Hypoalgesic effect of a passive accessory mobilisation technique in patients with lateral ankle pain

Man Ther. 2011 Aug;16(4):373-7. doi: 10.1016/j.math.2011.01.001. Epub 2011 Feb 1.


A randomised, double blind, repeated measures study was conducted to investigate the initial effects of an accessory mobilisation technique applied to the ankle joint in 13 patients with a unilateral sub-acute ankle supination injury. Ankle dorsiflexion range of motion, pressure pain threshold, visual analogue scale rating of pain during functional activity and ankle functional scores were assessed before and after application of treatment, manual contact control and no contact control conditions. There were significant improvements in ankle dorsiflexion range of motion (p = 0.000) and pressure pain threshold (p = 0.000) during the treatment condition. However no significant effects were observed for the other measures. These findings demonstrate that mobilisation of the ankle joint can produce an initial hypoalgesic effect and an improvement in ankle dorsiflexion range of motion.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Analysis of Variance
  • Ankle Injuries / physiopathology
  • Ankle Injuries / rehabilitation*
  • Athletic Injuries / physiopathology
  • Athletic Injuries / rehabilitation*
  • Disability Evaluation
  • Double-Blind Method
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain Measurement
  • Physical Therapy Modalities*
  • Range of Motion, Articular / physiology
  • Sprains and Strains / physiopathology
  • Sprains and Strains / rehabilitation*
  • Treatment Outcome