PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of auschiroprBiomed Central Web Sitesearchmanuscript Submissionregistrationthis articleJournal Front Page
 
Australas. Chiropr. Osteopathy. 2003 July; 11(2): 57–62.
PMCID: PMC2051316

THE EFFECT OF TALO-CRURAL JOINT MANIPULATION ON RANGE OF MOTION AT THE ANKLE JOINT IN SUBJECTS WITH A HISTORY OF ANKLE INJURY

Skye Andersen, B.Sc., Gary A. Fryer, B.App.Sc.(Osteo.)., and Patrick McLaughlin, B.App.Sc., M.App.Sc.

Abstract

Introduction: There is little research available on the effects of peripheral joint manipulation. Only a few studies have examined the effect of manipulation on ankle range of motion, with conflicting results. This study aimed to determine whether a single high-velocity, low-amplitude (HVLA) thrust manipulation to the talo-crural joint altered ankle range of motion in subjects with a history of lateral ligament sprain.

Methods: Male and female volunteers (N=52) with a history of lateral ligament sprain were randomly assigned into either an experimental group (n=26) or a control group (n=26). Those in the experimental group received a single HVLA thrust to the talo-crural joint, whilst those in the control group received no treatment intervention. Pre-test and post-test measurements of passive dorsiflexion range of motion were taken.

Results: No significant changes in dorsiflexion range of motion were detected between manipulated ankles and those of control subjects using dependent and independent t-tests. Ankles that cavitated displayed a greater mean DFR and large effect size (d=0.8) compared to those that did not gap and cavitate, but analysis with ANOVA revealed these differences to be not significant.

Conclusion: HVLA manipulation of the ankle did not increase dorsiflexion range of motion in subjects with a history of lateral ligament sprain.

Keywords: Ankle Joint, manipulation, dorsiflexion, range of motion, osteopathy

Articles from Australasian Chiropractic & Osteopathy are provided here courtesy of BioMed Central