Accumulative Effects of Talus Mobilization

Ankle Fractures Clinical Trial

Official title:

Effects of Anteroposterior Talus Mobilization on Range of Motion, Pain, and Functional Capacity in Participants With Sub-acute and Chronic Ankle Injuries: A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02244008
• Other study ID #: RDS3123
• Status: Completed
• Phase: N/A
• First received: September 15, 2014
• Last updated: September 16, 2014
• Start date: July 2012
• Est. completion date: December 2013

Study information

• Verified date: September 2014
• Source: Federal University of Minas Gerais
• Contact: n/a
• Is FDA regulated: No
• Health authority: Brazil: National Committee of Ethics in Research
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to verify the effect of anteroposterior talus mobilization on range of motion, pain, and functional capacity in participants with sub-acute and chronic ankle injuries.

Description:

The purpose of this study was to verify the acute effect (one session) and chronic (six sessions) and follow-up of the anteroposterior talus mobilization Maitland's grade III on range of motion, pain, and functional capacity in participants with sub-acute and chronic ankle injuries. Thirty eight volunteers subjects (male and female) participated of this study with minimum 18 and maximum 59 years old. The volunteers were allocated in two groups: experimental and control. The variables related to range of motion, pain and functional capacity were measured by biplane goniometer, Visual Analog Scale and Foot and Ankle Ability Measure respectively in four moments: 1- baseline; 2- after the first intervention; 3- after the sixth intervention (two weeks); 4- follow-up (one month). The experimental group received anteroposterior articular mobilization of the talus and the control group received manual contact.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: December 2013
• Est. primary completion date: December 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 59 Years

Eligibility

Inclusion Criteria:

• unilateral traumatic injury of the ankle with at least two weeks and maximum eight months

• at least a 5º limitation of passive dorsiflexion in comparison to the contralateral side

• do not be under another physical therapy treatment for the lesion

• able to unload partial or total body weight

• do not be in use of analgesic

• provided informed consent after receiving and explanation of all procedures and pertinent information regarding the study

Exclusion Criteria:

• joint blockage by surgical fixation or ankylosis

• presence of vascular, rheumatic, neurological and neoplastic disease in the lower limb

• open or contagious lesion in the ankle region

• pain during palpation in the region anterior of the ankle

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Achilles Tendon Rupture
• Ankle Bruises
• Ankle Dislocations
• Ankle Fractures
• Ankle Sprains
• Dislocations

Intervention

Other:
• joint mobilization
The experimental group received joint mobilization (anteroposterior mobilization of the talus - Maitland grade III). During the mobilization cyclic movements were applied in an anteroposterior direction from the first tissue resistance barrier until the end of the accessory range of motion without any pain or discomfort. This mobilization maneuver was performed in 30-second duration sets with a 30-second interval between each set. The interventions lasted two weeks with three sessions each, completing six sessions.
• manual contact
The placebo group received only manual contact. This maneuver was performed in 30-second duration sets with a 30-second interval between each set. The interventions lasted two weeks with three sessions each, completing six sessions.

Locations

Country	Name	City	State
Brazil	Minas Gerais College of Medical Sciences	Belo Horizonte	Minas Gerais

Sponsors (1)

Lead Sponsor	Collaborator
Federal University of Minas Gerais

Country where clinical trial is conducted

Brazil, 

References & Publications (5)

Harkey M, McLeod M, Van Scoit A, Terada M, Tevald M, Gribble P, Pietrosimone B. 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 i — View Citation

Hoch MC, Andreatta RD, Mullineaux DR, English RA, Medina McKeon JM, Mattacola CG, McKeon PO. Two-week joint mobilization intervention improves self-reported function, range of motion, and dynamic balance in those with chronic ankle instability. J Orthop R — View Citation

Hoch MC, McKeon PO. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J Orthop Res. 2011 Mar;29(3):326-32. doi: 10.1002/jor.21256. Epub 2010 Sep 30. — View Citation

Landrum EL, Kelln CB, Parente WR, Ingersoll CD, Hertel J. Immediate Effects of Anterior-to-Posterior Talocrural Joint Mobilization after Prolonged Ankle Immobilization: A Preliminary Study. J Man Manip Ther. 2008;16(2):100-5. — View Citation

Teixeira LM, Pires T, Silva RD, de Resende MA. Immediate effect of a single anteroposterior talus mobilization on dorsiflexion range of motion in participants with orthopedic dysfunction of the ankle and foot. J Manipulative Physiol Ther. 2013 Jul-Aug;36( — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in dorsiflexion range of motion	Dorsiflexion range of motion were measured by biplane goniometer.	1 month	Yes
Secondary	Changes in pain intensity	Pain were measured by Visual Analog Scale.	1 month	Yes
Secondary	Changes in functional capacity	Functional capacity were measured by Foot and Ankle Ability Measure.	1 month	Yes