Abstract
Objective
The purpose of this study was to compare manipulative therapy (MT) plus rehabilitation
to rehabilitation alone for recurrent ankle sprain with functional instability (RASFI)
to determine short-term outcomes.
Methods
This was an assessor-blind, parallel-group randomized comparative trial. Thirty-three
eligible participants with RASFI were randomly allocated to receive rehabilitation
alone or chiropractic MT plus rehabilitation. All participants undertook a daily rehabilitation
program over the course of the 4-week treatment period. The participants receiving
MT had 6 treatments over the same treatment period. The primary outcome measures were
the Foot and Ankle Disability Index and the visual analogue pain scale, with the secondary
outcome measure being joint motion palpation. Data were collected at baseline and
during week 5. Missing scores were replaced using a multiple imputation method. Statistical
analysis of the data composed of repeated-measures analysis of variance.
Results
Between-group analysis demonstrated a difference in scores at the final consultation
for the visual analogue scale and frequency of joint motion restrictions (P ≤ .006) but not for the Foot and Ankle Disability Index (P = .26).
Conclusions
This study showed that the patients with RASFI who received chiropractic MT plus rehabilitation
showed significant short-term reduction in pain and the number of joint restrictions
in the short-term but not disability when compared with rehabilitation alone.
Key Indexing Terms
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Article info
Publication history
Published online: November 06, 2014
Accepted:
October 9,
2014
Received in revised form:
October 7,
2014
Received:
July 2,
2013
Identification
Copyright
© 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.
