Changes in the Ankle Range of Motion Following Subtalar Joint Manipulation

NCT00981331 | Terminated

• 1 other identifier: 092025
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of the study is to determine whether manipulation of the subtalar joint (one of the two joints of the ankle) has an effect on ankle range of motion in a group of ankles that have sustained a subacute inversion ankle sprain. The investigators expect subtalar joint manipulation will increase ankle range of motion about the subtalar joint, but not at the talocrural joint (the other joint of the ankle).

Conditions

Ankle Inversion Sprain

Keywords

Subtalar joint; Musculoskeletal Manipulations; Manipulation, Chiropractic; Ankle sprain; Inversion sprain; Range of motion, Articular; Quaternion; Eigen analysis

Outcome Measures

Primary Outcomes (1)

• Range of Motion determined by a biomechanical ankle model (quaternion eigen analysis)

  Outcome measure will be collected immediately pre-manipulation and immediately post-manipulation on day of testing (ie. 1 day)

Secondary Outcomes (8)

• Visual Analog Scales for self-reported pain, stiffness, and quality of movement

  Outcome measure will be collected immediately pre-manipulation and immediately post-manipulation on the day of testing (ie. 1 day)

• Pain pressure threshold

  Outcome measure will be collected immediately pre-manipulation and immediately post-manipulation on the day of testing (ie. 1 day)

• preload force

  Outcome measure will be collected during the manipulation on the day of testing (ie. 1 day)

• peak force

  Outcome measure will be collected during the manipulation on the day of testing (ie. 1 day)

• thrust duration

  Outcome measure will be collected during the manipulation on the day of testing (ie. 1 day)

Study Arms (2)

Subtalar joint manipulation

EXPERIMENTAL

Each subject in this group will recieve a subtalar joint manipulation to their symptomatic ankle

Procedure: Subtalar joint manipulation

Sham Manipulation

SHAM COMPARATOR

Each subject in this group will recieve a sham subtalar joint manipulation to their symptomatic ankle

Procedure: Sham subtalar joint manipulation

Interventions

Subtalar joint manipulation PROCEDURE

The intervention is defined as a toggle-recoil, high-velocity, low-amplitude subtalar joint manipulation.

Also known as: Ankle manipulation

Subtalar joint manipulation

Sham subtalar joint manipulation PROCEDURE

The sham manipulation is conducted by placing the ankle in a non-manipulative position, and the operator simply engages the toggle board to simulate the audible noise of the toggle board dropping. No force or thrust is applied to the ankle.

Also known as: Sham manipulation

Sham Manipulation

Eligibility Criteria

• Age: 16 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Must have 1 ankle diagnosed with a subacute, grade II inversion ankle sprain and 1 asymptomatic ankle
• Pain on palpation of the medial subtalar joint line
• Manual restriction of subtalar eversion as assessed by a passive joint play test of subtalar joint mobility

You may not qualify if:

• Acute ankle or foot trauma occurring within 7 days of injury incident
• Acute or healing fracture
• Gross ligamentous mechanical instability (grade III ankle sprains)
• Syndesmosis injury
• Inflammatory arthritis
• History of previous medial ankle sprain
• Medial ankle instability
• Severely pronated feet determined by Foot Posture Index score \> +9 (Redmond 2006)
• Connective tissue disorder (Grahame 2000)
• Benign joint hypermobility syndrome (Grahame 2000)

Sponsors & Collaborators

• Canadian Memorial Chiropractic College: lead
• McMaster University: collaborator

Study Sites (2)

McMaster University

Hamilton, Ontario, L8S 1C7, Canada

Location

Canadian Memorial Chiropractic College

Toronto, Ontario, M2H 3J1, Canada

Location

Related Publications (11)

• Holmer P, Sondergaard L, Konradsen L, Nielsen PT, Jorgensen LN. Epidemiology of sprains in the lateral ankle and foot. Foot Ankle Int. 1994 Feb;15(2):72-4. doi: 10.1177/107110079401500204.

  PMID: 7981804 BACKGROUND

• Beynnon BD, Renstrom PA, Alosa DM, Baumhauer JF, Vacek PM. Ankle ligament injury risk factors: a prospective study of college athletes. J Orthop Res. 2001 Mar;19(2):213-20. doi: 10.1016/S0736-0266(00)90004-4.

  PMID: 11347693 BACKGROUND

• Denegar CR, Miller SJ 3rd. Can Chronic Ankle Instability Be Prevented? Rethinking Management of Lateral Ankle Sprains. J Athl Train. 2002 Dec;37(4):430-435.

  PMID: 12937564 BACKGROUND

• Denegar CR, Hertel J, Fonseca J. The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sports Phys Ther. 2002 Apr;32(4):166-73. doi: 10.2519/jospt.2002.32.4.166.

  PMID: 11949665 BACKGROUND

• Green T, Refshauge K, Crosbie J, Adams R. A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains. Phys Ther. 2001 Apr;81(4):984-94.

  PMID: 11276181 BACKGROUND

• Lopez-Rodriguez S, Fernandez de-Las-Penas C, Alburquerque-Sendin F, Rodriguez-Blanco C, Palomeque-del-Cerro L. Immediate effects of manipulation of the talocrural joint on stabilometry and baropodometry in patients with ankle sprain. J Manipulative Physiol Ther. 2007 Mar-Apr;30(3):186-92. doi: 10.1016/j.jmpt.2007.01.011.

  PMID: 17416272 BACKGROUND

• Hubbard TJ, Hertel J. Mechanical contributions to chronic lateral ankle instability. Sports Med. 2006;36(3):263-77. doi: 10.2165/00007256-200636030-00006.

  PMID: 16526836 BACKGROUND

• Pellow JE, Brantingham JW. The efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and grade II ankle inversion sprains. J Manipulative Physiol Ther. 2001 Jan;24(1):17-24. doi: 10.1067/mmt.2001.112015.

  PMID: 11174691 BACKGROUND

• Fryer GA, Mudge JM, McLaughlin PA. The effect of talocrural joint manipulation on range of motion at the ankle. J Manipulative Physiol Ther. 2002 Jul-Aug;25(6):384-90. doi: 10.1067/mmt.2002.126129.

  PMID: 12183696 BACKGROUND

• Grahame R, Bird HA, Child A. The revised (Brighton 1998) criteria for the diagnosis of benign joint hypermobility syndrome (BJHS). J Rheumatol. 2000 Jul;27(7):1777-9. No abstract available.

  PMID: 10914867 BACKGROUND

• Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomech (Bristol). 2006 Jan;21(1):89-98. doi: 10.1016/j.clinbiomech.2005.08.002. Epub 2005 Sep 21.

  PMID: 16182419 BACKGROUND

MeSH Terms

Conditions

Ankle Injuries

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Study Officials

• Alexander D Lee, BSc, DC

  Canadian Memorial Chiropractic College

  PRINCIPAL INVESTIGATOR

• John J Triano, DC, PhD

  Canadian Memorial Chiropractic College

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinician

Study Record Dates

• First Submitted: September 21, 2009
• First Posted: September 22, 2009
• Study Start: May 1, 2010
• Primary Completion: July 16, 2018
• Study Completion: July 16, 2018
• Last Updated: July 24, 2018

Record last verified: 2018-07

Locations

CA (2)