Immediate Effect of a Single Anteroposterior Talus Mobilization on Dorsiflexion Range of Motion in Participants With Orthopedic Dysfunction of the Ankle and Foot

• Published in: Journal of manipulative and physiological therapeutics Vol. 36; no. 6; pp. 369 - 375
• Main Authors: Teixeira, Luciana Mundim, PT, Pires, Tatiana, PT, Silva, Rafael Duarte, PT, MSc, de Resende, Marcos Antônio, PT, PhD
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 01.07.2013
• Subjects: Adolescent; Adult; Ankle; Ankle Injuries - physiopathology; Ankle Injuries - rehabilitation; Cross-Over Studies; Female; Foot Injuries - physiopathology; Foot Injuries - rehabilitation; Humans; Joint Range of Motion; Male; Manual Therapy; Middle Aged; Mobilization; Movement; Physical Medicine and Rehabilitation; Physical Therapy Modalities; Range of Motion, Articular; Talus; Time Factors; Young Adult; Ankle; Mobilization; Manual Therapy; Joint Range of Motion
• ISSN: 0161-4754; 1532-6586
• DOI: 10.1016/j.jmpt.2013.06.003

Abstract Objective The purpose of this study was to determine the immediate effects of a single anteroposterior mobilization of the talus on the active dorsiflexion range of motion (ROM) in participants with different orthopedic foot and ankle injuries. Methods This study included 30 male and female participants aged 18 to 50 years with unilateral orthopedic foot and ankle dysfunction. All participants underwent 3 sets of active dorsiflexion ROM measurement in both ankles. Measurements included baseline, post–first treatment, and post–second treatment values. Participants received either joint mobilization or manual contact (control) on the affected ankle. Active dorsiflexion ROM was assessed using a biplanar goniometer with participants in the prone position and 90° of knee flexion. Results Both groups (joint mobilization and manual contact) showed increased active dorsiflexion ROM. However, the mean difference of dorsiflexion measurements before and after mobilization was greater than before and after control treatment. Conclusion A single session of articular mobilization of the talus did not significantly increase dorsiflexion ROM in participants with orthopedic dysfunctions of the ankle and foot compared with a manual contact procedure.