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Ankle - Inversion Sprains: Manual Physical Therapy and Exercise Versus Supervised Home Exercise

1. Inversion ankle sprains often occur as a result of landing on a plantar flexed and inverted foot. The foot twists medially in relation to the externally rotated tibia often causing injury to the lateral ligaments of the ankle.

A. True

B. False


2. It has been suggested that patients with recurrent inversion ankle sprains frequently demonstrate dysfunction at which of the following joints:

A. Proximal tibiofibular

B. Distal tibiofibular

C. Talocrural

D. Subtalar

E. All of the above


3. All of the following are manipulations used in the MTEX group, EXCEPT?

A. Proximal tibiofibular joint

B. Talocalcaneonavicular joint

C. Distal tibiofibular joint

D. Talocrural and subtalar joints


4. The exercise program used by both groups for mobilizing and strengthening, include which of the following?

A. Weight-bearing functional activities

B. Mobilizing exercises for the hip and knee

C. Resistive-band exercises

D. A and C

E. All of the above


5. There was a statistically significant difference in reduction of ankle sprain recurrence for the MTEX group.

A. True

B. False


6. Results of this study indicate that the patients in the MTEX group exhibited significantly greater improvements in pain and function at both 4 weeks and 6 months as compared to those in the HEP group.

A. True

B. False


7. The exact mechanism by which manual therapy achieves its effects is unknown, but possible explanations include which of the following?

A. Manual therapy is helpful in restoring motion, leading to improved foot and ankle mechanics

B. The effects of manual therapy are neurophysiological in nature

C. Manual therapy could result in a reduction of inflammatory cytokines

D. All of the above


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