Effectiveness strengthening exercises and Mulligan’s mobilization in patients with unilateral ankle sprain

Abstract

The ankle sprain is defined “An ankle injury that occurs when a person stumbles and the supporting foot twists, resulting in damage to the ligament”. Re injury may be greater in high risk of sports, athletes in reinjured rate of 73% was reported, Individuals with repeated sprained ankle may have the symptoms like pain during the activity, weakness, swelling, and functional disability. The purpose of the study is comparing mulligan, strengthening methods versus conventional methods to treating LAP. In this study 30 subjects with unilateral ankle sprain were selected, they assigned into 2 groups consisting of 15 subjects each-Group A (control) and Group B (experimental). Group A include PRICE (Protection, rest, ice, Compression and Elevation) protocol and strengthening exercises is used. In group B along with PRICE protocol, strengthening exercises and mulligan’s mobilizations are used to the affected ankle joint. After the 6 weeks of the treatment, measured the pain, ROM, and ankle functional status, it will be measuring by VAS (visual analogue scale), GONIOMETER and AJFAT (ankle joint functional assessment tool). In this study mulligan’s mobilization combined with strengthening exercises used to improve ankle dorsiflexion and functional activity in subjects with acute (grade 1) unilateral ankle sprain. Group A is given PRICE protocol, ROM exercises, strengthening exercises and Group B is given with PRICE, strengthening exercises and mulligan’s mobilization. By statistical analysis our study demonstrates that significant difference for VAS with values of (- 17.33) and (-2.145) (p<0.05) pre and post intervention and it is less than 0.05 suggest that significant difference for pain between group A and group B. From the results the values for ROM with values of (-6.92) and (-2.048) pre and post intervention shows more effective in experimental group than the control group. For the ankle joint function by AJFAT pre and post intervention values of (-0.1) and (-6.4) indicate significant difference.