Collins Natalie, Teys Pamela, Vicenzino Bill
Department of Physiotherapy, The University of Queensland, St. Lucia, Brisbane, QLD 4072, Australia.
Man Ther. 2004 May;9(2):77-82. doi: 10.1016/S1356-689X(03)00101-2.
Physiotherapists frequently use manipulative therapy techniques to treat dysfunction and pain resulting from ankle sprain. This study investigated whether a Mulligan's mobilization with movement (MWM) technique improves talocrural dorsiflexion, a major impairment following ankle sprain, and relieves pain in subacute populations. Fourteen subjects with subacute grade II lateral ankle sprains served as their own control in a repeated measures, double-blind randomized controlled trial that measured the initial effects of the MWM treatment on weight bearing dorsiflexion and pressure and thermal pain threshold. The subacute ankle sprain group studied displayed deficits in dorsiflexion and local pressure pain threshold in the symptomatic ankle. Significant improvements in dorsiflexion occurred initially post-MWM ( F(2,26) = 7.82, P = 0.002 ), but no significant changes in pressure or thermal pain threshold were observed after the treatment condition. Results indicate that the MWM treatment for ankle dorsiflexion has a mechanical rather than hypoalgesic effect in subacute ankle sprains. The mechanism by which this occurs requires investigation if we are to better understand the role of manipulative therapy in ankle sprain management.
物理治疗师经常使用手法治疗技术来治疗因踝关节扭伤导致的功能障碍和疼痛。本研究调查了 Mulligan 动态关节松动术（MWM）是否能改善踝关节背屈（踝关节扭伤后的主要功能障碍），并缓解亚急性患者的疼痛。在一项重复测量、双盲随机对照试验中，14 名患有亚急性 II 级外侧踝关节扭伤的受试者作为自身对照，该试验测量了 MWM 治疗对负重背屈以及压力和热痛阈值的初始影响。所研究的亚急性踝关节扭伤组在患侧踝关节的背屈和局部压痛阈值方面存在缺陷。MWM 治疗后即刻，背屈有显著改善（F(2,26) = 7.82，P = 0.002），但治疗后压力或热痛阈值未观察到显著变化。结果表明，MWM 治疗踝关节背屈在亚急性踝关节扭伤中具有机械作用而非镇痛作用。如果我们想更好地理解手法治疗在踝关节扭伤管理中的作用，就需要对其发生机制进行研究。
