Ankle

Treatment of Insertional Achilles Tendinopathy Using Adjunct Electroacupuncture Therapy: A Randomized Controlled Trial

Matthew Hawks, Erik Clauson, Pamela Hughes, Rebecca Lauters, and Paul Crawford Published Online:13 Apr 2023https://doi.org/10.1089/acu.2022.0051 Abstract Objective: Achilles tendinopathy is a common musculoskeletal condition associated with decreased functionality. The insertional variant (<2cm from the calcaneus) is less responsive to eccentric-exercise therapy. This study looked at the effect of electroacupuncture (EA) + eccentric exercise for treating […]

Dry needling in the management of tendinopathy: A systematic review of randomized control trials

Journal of Bodywork and Movement Therapies VOLUME 33, P128-135, JANUARY 2023 Shibili Nuhmani Abstract Introduction The objective of the study is to evaluate the best available evidence on the effectiveness of DN in the management of tendinopathy. Methods Seven randomized control trials were selected following an electronic search in PubMed, Web of Science, Scopus, and […]

Effect of Platelet-Rich Plasma Injections vs Placebo on Ankle Symptoms and Function in Patients With Ankle Osteoarthritis

October 26, 2021 A Randomized Clinical Trial Liam D. A. Paget, MD JAMA. 2021;326(16):1595-1605. doi:10.1001/jama.2021.16602 Key Points Question  Do intra-articular platelet-rich plasma injections improve ankle symptoms and function in patients with ankle osteoarthritis? Findings  In this randomized clinical trial that included 100 patients, treatment with 2 intra-articular platelet-rich plasma injections vs placebo injections with saline resulted in […]

Beyond the Diagnosis: Using Patient Characteristics and Domains of Tendon Health to Identify Latent Subgroups of Achilles Tendinopathy

Journal of Orthopaedic & Sports Physical Therapy Published Online: August 31, 2021Volume51Issue9Pages440-448 https://www.jospt.org/doi/10.2519/jospt.2021.10271 Abstract Objective To identify latent subgroups among patients with Achilles tendinopathy, describe patient characteristics and clinical attributes that defined each subgroup, and develop a clinical classification model for subgroup membership. Design Cross-sectional study. Methods One hundred forty-five participants (men, n = 73; […]

Which treatment is most effective for patients with Achilles tendinopathy?

van der Vlist AC, Winters M, Weir A, et al British Journal of Sports Medicine 2021;55:249-256. Abstract Objective To provide a consistently updated overview of the comparative effectiveness of treatments for Achilles tendinopathy. Design Living systematic review and network meta-analysis. Data sources Multiple databases including grey literature sources were searched up to February 2019. Study […]

Major risk of injury for recreational runners

ScienceDaily Top Health|April 12, 2021 Almost half of all recreational runners incur injuries, mostly relating to knees, calves or Achilles tendons, and the level of risk is equally high whatever your age, gender or running experience. These are the findings of a thesis within sport science. Doctoral student Jonatan Jungmalm recruited a little over 200 […]

The effect of lumbar spine manipulation on pain and disability in Achilles tendinopathy. A case report

Journal of Bodywork and Movement Therapies Volume 26, April 2021, Pages 214-219 Christos Savva Abstract Background/purpose Cervical and thoracic spine manipulation has been found to reduce tendon pain and disability in lateral epicondylalgia and rotator cuff tendinopathy. Based on these findings, the application of lumbar spine manipulation may also provide similar improvements in Achilles tendinopathy […]

The analgesic effect of joint mobilization and manipulation in tendinopathy: a narrative review

Journal of Manual & Manipulative Therapy Published online: 26 Mar 2021 Christos Savva ABSTRACT Objective: To summarize the available literature with regards to the potential analgesic effect and mechanism of joint mobilization and manipulation in tendinopathy. Results: The effect of these techniques in rotator cuff tendinopathy and lateral elbow tendinopathy, applied alone, compared to a […]

Manipulative Therapy Plus Ankle Therapeutic Exercises for Adolescent Baseball Players with Chronic Ankle Instability: A Single-Blinded Randomized Controlled Trial

by Ho-Jin Shin Int. J. Environ. Res. Public Health 2020, 17(14), 4997; https://doi.org/10.3390/ijerph17144997 Received: 11 June 2020 / Revised: 2 July 2020 / Accepted: 7 July 2020 / Published: 11 July 2020 Abstract Manipulative therapies and exercises are commonly used for the management of chronic ankle instability (CAI), but there is no evidence regarding the […]

Effects of Knee Osteoarthritis on Hip and Ankle Gait Mechanics – Full Text Article

Advances in Orthopedics Volume 2019, Article ID 9757369, 6 pages https://doi.org/10.1155/2019/9757369 Du Hyun Ro Abstract Introduction. Knee osteoarthritis (OA) can affect the hip and ankle joints, as these three joints operate as a kinetic/kinematic chain while walking. Purpose. This study was performed to compare (1) hip and ankle joint gait mechanics between knee OA and […]

Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline – Full Text Article

British Journal of Sports Medicine Volume 52, Issue 15 Gwendolyn Vuurberg Abstract This guideline aimed to advance current understandings regarding the diagnosis, prevention and therapeutic interventions for ankle sprains by updating the existing guideline and incorporate new research. A secondary objective was to provide an update related to the cost-effectiveness of diagnostic procedures, therapeutic interventions […]

Clinical Benefits of Joint Mobilization on Ankle Sprains: A Systematic Review and Meta-Analysis

Archives of Physical Medicine and Rehabilitation July 2018 Volume 99, Issue 7, Pages 1395–1412.e5 Ishanka Weerasekara Abstract Objective To assess the clinical benefits of joint mobilization for ankle sprains. Data Sources MEDLINE, MEDLINE In-Process, Embase, AMED, PsycINFO, CINAHL, Cochrane Library, PEDro, Scopus, SPORTDiscus, and Dissertations and Theses were searched from inception to June 2017. Study […]

High Ankle Sprain – Illinois Chiropractic Society

Wednesday, November 29, 2017 (0 Comments) Posted by: Tim Bertelsman, DC, DACO & Brandon Steele, DC DACO High Ankle Sprain  Fall and winter collision sports like football, hockey, and even soccer, pose unique threats to the bodies of its participants. The foot and ankle are common sites of injury. This article will focus on the […]

The Association of Ankle Dorsiflexion Range of Motion With Hip and Knee Kinematics During the Lateral Step Down Test

Authors: Alon Rabin, DPT, PhD Study Design Cross-sectional. Background Altered hip and knee kinematics have been associated with several knee disorders including anterior cruciate ligament tear, patellofemoral pain, and iliotibial band syndrome. Limited ankle dorsiflexion (DF) range of motion (ROM), which has been linked with some of these disorders, has also been associated with altered […]

The Effect of Velocity of Joint Mobilization on Corticospinal Excitability in Individuals With a History of Ankle Sprain

Authors: Beth E. Fisher, PT, PhD, FAPTA Study Design Controlled laboratory study. Background Joint mobilization and manipulation decrease pain and improve patient function. Yet, the processes underlying these changes are not well understood. Measures of corticospinal excitability provide insight into potential mechanisms mediated by the central nervous system. Objectives To investigate the differential effects of […]

Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities?

Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities? A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration Authors: Jocelyn Cox, DC Study Design Systematic review. Background Acupuncture is a commonly used treatment for musculoskeletal disorders (MSDs); however, little is known about the effectiveness of acupuncture therapies […]

The AO classification system more reliable than Lauge-Hansen system for ankle injury diagnosis

AO classification system provides more reliable ankle injury diagnosis vs Lauge-Hansen system  Yin M, et al. Orthopedics. 2015;doi:10.3928/01477447-20150701-62. August 13, 2015 The AO classification system was determined to be easier to comprehend for the diagnosis of ankle injuries vs. the Lauge-Hansen classification system, with the AO system demonstrating better reliability and reproducibility, according to study […]

The neuromechanical adaptations to Achilles tendinosis

J Physiol. 2015 Aug 1;593(15):3373-87. doi: 10.1113/JP270220. Epub 2015 Jun 30. Chang YJ1, Kulig K1. Abstract KEY POINTS: Achilles tendinosis is a localized degenerative musculoskeletal disorder that develops over a long period of time and leads to a compliant human Achilles tendon. We demonstrate that the compliant Achilles tendon elicited a series of adaptations from […]

Manual Physical Therapy Following Immobilization For Stable Ankle Fracture: A Case Series

Authors: Elizabeth E. Painter, PT, DSc1, Gail D. Deyle, PT, DSc1, Christopher Allen, PT, DSc1, Evan J. Petersen, PT, DSc2, Theodore Croy, PT, PhD3, Kenneth P. Rivera, PA-C, DSc4 Study Design Case series. Background Ankle fractures commonly result in persistent pain, stiffness, and functional impairments. There is insufficient evidence for any particular rehabilitation approach after […]

Dynamic Balance Deficits 6 Months Following First-Time Acute Lateral Ankle Sprain: A Laboratory Analysis

Authors: Cailbhe Doherty, BSc Journal of Orthopaedic & Sports Physical Therapy, Ahead of Print Pages: 1-29 doi:10.2519/jospt.2015.5653 Study Design Controlled laboratory study. Objective To utilize kinematic and stabilometric measures to compare dynamic balance during performance of the Star Excursion Balance Test (SEBT) between persons 6-months post first-time lateral ankle sprain (LAS) and a non-injured control […]