The Acute Effect of Talocrural Joint Mobilization on Dorsiflexor Muscle Strength in Healthy Individuals: A Randomized Controlled Single-Blind Study

in Journal of Sport Rehabilitation
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Context: Mobilization has been used for enhancing muscle strength. Objective: The aim of this study was to investigate the acute effect of talocrural joint mobilization on ankle dorsiflexor muscle strength in healthy individuals, which has not yet been studied. Design: Randomized controlled single-blind study. Setting: University laboratory. Participants: Forty-eight healthy individuals. Interventions: Maitland grade III (study group) versus Maitland grade I (control group) mobilizations. Main Outcome Measures: Muscle strength measurements were performed using a handheld dynamometer at baseline, immediately after the mobilization, and 30 minutes after mobilization. Results: At baseline, the physical characteristics and muscular strength were similar in both groups (P > .05). According to Friedman analysis, a significant difference was detected following the mobilization in the study group (P < .001), and while the muscle strength at immediately after the mobilization and at 30 minutes after mobilization was significantly higher than baseline (P < .001), no significant differences were observed between 30 minutes after mobilization and immediately after the mobilization (P = .17). However, no significant changes were detected in the control group. The study group was found superior to the control group in terms of muscle strength differences following the mobilization (P < .001). Conclusion: The ankle dorsiflexor muscle strength might be increased by performing Maitland grade III mobilization, and this increase might be preserved for 30 minutes, while Maitland grade I mobilization did not lead to such an improvement in healthy individuals.

Ersoy is with the Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, Dokuz Eylül University, Izmir, Turkey. Kocak is with the Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey. Unuvar is with the Department of Physiotherapy and Rehabilitation, Institute of Health Sciences, Hacettepe University, Ankara, Turkey. Unver is with the School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.

Ersoy (ersoy.ufuk@hotmail.com) is corresponding author.
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