The effectiveness of mobilization with movement on pain, balance and function following acute and sub acute inversion ankle sprain – a randomized, placebo controlled trial

Review written by Robin Kerr info

Key Points

  1. Mobilization with movement (MWM) involves a sustained passive bone glide applied by the therapist in conjunction with active movement by the patient.
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BACKGROUND & OBJECTIVE

Mobilization with movement (MWM) originates from the Mulligan Concept of manual therapy. The techniques involve sustained pain-free force at the involved joint with superimposed active movement by the patient into painful or limited range of movement (ROM) (1).

The purpose of this study was to examine the short and long-term efficacy of MWM in addition to usual care (RICE and remedial exercises) in patients with inversion ankle sprain. The impact on pain, balance and function following inversion injury were examined.

Mobilization with movement techniques involve sustained pain-free force at the involved joint with superimposed active movement by the patient.
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The addition of MWM seems to encourage faster clinically meaningful improvement over exercise alone in the initial stages of ankle sprain management.

METHODS

This randomized placebo-controlled trial was performed in an Indian hospital on patients with acute (4 days) and sub-acute (5-14 days) grade I and II ankle inversion injuries. 32 subjects were randomly assigned in a parallel group, assessor blind, placebo-controlled RCT.

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