Original Article| Volume 37, ISSUE 2, P116-123, February 2014

Download started.


Effect of Chiropractic Manipulation on Vertical Jump Height in Young Female Athletes with Talocrural Joint Dysfunction: A Single-Blind Randomized Clinical Pilot Trial

Published:January 06, 2014DOI:



      The main objective of this pilot study was to explore the effect of chiropractic high-velocity, low-amplitude (HVLA) manipulation on vertical jump height in young female athletes with talocrural joint dysfunction.


      This was a randomized assessor-blind clinical pilot trial. Twenty-two female handball players with talocrural joint dysfunction were randomized to receive either HVLA manipulation (n = 11) or sham treatment (n = 11) once a week during a 3-week period. The main outcome was change in vertical jump height from baseline to follow-up within and between groups after 3 weeks.


      Nineteen athletes completed the study. After 3 weeks, the group receiving HVLA manipulation (n = 11) had a statistically significant mean (SD) improvement in vertical jump height of 1.07 (1.23) cm (P = .017). The sham treatment group (n = 8) improved their vertical jump height by 0.59 (2.03) cm (P = .436). The between groups' change was 0.47 cm (95% confidence interval, −1.31 to 2.26; P = .571) in favor of the group receiving HVLA manipulation. Blinding and sham procedures were feasible, and there were no reported adverse events.


      The results of this pilot study show that a larger-scale study is feasible. Preliminary results suggest that chiropractic HVLA manipulation may increase vertical jump height in young female athletes with talocrural joint dysfunction. However, the clinical result in favor of HVLA manipulation compared with sham treatment needs statistical confirmation in a larger randomized clinical trial.

      Key Indexing Terms

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Manipulative & Physiological Therapeutics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Kerkhoffs GM
        • van den Bekerom M
        • Elders LA
        • et al.
        Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline.
        Br J Sports Med. 2012; 46: 854-860
        • Svensson L-I
        Stockholm, Folksam1994
      1. Socialstyrelsen. Hem- och fritidsolycksfall i Sverige Femårsrapport—EHLASS 1998-2002. ISBN: 91-7201-900-X. Stockholm: Socialstyrelsen; 2004:90–8.

        • Tortora GJ
        • Derrickson B
        Principles of anatomy and physiology.
        11th ed. John Wiley And Sons Ltd, New York2006
        • Pope R
        • Herbert R
        • Kirwan J
        Effects of ankle dorsiflexion range and pre-exercise calf muscle stretching on injury risk in army recruits.
        Aust J Physiother. 1998; 44: 165-177
        • Lewit K
        Manipulationsbehandling vid rehabilitering av rörelseapparaten.
        Studentlitteratur AB, Lund1990
        • Peterson DH
        • Bergman TF
        Chiropractic technique: principles and procedures.
        2 ed. Elsevier Health Sciences, St Louis2002
        • Stochkendahl M
        • Christensen H
        • Hartvigsen J
        • et al.
        Manual examination of the spine: a systematic critical literature review of reproducibility.
        J Manipulative Physiol Ther. 2006; 29: 475-485
        • Hoskins W
        • McHardy A
        • Pollard H
        • et al.
        Chiropractic treatment of lower extremity conditions: a literature review.
        J Manipulative Physiol Ther. 2006; : 658-671
        • Nield S
        • Davis K
        • Latimer J
        • et al.
        The effect of manipulation on range of movement at the ankle joint.
        Scand J Rehab Med. 1993; 25: 161-166
        • 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
        • Andersen S
        • Fryer GA
        • McLaughlin P
        The effect of talo-crural joint manipulation on range of motion at the ankle joint in subjects with a history of ankle injury.
        Australas Chiropr Osteopathy. 2003; 11: 57-62
        • Alburquerque-Sendín F
        • Fernández-de-las-Peñas C
        • Santos-del-Rey M
        • et al.
        Immediate effects of bilateral manipulation of talocrural joints on standing stability on healthy subjects.
        Man Ther. 2009; 14: 75-80
        • Köhne E
        • Jones A
        • Korporaal C
        • et al.
        A prospective, single-blinded, randomized, controlled clinical trial of the effects of manipulation on proprioception and ankle dorsiflexion in chronic recurrent ankle sprain.
        J Am Chiropr Assoc. 2007; 44: 7-17
        • López-Rodríguez S
        • Fernández de-las-Peñas C
        • Alburquerque-Sendín F
        • et al.
        Immediate effects of manipulation of the talocrural joint on stabilometry and baropodometry in patients with ankle sprain.
        J Manipulative Physiol Ther. 2007; 30: 186-192
        • Yeo HK
        • Wright A
        Hypoalgesic effect of a passive accessory mobilisation technique in patients with lateral ankle pain.
        Man Ther. 2011; 16: 373-377
        • 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. 2004; 9: 77-82
        • 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
        • 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: 127-166
      2. Riksidrottsförbundet. Idrott online - Riksidrottsförbundet. In: Riksidrottsförbundet, editor. Stockholm, 2010.

        • Meylan C
        • McMaster T
        • Cronin J
        • Mohammad NI
        • Rogers C
        • Deklerk M
        Single-leg lateral, horizontal, and vertical jump assessment: reliability, interrelationships, and ability to predict sprint and change-of-direction performance.
        J Strength Cond Res. 2009; 23: 1140-1147
        • Henriksson S
        Manual IVAR testsystem löpning/hopp.
        SH Sport & Fitness, Mora2010
      3. LN Sportkonsult HB. LN Sportkonsult HB—Generalagent för IVAR-Testsystem. Mora, Sweden; 2013.

        • Frohm A
        • Saartok T
        • Halvorsen K
        • Renstrom P
        Eccentric treatment for patellar tendinopathy: a prospective randomised short-term pilot study of two rehabilitation protocols.
        Br J Sports Med. 2007; 41: e7
        • Garcia-Lopez J
        • Morante JC
        • Ogueta-Alday A
        • Rodriguez-Marroyo JA
        The type of mat (Contact vs. Photocell) affects vertical jump height estimated from flight time.
        J Strength Cond Res. 2013; 27: 1162-1167