The Effect of Manual Lymphatic Drainage on Acute and Post-acute Ankle Sprain in Athletes

THE EFFECT OF MANUAL LYMPHATIC DRAINAGE ON ACUTE AND POST-ACUTE ANKLE SPRAIN IN ATHLETES

Manual lymphatic drainage techniques (MLDTs) are special techniques in manual therapy used in rehabilitation for treatment of physical dysfunctions and pathologies. Such practices could be done by medical team or clinicians. Theories on MLDTs address functions like stimulating the lymphatic system by increasing lymph circulation, facilitating the removal of waste products from body tissues, reducing edema, and decreasing the responses of sympathetic nervous system while increasing the parasympathetic nervous tone leading to a relaxed body state.

Study Overview

• Status: Not yet recruiting
• Conditions: Ankle Sprains
• Intervention / Treatment: Other: Manual lymphatic drainage. will be applied three days per week for four weeks.

Detailed Description

This study will examine the effect of manual lymphatic drainage on pain intensity, ankle swelling, range of motion, static and dynamic functional stability in acute and post-acute ankle sprain in athletes.

Edema treatment includes a variety of techniques; elevation, compression, electrical stimulation, ultrasound, and massage are a few of them. Profound clinical check is required to determine the kind of edema management. However, the effect of these techniques on the lymphatic system and the edema itself is questionable. Manual Lymphatic Drainage mechanism, although still under investigation, is also a valid treatment management that does not cause inflammation, reduces the absorption of waste products and excess fluid and still urges the lymphatic system to work better.

• Study Type: Interventional
• Enrollment (Estimated): 80
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. . Basketball Athletes patients diagnosed as acute and post-acute ankle sprain. 2. Patients within 18 and 30 years old. 3. Patients with grade I, II ankle inversion sprain. 4. All participants complains of pain and moderate swelling in the ankle.

Exclusion Criteria:

1. Previous ankle surgery.
2. Serious pathology.
3. History of fractures in the ankle joint.
4. Vascular disorders.
5. Grade III ankle sprain.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: group A; will receive Manual lymphatic drainage plus Traditional physical therapy program that will include LASER, cold packs, manual mobilization, and exercise program. Training will applied 3 days a week, for a total of 4 weeks.	Other: Manual lymphatic drainage. will be applied three days per week for four weeks.; Training will applied 3 days a week, for a total of 4 weeks.; Other Names: Traditional physical therapy program that will include LASER, cold packs, manual mobilization, and exercise program). will applied three days per week for four weeks.
Active Comparator: group B; will receive Traditional physical therapy program only that will include LASER, cold packs, manual mobilization, and exercise program. Training will applied 3 days a week, for a total of 4 weeks.	Other: Manual lymphatic drainage. will be applied three days per week for four weeks.; Training will applied 3 days a week, for a total of 4 weeks.; Other Names: Traditional physical therapy program that will include LASER, cold packs, manual mobilization, and exercise program). will applied three days per week for four weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
static balance	Flamingo Balance Test to assess static balance	starting and after 4 weeks
dynamic postural balance	Star Excursion Balance Test to assess dynamic postural balance	starting and after 4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
swelling	Figure of Eight with tape measurement by tape measurement to assess swelling in centimeter	starting and after 4 weeks
range of motion	Goniometer to assess range of motion	starting and after 4 weeks
Pain intensity	Numeric Pain Rating Scale to assess pain intensity with zero score represents no pain (the better) and ten score represents maximum pain (the worest).	starting and after 4 weeks

Collaborators and Investigators

• Sponsor: Sylvia Maher Mohsen Farid Hanna

Study record dates

Study Major Dates

• Study Start (Estimated): February 1, 2024
• Primary Completion (Estimated): May 1, 2024
• Study Completion (Estimated): May 1, 2024

Study Registration Dates

• First Submitted: November 20, 2023
• First Submitted That Met QC Criteria: December 4, 2023
• First Posted (Actual): December 13, 2023

Study Record Updates

• Last Update Posted (Actual): February 12, 2024
• Last Update Submitted That Met QC Criteria: February 9, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: Athletes; Ankle sprain; Manual lymphatic drainage
• Additional Relevant MeSH Terms: Wounds and Injuries; Leg Injuries; Sprains and Strains; Ankle Injuries
• Other Study ID Numbers: 012/003909

Drug and device information, study documents

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