title: Does Talocrural Joint-Thrust Manipulation Improve Outcomes After Inversion Ankle Sprain?
abstract: Clinical Scenario: Ankle sprains account for roughly 10% of sport-related injuries in the active population. The majority of these injuries occur from excessive ankle inversion, leading to lateral ligamentous injury. In addition to pain and swelling, limitations in ankle range of motion (ROM) and self-reported function are common findings. These limitations are thought to be due in part to loss of mobility in the talocrural joint. Accordingly, some investigators have reported using high-velocity, low-amplitude thrust-manipulation techniques directed at the talocrural joint to address deficits in dorsiflexion (DF) ROM and function. This review was conducted to ascertain the impact of talocrural joint-thrust manipulation (TJM) on DF ROM, self-reported function, and pain in patients with a history of ankle sprain. Focused Clinical Question: In patients with a history of inversion ankle sprain, does TJM improve outcomes in DF ROM, self-reported function, and/or pain?
authors.affiliation: Physical Therapy Program, University of Wisconsin-La Crosse, La Crosse, WI.
authors.forename: Brett
authors.initials: B
authors.lastname: Krueger
authors.forename: Laura
authors.initials: L
authors.lastname: Becker
authors.forename: Greta
authors.initials: G
authors.lastname: Leemkuil
authors.forename: Christopher
authors.initials: C
authors.lastname: Durall
mesh_terms: D016512:Ankle Injuries / Q000628:therapy*; D000843:Ankle Joint / Q000503:physiopathology*; D001696:Biomechanical Phenomena; D006801:Humans; D008349:Manipulation, Orthopedic / Q000379:methods*; D016059:Range of Motion, Articular / Q000502:physiology*; D057566:Self Report