Effect of MobEx Model Intervention Program on Post Lateral Ankle Sprain Functional Outcomes among Athletes

Authors

  • Mohansundar Sankaravel Faculty of Sports Science and Coaching Sultan Idris Education University (UPSI), Tanjung Malim, 35900, Malaysia. Email: mohan@fsskj.upsi.edu.my
  • Lee Ai Choo Faculty of Sports Science and Coaching Sultan Idris Education University (UPSI), Tanjung Malim, 35900, Malaysia.
  • Gunathevan Elumalai Faculty of Sports Science and Coaching Sultan Idris Education University (UPSI), Tanjung Malim, 35900, Malaysia.

DOI:

https://doi.org/10.15621/ijphy/2021/v8i1/901

Keywords:

Lateral Ankle Sprain, MobEx, FAAM, Functional ability.

Abstract

Background: Lateral Ankle Sprain (LAS) is one of the common sports-related soft tissue injuries that occur mainly in weight-bearing positions with plantar flexion and inversion mechanism and affects the athlete's functional ability's at ankle joint. Thus this study was aimed to find out the effects of MobEx intervention on functional ability among athletes.
Methods: A total of 27 athletes with unilateral LAS were recruited for this study. The athletes were grouped by
randomization into three groups. The experimental group (n=9) underwent MobEx intervention for six weeks, the placebo group (n=9) underwent placebo intervention for six weeks, and the Control group (n=9) with no interventions. The functional ability was measured by Foot and Ankle Ability Measures (FAAM) questionnaire for daily living, and sports subscale activities were assessed before the intervention, six weeks after intervention, and one month after the intervention.
Results: The results revealed a significant difference in athletes' functional ability with a p-value of 0.000 (<0.05).
Conclusion: MobEx intervention was effective in improving the functional ability both in activities of daily living and sports subscale among athletes.

References

. van Rijin RM, van Os AG, Bernsen RMD, Luijsterburg PA, Koes BW, Bierma-Zeinstra

SMA. What is the clinical course of acute ankle sprains? A systematic literature review.

Am J Med. 2008; 121(4):324-331.

. Tropp H, Askling C, Gillquist J. Prevention of ankle sprains. Am J Sports Med.

;13:259-262.

. Hockenbury RT, Sammarco GJ. Evaluation and treatment of ankle sprains: clinical

recommendations for a positive outcome. Phys Sportsmed. 2001;29:57-64.

http://dx.doi.org/10.3810/psm.2001.02.371

. Beazell JR, Grindstaff TL, Sauer LD, Magrum EM, Ingersoll CD, Hertel J. Effects of a

proximal or distal tibiofibular joint manipulation on ankle range of motion and functional

outcomes in individuals with chronic ankle instability. J Orthop Sports Phys Ther.

;42:125-134.

. Grindstaff TL, Beazell JR, Sauer LD, Magrum EM, Ingersoll CD, Hertel J. Immediate

effects of a tibiofibular joint manipulation on lower extremity H-reflex measurements in

individuals with chronic ankle instability. J Electromyogr Kinesiol. 2011;21:652-658.

. Hubbard TJ, Hertel J. Anterior positional fault of the fibula after sub-acute lateral ankle

sprains. Man Ther. 2008;13:63-67.

. Denegar CR, Hertel J, Fonseca J. The effect of lateral ankle sprain on dorsiflexion range

of motion, posterior talar glide, and joint laxity. J Orthop Sports Phys Ther. 2002;32:166-

. Greenman P. Principles of Manual Medicine. 2nd ed. Philadelphia, PA: Lippincott

Williams & Wilkins; 1996.

. Hiller CE, Nightingale EJ, Lin CW, Coughlan GF, Caulfield B, Delahunt E.

Characteristics of people with recurrent ankle sprains: a systematic review with meta-

analysis. Br J Sports Med.2011;45:660-672.

. Vicenzino B, Branjerdporn M, Teys P, Jordan K. Initial changes in posterior talar glide

and dorsiflexion of the ankle after mobilization with movement in individuals with

recurrent ankle sprain. J Orthop Sports Phys Ther. 2006; 36:464-471.

. Rogier M. van Rijn AGvO, Roos Bernsen, Prim A. Luijsterburg, Bart W. Koes, Sita

Bierma-Zeinstra. . What Is the Clinical Course of Acute Ankle Sprains: A Systematic?

Literature Review. The American Journal of Medicine 2008;121(4):324-31.

. Douglas H. Richie J. Functional Instability of the ankle and the Role of Neuromuscular

Control: A Comprehensive Review. The Journal of Foot and Ankle Surgery.

;40(4):240-51.

. Cosby NL, Koroch M, Grindstaff TL, Parente W, Hertel J. Immediate effects of anterior

to posterior talocrural joint mobilizations following acute lateral ankle sprain. J Man

Manip Ther. 2011;19:76-83.

. Collins N, Teys P, Vicenzino B. The initial effects of a Mulligan’s mobilization with

movement technique on dorsiflexion and pain in subacute ankle sprains. Man Ther.

;9:77-82.

. Dananberg HJ. Manipulation of the ankle as a method of treatment for ankle and foot

pain. J Am Podiatr Med Assoc. 2004;94:395-399.

. Green T, Refshauge K, Crosbie J, Adams R. A randomized controlled trial of a passive

accessory joint mobilization on acute ankle inversion sprains. Phys Ther. 2001;81:984-

. Pellow JE, Brantingham JW. The efficacy of adjusting the ankle in the treatment of

subacute and chronic grade I and grade II ankle inversion sprains. J Manipulative Physiol

Ther. 2001; 24:17-24.

. Arnold BL, De La Motte S, Linens S, Ross SE. Ankle instability is associated with

balance impairments: a meta-analysis. Med Sci Sports Exerc 2009; 41:1048-1062.

. Ross SE, Guskiewicz KM. Effect of coordination training with and without stochastic

resonance stimulation on dynamic postural stability of subjects with functional ankle

instability and subjects with stable ankles. Clin J Sport Med 2006; 16:323-328.

. Mattacola CG, Dwyer MK. Rehabilitation of the Ankle After Acute Sprain or Chronic

Instability. J Athl Train 2002; 37:413-429

. Wester JU, Jespersen SM, Nielsen KD, Neumann L. Wobble board training after partial

sprains of the lateral ligaments of the ankle: a prospective randomized study. J Orthop

Sports Phys Ther.1996;23:332-336.

. Postle K, Pak D, Smith TO. Effectiveness of proprioceptive exercises for ankle ligament

injury in adults: a systematic literature and meta-analysis. Man Ther. 2012; 17:285-291.

. Bleakley CM, McDonough SM, MacAuley DC. Some conservative strategies are

effective when added to controlled mobilisation with external support after acute ankle

sprain: a systematic review. Aust J Physiother. 2008; 54:7-20.

. de Vries JS, Krips R, Sierevelt IN, Blankevoort L, van Dijk CN. Interventions for treating

chronic ankle instability. Cochrane Database Syst Rev. 2011:CD004124.

. Whitman JM, Cleland JA, Mintken PE, et al. Predicting short-term response to thrust

and nonthrust manipulation and exercise in patients post inversion ankle sprain. J Orthop

Sports Phys Ther. 2009;39:188-200.

. Brantingham JW, Bonnefin D, Perle SM, et al. Manipulative therapy for lower extremity

conditions: update of a literature review. J Manipulative Physiol Ther. 2012; 35:127-

. Cleland JA, Mintken P, McDevitt A, Bieniek M, Carpenter K, Kulp K Whitman JM.

Manual Physical Therapy and Exercise Versus Supervised Home Exercise in the

Management of Patients With Inversion Ankle Sprain: A Multicentre Randomized

Clinical Trail. J Orthop Sports Phys Ther. 2013. 43(7); 443-456

. Mulligan BR. Mobilisations with movement (MWM’S). J Man Manip Ther. 1993;1(4):

-156

. Kavanagh. J. Is there a positional fault at the inferior tibiofibular joint in patients with

acute or chronic ankle sprains compared to normal? Manual Therapy. 1999;4(1):19-24.

. Hudson R, Baker RT, May J, Reordan D and Nasypany A. Novel treatment of lateral

ankle sprains using the Mulligan concept: an exploratory cases series analysis. Journal

of Manual & Manipulative Therapy. 2017:25 (5): 251-259.

. Marrón-Gómez D, Rodríguez-Fernández ÁL, Martín-Urrialde JA. The effect of two

mobilization techniques on dorsiflexion in people with chronic ankle instability. Phys

Ther Sport. 2015;16(1):10-5.

. Martin RL, Irrgang JJ, Burdett RG, Conti SF, Van Swearingen JM. Evidence of validity

for the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int. 2005; 26:968-983.

. Bassett SF, Prapavessis H. Home-based physical therapy intervention with adherence-

enhancing strategies versus clinic-based management for patients with ankle sprains.

Phys Ther. 2007; 87:1132-1143.

. Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of

manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man

Ther. 2009;14:531-538.

. Bialosky JE, George SZ, Bishop MD. How spinal manipulative therapy works: why ask

why? J Orthop Sports Phys Ther. 2008;38:293-295.

Published

2021-03-09

How to Cite

Mohansundar Sankaravel, Lee Ai Choo, & Gunathevan Elumalai. (2021). Effect of MobEx Model Intervention Program on Post Lateral Ankle Sprain Functional Outcomes among Athletes. International Journal of Physiotherapy, 8(1), 20–25. https://doi.org/10.15621/ijphy/2021/v8i1/901

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Section

Original Articles