title: Hypoalgesic effect of a passive accessory mobilisation technique in patients with lateral ankle pain.
abstract: A randomised, double blind, repeated measures study was conducted to investigate the initial effects of an accessory mobilisation technique applied to the ankle joint in 13 patients with a unilateral sub-acute ankle supination injury. Ankle dorsiflexion range of motion, pressure pain threshold, visual analogue scale rating of pain during functional activity and ankle functional scores were assessed before and after application of treatment, manual contact control and no contact control conditions. There were significant improvements in ankle dorsiflexion range of motion (p = 0.000) and pressure pain threshold (p = 0.000) during the treatment condition. However no significant effects were observed for the other measures. These findings demonstrate that mobilisation of the ankle joint can produce an initial hypoalgesic effect and an improvement in ankle dorsiflexion range of motion.
authors.affiliation: Curtin Health Innovation Research Institute, School of Physiotherapy, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
authors.forename: Hwee Koon
authors.initials: HK
authors.lastname: Yeo
authors.forename: Anthony
authors.initials: A
authors.lastname: Wright
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016512:Ankle Injuries / Q000503:physiopathology / Q000534:rehabilitation*; D001265:Athletic Injuries / Q000503:physiopathology / Q000534:rehabilitation*; D004185:Disability Evaluation; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular / Q000502:physiology; D013180:Sprains and Strains / Q000503:physiopathology / Q000534:rehabilitation*; D016896:Treatment Outcome