Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-Analysis

Sensorimotor and range of motion deficits due to chronic ankle instability (CAI) are abnormalities of the movement system that make postural control difficult. This review aimed to quantify the effect of joint mobilization on the range of motion, dynamic balance, and function in individuals with CAI...

Full description

Bibliographic Details
Main Authors: Hyunjoong Kim, Seoyoung Moon
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Journal of Functional Morphology and Kinesiology
Subjects:
Online Access:https://www.mdpi.com/2411-5142/7/3/66
_version_ 1797486473961799680
author Hyunjoong Kim
Seoyoung Moon
author_facet Hyunjoong Kim
Seoyoung Moon
author_sort Hyunjoong Kim
collection DOAJ
description Sensorimotor and range of motion deficits due to chronic ankle instability (CAI) are abnormalities of the movement system that make postural control difficult. This review aimed to quantify the effect of joint mobilization on the range of motion, dynamic balance, and function in individuals with CAI. Randomized controlled trials in which joint mobilization was performed in individuals with CAI were searched for in five international databases (CENTRAL, CINAHL, Embase, MEDLINE, PEDro). Qualitative and quantitative analyses were performed using the risk of bias tool and RevMan 5.4 provided by the Cochrane Library. Nine studies with 364 individuals with CAI were included in this study. This meta-analysis reported that joint mobilization showed significant improvement in the dorsiflexion range of motion (standardized mean difference [SMD] = 1.02, 95% confidence interval [CI]: 0.41 to 1.63) and dynamic balance (SMD = 0.49, 95% CI: 0.06 to 0.78) in individuals with CAI. However, there was no significant improvement in function (patient-oriented outcomes) (SMD = 0.76, 95% CI: −0.00 to 1.52). For individuals with CAI, joint mobilization has limited function but has positive benefits for the dorsiflexion range of motion and dynamic balance.
first_indexed 2024-03-09T23:34:11Z
format Article
id doaj.art-781e1a076cc04743af55a0e94ea09397
institution Directory Open Access Journal
issn 2411-5142
language English
last_indexed 2024-03-09T23:34:11Z
publishDate 2022-09-01
publisher MDPI AG
record_format Article
series Journal of Functional Morphology and Kinesiology
spelling doaj.art-781e1a076cc04743af55a0e94ea093972023-11-23T17:04:16ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422022-09-01736610.3390/jfmk7030066Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-AnalysisHyunjoong Kim0Seoyoung Moon1Neuromusculoskeletal Science Laboratory, Gwangju 62287, KoreaDepartment of Research, Good Morning Nursing Hospital, Gwangju 61102, KoreaSensorimotor and range of motion deficits due to chronic ankle instability (CAI) are abnormalities of the movement system that make postural control difficult. This review aimed to quantify the effect of joint mobilization on the range of motion, dynamic balance, and function in individuals with CAI. Randomized controlled trials in which joint mobilization was performed in individuals with CAI were searched for in five international databases (CENTRAL, CINAHL, Embase, MEDLINE, PEDro). Qualitative and quantitative analyses were performed using the risk of bias tool and RevMan 5.4 provided by the Cochrane Library. Nine studies with 364 individuals with CAI were included in this study. This meta-analysis reported that joint mobilization showed significant improvement in the dorsiflexion range of motion (standardized mean difference [SMD] = 1.02, 95% confidence interval [CI]: 0.41 to 1.63) and dynamic balance (SMD = 0.49, 95% CI: 0.06 to 0.78) in individuals with CAI. However, there was no significant improvement in function (patient-oriented outcomes) (SMD = 0.76, 95% CI: −0.00 to 1.52). For individuals with CAI, joint mobilization has limited function but has positive benefits for the dorsiflexion range of motion and dynamic balance.https://www.mdpi.com/2411-5142/7/3/66ankle injurymanual therapyphysical therapypostural balancejoint range of motion
spellingShingle Hyunjoong Kim
Seoyoung Moon
Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-Analysis
Journal of Functional Morphology and Kinesiology
ankle injury
manual therapy
physical therapy
postural balance
joint range of motion
title Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-Analysis
title_full Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-Analysis
title_fullStr Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-Analysis
title_full_unstemmed Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-Analysis
title_short Effect of Joint Mobilization in Individuals with Chronic Ankle Instability: A Systematic Review and Meta-Analysis
title_sort effect of joint mobilization in individuals with chronic ankle instability a systematic review and meta analysis
topic ankle injury
manual therapy
physical therapy
postural balance
joint range of motion
url https://www.mdpi.com/2411-5142/7/3/66
work_keys_str_mv AT hyunjoongkim effectofjointmobilizationinindividualswithchronicankleinstabilityasystematicreviewandmetaanalysis
AT seoyoungmoon effectofjointmobilizationinindividualswithchronicankleinstabilityasystematicreviewandmetaanalysis