Ankle Fracture Clinical Trial
Official title:
Immediate Effects of Manual Therapy for Patients After Ankle/Hindfoot Fractures
NCT number | NCT02609347 |
Other study ID # | 1050061 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | November 2015 |
Est. completion date | March 2019 |
Verified date | March 2019 |
Source | Intermountain Health Care, Inc. |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this randomized controlled trial is to assess if manual therapy improves mobility, gait, and balance more than a control group for patients who have undergone open reduction internal fixation (ORIF) after an ankle/hindfoot fracture.
Status | Completed |
Enrollment | 72 |
Est. completion date | March 2019 |
Est. primary completion date | March 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 70 Years |
Eligibility |
Inclusion Criteria: 1. Age 18-70 years 2. Stiffness > 5.0 cm side to side difference as measured by the ankle lunge test 3. Surgical management of ankle or hindfoot fracture 4. Full weight-bearing (WB) 5. Able to read and speak sufficient English to complete outcome tools Exclusion Criteria: 1. Any prior foot/ankle surgery, deformity, or injury on the unaffected side which would affect gait, WB dorsiflexion or balance 2. Unable to attend follow-up visits 3. Any cognitive impairments which would prevents patients from being able to complete or understand questionnaires 4. Have received any previous manual therapy for their current ankle and/or hindfoot fracture 5. Have a known non/malunion 6. Have additional fractures of the spine, hip, or knee that would likely affect their weight bearing or gait 7. Have avascular necrosis as demonstrated on radiographs 8. Syndesmotic screw intact 9. Open reduction internal fixation >12 months previously |
Country | Name | City | State |
---|---|---|---|
United States | Intermountain Healthcare | Salt Lake City | Utah |
Lead Sponsor | Collaborator |
---|---|
Intermountain Health Care, Inc. | University of Utah |
United States,
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Griffin D, Parsons N, Shaw E, Kulikov Y, Hutchinson C, Thorogood M, Lamb SE; UK Heel Fracture Trial Investigators. Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial. BMJ — View Citation
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McPoil TG, Vicenzino B, Cornwall MW, Collins N, Warren M. Reliability and normative values for the foot mobility magnitude: a composite measure of vertical and medial-lateral mobility of the midfoot. J Foot Ankle Res. 2009 Mar 6;2:6. doi: 10.1186/1757-114 — View Citation
O'Brien J, Buckley R, McCormack R, Pate G, Leighton R, Petrie D, Galpin R. Personal gait satisfaction after displaced intraarticular calcaneal fractures: a 2-8 year followup. Foot Ankle Int. 2004 Sep;25(9):657-65. — View Citation
Schulze W, Richter J, Russe O, Ingelfinger P, Muhr G. Surgical treatment of talus fractures: a retrospective study of 80 cases followed for 1-15 years. Acta Orthop Scand. 2002 Jun;73(3):344-51. — View Citation
Simondson D, Brock K, Cotton S. Reliability and smallest real difference of the ankle lunge test post ankle fracture. Man Ther. 2012 Feb;17(1):34-8. doi: 10.1016/j.math.2011.08.004. Epub 2011 Sep 29. — View Citation
van Tetering EA, Buckley RE. Functional outcome (SF-36) of patients with displaced calcaneal fractures compared to SF-36 normative data. Foot Ankle Int. 2004 Oct;25(10):733-8. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Range of motion (ROM) | The dependent variable for Aim1 is weight bearing dorsiflexion ROM. The independent variables for Aim1 are treatment group (Manual therapy group versus Control group) and time | 2 weeks | |
Primary | Spatial and temporal gait parameters - gait velocity | The dependent variable for Aim 2 is gait velocity. The independent variables for Aim 2 are treatment group (Manual therapy group versus Control group) and time. | 2 weeks | |
Primary | Balance | The dependent variables for Aim3 is distances reached on the star excursion balance test. The independent variables for Aim3 are treatment group (Manual therapy group versus Control group) and time. | 2 weeks | |
Secondary | Characteristics that predict outcomes | Multiple linear regression analysis will be performed to determine if baseline characteristics such as fracture type, age, etc can predict changes in biomechanical outcomes | 2 weeks | |
Secondary | Foot Mobility - Foot Assessment Platform (FAP) | The dependent variable is foot mobility. The independent variables are treatment group (Manual therapy group versus Control group) and time. Foot mobility will be assessed using the FAP. | 2 weeks | |
Secondary | Muscle Stiffness - MyotonPRO Device | The dependent variable is muscle stiffness. The independent variables are group and time. Muscles stiffness will be assessed using the MyotonPRO device. | 2 weeks | |
Secondary | Stance Time | The dependent variable is stance time. The independent variables are group and time. | 2 weeks | |
Secondary | Single Limb Stance Time | The dependent variable is single limb stance time. The independent variables are treatment group (Manual therapy group versus Control group) and time. | 2 weeks |
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