The Acute Effect Comparisons of Manual Therapy Or Ankle Motion in Individuals Who Had Achilles Tendon Repair

Achilles Tendon Rupture Clinical Trial

Official title:

The Acute Effect Comparisons of Manual Therapy Application to Ankle Soft Tissues or To Ankle Joint on Ankle Motion, Functional Status, and Passive Mechanical Properties of Muscle in Individuals Who Had Achilles Tendon Repair

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06112288
• Other study ID #: Achilles2023
• Status: Recruiting
• Phase: N/A
• Start date: April 26, 2023
• Est. completion date: December 30, 2024

Study information

• Verified date: October 2023
• Source: Hacettepe University
• Contact: Firat Tan, MSc
• Phone: +905462105071
• Email: fztfirattan[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Achilles tendon rupture is common among physically active individuals. Limitations, decreases in the level of standing on heel rise, and due to these limitations, failures in functional activities such as returning to sports, walking, running, jumping and performance tests are observed. Manual therapy methods included in rehabilitation programs are an effective option in solving these problems. The aim of the study is to investigate the effects of Compressive Myofascial Release and Ankle joint mobilization on ankle joint movement, functional tests, elasticity and stiffness of the muscle-tendon complex and muscle tone parameters in individuals who underwent Achilles tendon repair.

Description:

Achilles tendon rupture is common among physically active individuals. It has been reported that 73% of all Achilles tendon ruptures are sports-related and injuries frequently occur between the ages of 30-49. Conservative or surgical treatments can be applied after Achilles tendon ruptures. After Achilles tendon injuries and repair, decreases in Soleus muscle strength and endurance, changes in lower extremity muscle activation levels, decreases in Gastro-Soleus muscle circumference, increase in Achilles tendon thickness and stiffness, decreases in elasticity, elongations in the Achilles tendon, ankle dorsiflexion range of motion. Limitations, decreases in the level of standing on heel rise, and due to these limitations, failures in functional activities such as returning to sports, walking, running, jumping and performance tests are observed. Manual therapy methods included in rehabilitation programs are an effective option in solving these problems. The aim of the study is to investigate the effects of Compressive Myofascial Release and Ankle joint mobilization on ankle joint movement, functional tests, elasticity and stiffness of the muscle-tendon complex and muscle tone parameters in individuals who underwent Achilles tendon repair. Compressive myofascial release will be applied to a group that has undergone Achilles tendon repair surgery, and ankle mobilization will be applied to another group. Muscle-tendon passive mechanical properties will be evaluated with Myoton-3 before and after the applications. Toe elevation level, ankle joint range of motion and Achilles tendon rest angle will be evaluated before and after the application.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 20
• Est. completion date: December 30, 2024
• Est. primary completion date: April 30, 2024
• Accepts healthy volunteers: No
• Gender: Male
• Age group: 18 Years to 55 Years

Eligibility

Inclusion Criteria:

• • Being male between the ages of 18-55,
• Having unilateral Achilles tendon repair performed for at least 6 months,
• No open wound,
• No history of fracture accompanying Achilles injury.

Exclusion Criteria:

• • Presence of a history of repeated Achilles tendon rupture,
• Having a rupture or tendon injury on the contralateral side,
• Having a neurological deficit,
• Having a history of injury in any of the lower extremity joints for the last 1 year,
• Having a history of surgery other than Achilles tendon repair in any of the lower extremities,
• Having a history of corticosteroids applied to the Achilles tendon,

Related Conditions & MeSH terms

• Achilles Tendon Rupture
• Functional Performance
• Rupture

Intervention

Other:
• Compressive Myofascial Release
Compressive myofascial release is manual therapy technics.
• Ankle mobilisation
ankle mobilization is manual therapy technics.

Locations

Country	Name	City	State
Turkey	Firat Tan	Ankara	Eyalet/Yerleske

Sponsors (1)

Lead Sponsor	Collaborator
Hacettepe University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Passive Mechanical Properties	The device measures the stiffness value in Newtons/meter (N/m).The MG measurement site was located at 30% of the length between the popliteal fossa and lateral malleolus, where cross-sectional areas of the gastrocnemius are almost maximum. LG stiffness was measured at one-third of the length between the small head of the fibula and the heel (Masood et al., 2014). stiffness measurements were performed when participants were in a prone position with the knee joint fully extended and the hip in the neutral position.The probe of the Myoton3 was placed perpendicular to the surface of the soft tissue for the stiffness measurement.	2 year
Secondary	Achilles tendon resting angle (ATRA)	The ATRA test assesses ankle mobility with a goniometer, using one arm along the fibula shaft and the other on the fifth metatarsal head. In the heel-rise test, subjects stand on one foot on a 15-cm high box, measuring the distance between the heel and the step as they raise it as high as possible. This is averaged over three trials.	2 year
Secondary	Heel rise test	During heel-rise test performance subjects stood on one foot on a 15-cmhigh, flat box . Ameasuring tape determined the distance between the plantar surface of the heel and the top of the step as subjects attempted to raise their heel as high as possible and hold this position for 5 seconds. The bony calcaneal prominence where the central Achilles tendon made insertion was palpated to confirm the tape measure placement point. Three test trials were performed, and the average distance was determined.	2 year
Secondary	WBLT (weight bearing lunge test)	Closed kinetic chain ankle dorsiflexion movement magnitude was measured using the WBLT. During WBLT performance, subjects stood barefoot, facing a wall with the test foot parallel to a tape measure placed on the floor. While in this position the opposite foot was placed approximately 1 foot length behind the test foot while maintaining test foot and knee perpendicular alignment with the wall. Subjects performed an anterior lunge with the goal of lightly touching their patella to the wall while keeping their heel firmly planted on the floor. While in this position, the test foot was progressively moved away from the wall in approximately 1-cm intervals, and the test was repeated. This process continued until heel contact could no longer be maintained. At this point, the distance between the distal big toe and the wall was measured.	2 year