Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability
The purpose of this study was to examine the effects of a single joint mobilization treatment on dorsiflexion range of motion (DF ROM), posterior talar glide, and dynamic and static postural control in individuals with self‐reported chronic ankle instability (CAI). In this randomized cross‐over stud...
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| Published in | Journal of orthopaedic research Vol. 29; no. 3; pp. 326 - 332 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Hoboken
Wiley Subscription Services, Inc., A Wiley Company
01.03.2011
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0736-0266 1554-527X 1554-527X |
| DOI | 10.1002/jor.21256 |
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| Abstract | The purpose of this study was to examine the effects of a single joint mobilization treatment on dorsiflexion range of motion (DF ROM), posterior talar glide, and dynamic and static postural control in individuals with self‐reported chronic ankle instability (CAI). In this randomized cross‐over study, subjects received a Maitland Grade III anterior‐to‐posterior joint mobilization treatment and a control treatment of rest for 5 min. Weight‐bearing DF ROM, instrumented posterior talar displacement and posterior stiffness, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and time‐to‐boundary (TTB) single‐limb stance static postural control were assessed on both treatment days in 9 males and 11 females with CAI. The results indicated that the joint mobilization treatment was associated with significantly greater DF ROM (p = 0.01) and TTB in the anterior–posterior direction with eyes‐open (p < 0.05). Although not significant, trends were identified in posterior talar displacement (p = 0.08) and the mean of TTB in the medial‐lateral (ML) direction (p = 0.07). No significant differences were observed in the standard deviation of TTB in the ML direction, the SEBT, or posterior stiffness (p > 0.05). This indicates that a single joint mobilization treatment has mechanical and functional benefits for addressing impairments in sensorimotor function and arthrokinematic restrictions commonly experienced by individuals with CAI. © 2010 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 29:326–332, 2011 |
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| AbstractList | The purpose of this study was to examine the effects of a single joint mobilization treatment on dorsiflexion range of motion (DF ROM), posterior talar glide, and dynamic and static postural control in individuals with self-reported chronic ankle instability (CAI). In this randomized cross-over study, subjects received a Maitland Grade III anterior-to-posterior joint mobilization treatment and a control treatment of rest for 5 min. Weight-bearing DF ROM, instrumented posterior talar displacement and posterior stiffness, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and time-to-boundary (TTB) single-limb stance static postural control were assessed on both treatment days in 9 males and 11 females with CAI. The results indicated that the joint mobilization treatment was associated with significantly greater DF ROM (p = 0.01) and TTB in the anterior-posterior direction with eyes-open (p < 0.05). Although not significant, trends were identified in posterior talar displacement (p = 0.08) and the mean of TTB in the medial-lateral (ML) direction (p = 0.07). No significant differences were observed in the standard deviation of TTB in the ML direction, the SEBT, or posterior stiffness (p > 0.05). This indicates that a single joint mobilization treatment has mechanical and functional benefits for addressing impairments in sensorimotor function and arthrokinematic restrictions commonly experienced by individuals with CAI.The purpose of this study was to examine the effects of a single joint mobilization treatment on dorsiflexion range of motion (DF ROM), posterior talar glide, and dynamic and static postural control in individuals with self-reported chronic ankle instability (CAI). In this randomized cross-over study, subjects received a Maitland Grade III anterior-to-posterior joint mobilization treatment and a control treatment of rest for 5 min. Weight-bearing DF ROM, instrumented posterior talar displacement and posterior stiffness, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and time-to-boundary (TTB) single-limb stance static postural control were assessed on both treatment days in 9 males and 11 females with CAI. The results indicated that the joint mobilization treatment was associated with significantly greater DF ROM (p = 0.01) and TTB in the anterior-posterior direction with eyes-open (p < 0.05). Although not significant, trends were identified in posterior talar displacement (p = 0.08) and the mean of TTB in the medial-lateral (ML) direction (p = 0.07). No significant differences were observed in the standard deviation of TTB in the ML direction, the SEBT, or posterior stiffness (p > 0.05). This indicates that a single joint mobilization treatment has mechanical and functional benefits for addressing impairments in sensorimotor function and arthrokinematic restrictions commonly experienced by individuals with CAI. The purpose of this study was to examine the effects of a single joint mobilization treatment on dorsiflexion range of motion (DF ROM), posterior talar glide, and dynamic and static postural control in individuals with self‐reported chronic ankle instability (CAI). In this randomized cross‐over study, subjects received a Maitland Grade III anterior‐to‐posterior joint mobilization treatment and a control treatment of rest for 5 min. Weight‐bearing DF ROM, instrumented posterior talar displacement and posterior stiffness, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and time‐to‐boundary (TTB) single‐limb stance static postural control were assessed on both treatment days in 9 males and 11 females with CAI. The results indicated that the joint mobilization treatment was associated with significantly greater DF ROM ( p = 0.01) and TTB in the anterior–posterior direction with eyes‐open ( p < 0.05). Although not significant, trends were identified in posterior talar displacement ( p = 0.08) and the mean of TTB in the medial‐lateral (ML) direction ( p = 0.07). No significant differences were observed in the standard deviation of TTB in the ML direction, the SEBT, or posterior stiffness ( p > 0.05). This indicates that a single joint mobilization treatment has mechanical and functional benefits for addressing impairments in sensorimotor function and arthrokinematic restrictions commonly experienced by individuals with CAI. © 2010 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 29:326–332, 2011 The purpose of this study was to examine the effects of a single joint mobilization treatment on dorsiflexion range of motion (DF ROM), posterior talar glide, and dynamic and static postural control in individuals with self-reported chronic ankle instability (CAI). In this randomized cross-over study, subjects received a Maitland Grade III anterior-to-posterior joint mobilization treatment and a control treatment of rest for 5 min. Weight-bearing DF ROM, instrumented posterior talar displacement and posterior stiffness, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and time-to-boundary (TTB) single-limb stance static postural control were assessed on both treatment days in 9 males and 11 females with CAI. The results indicated that the joint mobilization treatment was associated with significantly greater DF ROM (p = 0.01) and TTB in the anterior-posterior direction with eyes-open (p < 0.05). Although not significant, trends were identified in posterior talar displacement (p = 0.08) and the mean of TTB in the medial-lateral (ML) direction (p = 0.07). No significant differences were observed in the standard deviation of TTB in the ML direction, the SEBT, or posterior stiffness (p > 0.05). This indicates that a single joint mobilization treatment has mechanical and functional benefits for addressing impairments in sensorimotor function and arthrokinematic restrictions commonly experienced by individuals with CAI. The purpose of this study was to examine the effects of a single joint mobilization treatment on dorsiflexion range of motion (DF ROM), posterior talar glide, and dynamic and static postural control in individuals with self‐reported chronic ankle instability (CAI). In this randomized cross‐over study, subjects received a Maitland Grade III anterior‐to‐posterior joint mobilization treatment and a control treatment of rest for 5 min. Weight‐bearing DF ROM, instrumented posterior talar displacement and posterior stiffness, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and time‐to‐boundary (TTB) single‐limb stance static postural control were assessed on both treatment days in 9 males and 11 females with CAI. The results indicated that the joint mobilization treatment was associated with significantly greater DF ROM (p = 0.01) and TTB in the anterior–posterior direction with eyes‐open (p < 0.05). Although not significant, trends were identified in posterior talar displacement (p = 0.08) and the mean of TTB in the medial‐lateral (ML) direction (p = 0.07). No significant differences were observed in the standard deviation of TTB in the ML direction, the SEBT, or posterior stiffness (p > 0.05). This indicates that a single joint mobilization treatment has mechanical and functional benefits for addressing impairments in sensorimotor function and arthrokinematic restrictions commonly experienced by individuals with CAI. © 2010 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 29:326–332, 2011 |
| Author | Hoch, Matthew C. McKeon, Patrick O. |
| Author_xml | – sequence: 1 givenname: Matthew C. surname: Hoch fullname: Hoch, Matthew C. email: mcho222@uky.edu organization: Division of Athletic Training, University of Kentucky, College of Health Sciences, Wethington Building, Room 206B, 900 South Limestone, Lexington, KY 40536-0200 – sequence: 2 givenname: Patrick O. surname: McKeon fullname: McKeon, Patrick O. organization: Division of Athletic Training, University of Kentucky, College of Health Sciences, Wethington Building, Room 206B, 900 South Limestone, Lexington, KY 40536-0200 |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20886654$$D View this record in MEDLINE/PubMed |
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| References | McVey ED, Palmieri RM, Docherty CL, et al. 2005. Arthrogenic muscle inhibition in the leg muscles of subjects exhibiting functional ankle instability. Foot Ankle Int 26: 1055-1061. Palmieri RM, Ingersoll CD, Cordova ML, et al. 2003. The effect of a simulated knee joint effusion on postural control in healthy subjects. Arch Phys Med Rehabil 84: 1076-1079. Wikstrom EA, Tillman MD, Chmielewski TL, et al. 2009. Self-assessed disability and functional performance in individuals with and without ankle instability: a case control study. J Orthop Sport Phys Ther 39: 458-467. Wikstrom EA, Hubbard TJ. 2010. Talar positional fault in persons with chronic ankle instability. Arch Phys Med Rehabil 91: 1267-1271. Youdas JW, McLean TJ, Krause DA, et al. 2009. Changes in active ankle dorsiflexion range of motion after acute inversion ankle sprain. J Sport Rehabil 18: 358-374. Hertel J. 2008. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clin Sport Med 27: 353-370. Fernandez WG, Yard EE, Comstock RD. 2007. Epidemiology of lower extremity injuries among U.S. high school athletes. Acad Emerg Med 14: 641-645. Valderrabano V, Hintermann B, Horisberger M, et al. 2006. Ligamentous posttraumatic ankle osteoarthritis. Am J Sport Med 34: 612-620. Hoch MC, Staton GS, McKeon PO. 2010. Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport 45: (in press). DOI: 10.1016/j.jsams.2010.08.001. Hoch MC, Staton GS, McKeon PO. 2010. Reliability and responsiveness of the star excursion balance test in those with chronic ankle instability. Med Sci Sport Exerc 42: S347. Yerys S, Makofsky H, Byrd C, et al. 2002. Effect of mobilization of the anterior hip capsule on gluteus maximus strength. J Man Manip Ther 10: 218. Munn J, Sullivan SJ, Schneiders AG. 2010. Evidence of sensorimotor deficits in functional ankle instability: a systematic review with meta-analysis. J Sci Med Sport 13: 2-12. McKeon PO, Ingersoll CD, Kerrigan DC, et al. 2008. Balance training improves function and postural control in those with chronic ankle instability. Med Sci Sport Exerc 40: 1810-1819. Hootman JM, Dick R, Agel J. 2007. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train 42: 311-319. Drewes LK, McKeon PO, Kerrigan DC, et al. 2009. Dorsiflexion deficit during jogging with chronic ankle instability. J Sci Med Sport 12: 685-687. Anandacoomarasamy A, Barnsley L. 2005. Long term outcomes of inversion ankle injuries. Br J Sport Med 39: e14. Hertel J, Olmsted-Kramer LC, Challis JH. 2006. Time-to-boundary measures of postural control during single leg quiet standing. J Appl Biomech 22: 67-73. Landrum EL, Kelln BM, Parente WR, et al. 2008. Immediate effects of anterior-to-posterior talocrural joint mobilization after prolonged ankle immobilization: a preliminary study. J Man Manip Ther 16: 100-105. Vicenzino B, Branjerdporn M, Teys P, et al. 2006. Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain. J Orthop Sport Phys Ther 36: 464-471. Kaltenborn F. 1999. Manual mobilization of the joints, 5th ed. Minneapolis, MN: OPTA. Davids K, Glazier P, Araujo D, et al. 2003. Movement systems as dynamic systems: the functional role of variability and its implications for sports medicine. Sport Med 33: 245-260. Denegar CR, Hertel J, Fonseca J. 2002. The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sport Phys Ther 32: 166-173. McKeon PO, Booi MJ, Branam B, et al. 2010. Lateral ankle ligament anesthesia signficantly alters single limb postural control. Gait Posture 24: (in press). DOI: 10.1016/j.gaitpost.2010.06.016. Wyrwich KW, Tierney WM, Wolinsky FD. 1999. Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. J Clin Epidemiol 52: 861-873. Sefton JM, Hicks-Little CA, Hubbard TJ, et al. 2008. Segmental spinal reflex adaptations associated with chronic ankle instability. Arch Phys Med Rehabil 89: 1991-1995. Davids K, Glazier P. 2010. Deconstructing neurobiological coordination: the role of the biomechanics-motor control nexus. Exerc Sport Sci Rev 38: 86-90. Reid A, Birmingham TB, Alcock G. 2007. Efficacy of mobilization with movement for patients with limited dorsiflexion after ankle sprain: a crossover trial. Physiother Can 59: 166-172. Kovaleski JE, Schwarz NA, Heitman RJ, et al. 2010. Reliability of one-way and total laxity measurements of the ankle complex derived from an instrumented arthrometer. J Athl Train 45: S-13. Robinson RH, Gribble PA. 2008. Support for a reduction in the number of trials needed for the star excursion balance test. Arch Phys Med Rehabil 89: 364-370. Hertel J, Olmsted-Kramer LC. 2007. Deficits in time-to-boundary measures of postural control with chronic ankle instability. Gait Posture 25: 33-39. Green T, Refshauge K, Crosbie J, et al. 2001. A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains. Phys Ther 81: 984-994. Martin RL, Irrgang JJ, Burdett RG, et al. 2005. Evidence of validity for the foot and ankle ability measure (FAAM). Foot Ankle Int 26: 968-983. Hubbard TJ, Hertel J. 2006. Mechanical contributions to chronic lateral ankle instability. Sport Med 36: 263-277. Liebler EJ, Tufano-Coors L, Douris P, et al. 2001. The effect of thoracic spine mobilization on lower trapezius strength testing. J Man Manip Ther 9: 207. Gribble PA, Hertel J. 2003. Considerations for normalizing measures of the star excursion balance test. Meas Phys Educ Exerc Sci 7: 89-100. Beazell J, Grindstaff TL, Drewes LK, et al. 2010. Effects of tibiofibular joint manipulation on ankle range of motion and functional outcomes in individuals with chronic ankle instability. J Orthop Sport Phys Ther 40: A30. de Noronha M, Refshauge KM, Herbert RD, et al. 2006. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? Br J Sport Med 40: 824-828. Bennell K, Talbot R, Wajswelner H, et al. 1998. Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion. Aust J Physiother 44: 175-180. Collins N, Teys P, Vicenzino B. 2004. The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Man Ther 9: 77-82. Hertel J. 2002. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train 37: 364-375. de la Motte SJ, Arnold BL, Ross SE. 2010. CAI subjects show spinal rotation differences at maximal reach of the star excursion balance test. J Athl Train 45: S-68. Grindstaff TL, Beazell J, Drewes LK, et al. 2010. Effects of a tibiofibular joint manipulation on lower extremity H-reflex in individuals with chronic ankle instability. J Orthop Sport Phys Ther 40: A29-A30. Wikstrom EA, Naik S, Lodha N, et al. 2009. Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Med Sci Sport Exerc 41: 1287-1295. Beaton DE, Bombardier C, Katz JN, et al. 2001. A taxonomy for responsiveness. J Clin Epidemiol 54: 1204-1217. Arnold BL, De La Motte S, Linens S, et al. 2009. Ankle instability is associated with balance impairments: a meta-analysis. Med Sci Sport Exerc 41: 1048-1062. Docherty CL, Gansneder BM, Arnold BL, et al. 2006. Development and reliability of the ankle instability instrument. J Athl Train 41: 154-158. Hass CJ, Bishop MD, Doidge D, et al. 2010. Chronic ankle instability alters central organization of movement. Am J Sport Med 38: 829-834. 2002; 37 2009; 41 2010; 38 2010; 13 2006; 34 2002; 32 2006; 36 2008; 16 2002; 10 2004; 9 2005; 26 2007; 14 2010; 40 1998; 44 2007; 59 2003; 33 1999 2009; 12 2010; 45 2001; 81 2010; 42 2006; 41 2006; 40 2010; 24 2006; 22 2003; 7 2001; 9 2008; 27 2008; 89 1999; 52 2007; 42 2010; 91 2008; 40 2005; 39 2003; 84 2007; 25 2009; 18 2009; 39 2001; 54 e_1_2_6_30_2 e_1_2_6_18_2 e_1_2_6_19_2 Docherty CL (e_1_2_6_31_2) 2006; 41 Beazell J (e_1_2_6_48_2) 2010; 40 e_1_2_6_12_2 e_1_2_6_35_2 e_1_2_6_13_2 e_1_2_6_10_2 e_1_2_6_33_2 e_1_2_6_11_2 e_1_2_6_32_2 Hertel J (e_1_2_6_7_2) 2002; 37 e_1_2_6_16_2 e_1_2_6_39_2 e_1_2_6_38_2 e_1_2_6_14_2 de la Motte SJ (e_1_2_6_17_2) 2010; 45 e_1_2_6_37_2 e_1_2_6_15_2 e_1_2_6_36_2 e_1_2_6_42_2 e_1_2_6_20_2 e_1_2_6_41_2 e_1_2_6_40_2 Grindstaff TL (e_1_2_6_28_2) 2010; 40 e_1_2_6_8_2 e_1_2_6_9_2 e_1_2_6_29_2 e_1_2_6_4_2 e_1_2_6_3_2 Hootman JM (e_1_2_6_2_2) 2007; 42 e_1_2_6_6_2 Kaltenborn F (e_1_2_6_24_2) 1999 e_1_2_6_5_2 e_1_2_6_47_2 e_1_2_6_22_2 Kovaleski JE (e_1_2_6_34_2) 2010; 45 e_1_2_6_21_2 Green T (e_1_2_6_23_2) 2001; 81 e_1_2_6_43_2 e_1_2_6_27_2 e_1_2_6_44_2 e_1_2_6_26_2 e_1_2_6_45_2 e_1_2_6_25_2 e_1_2_6_46_2 |
| References_xml | – reference: Hoch MC, Staton GS, McKeon PO. 2010. Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport 45: (in press). DOI: 10.1016/j.jsams.2010.08.001. – reference: Landrum EL, Kelln BM, Parente WR, et al. 2008. Immediate effects of anterior-to-posterior talocrural joint mobilization after prolonged ankle immobilization: a preliminary study. J Man Manip Ther 16: 100-105. – reference: McVey ED, Palmieri RM, Docherty CL, et al. 2005. Arthrogenic muscle inhibition in the leg muscles of subjects exhibiting functional ankle instability. Foot Ankle Int 26: 1055-1061. – reference: Beazell J, Grindstaff TL, Drewes LK, et al. 2010. Effects of tibiofibular joint manipulation on ankle range of motion and functional outcomes in individuals with chronic ankle instability. J Orthop Sport Phys Ther 40: A30. – reference: Liebler EJ, Tufano-Coors L, Douris P, et al. 2001. The effect of thoracic spine mobilization on lower trapezius strength testing. J Man Manip Ther 9: 207. – reference: Hass CJ, Bishop MD, Doidge D, et al. 2010. Chronic ankle instability alters central organization of movement. Am J Sport Med 38: 829-834. – reference: Green T, Refshauge K, Crosbie J, et al. 2001. A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains. Phys Ther 81: 984-994. – reference: Fernandez WG, Yard EE, Comstock RD. 2007. Epidemiology of lower extremity injuries among U.S. high school athletes. Acad Emerg Med 14: 641-645. – reference: Hoch MC, Staton GS, McKeon PO. 2010. Reliability and responsiveness of the star excursion balance test in those with chronic ankle instability. Med Sci Sport Exerc 42: S347. – reference: Valderrabano V, Hintermann B, Horisberger M, et al. 2006. Ligamentous posttraumatic ankle osteoarthritis. Am J Sport Med 34: 612-620. – reference: Docherty CL, Gansneder BM, Arnold BL, et al. 2006. Development and reliability of the ankle instability instrument. J Athl Train 41: 154-158. – reference: Martin RL, Irrgang JJ, Burdett RG, et al. 2005. Evidence of validity for the foot and ankle ability measure (FAAM). Foot Ankle Int 26: 968-983. – reference: McKeon PO, Ingersoll CD, Kerrigan DC, et al. 2008. Balance training improves function and postural control in those with chronic ankle instability. Med Sci Sport Exerc 40: 1810-1819. – reference: Wikstrom EA, Tillman MD, Chmielewski TL, et al. 2009. Self-assessed disability and functional performance in individuals with and without ankle instability: a case control study. J Orthop Sport Phys Ther 39: 458-467. – reference: Wikstrom EA, Naik S, Lodha N, et al. 2009. Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Med Sci Sport Exerc 41: 1287-1295. – reference: Davids K, Glazier P, Araujo D, et al. 2003. Movement systems as dynamic systems: the functional role of variability and its implications for sports medicine. Sport Med 33: 245-260. – reference: Yerys S, Makofsky H, Byrd C, et al. 2002. Effect of mobilization of the anterior hip capsule on gluteus maximus strength. J Man Manip Ther 10: 218. – reference: Hertel J. 2002. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train 37: 364-375. – reference: Denegar CR, Hertel J, Fonseca J. 2002. The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sport Phys Ther 32: 166-173. – reference: Davids K, Glazier P. 2010. Deconstructing neurobiological coordination: the role of the biomechanics-motor control nexus. Exerc Sport Sci Rev 38: 86-90. – reference: Wikstrom EA, Hubbard TJ. 2010. Talar positional fault in persons with chronic ankle instability. Arch Phys Med Rehabil 91: 1267-1271. – reference: Robinson RH, Gribble PA. 2008. Support for a reduction in the number of trials needed for the star excursion balance test. Arch Phys Med Rehabil 89: 364-370. – reference: Beaton DE, Bombardier C, Katz JN, et al. 2001. A taxonomy for responsiveness. J Clin Epidemiol 54: 1204-1217. – reference: de la Motte SJ, Arnold BL, Ross SE. 2010. CAI subjects show spinal rotation differences at maximal reach of the star excursion balance test. J Athl Train 45: S-68. – reference: Sefton JM, Hicks-Little CA, Hubbard TJ, et al. 2008. Segmental spinal reflex adaptations associated with chronic ankle instability. Arch Phys Med Rehabil 89: 1991-1995. – reference: Hertel J, Olmsted-Kramer LC. 2007. Deficits in time-to-boundary measures of postural control with chronic ankle instability. Gait Posture 25: 33-39. – reference: Hertel J, Olmsted-Kramer LC, Challis JH. 2006. Time-to-boundary measures of postural control during single leg quiet standing. J Appl Biomech 22: 67-73. – reference: Hubbard TJ, Hertel J. 2006. Mechanical contributions to chronic lateral ankle instability. Sport Med 36: 263-277. – reference: Hertel J. 2008. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clin Sport Med 27: 353-370. – reference: de Noronha M, Refshauge KM, Herbert RD, et al. 2006. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? Br J Sport Med 40: 824-828. – reference: Kovaleski JE, Schwarz NA, Heitman RJ, et al. 2010. Reliability of one-way and total laxity measurements of the ankle complex derived from an instrumented arthrometer. J Athl Train 45: S-13. – reference: Gribble PA, Hertel J. 2003. Considerations for normalizing measures of the star excursion balance test. Meas Phys Educ Exerc Sci 7: 89-100. – reference: Bennell K, Talbot R, Wajswelner H, et al. 1998. Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion. Aust J Physiother 44: 175-180. – reference: Kaltenborn F. 1999. Manual mobilization of the joints, 5th ed. Minneapolis, MN: OPTA. – reference: Arnold BL, De La Motte S, Linens S, et al. 2009. Ankle instability is associated with balance impairments: a meta-analysis. Med Sci Sport Exerc 41: 1048-1062. – reference: Youdas JW, McLean TJ, Krause DA, et al. 2009. Changes in active ankle dorsiflexion range of motion after acute inversion ankle sprain. J Sport Rehabil 18: 358-374. – reference: Grindstaff TL, Beazell J, Drewes LK, et al. 2010. Effects of a tibiofibular joint manipulation on lower extremity H-reflex in individuals with chronic ankle instability. J Orthop Sport Phys Ther 40: A29-A30. – reference: Wyrwich KW, Tierney WM, Wolinsky FD. 1999. Further evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life. J Clin Epidemiol 52: 861-873. – reference: Hootman JM, Dick R, Agel J. 2007. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train 42: 311-319. – reference: McKeon PO, Booi MJ, Branam B, et al. 2010. Lateral ankle ligament anesthesia signficantly alters single limb postural control. Gait Posture 24: (in press). DOI: 10.1016/j.gaitpost.2010.06.016. – reference: Drewes LK, McKeon PO, Kerrigan DC, et al. 2009. Dorsiflexion deficit during jogging with chronic ankle instability. J Sci Med Sport 12: 685-687. – reference: Vicenzino B, Branjerdporn M, Teys P, et al. 2006. Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain. J Orthop Sport Phys Ther 36: 464-471. – reference: Anandacoomarasamy A, Barnsley L. 2005. Long term outcomes of inversion ankle injuries. Br J Sport Med 39: e14. – reference: Munn J, Sullivan SJ, Schneiders AG. 2010. Evidence of sensorimotor deficits in functional ankle instability: a systematic review with meta-analysis. J Sci Med Sport 13: 2-12. – reference: Reid A, Birmingham TB, Alcock G. 2007. Efficacy of mobilization with movement for patients with limited dorsiflexion after ankle sprain: a crossover trial. Physiother Can 59: 166-172. – reference: Collins N, Teys P, Vicenzino B. 2004. The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Man Ther 9: 77-82. – reference: Palmieri RM, Ingersoll CD, Cordova ML, et al. 2003. The effect of a simulated knee joint effusion on postural control in healthy subjects. Arch Phys Med Rehabil 84: 1076-1079. – volume: 89 start-page: 1991 year: 2008 end-page: 1995 article-title: Segmental spinal reflex adaptations associated with chronic ankle instability publication-title: Arch Phys Med Rehabil – volume: 42 start-page: 311 year: 2007 end-page: 319 article-title: Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives publication-title: J Athl Train – volume: 40 start-page: A29 year: 2010 end-page: A30 article-title: Effects of a tibiofibular joint manipulation on lower extremity H‐reflex in individuals with chronic ankle instability publication-title: J Orthop Sport Phys Ther – volume: 25 start-page: 33 year: 2007 end-page: 39 article-title: Deficits in time‐to‐boundary measures of postural control with chronic ankle instability publication-title: Gait Posture – volume: 40 start-page: 1810 year: 2008 end-page: 1819 article-title: Balance training improves function and postural control in those with chronic ankle instability publication-title: Med Sci Sport Exerc – volume: 45 start-page: S‐68 year: 2010 article-title: CAI subjects show spinal rotation differences at maximal reach of the star excursion balance test publication-title: J Athl Train – volume: 52 start-page: 861 year: 1999 end-page: 873 article-title: Further evidence supporting an SEM‐based criterion for identifying meaningful intra‐individual changes in health‐related quality of life publication-title: J Clin Epidemiol – volume: 44 start-page: 175 year: 1998 end-page: 180 article-title: Intra‐rater and inter‐rater reliability of a weight‐bearing lunge measure of ankle dorsiflexion publication-title: Aust J Physiother – volume: 9 start-page: 207 year: 2001 article-title: The effect of thoracic spine mobilization on lower trapezius strength testing publication-title: J Man Manip Ther – volume: 26 start-page: 968 year: 2005 end-page: 983 article-title: Evidence of validity for the foot and ankle ability measure (FAAM) publication-title: Foot Ankle Int – volume: 40 start-page: 824 year: 2006 end-page: 828 article-title: Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? publication-title: Br J Sport Med – volume: 7 start-page: 89 year: 2003 end-page: 100 article-title: Considerations for normalizing measures of the star excursion balance test publication-title: Meas Phys Educ Exerc Sci – volume: 22 start-page: 67 year: 2006 end-page: 73 article-title: Time‐to‐boundary measures of postural control during single leg quiet standing publication-title: J Appl Biomech – volume: 14 start-page: 641 year: 2007 end-page: 645 article-title: Epidemiology of lower extremity injuries among U.S. high school athletes publication-title: Acad Emerg Med – volume: 37 start-page: 364 year: 2002 end-page: 375 article-title: Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability publication-title: J Athl Train – volume: 41 start-page: 1287 year: 2009 end-page: 1295 article-title: Balance capabilities after lateral ankle trauma and intervention: a meta‐analysis publication-title: Med Sci Sport Exerc – volume: 16 start-page: 100 year: 2008 end-page: 105 article-title: Immediate effects of anterior‐to‐posterior talocrural joint mobilization after prolonged ankle immobilization: a preliminary study publication-title: J Man Manip Ther – volume: 91 start-page: 1267 year: 2010 end-page: 1271 article-title: Talar positional fault in persons with chronic ankle instability publication-title: Arch Phys Med Rehabil – volume: 26 start-page: 1055 year: 2005 end-page: 1061 article-title: Arthrogenic muscle inhibition in the leg muscles of subjects exhibiting functional ankle instability publication-title: Foot Ankle Int – volume: 41 start-page: 1048 year: 2009 end-page: 1062 article-title: Ankle instability is associated with balance impairments: a meta‐analysis publication-title: Med Sci Sport Exerc – volume: 18 start-page: 358 year: 2009 end-page: 374 article-title: Changes in active ankle dorsiflexion range of motion after acute inversion ankle sprain publication-title: J Sport Rehabil – volume: 10 start-page: 218 year: 2002 article-title: Effect of mobilization of the anterior hip capsule on gluteus maximus strength publication-title: J Man Manip Ther – volume: 54 start-page: 1204 year: 2001 end-page: 1217 article-title: A taxonomy for responsiveness publication-title: J Clin Epidemiol – volume: 24 year: 2010 article-title: Lateral ankle ligament anesthesia signficantly alters single limb postural control publication-title: Gait Posture – volume: 89 start-page: 364 year: 2008 end-page: 370 article-title: Support for a reduction in the number of trials needed for the star excursion balance test publication-title: Arch Phys Med Rehabil – volume: 40 start-page: A30 year: 2010 article-title: Effects of tibiofibular joint manipulation on ankle range of motion and functional outcomes in individuals with chronic ankle instability publication-title: J Orthop Sport Phys Ther – volume: 42 start-page: S347 year: 2010 article-title: Reliability and responsiveness of the star excursion balance test in those with chronic ankle instability publication-title: Med Sci Sport Exerc – volume: 36 start-page: 464 year: 2006 end-page: 471 article-title: Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain publication-title: J Orthop Sport Phys Ther – volume: 27 start-page: 353 year: 2008 end-page: 370 article-title: Sensorimotor deficits with ankle sprains and chronic ankle instability publication-title: Clin Sport Med – volume: 41 start-page: 154 year: 2006 end-page: 158 article-title: Development and reliability of the ankle instability instrument publication-title: J Athl Train – volume: 84 start-page: 1076 year: 2003 end-page: 1079 article-title: The effect of a simulated knee joint effusion on postural control in healthy subjects publication-title: Arch Phys Med Rehabil – volume: 9 start-page: 77 year: 2004 end-page: 82 article-title: The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains publication-title: Man Ther – volume: 38 start-page: 86 year: 2010 end-page: 90 article-title: Deconstructing neurobiological coordination: the role of the biomechanics‐motor control nexus publication-title: Exerc Sport Sci Rev – volume: 59 start-page: 166 year: 2007 end-page: 172 article-title: Efficacy of mobilization with movement for patients with limited dorsiflexion after ankle sprain: a crossover trial publication-title: Physiother Can – volume: 33 start-page: 245 year: 2003 end-page: 260 article-title: Movement systems as dynamic systems: the functional role of variability and its implications for sports medicine publication-title: Sport Med – volume: 81 start-page: 984 year: 2001 end-page: 994 article-title: A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains publication-title: Phys Ther – volume: 45 year: 2010 article-title: Dorsiflexion range of motion significantly influences dynamic balance publication-title: J Sci Med Sport – volume: 39 start-page: e14 year: 2005 article-title: Long term outcomes of inversion ankle injuries publication-title: Br J Sport Med – volume: 34 start-page: 612 year: 2006 end-page: 620 article-title: Ligamentous posttraumatic ankle osteoarthritis publication-title: Am J Sport Med – volume: 36 start-page: 263 year: 2006 end-page: 277 article-title: Mechanical contributions to chronic lateral ankle instability publication-title: Sport Med – volume: 45 start-page: S‐13 year: 2010 article-title: Reliability of one‐way and total laxity measurements of the ankle complex derived from an instrumented arthrometer publication-title: J Athl Train – volume: 39 start-page: 458 year: 2009 end-page: 467 article-title: Self‐assessed disability and functional performance in individuals with and without ankle instability: a case control study publication-title: J Orthop Sport Phys Ther – volume: 12 start-page: 685 year: 2009 end-page: 687 article-title: Dorsiflexion deficit during jogging with chronic ankle instability publication-title: J Sci Med Sport – volume: 13 start-page: 2 year: 2010 end-page: 12 article-title: Evidence of sensorimotor deficits in functional ankle instability: a systematic review with meta‐analysis publication-title: J Sci Med Sport – volume: 38 start-page: 829 year: 2010 end-page: 834 article-title: Chronic ankle instability alters central organization of movement publication-title: Am J Sport Med – volume: 32 start-page: 166 year: 2002 end-page: 173 article-title: The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity publication-title: J Orthop Sport Phys Ther – year: 1999 – ident: e_1_2_6_25_2 doi: 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| SubjectTerms | Adult Ankle Joint - physiology ankle sprain balance Chronic Disease Cross-Over Studies dorsiflexion Female Humans Joint Instability - physiopathology Joint Instability - therapy Male manual therapy Musculoskeletal Manipulations - methods Physical Therapy Modalities Postural Balance - physiology Posture - physiology Range of Motion, Articular - physiology sensorimotor system Treatment Outcome Young Adult |
| Title | Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability |
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