Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 21461
  Title The comparative effect of muscle energy technique vs. manipulation for the treatment of chronic recurrent ankle sprain [randomized controlled trial]
Journal JACA Online. 2010 Oct;47(7):Online access only p 8-22
Peer Review Yes
Publication Type Article
Abstract/Notes Background: Ankle injuries account for 23,000 inversion sprains daily. Lateral ankle sprains are predisposed by previous injury and a decrease in balance. This prospective randomized clinical trial compared the use of high-velocity, low-amplitude (HVLA) manipulation and Muscle Energy Technique mobilization in the treatment of chronic ankle sprains.

Methods: Forty candidates diagnosed with chronic recurrent ankle sprain were randomized into the trial. The primary outcome measures were the One Leg Standing Test and the Numerical Pain Rating Scale-101.

Results: The One Leg Standing Test and Numerical Pain Rating Scale-101 had statistically significant and clinically meaningful intra-group changes. The One Leg Standing Test eyes closed showed an increase with High Velocity Low Amplitude manipulation of 10.24 seconds and with Muscle Energy Technique mobilization of 10.05 seconds, both t-tests p=.003 suggestive of a centrally mediated positive neurological effect on the function of the locomotive system. The Numerical Pain Rating Scale-101 showed significant decrease in High Velocity Low Amplitude manipulation of 37.1 points and Muscle Energy Technique of 39.6 points, both t-tests p<0.000.

Conclusion: Both High Velocity Low Amplitude manipulation and Muscle Energy Technique mobilization significantly increased balance, range of motion, and function while decreasing shortterm pain. These promising results merit further research with a fully powered trial.

This abstract is reproduced with permission of the publisher. Full text is available by subscription.

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