{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T23:05:23Z","timestamp":1792883123749,"version":"4.5.0"},"reference-count":38,"publisher":"Human Kinetics","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Context<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Those with chronic ankle instability (CAI) rely more on visual information to maintain postural control. Plantar massage and ankle joint mobilization are moderately successful at improving CAI-associated postural control impairments. Manual therapies may have a larger influence on the underlying sensory strategy used to maintain postural control, but their effect on these strategies remains unknown.\n                    <jats:italic>\n                      <jats:bold>Objective:<\/jats:bold>\n                    <\/jats:italic>\n                    To evaluate the effects of separate 2-week plantar massage and ankle joint mobilization interventions on estimates of visual reliance during single-limb stance in those with CAI and determine whether changes in visual reliance estimates were driven by concurrent changes in peripheral- or spinal-level sensorimotor function.\n                    <jats:italic>\n                      <jats:bold>Design<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Randomized controlled clinical trial.\n                    <jats:italic>\n                      <jats:bold>Setting<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Research laboratory.\n                    <jats:italic>\n                      <jats:bold>Patients<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Sixty participants with CAI.\n                    <jats:italic>\n                      <jats:bold>Interventions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Participants were equally randomized into plantar massage, ankle joint mobilization, and control (no intervention) groups. The manual therapy groups received six 5-minute treatments of their respective interventions over a 2-week period.\n                    <jats:italic>\n                      <jats:bold>Main Outcome Measure<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    A percentage modulation outcome quantified an individual\u2019s reliance on visual information by estimating the weight given to visual information during eyes-open stance based on the magnitude of postural instability that occurs with vision removed. Secondary measures included joint position sense, plantar light-touch thresholds, and the H-reflex. Outcomes were captured before (baseline), immediately after (post), and 1-month (follow-up) after the 2-week intervention.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Plantar massage resulted in significant percentage modulation changes in sagittal (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009\u2264\u2009.046) but not frontal plane outcomes (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009\u2265\u2009.069) relative to the control group. Joint mobilization did not alter percentage modulation changes (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009\u2265\u2009.413). Significant correlations between percentage modulation changes and peripheral sensorimotor function were noted primarily at the 1-month follow-up.\n                    <jats:italic>\n                      <jats:bold>Conclusions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    A 2-week plantar massage but not an ankle joint mobilization intervention alters sagittal plane percentage modulation values during single-limb stance in those with CAI. These changes may be driven by changes in peripheral sensorimotor function.\n                  <\/jats:p>","DOI":"10.1123\/jsr.2024-0299","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T08:56:50Z","timestamp":1743584210000},"page":"851-863","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Plantar Massage and Ankle Mobilization on Visual Reliance in Those With Chronic Ankle Instability: A Randomized Controlled Trial"],"prefix":"10.1123","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7260-0502","authenticated-orcid":true,"given":"Erik A.","family":"Wikstrom","sequence":"first","affiliation":[{"name":"Department of Exercise and Sport Science, MOTION Science Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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