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Current Research: Integrative Medicine
Notes:
October 16-17, 2017 Chicago, USA
Yoga and Physiotherapy Congress
Yoga and Physiotherapy 2017
Combination of rice protocol with Mulligan’s MWM in grade 1 acute lateral ankle
sprains: a pilot study
Nivedita Kadambi, Sonali Jangle
and
Ravi Savadatti
SDM College of Physiotherapy, India
T
o compare the effects of combiningRICE (rest, ice, compression, and elevation) protocol alongwithMulligan’s
mobilization with movement (MWM) as opposed to RICE protocol alone in acute cases of grade 1 lateral
ankle sprains. Inversion sprain, one of the common injuries observed in the ankle is associated with inflammation
and forward pull of the fibula over the tibia at the distal tibio-fibular joint causing a ‘positional fault’. There are
numerous reports favoring clinically beneficial effects of Mulligan’s MWM treatment technique in sub-acute and
chronic cases. Since there is dearth of evidence suggesting the effect of Mulligan’s MWM in acute cases, this
study was initiated. In our study 12 subjects diagnosed with grade 1 inversion sprains were enrolled from the
Physiotherapy out-patient department. They were randomly allocated into control and experimental group. The
experimental group received RICE protocol along Mulligan’s MWM at the distal tibio-fibular joint followed by
Mulligan’s taping. Control group received RICE protocol alone. The outcome measures, VAS for pain and ankle
dorsiflexion range were documented on day 1 and 2 weeks post intervention. The groups were homogeneous for
all the parameters at baseline (p>0.05). Compared with the control group, the experimental group significantly
improved in both the outcome measures (p<0.05). With this study we can conclude that correction of the distal
tibio-fibular positional fault by Mulligan’s MWM along with the RICE protocol is worth seeing for further
exploration in acute lateral ankle sprain patients.
Biography
Nivedita Kadambi has two years of clinical work experience which includes assessing and planning and treatment of various musculoskeletal disorders. She has
presented in various national and international conferences.
dattatrayak73@gmail.com