El método Mulligan en el tratamiento de esguinces de tobillo grado I-II. Revisión bibliográfica.

Abstract

Introduction: A sprain is a tear of the ligaments that is produced by a mechanical action. The most common location is the ankle. Its incidence is one per ten thousand inhabitants per day, representing 15-20% of sports injuries. If it is not treated properly, it can reappear and/or leave sequelae. Treatment includes rest, ice, compression, and elevation. In recent years, the Mulligan method has been proposed as a novel technique. The objective of this work is to review the efficacy of the Mulligan method in patients with grade I-II ankle sprains. Method: A review was carried out following the PRISMA regulations. The PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, and WOS databases were consulted. The Cochrane tool was used to assess the risk of bias and the quality of the evidence was assessed GRADE. Results: The Mulligan method is effective in the treatment of grade I and II ankle sprains. The total sample was 242 patients from six studies. The frequency in the application of the therapy was 2-3 sessions per week for two or three weeks. All studies showed safety, tolerability and no major side effects occurred. Conclusions: The Mulligan method improves ankle dorsiflexion movement, postural control, self- reported instability, pain, balance, and disability in patients with grade I-II ankle sprains.