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Chiropractic Research Review

Ankle Adjustments in the Treatment of Ankle Sprain

Ankle sprains are one of the most prevalent acute injuries treated in emergency departments and physicians office, accounting for up to 10% of sports-related injuries. The ankle sprain is probably the single most common injury in sports and represents 20 to 25% of time lost because of injury in running and jumping sports.



The purpose of this study was to determine the efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and grade II ankle inversion sprains using a controlled pilot study. Thirty patients with subacute and chronic grade I and grade II ankle inversion sprains participated in the study.

Of the 30 participants, 15 were placed in a treatment group, and 15 were placed in a placebo group. Each of the 15 patients in the treatment group received an adjustment to the mortise joint intended to separate the joint surfaces. Each of the 15 patients in the placebo group received five minutes of detuned ultrasound treatment. Each participant received a maximum of eight treatment sessions spread over a period of four weeks.

The results of the study showed that although both groups showed improvement, statistically significant differences in favor of the adjustment groups were noted with respect to reduction in pain, increased ankle range of motion, and ankle function.

The authors note that the study appears to indicate the mortise separation adjustment may be superior to detuned ultrasound therapy in the management of subacute and chronic grade I and grade II inversion ankle sprains.

Pellow J, Brantingham J. The efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and grade II ankle inversion sprains. Journal of Manipulative and Physiological Therapeutics 2001:24, (1)pp. 17-24.
Reprints: Tel: (800) 638-6423; Fax: (410) 528-8596

Chiropractic Research Review

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