The Effects of Gentle Movements at the Ankle in Individuals With Diminished Range of Motion

Lateral Ankle Sprain Clinical Trial

Official title:

The Effects of Talocrural Joint Mobilizations in Individuals With Diminished Dorsiflexion Range of Motion After Ankle Sprain

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT01119092
• Other study ID #: 14787
• Secondary ID: 14794
• Status: Recruiting
• Phase: N/A
• First received: May 5, 2010
• Last updated: May 26, 2011
• Start date: January 2010
• Est. completion date: May 2011

Study information

• Verified date: May 2011
• Source: University of Virginia
• Contact: Nicole Cosby
• Phone: 951-515-3054
• Email: nlb4v[@]virginia.edu
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is the examine the effects of gentle movements applied to the ankle joint and stretching on self-reported function, ankle motion and stiffness in individuals who have suffered from an ankle sprain within the last year and have decreased ankle motion.

Description:

The purpose of this study is the examine the effects of a grade IV anterior to posterior joint mobilization and stretching on self-reported function, dorsiflexion range of motion, talar glide and stiffness in individuals who have suffered from an ankle sprain within the last year and have a 5° dorsiflexion range of motion deficit.

We will quantify range of motion with standard goniometric measures, stiffness with the use of an instrumented ankle arthrometer, talar glide with the use of the posterior talar glide test and self-reported function using the foot and ankle ability measure (FAAM) and FAAM-sport.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: May 2011
• Est. primary completion date: May 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• History of a lateral ankle sprain within the last year

• Dorsiflexion range of motion deficit of 5°

• Return to full activity prior to participation in this study

• Individuals with dorsiflexion range of motion that is less than degrees of dorsiflexion.

Exclusion Criteria:

• A history of ankle surgery that involves intra-articular fixation

• Syndesmotic ankle sprain (to be ruled out based on the attending certified athletic trainers diagnosis)

• A history or signs of reflex sympathetic dystrophy

• Suffer from an acute injury in the lower extremity within the last 6 weeks

• Have received manual therapy for the ankle sprain prior to enrollment

Study Design

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

Related Conditions & MeSH terms

• Lateral Ankle Sprain

Intervention

Other:
• Sham ("laying of hands") intervention
The clinician will place his/her hands in a position to perform the AP joint mobilizations but will not actually perform them. The sham treatment will be performed 3 times and each will last a period of 60 seconds with a one minute rest in between.
• Grade IV AP joint mobilizations
3 60-second treatments of Grade IV AP joint mobilizations of the talus during each treatment session, with a one minute rest in between each treatment.

Locations

Country	Name	City	State
United States	University of Virginia	Charlottesville	Virginia

Sponsors (2)

Lead Sponsor	Collaborator
University of Virginia	National Athletic Training Association Research & Education Foundation

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in dorsiflexion range of motion		Baseline and 4 weeks	No
Primary	Change in posterior talar glide		Baseline and 4 weeks	No
Primary	Change in posterior talar translation		Baseline and 4 weeks	No
Secondary	Change in self reported function		Baseline and 4 weeks	No
Secondary	Change in ankle stiffness		Baseline and 4 weeks	No