Bruce wrote:

>You should read Dr. Dananbergs paper on AJ
>manipulation and also his works on Chronic low Back pain.  This should be
>right up your alley!
>Cheers!
>Bruce Williams


If reading Howard's ankle manipulation JAPMA paper from 2000
(Sep;90(8):385-9), be sure to read Hylton's comment and Howard's response in
2001 (Feb;91(2):105-6).

Also, I came across another paper on ankle manipulation to increase ankle
ROM not so long ago (it includes a comment on Howard's paper too):

Fryer GA, Mudge JM, McLaughlin PA. The effect of talocrural joint
manipulation on range of motion at the ankle. J Manipulative Physiol Ther.
2002 Jul-Aug;25(6):384-90.

OBJECTIVE: To determine whether a single high-velocity, low-amplitude thrust
manipulation to the talocrural joint altered ankle range of motion. DESIGN:
A randomized, controlled and blinded study. SUBJECTS: Asymptomatic male and
female volunteers (N = 41). METHODS: Subjects were randomly assigned into
either an experimental group (n = 20) or a control group (n = 21). Both
ankles of subjects in the experimental group were manipulated by using a
single high-velocity, low-amplitude thrust to the talocrural joint. Pretest
and posttest measurements of passive dorsiflexion range of motion were
taken. RESULTS: No significant changes in dorsiflexion range of motion were
detected between manipulated ankles and those of control subjects. A
significantly greater pretest dorsiflexion range of motion existed in those
ankles in which manipulation produced an audible cavitation. CONCLUSION:
Manipulation of the ankle does not increase dorsiflexion range of motion in
asymptomatic subjects. Ankles that displayed a greater pretest range of
dorsiflexion were more likely to cavitate, raising the possibility that
ligament laxity may be associated with the tendency for ankles to cavitate.



Cheers,

Joel.

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