SO  - Man Ther. 2016 Dec;26:141-149. doi: 10.1016/j.math.2016.08.006. Epub 2016 Aug 29.