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Fidha Sidheek1, J. Andrews Milton2, Amina Shajahan3, Jabir.S4, Arya P.V5, Parvathy G.M6

Corresponding Author:
1. Physiotherapist, Physio abroad, Surat, Gujarat, India. Email:  fitzkenya@gmail.com
Co-Authors:
2.Professor and Principal, Bethany Navajeevan college of physiotherapy, Trivandrum, Kerala, India. 3.Physiotherapist, Gokulam Health Centre, Attingal, Kerala, India.
4.Lecturer, Hillside College of physiotherapy Bangalore, India
5.Physiotherapist, Attukal Devi Institute of medical sciences, Attukal, Trivandrum, Kerala, India
6.Assistant Professor, Bethany Navajeevan college of physiotherapy, Trivandrum, Kerala, India.

Abstract

Background of the study: Ankle sprain is a prevalent sports injury, predisposing to a high risk of suffering a sequel, hence leading to chronic ankle instability which showcases pain, reduced flexibility, strength, and neuromuscular function as main hindrances. The objective of this study was to compare the effectiveness of Muscle Energy Technique (MET) to Positional Release Technique (PRT) in patients with chronic ankle instability and evaluate which gives a faster result in terms of measuring dynamic balance, functional limitation and EMG activity.

Methodology: Based on the inclusion criteria, 30 subjects with CAI were divided into two groups of 15. Pre and post test conducted on modified Star Excursion Balance Test for dynamic balance, Foot Ankle Disability Index for functional limitation and Electromyography-Interference pattern for Gastrocnemius. One group was treated with MET (7–10s contraction at 20% max force – new restriction barrier –30s stretch-3 contractions) and cryotherapy and other with PRT (sensitivityreducedto70% and hold for 90 sec)2 and cryotherapy. Implemented in 3 sessions per week for 4 weeks, lasting for 1 hour.

Results & Conclusion: Statistically there was a significant difference in values of pre and post-test in both groups. However MET group showed a greater improvement and had a better impact in subjects with chronic ankle instability.  

Keywords: Chronic Ankle instability, Muscle energy technique, position release technique, Modified star excursion balance test, Electromyography, foot ankle disability index.

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