Foot and Ankle Ability Measure Scores in Patients with Chronic Ankle Instability Following Joint Mobilization
in International Journal of Athletic Therapy and TrainingClick name to view affiliation
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Context:
Following joint mobilizations, individuals with chronic ankle instability (CAI) have reported increased self-reported function as measured by the Foot and Ankle Ability Measure (FAAM).
Objective:
To examine the effect of a 2-week talocrural joint mobilization intervention on individual items of the FAAM in physically active adults with CAI.
Participants:
Twelve adults with CAI.
Intervention:
Self-reported function was documented with the FAAM-ADL and FAAM-Sport at preintervention and at 1-week postintervention. The joint mobilization intervention consisted of six treatments over 2 weeks. During each treatment, subjects received 4 minutes of talocrural traction and 8 minutes of Maitland Grade-III anterior-to-posterior talocrural joint mobilization.
Main Outcome Measures:
Participants completed the 21-item FAAM-ADL and 8-item FAAM-Sport.
Results:
Signifcant changes were detected between preintervention and 1-week follow-up measures for “Walking on even ground” (p = 0.06), “Going down stairs” (p = 0.07), “Walking on uneven ground” (p = 0.03), “Light to moderate work” (p = 0.06), “Heavy work” (p = 0.03), “Recreational activity” (p = 0.07), “Landing” (p = 0.03), “Low impact activities” (p = 0.07), and “Cutting” (p = 0.02). No signifcant changes were identifed in the other 20 items (p > 0.10).
Conclusion:
The fndings suggest talocrural joint mobilization may address specifc mechanical and functional impairments associated with the aforementioned tasks during physical activity.
Megan Houston is with Human Movement Sciences at Old Dominion University in Norfolk, VA.
Patrick O. McKeon is with University of Kentucky, Rehabilitation Sciences in Lexington, KY.
Matthew Hoch is with the School of Physical Therapy and Athletic Training at Old Dominion University in Norfolk, VA.
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