Effects of HVLA technique on ankle dorsiflexión and other postural parameters in footballers
DOI:
https://doi.org/10.47197/retos.v73.116967Keywords:
Ankle injuries, ankle dorsiflexion, sport, range of motion, ankle joint, football, manipulationAbstract
Introduction: A reduced range of motion in dorsiflexion or a more lateralized plantar pressure center are risk factors for ankle sprain. High-velocity, low-amplitude techniques applied to the ankle could modify these parameters and therefore be useful for the treatment of this condition.
Objective: The objective of this study is to determine whether the manipulative technique for talo-crural decoaptation applied to amateur soccer players can influence variables such as dorsiflexion range of motion, location of the plantar center of pressure, or percentage of weight bearing on the foot.
Methodology: The sample consisted of forty male amateur soccer players over 18 years of age. Participants were divided into two groups. The hitting ankle of the experimental group was subjected to the talo-crural distraction, while the control group received a placebo. Pre- and post- dorsiflexion range of motion measurements were recorded using the Weight Bearing Lunge Test and static footprint study.
Results: Statistically significant differences were observed in dorsiflexion range, but not in the rearfoot loading or plantar center of pressure.
Conclusions: The manipulative technique of talo-crural decoaptation increased dorsiflexion range of motion, but did not result in changes in the baropodometric study in asymptomatic amateur soccer players. Future studies are needed to verify the long-term effect of this type of technique in professional soccer players.
References
Al Attar, W. S. A., Khaledi, E. H., Bakhsh, J. M., Faude, O., Ghulam, H., & Sanders, R. H. (2022). Injury pre-vention programs that include balance training exercises reduce ankle injury rates among soc-cer players: a systematic review. Journal of Physiotherapy, 68(3), 165–173. https://doi.org/10.1016/j.jphys.2022.05.019
Alburquerque-Sendín, F., Fernández-de-las-Peñas, C., Santos-del-Rey, M., & Martín-Vallejo, F. J. (2009). Immediate effects of bilateral manipulation of talocrural joints on standing stability in healthy subjects. Manual Therapy, 14(1), 75–80. https://doi.org/10.1016/j.math.2007.11.005
Allois, R., Niglia, A., Pernice, A., & Cuesta-Barriuso, R. (2021). Fascial therapy, strength exercises and taping in soccer players with recurrent ankle sprains: A randomized controlled trial. Journal of Bodywork and Movement Therapies, 27, 256–264. https://doi.org/10.1016/j.jbmt.2021.03.022
Botelho, M. B., Barbosa, M. A., Junior, C. S., Lara, J. P. R., Moreira, A., & Baptista, A. F. (2022). Immediate Effects of Spinal Manipulative Therapy on the Performance of Elite Brazilian Soccer Players: A Pilot Randomized Controlled Trial With an Internally Validated Sham Treatment. Journal of Chiropractic Medicine, 21(4), 270–279. https://doi.org/10.1016/j.jcm.2022.02.021
Caputo, A. M., Lee, J. Y., Spritzer, C. E., Easley, M. E., Deorio, J. K., Nunley, J. A., & DeFrate, L. E. (2009). In vivo kinematics of the tibiotalar joint after lateral ankle instability. American Journal of Sports Medicine, 37(11), 2241–2248. https://doi.org/10.1177/0363546509337578
Cerrillo-Sanchis, J., Ricart-Luna, B., Rodrigo-Mallorca, D., Muñoz-Gómez, E., Domínguez-Navarro, F., Mollà-Casanova, S., & Chulvi-Medrano, I. (2024). Relationship between ankle dorsiflexion range of motion and sprinting and jumping ability in young athletes. Journal of Bodywork and Move-ment Therapies, 39, 43–49. https://doi.org/10.1016/j.jbmt.2024.02.013
Christiansen, T. L., Niazi, I. K., Holt, K., Nedergaard, R. W., Duehr, J., Allen, K., Marshall, P., Türker, K. S., Hartvigsen, J., & Haavik, H. (2018). The effects of a single session of spinal manipulation on strength and cortical drive in athletes. European Journal of Applied Physiology, 118(4), 737–749. https://doi.org/10.1007/s00421-018-3799-x
Fong, D. T., Chan, Y.-Y., Mok, K.-M., Yung, P. S., & Chan, K.-M. (2009). Understanding acute ankle ligamen-tous sprain injury in sports. BMC Sports Science, Medicine and Rehabilitation, 1(1). https://doi.org/10.1186/1758-2555-1-14
François Ricard. (2012). COLECCION DE MEDICINA OSTEOPATICA. MIEMBRO INFERIOR, TOMO 1: PIE Y TOBILLO (Escuela de Osteopatia de Madrid, Ed.; Vol. 1).
Fryer, G. A., Mudge, J. M., & McLaughlin, P. A. (2002). The effect of talocrural joint manipulation on range of motion at the ankle. Journal of Manipulative and Physiological Therapeutics, 25(6), 384–390. https://doi.org/10.1067/mmt.2002.126129
Hedlund, S., Nilsson, H., Lenz, M., & Sundberg, T. (2014). Effect of chiropractic manipulation on vertical jump height in young female athletes with talocrural joint dysfunction: A single-blind random-ized clinical pilot trial. Journal of Manipulative and Physiological Therapeutics, 37(2), 116–123. https://doi.org/10.1016/j.jmpt.2013.11.004
Hoskins, W., McHardy, A., Pollard, H., Windsham, R., & Onley, R. (2006). Chiropractic Treatment of Lower Extremity Conditions: a Literature Review. In Journal of Manipulative and Physiological Therapeutics (Vol. 29, Issue 8, pp. 658–671). https://doi.org/10.1016/j.jmpt.2006.08.004
Howard J. Dananberg, D. (2004). 25. J Am Podiatr Med Assoc, 94, 395–399.
Izaola- Azkona, L. V. B. O.-E. I. S. M. L.-A. I. (2021). Title: Effectiveness of Mobilization of the Talus and Distal Fibula in the Management of Acute Lateral Ankle Sprain. American Physical Therapy As-sociation. https://doi.org/10.1093/ptj/pzab111/6231218
Kamali, F., Sinaei, E., & Bahadorian, S. (2017). The immediate effect of talocrural joint manipulation on functional performance of 15–40 years old athletes with chronic ankle instability: A double-blind randomized clinical trial. Journal of Bodywork and Movement Therapies, 21(4), 830–834. https://doi.org/10.1016/j.jbmt.2017.01.010
Knuckles, A. M., Torp, D. M., Hubbard-Turner, T., Donovan, L., & Thomas, A. C. (2022). Multi-axis desta-bilisation device influences plantar pressure distribution in adults with chronic ankle instability. Sports Biomechanics, 21(4), 501–516. https://doi.org/10.1080/14763141.2021.1896773
Kolokotsios, S., Drousia, G., Koukoulithras, I., & Plexousakis, M. (2021). Ankle Injuries in Soccer Players: A Narrative Review. Cureus. https://doi.org/10.7759/cureus.17228
Krueger, B., Becker, L., Leemkuil, G., & Durall, C. (2015). Does talocrural joint-thrust manipulation im-prove outcomes after inversion ankle sprain? Journal of Sport Rehabilitation, 24(3), 315–321. https://doi.org/10.1123/jsr.2013-0144
Lawrence, M. A., Raymond, J. T., Look, A. E., Woodard, N. M., Schicker, C. M., & Swanson, B. T. (2020). Effects of Tibiofibular and Ankle Joint Manipulation on Hip Strength and Muscle Activation. Journal of Manipulative and Physiological Therapeutics, 43(5), 406–417. https://doi.org/10.1016/j.jmpt.2019.10.005
Licciardone, J. C., Brimhall, A. K., & King, L. N. (2005). Osteopathic manipulative treatment for low back pain: A systematic review and meta-analysis of randomized controlled trials. BMC Musculoske-letal Disorders, 6. https://doi.org/10.1186/1471-2474-6-43
López-Rodríguez, S., de-las-Peñas, C. F., Alburquerque-Sendín, F., Rodríguez-Blanco, C., & Palomeque-del-Cerro, L. (2007). Immediate Effects of Manipulation of the Talocrural Joint on Stabilometry and Baropodometry in Patients With Ankle Sprain. Journal of Manipulative and Physiological Therapeutics, 30(3), 186–192. https://doi.org/10.1016/j.jmpt.2007.01.011
Loudon, J. K., Reiman, M. P., & Sylvain, J. (2014). The efficacy of manual joint mobilisa-tion/manipulation in treatment of lateral ankle sprains: A systematic review. In British Journal of Sports Medicine (Vol. 48, Issue 5, pp. 365–370). https://doi.org/10.1136/bjsports-2013-092763
Manoel, L. S., Xixirry, M. G., Soeira, T. P., Saad, M. C., & Riberto, M. (2020). Identification of Ankle Injury Risk Factors in Professional Soccer Players Through a Preseason Functional Assessment. Or-thopaedic Journal of Sports Medicine, 8(6). https://doi.org/10.1177/2325967120928434
Marrón-Gómez, D., Rodríguez-Fernández, Á. L., & Martín-Urrialde, J. A. (2015). The effect of two mobi-lization techniques on dorsiflexion in people with chronic ankle instability. Physical Therapy in Sport, 16(1), 10–15. https://doi.org/10.1016/j.ptsp.2014.02.001
Medina McKeon, J. M., & Hoch, M. C. (2019). The ankle-joint complex: A kinesiologic approach to lateral ankle sprains. Journal of Athletic Training, 54(6), 589–602. https://doi.org/10.4085/1062-6050-472-17
Mettler, A., Chinn, L., Saliba, S. A., McKeon, P. O., & Hertel, J. (2015). Balance training and center-of-pressure location in participants with chronic ankle instability. Journal of Athletic Training, 50(4), 343–349. https://doi.org/10.4085/1062-6050-49.3.94
Navid, M. S., Niazi, I. K., Lelic, D., Amjad, I., Kumari, N., Shafique, M., Holt, K., Rashid, U., Drewes, A. M., & Haavik, H. (2022). Chiropractic Spinal Adjustment Increases the Cortical Drive to the Lower Limb Muscle in Chronic Stroke Patients. Frontiers in Neurology, 12. https://doi.org/10.3389/fneur.2021.747261
Pellow, J. E., & Brantingham, J. W. (2001). The efficacy of adjusting the ankle in the treatment of sub-acute and chronic grade I and grade II ankle inversion sprains. Journal of Manipulative and Physiological Therapeutics, 24(1), 17–24. https://doi.org/10.1067/mmt.2001.112015
Wirth, B., Gassner, A., De Bruin, E. D., Axén, I., Swanenburg, J., Humphreys, B. K., & Schweinhardt, P. (2019). Neurophysiological Effects of High Velocity and Low Amplitude Spinal Manipulation in Symptomatic and Asymptomatic Humans: A Systematic Literature Review. In Spine (Vol. 44, Issue 15, pp. E914–E926). Lippincott Williams and Wilkins. https://doi.org/10.1097/BRS.0000000000003013
Wright, I. C., Neptune, R. R., Van Den Bogert, A. J., & Nigg, B. M. (2000). The influence of foot positioning on ankle sprains. In Journal of Biomechanics (Vol. 33).
Yens, D. P. (2003). Osteopathic treatment in the emergency department for patients with acute ankle injuries. Article in Journal of Osteopathic Medicine. https://doi.org/10.7556/jaoa.2003.103.9.417
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Silvia Lorenzo-Barreiro, Isidro Fernández-López
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.
