Randomized Controlled Trial Comparing Fibular Versus Talocrural Mobilization With Movement in Individuals With Chronic Ankle Instability

Talocrural mobilization with movement (MWM) and fibular MWM are ankle joint mobilization techniques which may treat deficits in ankle dorsiflexion range of motion (DFROM) and balance in individuals with chronic ankle instability (CAI). The purpose of this study was to compare the acute effect of fibular MWM versus talocrural MWM in individuals with CAI. Thirty-nine individuals with CAI were enrolled and randomized to intervention (fibular MWM, talocrural MWM, or control). Baseline DFROM, inversion range of motion, and balance were assessed pre- and postintervention. Only the talocrural MWM group significantly increased DFROM postintervention. There were no significant group differences in inversion range of motion or balance. The results support the use of talocrural MWM, but not fibular MWM, to acutely improve DFROM in individuals with CAI.