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Workshop #4

Talocrural Joint Mobilization for Patients with Chronic Ankle Instability

Speaker: Matthew Hoch

Background & Relevance: Joint mobilization interventions are commonly used to restore mechanical ankle function in chronic ankle instability (CAI) patients. However, emerging evidence indicates joint mobilization interventions have more widespread benefits including improvements in sensorimotor and patient-reported function. Therefore, the rationale for incorporating joint mobilization into CAI rehabilitation has expanded and several novel approaches for using these interventions have been developed. While the evidence supports using joint mobilization for CAI patients, it is important for clinicians to apply techniques properly and capture patient outcomes to successfully implement this manual therapy. This workshop will review joint mobilization techniques that are commonly applied to patients with CAI, synthesize the evidence related to treatment outcomes from mechanical, neurophysiological, and patient- centered perspectives, and demonstrate how joint mobilization interventions have advanced the CAI rehabilitation paradigm. This workshop will also introduce clinical techniques for implementing joint mobilization and capturing clinical and patient-reported outcomes in clinical practice settings through an evaluate-treat-evaluate model. These concepts will be reinforced through laboratory practice of talocrural joint mobilization techniques and clinical strategies for measuring range of motion, sensorimotor function, and patient-reported outcomes.

Learning Objective 1: Attendees will be able to explain the rationale for using joint mobilization techniques in patients with chronic ankle instability.

Learning Objective 2: Attendees will apply and interpret clinical outcome measures associated with manual therapies in patients with chronic ankle instability.

Learning Objective 3: Attendees will be able to apply talorcural joint mobilization treatments and systematically collect patient outcomes through an evaluate-treat-evaluate framework.