The efficacy of manual joint mobilisation/manipulation in treatment of lateral ankle sprains: a systematic review

  title={The efficacy of manual joint mobilisation/manipulation in treatment of lateral ankle sprains: a systematic review},
  author={Janice Loudon and Michael P Reiman and Jonathan Sylvain},
  journal={British Journal of Sports Medicine},
  pages={365 - 370}
Background Lateral ankle sprains are common and can have detrimental consequences to the athlete. Joint mobilisation/manipulation may limit these outcomes. Objective Systematically summarise the effectiveness of manual joint techniques in treatment of lateral ankle sprains. Methods This review employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A computer-assisted literature search of MEDLINE, CINHAL, EMBASE, OVID and Physiotherapy Evidence Database… 

The symptomatic and functional effects of manual physical therapy on plantar heel pain: a systematic review

This review suggests that manual therapy is effective in the treatment of plantar heel pain; however, further research is needed to validate these findings given the preponderance of low quality studies.

The Effect of Manual Therapy Plus Exercise in Patients with Lateral Ankle Sprains: A Critically Appraised Topic with a Meta-Analysis

Manual therapy plus exercise was more effective than only exercises in improving dorsal and plantar flexion and pain in patients with lateral ankle sprains, and can be used with therapeutic exercise to improve clinical outcome.

Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-Analysis

For individuals with CAI, joint mobilization has limited function but has positive benefits for the dorsiflexion range of motion and dynamic balance.

Effectiveness of Mobilization of the Talus and Distal Fibula in the Management of Acute Lateral Ankle Sprain.

There are limited differences in the short term among techniques, with the exception of better sport function with MOB, but over the longer term, the distal fibula MWM is most effective to achieve activities of daily living and sport function, when added to usual physical therapy care.

The association of ankle dorsiflexion and dynamic knee valgus: A systematic review and meta-analysis.

Acute Ankle Sprain Management: An Umbrella Review of Systematic Reviews

An umbrella review of systematic reviews to collect the most effective evidence-based treatments and to point out the state-of-the-art management for this injury found evidence supporting the effectiveness of non-surgical treatment in managing acute ankle sprain.

Novel treatment of lateral ankle sprains using the Mulligan concept: an exploratory case series analysis

The evidence presented in this Level-4 case series supports the use of the MC lateral ankle MWM to treat patients diagnosed with acute grade II LAS and reports of immediate decreases in pain and immediate increases in function.


The literature demonstrates the effectiveness of functional treatment versus immobilization in the acute phase of the sprain compared to prolonged immobilization traditionally standardized as the most effective method, showing great benefits not only in terms of range of motion (ROM), but also in termsof pain, function and return to normal life activities.



Efficacy of Mobilization with Movement for Patients with Limited Dorsiflexion after Ankle Sprain: A Crossover Trial

It is suggested that a talocurual MWM improves ankle dorsiflexion immediately following treatment, and future research evaluating the effectiveness of multiple treatments on functional outcomes is warranted.

Immediate effects of anterior to posterior talocrural joint mobilizations following acute lateral ankle sprain

A single bout of AP talocrural joint mobilizations may not have an immediate effect on ankle dorsiflexion ROM, posterior talar translation, or self-reported function; however, they may have an immediately effect on pain perception in individuals with an acute lateral ankle sprain.

The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity.

Dorsiflexion range of motion was restored in the population studied despite evidence of restricted posterior glide of the talocrural joint, and residual joint dysfunction persisted after lateral ankle sprain.

Persistent Disability Associated with Ankle Sprains: A Prospective Examination of an Athletic Population

Syndesmosis sprains are more common than previously thought, and this confirms that syndesmosis Sprains are associated with prolonged disability.

A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains.

Addition of a talocrural mobilization to the RICE protocol in the management of ankle inversion injuries necessitated fewer treatments to achieve pain-free dorsiflexion and to improve stride speed more than RICE alone.

Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain.

This preliminary study demonstrated an initial ameliorative effect of MWM treatment techniques on posterior talar glide and dorsiflexion range of motion in individuals with recurrent lateral ankle sprain and suggests that this technique should be considered in rehabilitation programs following lateral ankleSprain.