Maitland Grade Research Articles

Efecto de la movilización vertebral en rotación de la columna lumbar sobre la actividad electromiográfica del erector espinal

IntroductionThis study investigated the effect of the lumbar rotation rhythmic mobilization technique in grade IV on the electromyographic activity of the erector spinae as well as on the lumbar range of motion during trunk flexion-extension. MethodologyTwelve asymptomatic adult participants performed 5flexion-extension movements before and after the intervention. The electromyographic activity of the erector spinae (longissimus thoracis) at the level of L3 and L5 was recorded bilaterally, as well as the kinematic data to evaluate the movement patterns of the lumbopelvic region. The variables recorded before and after performing the Maitland grade IV oscillatory rhythmic mobilization on the lumbar region in the direction of left rotation were compared. Mobilization was applied unilaterally with the patient in right lateral decubitus on the stretcher. ResultsThere was a statistically significant decrease (p<0.01) in the EMG activity of the erector spinae during the maximum flexion phase on the right side at the L3 level after the application of the studied technique. No difference was observed at the L5 level, nor were significant differences in lumbopelvic kinematics. ConclusionThis study demonstrates that a rhythmic oscillatory mobilization towards the left side in grade IV lumbar rotation produces a statistically significant decrease in the electromyographic activity of the erector spinae in the phase of full flexion on the contralateral (right) side, at the level vertebral column of its application (L3) and not at lower levels (L5).

Comparison of High-grade Maitland Mobilization and Post Isometric Relaxation (PIR) Muscle Energy Technique on pain, range of motion, and functional status in patients with Adhesive Capsulitis

Aim: To compare the effect of post isometric relaxation (PIR) muscle energy technique and high-grade Maitland mobilization technique on pain, glenohumeral joint abduction and external rotation, and functional activities in the subject of frozen shoulder. Study design: Randomized control trial Methods: A total of 60 patients were initially assessed for eligibility and 52 were included in the study after taking written consent. Patients were divided into two groups; Group A was treated with post isometric relaxation (PIR) technique and group B with Maitland grade (IV) mobilization for 4 weeks. Pain with a Numeric Pain rating scale, Glenohumeral joint abduction and external range of motion with a goniometer and shoulder function with shoulder pain and disability index were evaluated. Results: Both groups were similar at baseline (p&gt; 0.05) and within-group comparison has shown that there was a significant improvement in all variables in both groups as p&lt;0.05, but between-group comparison has shown that post-isometric relaxation (PIR) was more effective in reducing pain, improving range of motion and functional status and the mean difference between both groups for pain was 1.96, for shoulder abduction was 24.88, for external rotation was 10.42 and for SPADI was 23.27 with p&lt;0.05 for all, showing that post isometric relaxation (PIR) muscle energy technique is superior to the Maitland grade IV mobilization technique in improving pain, Glenohumeral joint range, and shoulder function. Conclusion: Both Post isometric relaxation (PIR) and Maitland Mobilization are effective but post isometric relaxation (PIR) muscle energy technique is superior to the Maitland grade IV mobilization technique in improving pain, Glenohumeral joint range, and shoulder function. Keywords: Adhesive capsulitis, Maitland mobilization technique, Muscle energy technique, Shoulder pain and disability

ADDED EFFECT OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION TECHNIQUE WITH MAITLAND MOBILISATION TECHNIQUE IN PERIARTHRITIS OF SHOULDER

Background: Periarthritis of shoulder is a chronic inammatory disorder of shoulder and surrounding soft tissues, characterized by insidious and progressive pain &amp; restriction of both active and passive glenohumeral joint motion in all planes. To assess the effect of Proprioceptive Neuromuscular Facilitati Objective: on &amp; Maitland Mobilisation in Periarthritis of shoulder. To compare the added effect of PNF with Maitland Mobilisation in Periarthritis of shoulder. 30 Patients diagnosed with stage I &amp; II Method: periarthritis of shoulder were included in the study. Group A which is control group received IFT for 10 minutes, hot pack, Maitland grade 3&amp; 4 end range mobilization for shoulder to improve external rotation, abduction, and exion. Group B which is experimental group received same conventional treatment as group A along with PNF technique for 3 weeks. At the end of 3rd week, posttest evaluation comprising of active ROM measurements, strength by taking MMT, &amp; SPADI was taken for both the groups. It was found that ther Results: e was signicant increase in ROM and decrease in SPADI score within both the groups i. e. control and experimental. Study proved Conclusion: that PNF combined with conventional treatment helps to improve range of motion and function of shoulder joint in stage I &amp; II of periarthritis of shoulder. So the technique can be incorporated with the conventional protocol for the management of above condition.

Intraclinician Variability in Force Application During Anteroposterior Mobilization of the Ankle Joint

ObjectiveThe purpose of this study was to quantify the variability in the force applied during 20 cycles of Maitland's grade IV anteroposterior ankle mobilization measured on 2 occasions. MethodsThirteen healthy adults (mean age, 25 ± 5 years; height, 170 ± 7 cm; weight, 71 ± 16 kg) received 20 cycles of Maitland's grade IV ankle mobilization on 2 sessions separated by 1 week. A force transducer was used to measure the peak force, loading rate, and impulse applied during each load cycle. Mean within-session coefficient of variation, standard error of measurement, and 95% level of agreement were estimated during each mobilization session. ResultsThe mean peak force during the anteroposterior mobilization technique was 70 ± 12 N and 58 ± 10 N during sessions 1 and 2, respectively. The mean within-session coefficients of variation in peak force, loading rate, and impulse applied during 20 loading cycles were 10% to 13%, 15%, and 21% to 43%, respectively. There was a significant difference between sessions in mean peak force (−17%, t12 = 2.445, P = .031) and impulse (−51%, t12 = 2.306, P = .040), with large 95% levels of agreement in applied peak force (±33 N) and impulse (±128 N s) compared to their mean values (approximately ±50% and 110%, respectively). ConclusionThe peak force and loading rate applied by an experienced practitioner during a Maitland's grade IV anteroposterior talar mobilization session varied over 20 loading cycles. Variability between repeated mobilization sessions by the same practitioner was even greater, with respect to peak applied force and loading rate. The large variability in force applied during a Maitland's grade IV talar mobilization may underpin differential clinical effects reported in the joint-mobilization literature. The findings of this study highlight the need for strategies that standardize the application of force during talar mobilization.

A CASE REPORT ON IMPORTANCE OF SHOULDER PROPRIOCEPTIVE TRAINING AND PNF TECHNIQUES ALONG WITH CONVENTIONAL EXERCISES IN FUNCTIONAL RECOVERY OF THE INDIVIDUAL WITH ADHESIVE CAPSULITIS SECONDARY TO ROTATOR CUFF TENDINOSIS.

BACKGROUND AND PURPOSE Adhesive capsulitis is a condition where there is inammation of shoulder capsule (capsulitis) which in turn causes bands of sticky connective tissue (adhesions) between the joint's surfaces. Due to this (1) shoulder movement becomes painful and often completely restricted .The purpose of this case report is to highlight Importance of Shoulder Proprioceptive training and shoulder PNF techniques using theraband and inatable ball (30 cm) along with Conventional exercises in Functional Recovery of the patient with adhesive capsulitis secondary to rotator cuff tendinosis. CASE DESCRIPTION A 66-year-old female who presented with right shoulder pain and neck pain and limited range of motion (ROM) since 1 month with a past medical history of type II diabetes mellitus, hypertension and hypothyroidism on medication was diagnosed with adhesive capsulitis secondary to rotator cuff tendinosis based on clinical examination, ROM assessment, Radiographical investigations-MRI and past medical history. INTERVENTION The patient was treated for a total of 10 physical therapy sessions over the span of 2 weeks. Interventions included were incorporating shoulder proprioceptive exercises with a help of inatable ball and textured towel, shoulder PNF patterns using Red theraband along with cryotherapy(icepacks),mobilizations (Maitland grade 2) with oscillatory techniques, therapeutic exercises, Active assisted ROM exercises with the help of a wooden wand, capsular stretching, myofascial trigger point release, postural correction exercises, strengthening and home exercise program. Outcome measures included ROM goniometric measurements, pain rating scale, Angle reproduction test for proprioception, Manual muscle testing and the Disabilities of the Arm, Shoulder and Hand (DASH) Score. DISCUSSION AND CONCLUSION This case report conclude that appropriate combinations of interventions including shoulder proprioceptive exercises with an inatable ball, shoulder pnf patterns(D1-D2) , stretching, mobilisations, MFR and strengthening exercises resulted in an improvement in overall functional performance of the patient with adhesive capsulitis secondary to rotator cuff tendinosis .An improvement in post-test scores of Manual Muscle Testing (MMT) , ROM , DASH scores was observed after 10 sessions. Rationale for treatment was based on various research articles. The treatment was altered based on patient's need and response.

Cambios en el dolor y el posicionamiento craneocervical en pacientes con trastornos temporomandibulares de origen miofascial tratados con terapia miofuncional

BackgroundThe association between craniocervical positioning (CCP) and temporomandibular disorders (TMD) has been intensively investigated but there are still controversies between clinicians and researchers. ObjectiveTo analyze the changes in pain and CCP in patients with TMD of myofascial origin treated with myofunctional therapy. MethodExperimental, longitudinal and prospective study. Sixteen patients of both sexes were included, mean age 31.62±10.61 years, with a diagnosis of TMD of myofascial origin (according to diagnostic criteria for investigation of TMD). They received 10 sessions of Maitland grade iv MAR of the temporomandibular joint combined with the use of an interocclusal joint decompression device before and after treatment. The following were evaluated: the PCC by photography analyzed through the SAPO program; spontaneous pain and pain on pressure. The normality of the variables was evaluated using the Shapiro-Wilks Test. For the before-after comparisons, the Student's t test was applied for paired samples. A P<.05 was considered significant. ResultThere is a statistically significant decrease in spontaneous pain and pressure. No differences were found in the PCC variables (P<.05). ConclusionAfter treatment with Maitland grade iv MAR of the temporomandibular joint and interocclusal joint decompression device, a statistically and clinically significant decrease in spontaneous pain and pressure is shown. No differences were found in the PCC variables.

The Examination of Repeated Self-Mobilizations With Movement and Joint Mobilizations on Individuals With Chronic Ankle Instability.

Chronic ankle instability (CAI) is one of the most common chronic conditions in the world, resulting in millions of dollars contributed to the health care system. Joint mobilizations have been shown to effectively improve patient and disease-specific impairments secondary to CAI. The ability for patients to complete an effective manual therapy intervention without the need for continuous visits to a health care provider can alleviate burdens on the health care system and improve patient satisfaction. To examine the effect of clinician-applied Maitland talocrural joint mobilization and self-mobilization (Self-Mob) on dorsiflexion range of motion (DFROM), dynamic balance, strength, and perceived function in those with CAI. Single-blind randomized trial. Research laboratory. A total of 18 participants (7 males and 11 females; age = 20.78 [2.02]y, height = 67.66 [3.83]cm, limb length = 87.74 [5.05]cm) with self-reported CAI participated. The participants received 6 interventions over a 2-week period. The participants received either Maitland grade III anterior-to-posterior talocrural joint mobilizations or weight-bearing lunge Self-Mob. Each intervention consisted of four 2-minute sets, with a 1-minute rest between sets. The DFROM (weight-bearing lunge), dynamic balance (Y-Balance Test), isometric strength, Foot and Ankle Ability Measure Quick, Disablement of the Physically Active modified, Fear Avoidance Beliefs Questionnaire, and Tampa Scale of Kinesiophobia-11 were measured preintervention and postintervention. Dynamic balance, isometric strength, and perceived function significantly improved in both groups at postintervention. The DFROM significantly improved in the Self-Mob group. Higher individual responder rates were demonstrated within the Self-Mob group compared with clinician-applied mobilizations. Clinician-applied mobilizations and Self-Mobs are effective interventions for improving dynamic balance, isometric strength, and perceived function. Application of Self-Mobs can effectively improve DFROM compared with joint mobilization. Self-Mobs may be an effective intervention to incorporate into a home care plan.

Acute Effects of Increased Joint Mobilization Treatment Duration on Ankle Function and Dynamic Postural Control in Female Athletes With Chronic Ankle Instability.

Background:Chronic ankle instability (CAI) is linked to mechanical and functional insufficiencies. Joint mobilization is purported to be effective at treating these deficits.Purpose:To examine the effect of different treatment durations of a grade IV anterior-to-posterior ankle joint mobilization on weightbearing dorsiflexion range of motion (WB-DFROM), posterior talar glide (PG), and dynamic postural control in individuals with CAI.Study Design:Controlled laboratory study.Methods:A total of 48 female athletes (mean age, 22.8 ± 4.8 years) with unilateral CAI participated in this study. Participants were randomly assigned to 1 of 3 treatment conditions: 30 seconds, 60 seconds, and 120 seconds. Treatment was provided to the injured limb on 3 separate occasions 48 hours apart and consisted of a Maitland grade IV anterior-to-posterior talar joint mobilization based on the participant’s initial group assignment. WB-DFROM; PG; and the anterior (ANT), posteromedial (PM), and posterolateral (PL) reach directions of the Star Excursion Balance Test were measured bilaterally before and after each treatment. The uninjured limb acted as a control. Data were analyzed using 2-way mixed-model analyses of variance, and effect sizes were calculated through use of Hedges g.Results:Significant differences were detected after all treatment sessions for all outcome measures (P ≤ .001) and between treatment groups after sessions 1, 2, and 3 for all outcome measures (P ≤ .001). Effect sizes were very large or huge for all treatment groups for WB-DFROM, PG, and ANT reach direction. Substantial variation was found in effect sizes for PM and PL measures.Conclusion:Accessory mobilization is an effective treatment to induce acute changes in ankle motion and dynamic postural control in patients with CAI, with longer treatment durations conferring greater improvements.Clinical Relevance:This study adds clarity to the use of joint mobilization treatments and will add to the current clinical practice strategy for patients with CAI.

The Acute Effect of Talocrural Joint Mobilization on Dorsiflexor Muscle Strength in Healthy Individuals: A Randomized Controlled Single-Blind Study

Mobilization has been used for enhancing muscle strength. The aim of this study was to investigate the acute effect of talocrural joint mobilization on ankle dorsiflexor muscle strength in healthy individuals, which has not yet been studied. Randomized controlled single-blind study. University laboratory. Forty-eight healthy individuals. Maitland grade III (study group) versus Maitland grade I (control group) mobilizations. Muscle strength measurements were performed using a handheld dynamometer at baseline, immediately after the mobilization, and 30 minutes after mobilization. At baseline, the physical characteristics and muscular strength were similar in both groups (P > .05). According to Friedman analysis, a significant difference was detected following the mobilization in the study group (P < .001), and while the muscle strength at immediately after the mobilization and at 30 minutes after mobilization was significantly higher than baseline (P < .001), no significant differences were observed between 30 minutes after mobilization and immediately after the mobilization (P = .17). However, no significant changes were detected in the control group. The study group was found superior to the control group in terms of muscle strength differences following the mobilization (P < .001). The ankle dorsiflexor muscle strength might be increased by performing Maitland grade III mobilization, and this increase might be preserved for 30 minutes, while Maitland grade I mobilization did not lead to such an improvement in healthy individuals.

Effect of modified lumbar-sustained natural apophyseal glides (Snags) in nonspecific low back pain

Context: Low back pain (LBP) is one of the commonly prevailing disorders, and the leading source of causing disability globally. Spinal mobilization is commonly used in the clinical practice. According to some studies, it is evident that mobilization to the spine can be helpful in lessening pain. Aims: The purpose of the current study was to check the comparative effectiveness of Maitland Grade 1 and 2 mobilizations with mulligan snags mobilization in the treatment of nonspecific LBP. Subjects and Methods: A sample of 40 patients (mean age 35.25 years) who met with the inclusion conditions were recruited in the current study. Twenty patients each were divided into both treatment groups. Written informed consent took from each individual participating and divided randomly into two groups. In “Group A” Maitland technique, Grade 1 and Grade 2 were applied, whereas in “Group B” mulligan snags mobilization technique was applied along with infrared therapy as baseline treatment for 2 weeks. Oswestry disability questionnaire and the Numeric Pain Rating Scale (NPRS) were used for assessment pre- and post-treatment. Statistical Analysis: SPSS version 21 was used. The Independent t-test was used between-group comparison and paired sample t-test was used for within-group comparison. Results: Mean difference between pre- and post-treatment values for NPRS and Oswestry Disability Index in Group A was 4.40 ± 1.31 and 24.95 ± 7.702, respectively, whereas in Group B was 3.20 ± 1.105 and 22.60 ± 9.202, respectively, with significant value of P= 0.003. Conclusions: It was concluded that mulligan mobilization is more effective than Maitland mobilization for LBP treatment. Mulligan mobilization not only decreased pain but also improved the functioning of the spine.

Effectiveness of Maitland Grade I and II Spinal Mobilization for Chronic Low Back Pain

Chronic low back pain (CLBP) can be managed by multidisciplinary team approach especially physiotherapy and rehabilitation. In this study, effectiveness of spinal manual therapy (maitland grade I and II mobilization) for CLBP management was assessed. Methods: All subjects in the study were provided maitland grade I and II spinal mobilization for 20 minutes each. A similar treatment frequency was applied and consisted on three sessions per week for 2 continuous weeks. Numeric pain rating scale (NPRS) was applied to assess the pain severity levels before treatment and after treatment. Data were normally distributed and therefore, change in pain intensity was measured by “t” test using SPSS version 23.0. Results: The calculated mean pain score on NPRS before treatment was 3.90 (standard deviation, 0.3038) and after treatment it was 1.65 (standard deviation, 0.8638). The calculated t-value was 12.08 (p value=0.000). Conclusion: These results clearly demonstrate that the maitland G1 and G2 spinal mobilization can be exploited as an effective treatment choice for chronic low back pain.

Effects of Posteroanterior Mobilization on the Cervical Spine in Patient with Chronic Whiplash-Associated Disorders

The purpose of this case study was to identify the effects of posteroanterior (PA) mobilization on the cervical spine in a patient with chronic whiplash-associated disorder (WAD). The subject of this study was a 58-year-old woman who sustained a chronic WAD as a result of a motor vehicle accident two years prior. The subject has progressively worsening neck pain and stiffness. The subject was determined to have a grade Ⅱb WAD the use of the Modified Quebec Classification. The intervention was central and unilateral PA mobilization on the spinous process of C4 and C5. The PA mobilizations were performed at the end of range to Maitland grade Ⅳ. The PA mobilization was conducted once daily for a total of eight days. Two sets of measurements were done one before and one after the intervention. Neck pain, cervical stiffness, range of motion and lordosis of the cervical spine were measured. Experimental intervention decreased the neck pain, and increased the neck stiffness and cervical ROM (range of motion) such as flexion, extension, lateral flexion and rotation. X-ray photographs also represented that cervical curvature increased from 35° to 40°. This study suggested that PA cervical mobilization applied to hronic WAD is effective in decreasing pain, increasing cervical ROM and cervical curvature.

The Immediate Effects of an Anterior-To-Posterior Talar Mobilization on Neural Excitability, Dorsiflexion Range of Motion, and Dynamic Balance in Patients With Chronic Ankle Instability

Altered neuromuscular function and decreased dorsiflexion range of motion (DFROM) have been observed in patients with chronic ankle instability (CAI). Joint mobilizations are indicated for restoring DFROM and dynamic postural control, yet it remains unknown if a mobilization can alter neuromuscular excitability in muscles surrounding the ankle. To determine the immediate effects of a Maitland grade III anterior-to-posterior joint mobilization on spinal-reflex and corticospinal excitability in the fibularis longus (FL) and soleus (SOL), DFROM, and dynamic postural control. Single-blinded randomized control trial. Research laboratory. 30 patients with CAI randomized into a mobilization (n = 15) or control (n = 15) group. Maitland grade III anterior-to-posterior joint mobilization. Spinal-reflex excitability was measured with the Hoffmann reflex, while corticospinal excitability was evaluated with transcranial magnetic stimulation. DFROM was measured seated with the knee extended, and dynamic postural control was quantified with the Star Excursion Balance Test. Separate 2 × 2 repeated-measures ANOVAs were performed for each outcome measure. Dependent t tests were used to evaluate individual differences within groups in the presence of significance. Spinal-reflex and corticospinal excitability of the SOL and FL were not altered in the mobilization or control group (P > .05). DFROM increased immediately after the mobilization (P = .05) but not in the control group, while dynamic postural control was unchanged in both groups (P > .05). A single joint-mobilization treatment was efficacious at restoring DFROM in participants with CAI; however, excitability of spinal reflex and corticospinal pathways at the ankle and dynamic postural control were unaffected.

Two‐week joint mobilization intervention improves self‐reported function, range of motion, and dynamic balance in those with chronic ankle instability

We examined the effect of a 2-week anterior-to-posterior ankle joint mobilization intervention on weight-bearing dorsiflexion range of motion (ROM), dynamic balance, and self-reported function in subjects with chronic ankle instability (CAI). In this prospective cohort study, subjects received six Maitland Grade III anterior-to-posterior joint mobilization treatments over 2 weeks. Weight-bearing dorsiflexion ROM, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and self-reported function on the Foot and Ankle Ability Measure (FAAM) were assessed 1 week before the intervention (baseline), prior to the first treatment (pre-intervention), 24-48 h following the final treatment (post-intervention), and 1 week later (1-week follow-up) in 12 adults (6 males and 6 females) with CAI. The results indicate that dorsiflexion ROM, reach distance in all directions of the SEBT, and the FAAM improved (p < 0.05 for all) in all measures following the intervention compared to those prior to the intervention. No differences were observed in any assessments between the baseline and pre-intervention measures or between the post-intervention and 1-week follow-up measures (p > 0.05). These results indicate that the joint mobilization intervention that targeted posterior talar glide was able to improve measures of function in adults with CAI for at least 1 week.

Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability

The purpose of this study was to examine the effects of a single joint mobilization treatment on dorsiflexion range of motion (DF ROM), posterior talar glide, and dynamic and static postural control in individuals with self-reported chronic ankle instability (CAI). In this randomized cross-over study, subjects received a Maitland Grade III anterior-to-posterior joint mobilization treatment and a control treatment of rest for 5 min. Weight-bearing DF ROM, instrumented posterior talar displacement and posterior stiffness, the anterior, posteromedial, and posterolateral reach directions of the Star Excursion Balance Test (SEBT), and time-to-boundary (TTB) single-limb stance static postural control were assessed on both treatment days in 9 males and 11 females with CAI. The results indicated that the joint mobilization treatment was associated with significantly greater DF ROM (p = 0.01) and TTB in the anterior-posterior direction with eyes-open (p < 0.05). Although not significant, trends were identified in posterior talar displacement (p = 0.08) and the mean of TTB in the medial-lateral (ML) direction (p = 0.07). No significant differences were observed in the standard deviation of TTB in the ML direction, the SEBT, or posterior stiffness (p > 0.05). This indicates that a single joint mobilization treatment has mechanical and functional benefits for addressing impairments in sensorimotor function and arthrokinematic restrictions commonly experienced by individuals with CAI.

Study of the Force Applied During Anteroposterior Articular Mobilization of the Talus and its Effect on the Dorsiflexion Range of Motion

Objective The aim of this study was to investigate the behavior of the force applied during the Maitland grade III anteroposterior joint mobilization of the talus and its effect on dorsiflexion range of motion (ROM). Methods Two examiners performed measurements of dorsiflexion ROM on both ankles of healthy volunteers using a universal goniometer. The anteroposterior talus mobilization was first applied by examiner A for 30 seconds. Examiner B then repeated the same procedure. A platform was placed under the volunteer's leg to register the forces obtained during mobilization. After the procedure, examiner A assessed the ankle dorsiflexion. Results The results showed consistency regarding maximal forces applied throughout the 30 seconds of mobilization as well as low consistency upon the minimal forces. A significant increase in dorsiflexion ROM of the ankle was found immediately after joint mobilization. Conclusions The results of the present study have shown consistent maximal forces applied by one examiner and inconsistent minimal forces during an ankle mobilization in healthy volunteers when the same examiner was compared. Moreover, the applied force was able to increase dorsiflexion ROM after the Maitland grade III anteroposterior mobilization of the talus.

Estudo da confiabilidade da força aplicada durante a mobilização articular ântero-posterior do tornozelo

Reliability Study on the Force Applied During Anteroposterior Mobilization of the Ankle Joint Background: Factors that contribute towards the efficiency of joint mobilization maneuvers is the intensity and reproducibility of the force applied during mobilization, by one or more examiners. Objective: To evaluate the intra and inter-examiner reliability of Maitland grade III and IV anteroposterior mobilization force on the ankle joint. Method: Two experienced examiners mobilized both ankles of thirty-five healthy subjects. A force platform was positioned under the calves of these subjects to detect the forces applied during the maneuvers. The signals were converted and recorded using the DasyLab 4.0 software. The maximum and minimum peak forces from the curves obtained were then analyzed. The intraclass correlation coefficient (ICC) was used to assess the intra and inter-examiner reliability. To evaluate any systematic error in the measurements, the paired t-test was utilized on the intra-examiner data and the t-test for independent samples for the inter-examiner data. The Bland & Altman method was used to assess the concordance limits for the measurements from the two examiners. Results: The data showed high intraexaminer reliability. The inter-examiner reliability was low and moderate for the maximum and minimum forces respectively, during anteroposterior mobilization of the ankle joint. Conclusions: These data suggest that the force applied during Maitland grade III and IV mobilization of the ankle joint presents high intra-examiner reliability and low inter-examiner reliability.