@article{ref1,
title="Talus mobilization-based manual therapy is effective for restoring range of motion and enhancing balance in older adults with limited ankle mobility: a randomized controlled trial",
journal="Gait and posture",
year="2022",
author="Hernández-Guillén, David and Roig-Casasús, Sergio and Tolsada-Velasco, Catalina and García-Gomáriz, Carmen and Blasco, José-María",
volume="93",
number="",
pages="14-19",
abstract="BACKGROUND: The ankle plays a key role in balance, but ankle range of motion decreases with ageing. RESEARCH QUESTION: To establish whether a talus mobilization-based manual therapy intervention may be effective for increasing range of motion and balance in older adults with limited ankle mobility due to the ageing process. <br><br>METHODS: Randomized clinical trial in which 42 community-dwelling older adults with limited ankle mobility were allocated to an experimental or a control group. The experimental intervention consisted of six sessions of anteroposterior talus mobilization, whereas the control intervention was a sham treatment. Baseline change in weight and non-weight bearing ankle range of motion (ROM), balance outcome in terms of the Timed up and go (mobility and dynamic balance), Single-leg stand (static balance and stability), Functional reach (margins of stability) and Romberg tests (static balance) were assessed. Analysis of variance based on a mixed-linear model of repeated measures looked for group interactions. <br><br>RESULTS: Forty participants completed the study. Participants who received six sessions of manual therapy showed greater improvements in the Timed up and go, Functional reach and Single-leg stand tests than participants who received a sham intervention (p < 0.001). Both groups presented similar performance in post-treatment static balance measures (p > 0.05). SIGNIFICANCE: An anteroposterior talus mobilization-based manual therapy intervention is effective for increasing ankle ROM, with a positive effect on dynamic balance, mobility and stability in community-dwelling older adults with limited ankle mobility.<p /> <p>Language: en</p>",
language="en",
issn="0966-6362",
doi="10.1016/j.gaitpost.2022.01.005",
url="http://dx.doi.org/10.1016/j.gaitpost.2022.01.005"
}