Ankle sprains are extremely common, but what role does manual therapy play in the initial or long-term management of these injuries? What does the evidence say?

The incidence of ankle sprains has been reported in up to 2.5 to 7 per 1000 person-years. While typically an acute injury, ankle sprains may eventually lead to chronic pain, physical limitations and disability. Manual therapy, including joint mobilizations, manipulation and mobilization with movement (MWM), has been recommended for the management of acute ankle sprains and in the progressive loading stage of rehabilitation. It has been reported that these techniques may have both biomechanical (such as stretching tissue, reducing hypertonicity or stiffness) and neurophysiological (proprioception, spinal cord-related or supraspinal-mediated) benefits. Given the large body of research relating to the treatment of ankle sprains, the purpose of this systematic review was to address the specific role of ankle joint mobilizations (including high velocity thrust manipulation) in grade I or grade II medial or lateral ankle sprains in the acute, subacute and chronic stages of rehabilitation…LOG IN OR SUBSCRIBE TO ACCESS THIS AND OVER 850 RESEARCH REVIEWS!
 
Sprained Ankle