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

May 26, 2011 updated by: University of Virginia

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

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.

Study Overview

Status

Unknown

Conditions

Intervention / 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.

Study Type

Interventional

Enrollment (Anticipated)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • United States
    • Virginia
      • Charlottesville, Virginia, United States, 22908
        • Recruiting
        • University of Virginia
        • Contact:
        • Contact:
        • Principal Investigator:
          • Jay Hertel, MD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 50 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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 Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change in dorsiflexion range of motion
Time Frame: Baseline and 4 weeks
Baseline and 4 weeks
Change in posterior talar glide
Time Frame: Baseline and 4 weeks
Baseline and 4 weeks
Change in posterior talar translation
Time Frame: Baseline and 4 weeks
Baseline and 4 weeks

Secondary Outcome Measures

Outcome Measure
Time Frame
Change in self reported function
Time Frame: Baseline and 4 weeks
Baseline and 4 weeks
Change in ankle stiffness
Time Frame: Baseline and 4 weeks
Baseline and 4 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Virginia

Collaborators

National Athletic Training Association Research & Education Foundation

Investigators

  • Principal Investigator: Jay Hertel, PhD, University to Virginia

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2010

Primary Completion (Anticipated)

May 1, 2011

Study Completion (Anticipated)

May 1, 2011

Study Registration Dates

First Submitted

May 5, 2010

First Submitted That Met QC Criteria

May 5, 2010

First Posted (Estimate)

May 7, 2010

Study Record Updates

Last Update Posted (Estimate)

May 30, 2011

Last Update Submitted That Met QC Criteria

May 26, 2011

Last Verified

May 1, 2011

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 14787
  • 14794 (Other Grant/Funding Number: National Athletic Trainers' Association Research & Education Foundation)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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