- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02244008
Accumulative Effects of Talus Mobilization
September 16, 2014 updated by: RAFAEL DUARTE SILVA, Federal University of Minas Gerais
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
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.
Study Overview
Status
Completed
Intervention / Treatment
Detailed 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.
Study Type
Interventional
Enrollment (Actual)
38
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 Locations
-
-
Minas Gerais
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Belo Horizonte, Minas Gerais, Brazil, 30130-110
- Minas Gerais College of Medical Sciences
-
-
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 59 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
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 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 |
---|---|
Experimental: joint mobilization
Anteroposterior mobilization of the talus (Maitland mobilization grade III)
|
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.
|
Placebo Comparator: 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.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in dorsiflexion range of motion
Time Frame: 1 month
|
Dorsiflexion range of motion were measured by biplane goniometer.
|
1 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in pain intensity
Time Frame: 1 month
|
Pain were measured by Visual Analog Scale.
|
1 month
|
Changes in functional capacity
Time Frame: 1 month
|
Functional capacity were measured by Foot and Ankle Ability Measure.
|
1 month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- 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 Res. 2012 Nov;30(11):1798-804. doi: 10.1002/jor.22150. Epub 2012 May 18.
- 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. doi: 10.1179/106698108790818413.
- 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(6):369-75. doi: 10.1016/j.jmpt.2013.06.003. Epub 2013 Jul 11.
- 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.
- 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 instability. J Sport Rehabil. 2014 Nov;23(4):351-9. doi: 10.1123/jsr.2013-0085. Epub 2014 Apr 3. Erratum In: J Sport Rehabil. 2015 May;24(2):197.
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
July 1, 2012
Primary Completion (Actual)
December 1, 2013
Study Completion (Actual)
December 1, 2013
Study Registration Dates
First Submitted
September 15, 2014
First Submitted That Met QC Criteria
September 16, 2014
First Posted (Estimate)
September 18, 2014
Study Record Updates
Last Update Posted (Estimate)
September 18, 2014
Last Update Submitted That Met QC Criteria
September 16, 2014
Last Verified
September 1, 2014
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RDS3123
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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