Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series

# Background Persisting reductions in ankle dorsiflexion range of motion are commonly encountered clinically and seen to be associated with adverse outcomes after ankle and other lower extremity injuries. Accordingly improving identified deficits is a common goal for rehabilitation; however, little...

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Autores principales:	Mohsen Abassi, Rod Whiteley
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/ede772499f4b471f9f6618ab36e1d4ce
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spelling	oai:doaj.org-article:ede772499f4b471f9f6618ab36e1d4ce2021-12-02T18:58:27ZSerial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series2159-2896https://doaj.org/article/ede772499f4b471f9f6618ab36e1d4ce2021-08-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/25544-serial-within-session-improvements-in-ankle-dorsiflexion-during-clinical-interventions-including-mobilization-with-movement-and-a-novel-manipulation-i.pdfhttps://doaj.org/toc/2159-2896# Background Persisting reductions in ankle dorsiflexion range of motion are commonly encountered clinically and seen to be associated with adverse outcomes after ankle and other lower extremity injuries. Accordingly improving identified deficits is a common goal for rehabilitation; however, little data exists documenting any improvement related to interventions in these patients. # Purpose To document the change in dorsiflexion range of motion after stretching and mobilization-with-movement and exercise and a novel manipulation intervention in a population of injured athletes. # Design Case series in 38 consecutive injured athletes with persisting reductions in ankle dorsiflexion range of motion (42 “stiff” ankles, 34 uninjured) in an outpatient sports physiotherapy clinic. # Method During a single treatment session, two baseline measurements of weight-bearing dorsiflexion were taken at the start of the session to establish reliability and minimum detectable change, and then the same measures were performed after stretching and a mobilization-with-movement intervention, and again after clinical exercise and a novel manipulation which was applied on both ankles. # Results Excellent reliability was demonstrated (ICC~2,1~\>0.93, MDC=3.5°) for the dorsiflexion measure. Statistically significant (p\<0.01), but clinically meaningless improvements were seen after stretching and the mobilization-with-movement intervention on the injured and uninjured legs (1.9° and 1.4° respectively) with greater improvements seen after exercise and the subsequent manipulation (6.9° and 4.7°). # Conclusions The relatively simple clinical exercise and manipulation intervention program was associated improvement in dorsiflexion range of motion in this cohort with persisting ankle stiffness. The interventions described largely restored range of motion consistent with baseline levels of the uninjured ankles. Improvements were also seen in the uninjured ankles following intervention.Mohsen AbassiRod WhiteleyNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Mohsen Abassi Rod Whiteley Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series
description	# Background Persisting reductions in ankle dorsiflexion range of motion are commonly encountered clinically and seen to be associated with adverse outcomes after ankle and other lower extremity injuries. Accordingly improving identified deficits is a common goal for rehabilitation; however, little data exists documenting any improvement related to interventions in these patients. # Purpose To document the change in dorsiflexion range of motion after stretching and mobilization-with-movement and exercise and a novel manipulation intervention in a population of injured athletes. # Design Case series in 38 consecutive injured athletes with persisting reductions in ankle dorsiflexion range of motion (42 “stiff” ankles, 34 uninjured) in an outpatient sports physiotherapy clinic. # Method During a single treatment session, two baseline measurements of weight-bearing dorsiflexion were taken at the start of the session to establish reliability and minimum detectable change, and then the same measures were performed after stretching and a mobilization-with-movement intervention, and again after clinical exercise and a novel manipulation which was applied on both ankles. # Results Excellent reliability was demonstrated (ICC~2,1~\>0.93, MDC=3.5°) for the dorsiflexion measure. Statistically significant (p\<0.01), but clinically meaningless improvements were seen after stretching and the mobilization-with-movement intervention on the injured and uninjured legs (1.9° and 1.4° respectively) with greater improvements seen after exercise and the subsequent manipulation (6.9° and 4.7°). # Conclusions The relatively simple clinical exercise and manipulation intervention program was associated improvement in dorsiflexion range of motion in this cohort with persisting ankle stiffness. The interventions described largely restored range of motion consistent with baseline levels of the uninjured ankles. Improvements were also seen in the uninjured ankles following intervention.
format	article
author	Mohsen Abassi Rod Whiteley
author_facet	Mohsen Abassi Rod Whiteley
author_sort	Mohsen Abassi
title	Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series
title_short	Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series
title_full	Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series
title_fullStr	Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series
title_full_unstemmed	Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series
title_sort	serial within-session improvements in ankle dorsiflexion during clinical interventions including mobilization-with-movement and a novel manipulation intervention – a case series
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/ede772499f4b471f9f6618ab36e1d4ce
work_keys_str_mv	AT mohsenabassi serialwithinsessionimprovementsinankledorsiflexionduringclinicalinterventionsincludingmobilizationwithmovementandanovelmanipulationinterventionacaseseries AT rodwhiteley serialwithinsessionimprovementsinankledorsiflexionduringclinicalinterventionsincludingmobilizationwithmovementandanovelmanipulationinterventionacaseseries
_version_	1718377301649915904

Serial Within-Session Improvements in Ankle Dorsiflexion During Clinical Interventions Including Mobilization-With-Movement and A Novel Manipulation Intervention – A Case Series

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