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Randomized Controlled Trial
. 2025 Jun;45(3):667-675.
doi: 10.19852/j.cnki.jtcm.2025.03.019.

Rotating-pulling-poking manipulation in gait analysis for lateral ankle sprain treatment

Feng Mingshan  1   2 , Wen Haibao  1   2 , Zhao Wenlong  3 , Han Changxiao  1   2 , Gao Chunyu  1   2 , L I Luguang  1   2 , Zou Jinqiao  1   2 , D U Wuyin  3 , Zhu Liguo  1   2 , Gao Jinghua  1   2
Affiliations
Randomized Controlled Trial

Rotating-pulling-poking manipulation in gait analysis for lateral ankle sprain treatment

Feng Mingshan et al. J Tradit Chin Med. 2025 Jun.

Abstract

Objective: To compare the changes in gait parameters before and after the treatment of lateral ankle sprain using the rotating-pulling-poking manipulation, and explore the potential bio-mechanical mechanism of this manipulation.

Methods: Forty patients with lateral ankle sprains were randomly divided into two groups in a 1:1 ratio using a random number table. The experimental group were treated by rotating-pulling-poking manipulation and elastic bandage external fixation, while the control group were treated by ice compress and elastic bandage external fixation. The treatment courses of the two groups were both 2 weeks. We used a three-dimensional motion capture system for kinematic measurements and a Bertec gait analysis force measurement system for mechanical measurements, and compared the changes in gait parameters between the two groups of patients before and after treatment.

Results: Intragroup comparison showed that the support time, swing time, peak of back extension, peak of plantar flexion, peak of toe pedal force, and peak of heel landing force of the affected feet in the experimental group were significantly improved compared to those before treatment (P < 0.05). The swing time of the affected feet in the control group was significantly improved compared to that before treatment (P < 0.05). The inter group comparison showed that the gait speed, stride length, peak of back extension, peak of plantar flexion, peak of toe pedal force, and peak of heel landing force of the affected feet in the experimental group were significantly better than those in the control group (P < 0.05).

Conclusions: The rotating-pulling-poking manipulation can effectively improve the patient's gait and range of motion of the affected ankle joint, and enhance the negative gravity in the vertical direction of the affected foot, and the braking and driving forces in the front and back directions. This may be the potential biomechanical mechanism of the rotating-pulling-poking manipulation for treating lateral ankle sprain.

Keywords: gait analysis; lateral ankle sprain; rotating-pulling-poking manipulation.

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Figures

Figure 1
Figure 1. Patient recruitment, research design flowchart
Figure 2
Figure 2. Rotating-pulling-poking manipulation operating steps
A: rotating manipulation; B: pulling manipulation; C: poking manipulation.
Figure 3
Figure 3. Schematic diagram of three-dimensional gait measurement
A: ground reaction force during heel landing: measurement of the peak of component force of heel landing on the X, Y, and Z axes; B: ground reaction force during toe tapping: measurement of peak component force of foot tip to ground on X, Y, and Z axes; C: ankle angle in natural position; D: the maximum angle of plantar flexion for ascending steps; E: minimum angle of back extension for descending steps.
See this image and copyright information in PMC

References

    1. Martin RL, Davenport TE, Fraser JJ, et al. Ankle stability and movement coordination impairments: lateral ankle ligament sprains revision 2021. J Orthop Sports Phys Ther 2021; 51: Cpg1-80. - PubMed
    1. Halabchi F, Hassabi M. Acute ankle sprain in athletes: clinical aspects and algorithmic approach. World J Orthop 2020; 11: 534-58. - PMC - PubMed
    1. Rocha AP, Choupina HMP, Vilas-Boas MDC, Fernandes JM, Cunha JPS. System for automatic gait analysis based on a single RGB-D camera. PloS One 2018; 13: e0201728. - PMC - PubMed
    1. Corte-Real N, Caetano J. Ankle and syndesmosis instability: consensus and controversies. EFORT Open Rev 2021; 6: 420-31. - PMC - PubMed
    1. Miklovic TM, Donovan L, Protzuk OA, Kang MS, Feger MA. Acute lateral ankle sprain to chronic ankle instability: a pathway of dysfunction. Phys Sportsmed 2018; 46: 116-22. - PubMed

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