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Hudson R, Baker RT, May J, et al. Novel treatment of lateral ankle sprains using the Mulligan concept: an exploratory case series analysis. J Man Manip Ther. 2017;25(5):251-259doi: 10.1080/10669817.2017.1332557.
Hudson, R., Baker, R. T., May, J., Reordan, D., & Nasypany, A. (2017). Novel treatment of lateral ankle sprains using the Mulligan concept: an exploratory case series analysis. The Journal of manual & manipulative therapy, 25(5), 251-259. https://doi.org/10.1080/10669817.2017.1332557
Hudson, Robinetta, et al. "Novel treatment of lateral ankle sprains using the Mulligan concept: an exploratory case series analysis." The Journal of manual & manipulative therapy vol. 25,5 (2017): 251-259. doi: https://doi.org/10.1080/10669817.2017.1332557
Hudson R, Baker RT, May J, Reordan D, Nasypany A. Novel treatment of lateral ankle sprains using the Mulligan concept: an exploratory case series analysis. J Man Manip Ther. 2017 Dec;25(5):251-259. doi: 10.1080/10669817.2017.1332557. Epub 2017 May 29. PMID: 29449767; PMCID: PMC5810779.
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J Man Manip Ther. 2017 Dec;25(5):251-259. doi: 10.1080/10669817.2017.1332557. Epub 2017 May 29.

Novel treatment of lateral ankle sprains using the Mulligan concept: an exploratory case series analysis.

The Journal of manual & manipulative therapy

Robinetta Hudson, Russell T Baker, James May, Don Reordan, Alan Nasypany

Affiliations

  1. Department of Sports Medicine, Concordia Lutheran High School, Tomball, TX, USA.
  2. Department of Movement Sciences, University of Idaho, Moscow, ID, USA.
  3. Orthopedic Department, Jacksonville Physical Therapy, Jacksonville, OR, USA.

PMID: 29449767 PMCID: PMC5810779 DOI: 10.1080/10669817.2017.1332557

Abstract

OBJECTIVE: The purpose of this study was to examine the effect of the Mulligan Concept (MC) Mobilization with movement (MWM) in the treatment of clinically diagnosed acute lateral ankle sprains in competitive athletes.

METHODS: A prospective case series of 5 adolescent patients, ages ranging from 14 to 18 years (mean = 15.8 ± 1.64), that suffered an acute lateral ankle sprain (LAS). Patients were treated with the MC lateral ankle MWM. Mobilization was directed at the distal fibula or, using a modified MWM, 2-3 inches proximal to the distal fibula. Using paired

RESULTS: Treatment lasted an average of 9 days (mean = 9.2, ±SD 3.96) from intake to discharge. During that time frame, patients reported decreases in pain on the numeric pain rating scale (NRS), disability on the Disablement in the Physically Active (DPA) scale and an increase in function on the patient-specific functional scale (PSFS); and an immediate decrease in pain on the NRS within the first treatment. The minimal detectable change for the PSFS and NRS were exceeded from intake to discharge. Additionally, the minimally clinical important differences were exceeded on the NRS and DPA scale.

DISCUSSION: The evidence presented in this Level-4 case series supports the use of the MC lateral ankle MWM to treat patients diagnosed with acute grade II LAS. Patients in this case series reported immediate decreases in pain and immediate increases in function. Therefore, further investigation of the MC lateral ankle MWM is warranted.

Keywords: Lateral ankle sprain (LAS); conservative care; manual therapy; mobilization with movement (MWM)

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