Ganesh Chandar, M R (2016) A Study to Compare the Effectiveness of Mulligans Mobilization with Movement Vs Ultrasound in Football Players with Ankle Sprain. Masters thesis, College of Physiotherapy, Jaya College of Paramedical Sciences, Thiruninravur.
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Abstract
INTRODUCTION : Ankle sprain are one of the most common soft tissue injuries and are especially prevalent at all levels of sports, with lateral sprains accounting for 85% of all ankle sprains. The most common injury with an incidence of 30,000 per day in the United States. 40% of all athletic injury involves the ankle. Foot ball is one of the most popular sports throughout the World. . Most football injuries occur to the Lower extremities, especially the ankle sprain. Ankle sprain injuries in amateur Football players are primarily contact injuries, occurring mainly in defenders and during both games and practice. It appears that more injuries occur in players with previous ankle injury. Injury rates are higher toward the end of a game and chiefly occur during the first 2 months of the season. AIM : Study to compare the effect of mulligan mobilization with movement (MWM) VS ultrasound therapy in lateral ligament sprain of ankle. OBJECTIVES OF THE STUDY : 1. To evaluate the efficacy of mulligan mobilization with movement (MWM) in Football Players with Ankle Sprain. 2. To evaluate the efficacy of Ultrasound therapy in Football Players with Ankle Sprain. 3. To compare the efficacy of mulligan mobilization with movement (MWM) vs. ultrasound therapy in Football Players with Ankle Sprain. DESIGN AND METHODOLOGY : Study Design : Experimental Design. Type of Sampling : Simple random sampling. Study Setting : The study was conducted in the Department of physiotherapy, Jaya college of physiotherapy, Chennai. Sample Size : A Total of 30 subjects fulfilled the inclusion criteria are randomly assigned as Group A (n= 15) receive Mulligans Mobilization with Movement, Group B (n=15) receive Ultrasound Therapy. Study Duration : 1 week. SAMPLING CRITERIA : Inclusion Criteria: A) Age group: 15to 30 years B) Gender: Both female and male football players. C) Enter the trial within 72 hours of injury. D) Diagnosed cases of grade II lateral ligament injury of ankle. Exclusion Criteria : A) Currently on assisted ambulation (eg, cane or crutches) B) All kind of other ankle injuries. C) Presence of severe vascular disease D) Grade III ankle sprain E) Deformities of ankle and foot. Outcome measurement : 1. ROM- Goniometry, 2. Pain - numerical pain rating scale, 3. Functional activity – Foot & Ankle Ability measure (FAAM) Scale. METHODS : 30 subjects selecting from population were clinically diagnosed. They divided into two Groups. [Group-A: Mulligan mobilization with movement technique – 15 subjects], [Group – B : Ultrasound therapy – 15 subjects]. GROUP – A : MULLIGAN MOBILISATION WITH MOVEMENT (MWM) TECHNIQUE: Subject stance on bench. The mulligan mobilization belt will be placed around the distal tibia and fibula & therapist pelvis. HAND PLACEMENT : The talus and forefoot will be fixated with the web space of one hand close to the anterior joint line. The other hand will positioned anteriorly over proximal tibia & fibula to direct the knee over the 2 & 3 toes to maintain a consistent alignment of distal leg & foot APPLICATION OF TECHNIQUE : A backward translation by the therapist imparted tension on the MWM Belt & a postero-anterior tibial glide was sustained during active dorsiflexion to end of free range. Parameters of MWM Technique : 1 week : 3 session, 1 session : 3 sets, Repitition : 10/ sets, Rest time : 1 min. GROUP – B : Ultrasound Therapy Parameters of Ultrasound Therapy : Intensity : 1.5 W/cm2, Frequency : 1 MHz, Mode : pulsed mode, Session : 1 week, Duration : 10 min. RESULTS : On the whole, we conclude that both the treatments are effective in reducing NPRS scores and in increasing Dorsi Flexion, Plantar Flexion, and FAAM scores. However, Mulligan Mobilization with Movements significantly more effective than Ultrasound Therapy in terms of reducing NPRS scores and increasing Dorsi Flexion, Plantar Flexion, and FAAM scores. From these findings, we conclude that the "Mulligan Mobilization with Movement " is relatively more effective treatment than "Ultrasound Therapy" in lateral ligament sprain of ankle. CONCLUSION : Based on the outcome measure, this study although both Mulligan Mobilization with Movement and Ultrasound therapy shows significant improvement while comparing post-test results of these two groups, Mulligan Mobilization with Movement are more effective in reducing pain, improving ROM and functional activity in lateral ligament sprain of ankle joint. This study recommends that Mulligan Mobilization with Movement is effective treatment for lateral ligament of ankle sprain in football players.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Mulligans Mobilization, Movement, Ultrasound, Football Players , Ankle Sprain. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Kambaraman B |
| Date Deposited: | 01 Feb 2018 13:12 |
| Last Modified: | 01 Feb 2018 13:12 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5575 |
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