Effects of Talocrural Joint Mobilizations in the Treatment of Subacute Lateral Ankle Sprains

NCT01117909 | Unknown

• 1 other identifier: 14919
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The goal is to determine if standard therapy including joint mobilizations of the ankle performed 3 times per week for 2 weeks will increase self-reported function and decrease pain in patients with mild lateral ankle sprains.

Conditions

Ankle Sprain

Keywords

ankle sprain; athletic injury; arthritis

Outcome Measures

Primary Outcomes (2)

• Change in self-reported function

  We hypothesize that the group that receives joint mobilization in addition to standard therapy will show greater improvements in Functional Ankle and Ability Measure (FAAM) and FAAM-Sport (FAAM-S) scores than those who receive standard therapy alone.

  Baseline and four weeks

• Change in self-reported pain

  We hypothesize visual analog scale (VAS) scores for pain will have a greater improvement in those who received joint mobilization in addition to standard therapy when compared to standard therapy alone.

  Baseline and 4 weeks

Secondary Outcomes (2)

• Change in ankle dorsiflexion range of motion

  Baseline and 4 weeks

• Change in ligamentous laxity

  Baseline and 4 weeks

Study Arms (2)

"Laying of hands" plus standard therapy

SHAM COMPARATOR

Subjects will lie on their back as if they were receiving the joint mobilization treatment and the therapist will place their hands in a position as if to perform the mobilization but no movement will occur. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression

Other: Sham intervention

Standard therapy with joint mobilization

EXPERIMENTAL

This group will receive three 60-second bouts of posterior joint mobilizations applied to the ankle joint during each treatment session, in addition to standard therapy. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression

Other: Mobilization therapy in addition to standard therapy

Interventions

Mobilization therapy in addition to standard therapy OTHER

Subject will receive three 60-second bouts of posterior joint mobilizations applied to the ankle joint during each treatment session. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression.

Standard therapy with joint mobilization

Sham intervention OTHER

Physical therapist will lay hands as if to perform the joint mobilization but no movement will occur.

"Laying of hands" plus standard therapy

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Incomplete tear of lateral ligaments with mild laxity as measured by anterior drawer test and talar tilt
• Slight reduction in function
• Anterolateral ankle tenderness
• Dorsiflexion ROM asymmetry greater than 5° compared to uninvolved limb
• Posterior talar glide restriction greater than 5° compared to uninvolved limb; or
• Posterior talar glide less than 19°, which is one standard deviation (7°) from our previously established normative values (26°)9, 10
• Suffered from grade 1 or 2 lateral ankle sprain within the last 48hr - 8 days

You may not qualify if:

• A history of ankle surgery that involves intra-articular fixation,
• Syndesmotic ankle sprain (to be ruled out based on clinical examination),
• History or signs of reflex sympathetic dystrophy,
• Have received manual therapy for the ankle sprain prior to enrollment
• Grade III ankle sprain.

Sponsors & Collaborators

• University of Virginia: lead
• American Physical Therapy Association: collaborator

Study Sites (1)

University of Virginia

Charlottesville, Virginia, 22908, United States

RECRUITING

MeSH Terms

Conditions

Ankle Injuries; Athletic Injuries; Arthritis

Interventions

Hematopoietic Stem Cell Mobilization

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Biological Therapy; Therapeutics

Study Officials

• Terry Grindstaff, PhD, DPT

  University of Virginia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: May 4, 2010
• First Posted: May 6, 2010
• Study Start: April 1, 2010
• Primary Completion: December 1, 2011
• Study Completion: December 1, 2011
• Last Updated: May 30, 2011

Record last verified: 2011-05

Locations

US (1)