Department of Physiotherapy, Rehabilitation Faculty, Semnan University of Medical Sciences, Semnan, Iran.
Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.
J Bodyw Mov Ther. 2021 Jul;27:654-660. doi: 10.1016/j.jbmt.2021.05.006. Epub 2021 May 16.
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.
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。
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