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1. Citation: Weerasekara, I., Osmotherly, P., Snodgrass, S., Marquez, J., de Zoete, R., & Rivett, D. A. (2018). Clinical benefits of joint mobilization on ankle sprains: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 99(7), 1395-1412, 1412.e1-1412.e5.
Keywords: Injuries, joints, limbs, literature reviews, musculoskeletal disorders, physical therapy
Abstract: Study assessed the evidence on the clinical benefits of joint mobilization for ankle sprains. Electronic databases were searched from inception to June 2017 for studies investigating humans with grade I or II lateral or medial sprains of the ankle in any pathologic state from acute to chronic, who had been treated with joint mobilization. Any conservative intervention was considered as a comparator. Commonly reported clinical outcomes were considered such as ankle range of movement, pain, and function. After screening of 1,530 abstracts, 56 studies were selected for full-text screening, and 23 were eligible for inclusion. Eleven studies on chronic sprains reported sufficient data for meta-analysis. Data were extracted using the participants, interventions, comparison, outcomes, and study design approach. Clinically relevant outcomes (dorsiflexion range, proprioception, balance, function, pain threshold, pain intensity) were assessed at immediate, short-term, and long-term follow-up points. Methodological quality was assessed independently by 2 reviewers, and most studies were found to be of moderate quality, with no studies rated as poor. Meta-analysis revealed significant immediate benefits of joint mobilization compared with comparators on improving posteromedial dynamic balance, but not for improving dorsiflexion range, static balance, or pain intensity. Joint mobilization was beneficial in the short-term for improving weight-bearing dorsiflexion range compared with a control. Joint mobilization appears to be beneficial for improving dynamic balance immediately after application, and dorsiflexion range in the short-term. Long-term benefits have not been adequately investigated.
Full-Text Availability Options:https://www.ncbi.nlm.nih.gov/pubmed/28882509
https://www.archives-pmr.org/article/S0003-9993(17)31067-5/fulltext
Record Updated:2018-10-22
 

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