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比较外侧踝关节扭伤患者的被动活动与活动下被动活动对疼痛和活动范围的影响:一项随机临床试验。

A comparison of mobilization and mobilization with movement on pain and range of motion in people with lateral ankle sprain: A randomized clinical trial.

机构信息

Department of Physiotherapy, Rehabilitation Faculty, Semnan University of Medical Sciences, Semnan, Iran.

Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.

出版信息

J Bodyw Mov Ther. 2021 Jul;27:654-660. doi: 10.1016/j.jbmt.2021.05.006. Epub 2021 May 16.


DOI:10.1016/j.jbmt.2021.05.006
PMID:34391302
Abstract

BACKGROUND: Maitland and Mulligan mobilization techniques are two manual therapy methods to increase the range of motion following immobility treatment. The present study was conducted to compare two therapeutic methods, namely mobilization and mobilization with movement (MWM), on the pain and range of motion in people with lateral ankle sprain. METHODS: A total of 40 individuals with grade two lateral ankle sprain were randomly divided into two groups, including the Maitland's mobilization intervention group, and the Mulligan's mobilization intervention group. Both groups underwent treatment every other day for two consecutive weeks. The pain intensity was measured using the Visual Analogue Scale (VAS), and the ankle dorsiflexion movement range using the Weight Bearing Lunge Test (WBLT) before and one day after the intervention. RESULTS: There were no significant differences between the two groups in terms of pain (P = 0.297) and range of motion (P = 0.294) before the intervention. Meanwhile, after the intervention, a significant change was observed in both groups in terms of these variables, which indicates the effectiveness of both interventions (P < 0.001) and the greater effect of the mobilization with movement in reducing pain (P = 0.037) and increasing the range of motion (P = 0.021). CONCLUSIONS: Both techniques significantly improved the range of motion and reduced pain in people with lateral ankle sprain, but Mulligan's technique was significantly more effective among the two, perhaps due to joining active and passive mobilizing tensile forces as well as interaction of afferents and efferents in the reflex arc.

摘要

背景:Maitland 和 Mulligan 松动技术是两种用于增加因固定治疗而丧失的关节活动度的手法治疗方法。本研究旨在比较两种治疗方法,即松动和松动伴运动(MWM),在治疗外侧踝关节扭伤患者疼痛和关节活动度方面的效果。

方法:共有 40 名二级外侧踝关节扭伤患者被随机分为两组,分别接受 Maitland 松动干预组和 Mulligan 松动干预组。两组均每两天接受一次治疗,连续治疗两周。干预前后使用视觉模拟评分法(VAS)测量疼痛强度,使用负重下蹲试验(WBLT)测量踝关节背屈活动范围。

结果:干预前两组在疼痛(P=0.297)和活动范围(P=0.294)方面无显著差异。而干预后,两组在这些变量上均有显著变化,表明两种干预措施均有效(P<0.001),MWM 在减轻疼痛(P=0.037)和增加活动范围(P=0.021)方面的效果更显著。

结论:两种技术均显著改善了外侧踝关节扭伤患者的关节活动度和疼痛,但 Mulligan 技术的效果更显著,可能是因为加入了主动和被动松动拉伸力,以及反射弧中传入和传出纤维的相互作用。

相似文献

[1]
A comparison of mobilization and mobilization with movement on pain and range of motion in people with lateral ankle sprain: A randomized clinical trial.

J Bodyw Mov Ther. 2021-7

[2]
Initial changes in posterior talar glide and dorsiflexion of the ankle after mobilization with movement in individuals with recurrent ankle sprain.

J Orthop Sports Phys Ther. 2006-7

[3]
The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains.

Man Ther. 2004-5

[4]
The effectiveness of mobilization with movement on pain, balance and function following acute and sub acute inversion ankle sprain - A randomized, placebo controlled trial.

Phys Ther Sport. 2021-3

[5]
Effects of Mulligan Mobilization with Movement in Subacute Lateral Ankle Sprains: A Pragmatic Randomized Trial.

J Man Manip Ther. 2021-12

[6]
The Evaluation of Joint Mobilization Dosage on Ankle Range of Motion in Individuals With Decreased Dorsiflexion and a History of Ankle Sprain.

J Sport Rehabil. 2020-9-24

[7]
Effects of joint mobilization on chronic ankle instability: a randomized controlled trial.

Disabil Rehabil. 2015

[8]
Immediate Effects of Ankle Joint Mobilization With Movement on Postural Control, Range of Motion, and Muscle Strength in Healthy Individuals: A Randomized, Sham-Controlled Trial.

J Sport Rehabil. 2020-11-1

[9]
Effectiveness of Mobilization of the Talus and Distal Fibula in the Management of Acute Lateral Ankle Sprain.

Phys Ther. 2021-8-1

[10]
The immediate effects of two manual therapy techniques on ankle musculoarticular stiffness and dorsiflexion range of motion in people with chronic ankle rigidity: A randomized clinical trial.

J Back Musculoskelet Rehabil. 2018

引用本文的文献

[1]
Effectiveness of passive mobilization on the deleterious effects of immobilization in patients with musculoskeletal problems: a systematic review.

J Man Manip Ther. 2025-6

[2]
The effectiveness of mulligan mobilization with movement (MWM) on outcomes of patients with ankle sprain: a systematic review and meta-analysis.

BMC Sports Sci Med Rehabil. 2025-4-29

[3]
Comparison of the effects PRICE and POLICE treatment protocols on ankle function in patients with ankle sprain.

Ulus Travma Acil Cerrahi Derg. 2023-8

[4]
Immediate Effects of Ankle Mobilization on Range of Motion, Balance, and Muscle Activity in Elderly Individuals with Chronic Ankle Instability: A Pre-Post Intervention Study.

Med Sci Monit. 2023-8-11

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