{"id":235,"date":"2009-03-07T07:38:50","date_gmt":"2009-03-07T15:38:50","guid":{"rendered":"http:\/\/gql.fus.mybluehost.me\/en\/?p=235"},"modified":"2009-03-07T07:38:50","modified_gmt":"2009-03-07T15:38:50","slug":"predicting-short-term-response-to-thrust-and-nonthrust-manipulation-and-exercise-in-patients-post-inversion-ankle-sprain","status":"publish","type":"post","link":"https:\/\/neuroft.com\/en\/predicting-short-term-response-to-thrust-and-nonthrust-manipulation-and-exercise-in-patients-post-inversion-ankle-sprain\/","title":{"rendered":"Predicting Short-Term Response to Thrust and Nonthrust Manipulation and Exercise in Patients Post Inversion Ankle Sprain"},"content":{"rendered":"<p><meta content=\"text\/html; charset=utf-8\" http-equiv=\"Content-Type\"\/><meta content=\"Word.Document\" name=\"ProgId\"\/><meta content=\"Microsoft Word 11\" name=\"Generator\"\/><meta content=\"Microsoft Word 11\" name=\"Originator\"\/> \t<link href=\"file:\/\/\/C:%5CUsers%5CKari%5CAppData%5CLocal%5CTemp%5Cmsohtml1%5C01%5Cclip_filelist.xml\" rel=\"File-List\"\/><!--[if gte mso 9]><xml>\n <w:worddocument>\n  <w:view>Normal<\/w:view>\n  <w:zoom>0<\/w:zoom>\n  <w:punctuationkerning><\/w:punctuationkerning>\n  <w:validateagainstschemas><\/w:validateagainstschemas>\n  <w:saveifxmlinvalid>false<\/w:saveifxmlinvalid>\n  <w:ignoremixedcontent>false<\/w:ignoremixedcontent>\n  <w:alwaysshowplaceholdertext>false<\/w:alwaysshowplaceholdertext>\n  <w:compatibility>\n   <w:breakwrappedtables><\/w:breakwrappedtables>\n   <w:snaptogridincell><\/w:snaptogridincell>\n   <w:wraptextwithpunct><\/w:wraptextwithpunct>\n   <w:useasianbreakrules><\/w:useasianbreakrules>\n   <w:dontgrowautofit><\/w:dontgrowautofit>\n  <\/w:compatibility>\n  <w:browserlevel>MicrosoftInternetExplorer4<\/w:browserlevel>\n <\/w:worddocument>\n<\/xml><![endif]--><!--[if gte mso 9]><xml>\n <w:latentstyles DefLockedState=\"false\" LatentStyleCount=\"156\">\n <\/w:latentstyles>\n<\/xml><![endif]--><\/p>\n<style type=\"text\/css\">\n<!--\n \/* Style Definitions *\/\n p.MsoNormal, li.MsoNormal, div.MsoNormal\n\t{mso-style-parent:\"\";\n\tmargin:0in;\n\tmargin-bottom:.0001pt;\n\tmso-pagination:widow-orphan;\n\tfont-size:12.0pt;\n\tfont-family:\"Times New Roman\";\n\tmso-fareast-font-family:\"Times New Roman\";}\nh1\n\t{mso-margin-top-alt:auto;\n\tmargin-right:0in;\n\tmso-margin-bottom-alt:auto;\n\tmargin-left:0in;\n\tmso-pagination:widow-orphan;\n\tmso-outline-level:1;\n\tfont-size:24.0pt;\n\tfont-family:\"Times New Roman\";\n\tfont-weight:bold;}\na:link, span.MsoHyperlink\n\t{color:blue;\n\ttext-decoration:underline;\n\ttext-underline:single;}\na:visited, span.MsoHyperlinkFollowed\n\t{color:purple;\n\ttext-decoration:underline;\n\ttext-underline:single;}\np\n\t{mso-margin-top-alt:auto;\n\tmargin-right:0in;\n\tmso-margin-bottom-alt:auto;\n\tmargin-left:0in;\n\tmso-pagination:widow-orphan;\n\tfont-size:12.0pt;\n\tfont-family:\"Times New Roman\";\n\tmso-fareast-font-family:\"Times New Roman\";}\np.metaauthor, li.metaauthor, div.metaauthor\n\t{mso-style-name:metaauthor;\n\tmso-margin-top-alt:auto;\n\tmargin-right:0in;\n\tmso-margin-bottom-alt:auto;\n\tmargin-left:0in;\n\tmso-pagination:widow-orphan;\n\tfont-size:12.0pt;\n\tfont-family:\"Times New Roman\";\n\tmso-fareast-font-family:\"Times New Roman\";}\np.articledescription, li.articledescription, div.articledescription\n\t{mso-style-name:articledescription;\n\tmso-margin-top-alt:auto;\n\tmargin-right:0in;\n\tmso-margin-bottom-alt:auto;\n\tmargin-left:0in;\n\tmso-pagination:widow-orphan;\n\tfont-size:12.0pt;\n\tfont-family:\"Times New Roman\";\n\tmso-fareast-font-family:\"Times New Roman\";}\n@page Section1\n\t{size:8.5in 11.0in;\n\tmargin:1.0in 1.25in 1.0in 1.25in;\n\tmso-header-margin:.5in;\n\tmso-footer-margin:.5in;\n\tmso-paper-source:0;}\ndiv.Section1\n\t{page:Section1;}\n--><br \/>\n<\/style>\n<p><!--[if gte mso 10]>\n\n\n\n<style>\n \/* Style Definitions *\/\n table.MsoNormalTable\n\t{mso-style-name:\"Table Normal\";\n\tmso-tstyle-rowband-size:0;\n\tmso-tstyle-colband-size:0;\n\tmso-style-noshow:yes;\n\tmso-style-parent:\"\";\n\tmso-padding-alt:0in 5.4pt 0in 5.4pt;\n\tmso-para-margin:0in;\n\tmso-para-margin-bottom:.0001pt;\n\tmso-pagination:widow-orphan;\n\tfont-size:10.0pt;\n\tfont-family:\"Times New Roman\";\n\tmso-ansi-language:#0400;\n\tmso-fareast-language:#0400;\n\tmso-bidi-language:#0400;}\n<\/style>\n\n\n\n<![endif]--><\/p>\n<h1>Predicting Short-Term Response to Thrust and Nonthrust Manipulation and Exercise in Patients Post Inversion Ankle Sprain<\/h1>\n<p class=\"metaauthor\"><a href=\"http:\/\/www.jospt.org\/juliemwhitman\/\">Julie M. Whitman,<\/a> <a href=\"http:\/\/www.jospt.org\/joshuaacleland\/\">Joshua A. Cleland<\/a>, <a href=\"http:\/\/www.jospt.org\/paulemintken\/\">Paul E. Mintken<\/a>, <a href=\"http:\/\/www.jospt.org\/michaelakeirns\/\">Michael A. Keirns<\/a>, <a href=\"http:\/\/www.jospt.org\/melanielbieniek\/\">Melanie L. Bieniek<\/a>, <a href=\"http:\/\/www.jospt.org\/stephanieralbin\/\">Stephanie R. Albin<\/a>, <a href=\"http:\/\/www.jospt.org\/jakesmagel\/\">Jake S. Magel<\/a>, <a href=\"http:\/\/www.jospt.org\/thomasgmcpoil\/\">Thomas G. McPoil<\/a><\/p>\n<p class=\"articledescription\">DOI: 10.2519\/jospt.2009.2940<br clear=\"all\"\/><strong><span style=\"color: rgb(0, 0, 153);\">STUDY DESIGN:<\/span>&nbsp;<\/strong>Prospective-cohort\/predictive-validity study.&nbsp;<strong><span style=\"color: rgb(0, 0, 153);\">OBJECTIVES:<\/span> <\/strong>To develop a clinical prediction rule (CPR) to identify patients who had sustained an inversion ankle sprain who would likely benefit from manual therapy and exercise.&nbsp;<strong><span style=\"color: rgb(0, 0, 153);\">BACKGROUND:<\/span> <\/strong>No studies have investigated the predictive value of items from the clinical examination to identify patients with ankle sprains likely to benefit from manual therapy and general mobility exercises.&nbsp;<strong><span style=\"color: rgb(0, 0, 153);\">METHODS AND MEASURES:<\/span>&nbsp;<\/strong>Consecutive patients with a status of post inversion ankle sprain underwent a standardized examination followed by manual therapy (both thrust and nonthrust manipulation) and general mobility exercises. Patients were classified as having experienced a successful outcome at the second and third sessions based on their perceived recovery. Potential predictor variables were entered into a stepwise logistic regression model to determine the most accurate set of variables for prediction of treatment success.&nbsp;<strong><span style=\"color: rgb(0, 0, 153);\">RESULTS:<\/span> <\/strong>Eighty-five patients were included in the data analysis, of which 64 had a successful outcome (75%). A CPR with 4 variables was identified. If 3 of the 4 variables were present the accuracy of the rule was maximized (positive likelihood ratio, 5.9; 95% CI: 1.1, 41.6) and the posttest probability of success increased to 95%.&nbsp;<strong><span style=\"color: rgb(0, 0, 153);\">CONCLUSIONS:<\/span> <\/strong>The CPR provides the ability to a priori identify patients with an inversion ankle sprain who are likely to exhibit rapid and dramatic short-term success with a treatment approach, including manual therapy and general mobility exercises.&nbsp;<strong><span style=\"color: rgb(0, 0, 153);\">LEVEL OF EVIDENCE:<\/span>&nbsp;<\/strong>Prognosis, level 2b.<\/p>\n<p><em>J Orthop Sports Phys Ther 2009;39(3):188-200, Epub 24 October 2008. doi:10.2519\/jospt.2009.29<\/em><\/p>\n<p><strong>The authors aim to develop a clinical prediction rule (CPR) to identify patients who had sustained an inversion ankle sprain who would&nbsp;likely benefit from manual therapy and exercise.<\/strong><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">This information was obtained via: <a href=\"http:\/\/www.jospt.org\/issues\/articleID.2257,type.1\/article_detail.asp\">http:\/\/www.jospt.org\/issues\/articleID.2257,type.1\/article_detail.asp<\/a> <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Predicting Short-Term Response to Thrust and Nonthrust Manipulation and Exercise in Patients Post Inversion Ankle Sprain Julie M. Whitman, Joshua A.  [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[549,553,532,533,535,538,542],"tags":[588,589,697,980,1031],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Predicting Short-Term Response to Thrust and Nonthrust Manipulation and Exercise in Patients Post Inversion Ankle Sprain - Terapia F\u00edsica Costa Rica y Rehabilitaci\u00f3n Neurol\u00f3gica - Dra. 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