A comparison of mobilization and mobilization with movement on pain and range of motion in people with lateral ankle sprain: A randomized clinical trial

BackgroundMaitland and Mulligan mobilization techniques are two manual therapy methods to increase the range of motion following immobility treatment. The present study was conducted to compare two therapeutic methods, namely mobilization and mobilization with movement (MWM), on the pain and range of motion in people with lateral ankle sprain.MethodsA total of 40 individuals with grade two lateral ankle sprain were randomly divided into two groups, including the Maitland's mobilization intervention group, and the Mulligan's mobilization intervention group. Both groups underwent treatment every other day for two consecutive weeks. The pain intensity was measured using the Visual Analogue Scale (VAS), and the ankle dorsiflexion movement range using the Weight Bearing Lunge Test (WBLT) before and one day after the intervention.ResultsThere were no significant differences between the two groups in terms of pain (P = 0.297) and range of motion (P = 0.294) before the intervention. Meanwhile, after the intervention, a significant change was observed in both groups in terms of these variables, which indicates the effectiveness of both interventions (P < 0.001) and the greater effect of the mobilization with movement in reducing pain (P = 0.037) and increasing the range of motion (P = 0.021).ConclusionsBoth techniques significantly improved the range of motion and reduced pain in people with lateral ankle sprain, but Mulligan's technique was significantly more effective among the two, perhaps due to joining active and passive mobilizing tensile forces as well as interaction of afferents and efferents in the reflex arc.     

Treatment of Acute Lumbar Sprain with Single Acupoint： A RCT

目的:评价单一穴位治疗急性腰扭伤的治疗效果.方法:根据统一的诊断标准,在多个临床中心进行随机对照研究.全部病例320例经随机数字表法分为针刺后溪穴观察组和针刺腰痛点对照组.对患者的疼痛程度分别由医师和患者进行评分.结果:治疗2个疗程后,观察组和对照组近期有效率分别为89.4%和82.5%,远期有效率分别为95.6%和93.5%.经Ridit分析,近期疗效差异有统计意义(P<0.05),远期疗效差异无统计意义(P>0.05).结论:针刺单一穴位治疗急性腰扭伤疗效确切,取穴简便,后溪穴疗效好于腰痛点.     

Measuring standing hindfoot alignment: reliability of goniometric and visual measurements

OBJECTIVE: To examine the reliability of a functional weight-bearing measure of hindfoot alignment, the standing tibiocalcaneal angle (STCA), and to compare the relative reliabilities of goniometrically and visually estimated STCAs. DESIGN: Prospective blinded comparison. SETTING: Sports medicine center. PARTICIPANTS: Eighteen asymptomatic volunteer subjects (10 men, 8 women; age range, 22-41y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Two experienced examiners completed 2 blinded goniometric STCA and 2 blinded visual STCA measurements on each subject's right and left ankles in random order. RESULTS: Quantitative visual and goniometric STCAs were similar (visual mean range, 5.61 degrees -6.50 degrees valgus vs goniometric mean range, 5.50 degrees -6.94 degrees valgus), and both measurements exhibited good to excellent intrarater reliabilities (intraclass correlation coefficient [ICC] range, .80-.94; 95% prediction limits, 1.51 degrees -2.06 degrees ). Interrater ICCs were only fair for both measurement methods (.50-.75; 95% prediction limits, 2.2 degrees -4.1 degrees ). In terms of relative reliability, the visual STCA and goniometric STCA exhibited good to excellent agreement (ICC range, .64-.95). CONCLUSIONS: The STCA as described herein exhibited acceptable intrarater reliability for clinical use but may not be acceptably reliable between experienced examiners. The visual and goniometric STCA measurements were quantitatively similar and exhibited similar reliability. Using either method, changes of up to 2 degrees over time may be attributable to measurement error. Clinicians may consider using either STCA measurement in evaluating patients with lower-limb injuries or during screening of high-risk populations.     

发泡膏灸法治疗慢性踝关节扭伤37例疗效观察

目的：探讨石氏发泡膏治疗慢性踝关节扭伤的临床疗效及其治疗机理，方法：将67例患者随机分为发泡组和药物注射组进行对照治疗观察。结果：发泡组有效率为100．0％，药物注射组有效率为86．7％，两组有效率之间差异无显著性意义（P＞0．05），但两组治愈率之间差异有显著性意义（P＜0．05），结论：发泡组治愈率优于药物注射组，且无不良反应。     

Do Balance Board Training Programs Reduce the Risk of Ankle Sprains in Athletes?

Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).     

The Cumberland ankle instability tool: a report of validity and reliability testing

OBJECTIVE: To test the Cumberland Ankle Instability Tool (CAIT), a 9-item 30-point scale, for measuring severity of functional ankle instability. DESIGN: Cross-sectional study. SETTING: General community. PARTICIPANTS: Volunteer sample of 236 subjects. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Concurrent validity by comparison with the Lower Extremity Functional Scale (LEFS) and a visual analog scale (VAS) of global perception of ankle instability by using the Spearman rho. Construct validity and internal reliability with Rasch analysis using goodness-of-fit statistics for items and subjects, separation of subjects, correlation of items to the total scale, and a Cronbach alpha equivalent. Discrimination score for functional ankle instability by maximizing the Youden index and tested for sensitivity and specificity. Test-retest reliability by intraclass correlation coefficient, model 2,1 (ICC(2,1)). RESULTS: There were significant correlations between the CAIT and LEFS (rho=.50, P<.01) and VAS (rho=.76, P<.01). Construct validity and internal reliability were acceptable (alpha=.83; point measure correlation for all items, >0.5; item reliability index, .99). The threshold CAIT score was 27.5 (Youden index, 68.1); sensitivity was 82.9% and specificity was 74.7%. Test-retest reliability was excellent (ICC(2,1)=.96). CONCLUSIONS: CAIT is a simple, valid, and reliable tool to measure severity of functional ankle instability.     

Altered spinal-level sensorimotor control related to pain and perceived instability in people with chronic ankle instability

Objectives

To compare soleus spinal reflex excitability, presynaptic inhibition and recurrent inhibition between chronic ankle instability (CAI), acute Lateral Ankle Sprain coper (LAS-coper) and healthy populations. The relationship between spinal reflex excitability and pain and perceived instability in people with CAI was also examined.

Acute injuries in Finnish junior floorball league players

Objectives

To investigate the incidence and characteristics of acute time-loss injuries in Finnish junior floorball league players.

踝关节扭伤96例分期护理体会

踝关节扭伤是临床上常见的一种伤科疾病,可发生于任何年龄,以青壮年为主,因病人就诊的时间不同,针对性的护理措施也不同.2000年我们针对96例病人就诊时的状况,采取分期护理,收到了很好的效果,总结如下.     

Clinical Observation on Effect of FU＇s Subcutaneous Needling for Acute Lumbar Sprain

目的：观察浮针治疗急性腰扭伤的临床疗效。方法：将100例急性腰扭伤患者随机分为2组,治疗组50例,采取压痛点浮针针刺治疗,对照组50例,采取口服扶他林治疗。比较二组患者的症状和体征变化情况。结果：治疗组总有效率为94．0％,对照组总有效率为70．0％,经统计学处理,两组差异有统计学意义（P〈0．01）,治疗组临床疗效明显优于对照组。结论：浮针治疗急性腰扭伤优于口服扶他林。