Accumulative Effects of Talus Mobilization

NCT02244008 | Completed DMC

• 1 other identifier: RDS3123
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Ankle Sprains; Ankle Fractures; Ankle Dislocations; Ankle Bruises; Achilles Tendon Rupture

Keywords

Mobilization; Joint Range of Motion; Ankle; Manual Therapy

Outcome Measures

Primary Outcomes (1)

• Changes in dorsiflexion range of motion

  Dorsiflexion range of motion were measured by biplane goniometer.

  1 month

Secondary Outcomes (2)

• Changes in pain intensity

  1 month

• Changes in functional capacity

  1 month

Study Arms (2)

joint mobilization

EXPERIMENTAL

Anteroposterior mobilization of the talus (Maitland mobilization grade III)

Other: joint mobilization

manual contact

PLACEBO COMPARATOR

Other: manual contact

Interventions

joint mobilization OTHER

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.

joint mobilization

manual contact OTHER

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.

manual contact

Eligibility Criteria

• Age: 18 Years - 59 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Federal University of Minas Gerais: lead

Study Sites (1)

Minas Gerais College of Medical Sciences

Belo Horizonte, Minas Gerais, 30130-110, Brazil

Location

Related Publications (5)

• 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.

  PMID: 22610971 RESULT

• 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.

  PMID: 19119395 RESULT

• 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.

  PMID: 23850371 RESULT

• 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.

  PMID: 20886654 RESULT

• 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.

  PMID: 24700526 RESULT

MeSH Terms

Conditions

Ankle Injuries; Ankle Fractures

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries; Fractures, Bone

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Master

Study Record Dates

• First Submitted: September 15, 2014
• First Posted: September 18, 2014
• Study Start: July 1, 2012
• Primary Completion: December 1, 2013
• Study Completion: December 1, 2013
• Last Updated: September 18, 2014

Record last verified: 2014-09

Locations

BR (1)