The Effectiveness of Movement with Mobilization versus Ultrasound Therapy in the Management of Ankle Sprain in Soccer Players: A Case-Control Study

Background: Ankle sprain is one of the most common musculoskeletal injuries in soccer players, often leading to pain, swelling, and reduced range of motion (ROM). Conservative physiotherapy interventions such as Mobilization with Movement (MWM) and Ultrasound (US) are widely used. Objective: To compare the effectiveness of MWM and US therapy in improving pain, swelling, ROM, and functional activity in soccer players with ankle sprain. Methods: A total of 50 subjects were screened, of which 30 were randomized into two groups: Group I (MWM, n=15) and Group II (US, n=15). Both groups underwent a 3-month intervention protocol with 36 treatment sessions. Assessment parameters included swelling (Figure-of-eight method), ankle dorsiflexion (weight-bearing lunge test), pain intensity (VAS), ROM, and stress test. Results: Both interventions demonstrated significant improvements in swelling reduction, pain intensity, and ankle ROM. However, MWM showed superior outcomes in restoring functional stability, reducing pain intensity earlier, and enabling quicker return to sport. Conclusion: MWM is more effective than US therapy in rehabilitating ankle sprain among soccer players. Early application of MWM may enhance recovery, reduce recurrence, and improve long-term ankle stability.