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Titre : | Effects of midfoot joint mobilization on ankle-foot morphology and function following acute ankle sprain. A crossover clinical trial (2020) |
Auteurs : | John J. Fraser ; Susan A. Saliba ; Joseph M. Hart ; Joseph S. Park ; Jay Hertel |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 46, April 2020) |
Article en page(s) : | p. 1-11 |
Note générale : | doi:10.1016/j.msksp.2020.102130 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Manipulations de l'appareil locomoteur ; Perception de la douleur ; Récupération fonctionnelle ; Résultat thérapeutique ; Thérapeutique ; Traumatismes de la cheville |
Résumé : |
Background:
Midfoot joint impairment is likely following lateral ankle sprain (LAS) that may benefit from mobilization. Objective: To investigate the effects of midfoot joint mobilizations and a one-week home exercise program (HEP) compared to a sham intervention and HEP on pain, patient-reported outcomes (PROs), ankle-foot joint mobility, and neuromotor function in young adults with recent LAS. Methods: All participants were instructed in a stretching, strengthening, and balance HEP and were randomized a priori to receive midfoot joint mobilizations (forefoot supination, cuboid glide and plantar 1st tarsometatarsal) or a sham laying-of-hands. Changes in pain, physical, psychological, and functional PROs, foot morphology, joint mobility, pain-to-palpation, neuromotor function, and dynamic balance were assessed pre-to-post treatment and one-week following. Participants crossed-over following a one-week washout to receive the alternate treatment and were assessed pre-to-post treatment and one-week following. ANOVAs, t-tests, proportions, and 95% confidence intervals (CI) were calculated to assess changes in outcomes. Cohen's d and 95% CI compared treatment effects at each time-point. Results: Midfoot joint mobilization had greater effects (p Conclusion: Midfoot joint mobilizations and HEP yielded greater pain reduction and perceived improvement compared to sham and is recommended in a comprehensive rehabilitation program following LAS. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781219301493 |