Henryk Knapik, Michał Żuławiński

Henryk Knapik, Michał Żuławiński – The effectiveness of post-traumatic rehabilitation of the talocrural joint using the Kattenborn mobilization technique. Fizjoterapia Polska 2001; 1(1); 23-25

Abstract
Background. The goal of this paper is to evaluate the effectiveness of the Kaltenborn mobilization technique in the rehabilitation of post-traumatic dysfunctions of the talocrual joint. Material and methods. The research involved 40 patients from the Surgical and Orthopedic Clinic in Nowy Targ, Poland, where Kaltenborn mobilization techniques were not used prior to the experiment. The control group (K) consisted of 20 persons treated from March to September 1997, using a standard rehabilitation program that included physiotherapy and kinesitherapy along with redressing techniques, while the experimental group consisted of 20 persons treated from October 1997 to March 1998 under the same rehabilitation program, but with Kaltenborn mobilization techniques substituted for redressing techniques. The procedures were conducted for a period of 10 days, one session daily.The range of passive and active moment, dorsal and plantar flexion, pronation and supination were tested in the affected joint each day just before and just after rehabilitation procedures, while the healthy joint was tested for comparative purposes on the first and last day of rehabilitation. Results. The patients from group K were found to have smaller increases in the range of movement than those in group E, where the range of movement on the last day was very close to the physiological norm. Conclusions. The Kaltenborn technique is more effective in the rehabilitation of patients with joint dysfunctions and is to be recommended. Procedures for diagnosis and therapy should be closely matched, however, to the needs of the patient.

Key words:
ankle joint trauma, joint mobilization, Kaltenborn technique

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