Effects of midfoot joint mobilization on ankle-foot morphology and function following acute ankle sprain. A crossover clinical trial

摘要: Abstract Background Midfoot joint impairment is likely following lateral ankle sprain (LAS) that may benefit from mobilization. Objective To investigate the effects of midfoot mobilizations and a one-week home exercise program (HEP) compared to sham intervention HEP on pain, patient-reported outcomes (PROs), ankle-foot mobility, neuromotor function in young adults with recent LAS. Methods All participants were instructed stretching, strengthening, balance randomized priori receive (forefoot supination, cuboid glide plantar 1st tarsometatarsal) or laying-of-hands. Changes physical, psychological, functional PROs, foot morphology, pain-to-palpation, function, dynamic assessed pre-to-post treatment following. Participants crossed-over washout alternate ANOVAs, t-tests, proportions, 95% confidence intervals (CI) calculated assess changes outcomes. Cohen's d CI at each time-point. Results mobilization had greater (p  Conclusion yielded pain reduction perceived improvement recommended comprehensive rehabilitation