PMID- 34391263 OWN - NLM STAT- MEDLINE DCOM- 20210819 LR - 20210819 IS - 1532-9283 (Electronic) IS - 1360-8592 (Linking) VI - 27 DP - 2021 Jul TI - Effect of finding-oriented manual therapy techniques on muscle activity and postural control in patients with chronic ankle instability - A randomized controlled feasibility study. PG - 402-409 LID - S1360-8592(21)00068-1 [pii] LID - 10.1016/j.jbmt.2021.03.018 [doi] AB - INTRODUCTION: Previous studies have analyzed the effects of manual therapy techniques (MTT) in patients with chronic ankle instability (CAI). Clinicians treat patients according the finding-oriented MTT approach. This approach is seldom pursued in research. The purpose of this study was to evaluate the feasibility and efficacy of finding-oriented MTT applications in patients with CAI. METHOD: In this randomized controlled, blinded assessor crossover feasibility trial, participants were randomized to receive nine finding-oriented MTT treatments or no treatment during a three-week period, followed by a six-day washout period after which participants were crossed-over. Criteria under evaluation were adherence and attrition rates, safety (adverse events (AEs)) and acceptability and preliminary effects of finding-oriented MTT on muscular activity (measured by surface Electromyography (sEMG)) and on dynamic balance (measured by time to stabilization (TTS) and the modified Star Excursion Balance Test (modified STBT)). RESULTS: Seven women and two men (mean age: 26 +/- 6.1 years) with CAI enrolled in this feasibility study. Success criteria showed a high adherence (90%) and low attrition rate (10%). All data could be used for analysis. AEs such as tingling in the foot during a short time frame were reported after four finding-oriented MTT interventions. Preliminary effect sizes showed divergence and few statistically significant results for sEMG. CONCLUSION: The participants were adherent to the finding-oriented MTT intervention. The acceptability of data recording and data analysis was good. In addition, the study protocol should be adapted by adding a 10-min warm up period, a participant familiarization to TTS and modified STBT, and test repetitions. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Rogan, Slavko AU - Rogan S AD - Division of Physiotherapy, Department of Health Professions, University of Applied Sciences Bern, Bern, Switzerland; Akademie fur Integrative Physiotherapie und Trainingslehre, Grenzach-Wyhlen, Germany; Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium. Electronic address: slavko.rogan@bfh.ch. FAU - Taeymans, Jan AU - Taeymans J AD - Division of Physiotherapy, Department of Health Professions, University of Applied Sciences Bern, Bern, Switzerland; Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium. FAU - Eggertswyler, Beatrice AU - Eggertswyler B AD - Division of Physiotherapy, Department of Health Professions, University of Applied Sciences Bern, Bern, Switzerland. FAU - Zuber, Stefan AU - Zuber S AD - Division of Physiotherapy, Department of Health Professions, University of Applied Sciences Bern, Bern, Switzerland. FAU - Eichelberger, Patric AU - Eichelberger P AD - Division of Physiotherapy, Department of Health Professions, University of Applied Sciences Bern, Bern, Switzerland. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20210319 PL - United States TA - J Bodyw Mov Ther JT - Journal of bodywork and movement therapies JID - 9700068 SB - IM MH - Adult MH - Ankle MH - Ankle Joint MH - Chronic Disease MH - Feasibility Studies MH - Female MH - Humans MH - *Joint Instability/therapy MH - Male MH - Muscles MH - *Musculoskeletal Manipulations MH - Postural Balance MH - Young Adult OTO - NOTNLM OT - Electromyography OT - Feasibility study OT - Musculoskeletal manipulations OT - Postural balance COIS- Declaration of competing interest The authors declare no potential conflict of interest with respect to the authorship and/or publication of this article. EDAT- 2021/08/16 06:00 MHDA- 2021/08/20 06:00 CRDT- 2021/08/15 01:00 PHST- 2019/08/01 00:00 [received] PHST- 2020/12/19 00:00 [revised] PHST- 2021/03/13 00:00 [accepted] PHST- 2021/08/15 01:00 [entrez] PHST- 2021/08/16 06:00 [pubmed] PHST- 2021/08/20 06:00 [medline] AID - S1360-8592(21)00068-1 [pii] AID - 10.1016/j.jbmt.2021.03.018 [doi] PST - ppublish SO - J Bodyw Mov Ther. 2021 Jul;27:402-409. doi: 10.1016/j.jbmt.2021.03.018. Epub 2021 Mar 19.