Comparison of Passive and Active Joint Mobilization for Chronic Ankle Instability

Comparison of Passive and Active Joint Mobilization for Chronic Ankle Instability: A Randomized Controlled Trial

The features of CAI were confirmed through studies that 64% to 77% had extra-articular conditions mainly related to calf tendon disorder. In addition, joints are laxity, sensory motors are deficient, and the range of dorsi flexion is decreased. this study is to investigate the effects of active joint mobilization(AJM) under weight-bearing conditions to stimulate various proprioceptors for CAI with deficiency in sensorimotor and postural control.

Study Overview

• Status: Recruiting
• Conditions: Musculoskeletal Manipulations; Chronic Instability of Joint; Ankle Joint
• Intervention / Treatment: Other: Active joint mobilization; Other: Passive joint mobilization

• Study Type: Interventional
• Enrollment (Anticipated): 30
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Hyun-Joong Kim, M.S.; Phone Number: +82-10-8005-1460; Email: doong18324@gmail.com

Study Locations

• Korea, Republic of
  • Gwangju, Korea, Republic of, 61085
    • Recruiting
    • The Better Hospital
    • Contact: Hyun-Joong Kim, PhD student; Phone Number: +82-10-8005-1460; Email: doong18324@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 19 years to 60 years (ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• First ankle sprain one year before clinical trial
• A score of less than 24 on the Cumberland Ankle Instability Tool (CAIT)
• No ankle sprains occurred within 4 weeks of starting the test
• Two or more more ankle sprains in the past month

Exclusion Criteria:

• If you have a history of lower extremity surgery
• In case of receiving treatment for the affected ankle within 1 month
• If you have a psychological problem

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Active Joint Mobilization	Other: Active joint mobilization; The participants bend his knees in a prone position. The physical therapist holds the medial malleolus with one hand and the lateral malleolus with the other. At the same time, the physical therapist touches the participant's soles to the sternum area and presses them in the dorsal direction. At this time, medial malleolus glides anterior and lateral malleolus glides posterior. The first procedure is to passively recognize movement. The second procedure is accompanied by active movement of the participant.
EXPERIMENTAL: Passive Joint Mobilization	Other: Passive joint mobilization; PJM uses Maitland's Mobilization method, grade III (high amplitude in the end range of the joint and 1 second vibration in the middle range through linear motion in which tissue resistance is felt). The participant is in a supine position, and the physical therapist holds the talus with one hand and the tibia with the other hand, and performs joint mobilization in the posterior direction with the hand holding the talus.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Ankle instability	Consists of 9 questions, 3 to 0 points for 5 questions, 4 to 0 points for 2 questions, 5 to 0 points for 1 question, and 2 to 0 points for another question. A total score of 30 points is the highest, 28 points or more are stable ankle joints, and 24 points or less are unstable ankle joints. The higher the score, the closer to normal, and the lower the score, the lower the stability.	4 weeks
Range of motion	Measured based on the accelerometer sensor built into the mobile phone with a clinometer app. After fixing the mobile phone on the participant's sole, press "0 clear" to calibrate it to the initial value. The physical therapist asks the participant to "flex the foot in the dorsal direction " Measure a total of 2 times and record it as an average value.	4 weeks

Collaborators and Investigators

• Sponsor: Sahmyook University

Study record dates

Study Major Dates

• Study Start (ANTICIPATED): September 30, 2021
• Primary Completion (ANTICIPATED): December 10, 2021
• Study Completion (ANTICIPATED): December 30, 2021

Study Registration Dates

• First Submitted: November 8, 2020
• First Submitted That Met QC Criteria: November 13, 2020
• First Posted (ACTUAL): November 16, 2020

Study Record Updates

• Last Update Posted (ACTUAL): September 22, 2021
• Last Update Submitted That Met QC Criteria: September 20, 2021
• Last Verified: September 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Joint Diseases; Musculoskeletal Diseases; Joint Instability
• Other Study ID Numbers: P01-202105-11-003

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No