급성 외측 발목 염좌 환자에서 멀리건 관절 가동술과 근력 및 고유수용성 훈련이 통증과 발목 근력 향상에 미치는 영향
The Effects of Mulligan Mobilization Combined with Strengthening and Proprioceptive Training on Pain and Ankle Muscle Strengthening in Patients with Acute Lateral Ankle Sprain
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Background: This study aimed to compare the relative effects of function-focused intervention (mobilization with movement (MWM) combined with resistance strengthening) and sensory-focused intervention (proprioceptive and balance training) on pain, ankle strength, and balance in patients with acute lateral ankle sprains. The goal was to analyze how the composition of early rehabilitation interventions influences recovery patterns. Methods: Forty patients with acute lateral ankle sprains were randomly assigned to an experimental group (n=20) or a control group (n=20). The experimental group received MWM targeting ankle dorsiflexion and plantarflexion, followed by resistance band exercises. The control group performed proprioceptive training, including single-leg stance, Airex pad balance, and BOSU ball exercises. Both groups underwent interventions three times per week for eight weeks. Pain (VAS), isokinetic muscle strength (60°/sec and 180°/sec), and balance ability (biodex balance system) were measured pre- and post-intervention. Results: The experimental group showed significant improvements in pain reduction, ankle dorsiflexion and plantarflexion strength, and balance ability compared to the control group (p<.05). In contrast, the control group exhibited limited improvements in balance and no statistically significant changes in muscle strength. Conclusion: A function-oriented combined intervention incorporating MWM and resistance exercises is more effective than sensory-focused training alone for reducing pain and improving ankle strength and balance in the early stages of rehabilitation for acute lateral ankle sprains. These findings support a more integrated and strategic approach to early rehabilitation to promote faster recovery and prevent recurrent injuries. These results provide important clinical evidence supporting the use of comprehensive rehabilitation strategies in managing acute ankle sprains.
Abstract
Background: This study aimed to compare the relative effects of function-focused intervention (mobilization with movement (MWM) combined with resistance strengthening) and sensory-focused intervention (proprioceptive and balance training) on pain, ankle strength, and balance in patients with acute lateral ankle sprains. The goal was to analyze how the composition of early rehabilitation interventions influences recovery patterns. Methods: Forty patients with acute lateral ankle sprains were randomly assigned to an experimental group (n=20) or a control group (n=20). The experimental group received MWM targeting ankle dorsiflexion and plantarflexion, followed by resistance band exercises. The control group performed proprioceptive training, including single-leg stance, Airex pad balance, and BOSU ball exercises. Both groups underwent interventions three times per week for eight weeks. Pain (VAS), isokinetic muscle strength (60°/sec and 180°/sec), and balance ability (biodex balance system) were measured pre- and post-intervention. Results: The experimental group showed significant improvements in pain reduction, ankle dorsiflexion and plantarflexion strength, and balance ability compared to the control group (p<.05). In contrast, the control group exhibited limited improvements in balance and no statistically significant changes in muscle strength. Conclusion: A function-oriented combined intervention incorporating MWM and resistance exercises is more effective than sensory-focused training alone for reducing pain and improving ankle strength and balance in the early stages of rehabilitation for acute lateral ankle sprains. These findings support a more integrated and strategic approach to early rehabilitation to promote faster recovery and prevent recurrent injuries. These results provide important clinical evidence supporting the use of comprehensive rehabilitation strategies in managing acute ankle sprains.