The Acute effects of Talocrural MWM compared with the application of Soft-tissue of the plantarfascia on chronic Lateral Ankle Sprains for ankle Dorsiflexion R.O.M.

Previous research has looked at various treatment remedies for improving acute ankle Dorsiflexion Range of Motion (DFROM) post chronic Lateral Ankle Sprain (LAS). Mulligan’s Mobilisation with Movement (MWM) appears frequently however, the significance and mechanism remain quite conflicting (Gilbreat...

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Main Authors: Peter Hempenstall, Brian O'Rourke
Format: Article
Language:English
Published: Technological University Dublin 2022-12-01
Series:SURE Journal: (Science Undergraduate Research Experience Journal)
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Online Access:https://arrow.tudublin.ie/sure_j/vol4/iss1/4
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author Peter Hempenstall
Brian O'Rourke
author_facet Peter Hempenstall
Brian O'Rourke
author_sort Peter Hempenstall
collection DOAJ
description Previous research has looked at various treatment remedies for improving acute ankle Dorsiflexion Range of Motion (DFROM) post chronic Lateral Ankle Sprain (LAS). Mulligan’s Mobilisation with Movement (MWM) appears frequently however, the significance and mechanism remain quite conflicting (Gilbreath et al., 2015). It is also known that after a LAS, the Lateral Ligament Complex (LLC) is compromised and the calcaneus inverts, increasing stiffness of plantarfascia (Al-Mohrej & Al-Kenani, 2016, Denegar et al., 2002, Loudon & Bell, 1996). The objective of this study was to further explore the effectiveness of MWM compared with soft-tissue (ST) application of the plantarfascia on acute ankle DFROM. 20 male Gaelic footballers (Mean ± SD: Age = 22.5 ± 1.5 years, Ankle DFROM = 29.9⁰ ± 8.6⁰) with a history of chronic LAS (>6-months with no current or recent lower-chain injuries andDFROM) were split into two groups using subject-matching: MWM (n=10), plantarfascia (n=10). The main outcome measure was ankle DFROM using a Weight-Bearing Lunge Test (WBLT) both pre-intervention and immediately post-intervention. There was significant evidence to support the utilisation of either treatment for the improvement of acute ankle DFROM post chronic LAS (P≤0.001). Each group saw increases in ankle DFROM (MWM: 5.6%, plantarfascia: 18.5%) however, there was no statistically significant differences between groups (P≤0.001) and only a small effect size was observed (0.4). These results indicate the clinical relevance of incorporating either treatment intervention into the rehabilitation or treatment protocol of chronic LAS. It would be of interest to view the lasting effects of this study or to view how the treatment interventions may have performed once combined and so future research is recommended for greater comprehension.
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spelling doaj-art-eae593eac22f4cc9898ed0bbf0cf94812025-01-31T10:28:14ZengTechnological University DublinSURE Journal: (Science Undergraduate Research Experience Journal)2990-81672022-12-014110.21427/hkv8-qy50The Acute effects of Talocrural MWM compared with the application of Soft-tissue of the plantarfascia on chronic Lateral Ankle Sprains for ankle Dorsiflexion R.O.M.Peter Hempenstall0Brian O'Rourke1South East Technological University, CarlowSouth East Technological University, CarlowPrevious research has looked at various treatment remedies for improving acute ankle Dorsiflexion Range of Motion (DFROM) post chronic Lateral Ankle Sprain (LAS). Mulligan’s Mobilisation with Movement (MWM) appears frequently however, the significance and mechanism remain quite conflicting (Gilbreath et al., 2015). It is also known that after a LAS, the Lateral Ligament Complex (LLC) is compromised and the calcaneus inverts, increasing stiffness of plantarfascia (Al-Mohrej & Al-Kenani, 2016, Denegar et al., 2002, Loudon & Bell, 1996). The objective of this study was to further explore the effectiveness of MWM compared with soft-tissue (ST) application of the plantarfascia on acute ankle DFROM. 20 male Gaelic footballers (Mean ± SD: Age = 22.5 ± 1.5 years, Ankle DFROM = 29.9⁰ ± 8.6⁰) with a history of chronic LAS (>6-months with no current or recent lower-chain injuries andDFROM) were split into two groups using subject-matching: MWM (n=10), plantarfascia (n=10). The main outcome measure was ankle DFROM using a Weight-Bearing Lunge Test (WBLT) both pre-intervention and immediately post-intervention. There was significant evidence to support the utilisation of either treatment for the improvement of acute ankle DFROM post chronic LAS (P≤0.001). Each group saw increases in ankle DFROM (MWM: 5.6%, plantarfascia: 18.5%) however, there was no statistically significant differences between groups (P≤0.001) and only a small effect size was observed (0.4). These results indicate the clinical relevance of incorporating either treatment intervention into the rehabilitation or treatment protocol of chronic LAS. It would be of interest to view the lasting effects of this study or to view how the treatment interventions may have performed once combined and so future research is recommended for greater comprehension.https://arrow.tudublin.ie/sure_j/vol4/iss1/4lateral ankle spraindorsiflexionmwmplantarfasciagaa
spellingShingle Peter Hempenstall
Brian O'Rourke
The Acute effects of Talocrural MWM compared with the application of Soft-tissue of the plantarfascia on chronic Lateral Ankle Sprains for ankle Dorsiflexion R.O.M.
SURE Journal: (Science Undergraduate Research Experience Journal)
lateral ankle sprain
dorsiflexion
mwm
plantarfascia
gaa
title The Acute effects of Talocrural MWM compared with the application of Soft-tissue of the plantarfascia on chronic Lateral Ankle Sprains for ankle Dorsiflexion R.O.M.
title_full The Acute effects of Talocrural MWM compared with the application of Soft-tissue of the plantarfascia on chronic Lateral Ankle Sprains for ankle Dorsiflexion R.O.M.
title_fullStr The Acute effects of Talocrural MWM compared with the application of Soft-tissue of the plantarfascia on chronic Lateral Ankle Sprains for ankle Dorsiflexion R.O.M.
title_full_unstemmed The Acute effects of Talocrural MWM compared with the application of Soft-tissue of the plantarfascia on chronic Lateral Ankle Sprains for ankle Dorsiflexion R.O.M.
title_short The Acute effects of Talocrural MWM compared with the application of Soft-tissue of the plantarfascia on chronic Lateral Ankle Sprains for ankle Dorsiflexion R.O.M.
title_sort acute effects of talocrural mwm compared with the application of soft tissue of the plantarfascia on chronic lateral ankle sprains for ankle dorsiflexion r o m
topic lateral ankle sprain
dorsiflexion
mwm
plantarfascia
gaa
url https://arrow.tudublin.ie/sure_j/vol4/iss1/4
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