The Effects of Gentle Movements at the Ankle in Individuals With Diminished Range of Motion
Recruitment status was Recruiting
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Lateral Ankle Sprain |
Other: Sham ("laying of hands") intervention Other: Grade IV AP joint mobilizations |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | The Effects of Talocrural Joint Mobilizations in Individuals With Diminished Dorsiflexion Range of Motion After Ankle Sprain |
- Change in dorsiflexion range of motion [ Time Frame: Baseline and 4 weeks ] [ Designated as safety issue: No ]
- Change in posterior talar glide [ Time Frame: Baseline and 4 weeks ] [ Designated as safety issue: No ]
- Change in posterior talar translation [ Time Frame: Baseline and 4 weeks ] [ Designated as safety issue: No ]
- Change in self reported function [ Time Frame: Baseline and 4 weeks ] [ Designated as safety issue: No ]
- Change in ankle stiffness [ Time Frame: Baseline and 4 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | May 2011 |
| Estimated Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Sham Comparator: Sham intervention plus standard treatment
This group will receive a "laying of hands" treatment in addition to standard treatment. 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.
|
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.
|
|
No Intervention: Control Group
This group will be individuals who suffer from the same injury but will be instructed to stretch at home 5 days a week for 2 weeks.
|
|
|
Experimental: Grade IV AP joint mobilization plus standard treatment
This group will receive 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.
|
Other: 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.
|
Detailed 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.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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
Contacts and Locations| Contact: Nicole Cosby | 951-515-3054 | nlb4v@virginia.edu |
| Contact: Jay Hertel, PhD | 434-243-8673 | jayhertel@virginia.edu |
| United States, Virginia | |
| University of Virginia | Recruiting |
| Charlottesville, Virginia, United States, 22908 | |
| Contact: Jay Hertel, PhD 434-243-8673 jayhertel@aol.com | |
| Contact: Nicole Cosby 951-515-3054 nlb4v@virginia.edu | |
| Principal Investigator: Jay Hertel, MD | |
| Principal Investigator: | Jay Hertel, PhD | University to Virginia |
More Information
No publications provided
| Responsible Party: | Jay Hertel, University of Virginia |
| ClinicalTrials.gov Identifier: | NCT01119092 History of Changes |
| Other Study ID Numbers: | 14787, 14794 |
| Study First Received: | May 5, 2010 |
| Last Updated: | May 26, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Virginia:
|
Ankle Sprain Joint Mobilization Manual Therapy Range of Motion |
Additional relevant MeSH terms:
|
Sprains and Strains Ankle Injuries Wounds and Injuries Leg Injuries |
ClinicalTrials.gov processed this record on May 23, 2013