Comparative effectiveness of Mulligan's mobilization in weight bearing and non-weight bearing in the treatment of ankle sprains-a randomized clinical trial
*Corresponding Author: Akre Ambarish A., Post Graduate Student, K.L.E.S. Institute of Physiotherapy, J. N. Medical College Campus, Belgaum-590010, Karnataka, INDIA. E-mail: email@example.com, Mobile: +91-9986241266.
Purpose of study
To compare the effectiveness of Mulligan's mobilization in weight bearing and non-weight bearing in the treatment of ankle sprains.
Material and Methods
30 subjects with the clinical diagnosis of ankle sprains were randomly allocated to two study groups. Group A subjects were treated with the RICE protocol (Rest, Ice, Compression and Elevation) and Mulligan's mobilization in weight bearing. Group B received RICE protocol and Mulligan's mobilization in non-weight bearing. The treatment was given for 10 consecutive days. The outcome was measured in terms of visual analogue score, range of motion at the ankle and the Foot and Ankle Disability Index.
There was significant difference between the subjects treated with movement with mobilization (MWM) in weight bearing (WB) and subjects treated with MWM in non-weight bearing (NWB) in terms of pain relief measured by VAS score (p=0.0265), active plantarflexion range (p=0.0294) and the functional ability as per the Foot and Ankle Disability Index (p=0.0326). However there was no significant change (p=0.3586) in active dorsiflexion range.
Weight bearing mobilizations are more effective than non-weight bearing mobilizations in the treatment of ankle sprains.
Ankle sprain, Mulligan's mobilization, Foot and ankle Disability Index.