Evidence map›Paper›PMID 30760256›Full record

ArticleBMC musculoskeletal disorders2019

Effects of mobilisation with movement (MWM) on anatomical and clinical characteristics of chronic ankle instability: a randomised controlled trial protocol.

Ishanka Weerasekara, Peter Grant Osmotherly, Suzanne Jordan Snodgrass, John Tessier, Darren Anthony Rivett

Abstract readClinical Trial Protocol
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ishanka WeerasekaraSchool of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, Australia. ishanka.weerasekara@uon.edu.au.ORCID http://orcid.org/0000-0002-8195-5057
Peter Grant OsmotherlySchool of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, Australia.
Suzanne Jordan SnodgrassSchool of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, Australia.
John TessierSchool of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, Australia.
Darren Anthony RivettSchool of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUp to 40% of individuals who sprain their ankle develop chronic ankle instability (CAI). One treatment option for this debilitating condition is joint mobilisation. There is preliminary evidence that Mulligan's Mobilisation With Movement (MWM) is effective for treating patients with CAI, but the mechanisms by which it works are unclear, with Mulligan suggesting a repositioning of the fibula. This randomised controlled trial aims to determine the effects of MWM on anatomical and clinical characteristics of CAI.

methodsParticipants 18 years or over with CAI will be accepted into the study if they satisfy the inclusion and exclusion criteria endorsed by the International Ankle Consortium. They will be randomised into the experimental group (MWM) or the placebo group (detuned laser) and will receive the assigned intervention over 4 weeks. General joint hypermobility and the presence of mechanical instability of the ankle will be recorded during the first visit. Further, position of the fibula, self-reported function, ankle dorsiflexion range, pressure pain threshold, pain intensity, and static and dynamic balance will be assessed at baseline, and at the conclusion of course of intervention. Follow-up data will be collected at the twelfth week and at the twelfth month following intervention. DISCUSSION: Effectiveness of MWM on clinically relevant outcomes, including long term benefits will be evaluated. The capacity of MWM to reverse any positional fault of the fibula and the association of any positional fault with other clinically important outcomes for CAI will be explored. Proposed biomechanical mechanisms of fibular positional fault and other neurophysiological mechanisms that may explain the treatment effects of MWM will be further explored. The long term effectiveness of MWM in CAI will also be assessed.

trial registrationAustralian New Zealand Clinical Trials Registry; ACTRN12617001467325 (17/10/2017).

Indexed as

Ankle JointBiomechanical PhenomenaChronic DiseaseExercise TherapyHumansJoint InstabilityNew South WalesPragmatic Clinical Trials as TopicRange of Motion, ArticularRecovery of FunctionTime FactorsTreatment OutcomeAnkle sprainChronic ankle instabilityFibular positional faultFunctional instabilityJoint mobilisationMechanical instabilityMobilisation with movement

Identifiers

PMID30760256
PMCPMC6375188

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.