Utilization of mobilization with movement for an apparent sprain of the posterior talofibular ligament: a case report

Manual Therapy
Russell WoodmanMeredith Wolanin

Abstract

Ankle sprains are a common injury. According to the National Electronic Injury Surveillance System (NEISS), an estimated 630,891 ankle sprains occurred in 2009 (CPSC, 2011). The anterior talofibular ligament (AFTL) is frequently sprained as a result of a plantarflexion-inversion injury. Sometimes the calcaneofibular ligament or posterior talofibular ligament (PTFL) is also sprained (Komenda and Ferkel, 1999). The patient in this study presented with lateral ankle pain reproducible by passive plantarflexion and eversion, complaining of pain during exercise and playing sports. These findings are consistent with a sprain of the PTFL. Positional faults have also been shown to occur at tibiofibular joint, mimicking the symptoms of an ankle sprain. Brian Mulligan first hypothesized the occurrence of positional faults at the ankle. He developed a Mobilization with Movement (MWM) technique to treat these positional faults. Mulligan also hypothesized that a similar positional fault could occur in a posterior direction mimicking a sprain of the PTFL (Mulligan, 2010, p. 71, 96-97). The purpose of this case study is to present a patient with an apparent posterior talofibular ligament sprain who responded to an anterior glide MWM of the fib...Continue Reading

References

Sep 1, 1973·Annals of the Rheumatic Diseases·P BeightonC L Soskolne
May 1, 1996·The Journal of Orthopaedic and Sports Physical Therapy·J U WesterL Neumann
Jul 23, 1999·The Journal of Orthopaedic and Sports Physical Therapy·W M GlasoeH J Yack
Dec 3, 1999·Foot & Ankle International·G A Komenda, R D Ferkel
Aug 2, 2003·British Journal of Sports Medicine·C ZöchM Quittan
Aug 18, 2004·The American Journal of Sports Medicine·Evert VerhagenWillem van Mechelen
Dec 26, 2006·Manual Therapy·Tricia J Hubbard, Jay Hertel

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Citations

Mar 4, 2014·Manual Therapy·Miguel Malo-UrriésJosé Miguel Tricás-Moreno
Oct 14, 2014·Journal of Athletic Training·Daisuke UematsuToru Fukubayashi
May 8, 2015·World Journal of Microbiology & Biotechnology·Firouz AbbasianRavi Naidu

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