Patients with different musculoskeletal problems might benefit from manual therapy, a hands-on approach to increasing mobility and function. Therapists use hands-on techniques to improve muscle function as part of their clinical intervention (Nakandala et al., 2021). Even though some studies have shown that specific interventions can help patients with foot injuries improve their joint mobility and reduce pain after the injury, more research is needed to determine whether manual therapies are as effective in assisting patients in improving their range of motion and reducing pain after the injury (Bolton et al., 2020). Manual therapies have been widely investigated in patients who have sustained ankle sprains. However, the effectiveness of manual treatments is controversial, and there is limited evidence to support the use of manual therapies as part of a rehabilitation intervention program (Kamani et al., 2021). Several published reviews have reported that manual treatments are effective as part of rehabilitation intervention in improving range of motion, reducing post-injury pain, and reducing functional limitations.

Summaries of the Articles

In the case of the first article, the authors discuss the efficacy of 3 different treatments used to improve the range of motion in patients with adhesive capsulitis (Nakandala et al., 2021). The evidence in the first study provided support for a decrease in pain during the rehabilitation program and after the completion of the treatment program; the study also reported that a significant increase in patients’ range of motion in the affected shoulder was observed during the rehabilitation program (Nakandala et al., 2021). In addition, the results of the study reported that. The study said that manual therapies as part of the rehabilitation program resulted in a more significant improvement in patients’ range of motion compared to other rehabilitation programs. This study proves that manual therapies may be a valuable adjunct to a successful rehabilitation program for ankle sprains patients (Nakandala et al., 2021). Results from this research show that rehabilitation programs successfully increase joint mobility in those with ankle sprains.

As per the second article, the authorsdiscussed the effectiveness of a fascial-based manual therapy in treating chronic ankle instability. The authors reported that a single manual therapy session had no significant effect on ankle dorsiflexion range of motion (Kamani et al., 2021). However, the research showed that manual therapy might improve ankle sprain patients’ function and postural sway (Kamani et al., 2021). According to a new research study, manual treatment and exercise regimes were shown to have no effect on ankle dorsiflexion range of motion or postural sway in chronic ankle instability patients.

According to the third article, the study aimed to determine the impact of manual therapy in physiotherapy and exercise with and without mobilization on muscle strength, pain, and physical function in persistent ankle dislocation patients. Authors reported that patients could return to regular activities faster if they underwent a combination of exercise and manual therapy (Bolton et al., 2020). However, the study also reported that manual treatment failed to provide significant effects on improving the strength of ankle dorsiflexors compared to exercise only. The study also showed that exercise and manual therapy patients reported more pain reduction and ankle dorsiflexion range of motion than the control group (Bolton et al., 2020). Therefore, the evidence from this study suggests that patients with chronic ankle instability experiencing pain may benefit from a rehabilitation program that includes manual therapies.


Overall, the results of this analysis indicate that MT is a helpful supplement to rehabilitation programs that may enhance functional performance and reduce post-injury discomfort (Nakandala et al., 2021). This study showed that, for patients undergoing rehabilitation, a combination of exercise and MT provides improved results in ankle range of joint mobility, pain, and function compared to an exercise-only program (Bolton et al., 2020). While the use of MT may not significantly contribute to rehabilitation in patients with ankle sprains, a combination of manual therapy and exercise may be a valuable adjunct to a rehabilitation program. It may allow patients to return to their daily activities faster (Kamani et al., 2021). Overall, the results of this study suggested that manual therapies are helpful in patients with chronic ankle instability. This therapy may provide effective results if the rehabilitation program includes an exercise component.

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Nakandala, P., Nanayakkara, I., Wadugodapitiya, S., & Gawarammana, I. (2021). The efficacy of physiotherapy interventions in treating adhesive capsulitis: A systematic review. Journal of Back and Musculoskeletal Rehabilitation, 34(2), 195-205.

Kamani, N. C., Poojari, S., & Prabu, R. G. (2021). The influence of fascial manipulation on function, ankle dorsiflexion range of motion, and postural sway in individuals with chronic ankle instability. Journal of Bodywork and Movement Therapies, 27, 216-221. Bolton, C., Hale, S., & Telemeco, T. (2020). The effects of therapeutic exercise with and without mobilization in participants with chronic ankle instability: A randomized controlled trial.