Effectiveness of the Rehabilitation Training Combined with Maitland Mobilization for the Treatment of Chronic Ankle Instability: A Randomized Controlled Trial

Yikun Yin, Zhengze Yu, Jialin Wang, Junzhi Sun, Yikun Yin, Zhengze Yu, Jialin Wang, Junzhi Sun

Abstract

The study aims to determine whether routine rehabilitation training combined with the Maitland mobilization is more effective than routine rehabilitation training alone in patients with chronic ankle instability, intending to provide a novel rehabilitation strategy for chronic ankle instability. A total of 48 subjects were divided into three groups: EG (Maitland mobilization and routine rehabilitation), CG (routine rehabilitation), and SG (sham mobilization and routine rehabilitation). The intervention was performed three times each week for 4 weeks, for a total of 12 sessions. Before and after the intervention, the muscle strength, star excursion balance test (SEBT), weight-bearing dorsiflexion range of motion (WB-DFROM), ankle range of movement, Cumberland ankle instability tool (CAIT), self-comfort visual analog scale (SCS-VAS), and self-induced stability scale (SISS-VAS) were assessed. The results showed that the improvement of SEBT, WB-DFROM, and active ankle range of movement without the pain in EG was more obvious than CG and SG, but the improvement of the self-report of ankle severity and muscle strength was not. Compared with routine rehabilitation training alone, routine rehabilitation training combined with Maitland mobilization for patients with chronic ankle instability may provide more benefit in terms of balance and ankle range of movement than routine rehabilitation alone, but the improvement in muscle strength was not evident enough.

Keywords: Maitland mobilization; balance; chronic ankle instability; joint range of movement; muscle strength.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram.
Figure 2
Figure 2
Comparison of SEBT (cm) values among the three groups. # Comparison between groups; * Significant when compared with the EG group (p < 0.05). (A): SEBT-A; (B): SEBT-PM; (C): SEBT-PL; (D): SEBT-C.
Figure 3
Figure 3
Comparison of range of movement (°) among the three groups. # Comparison between groups; * Significant when compared with the EG group (p < 0.05). ((A): Dorsiflexion ankle range of movement; (B): Plantar flexion ankle range of movement; (C): Varus ankle range of movement; (D): Eversion ankle range of movement).
Figure 4
Figure 4
Comparison of muscle strength (Lb) among the three groups. # Comparison between groups; * Significant when compared with the EG group (p < 0.05). ((A): Ankle dorsiflexor strength; (B): Ankle plantar flexion strength; (C): Ankle varus strength; (D): Ankle eversion strength).

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