Immediate Effects of Ankle Mobilization on Dorsiflexion Range of Motion in Women With Patellofemoral Pain.

NCT03281421 | Completed

• 1 other identifier: Mestrado_Bruno
• Study Type: interventional
• Target: 117
• Locations: 1 country
• Sites: 1

Brief Summary

Anterior Knee Pain or Patellofemoral Pain (PFP) is one of the most common disorders that affecting knee in the physically active population, being a condition that typically presents as diffuse knee pain in the anterior region and retro- or peri-patellar area, mainly in activities that increase compression force in patellofemoral joint, such as squatting, running, stair ascent and descent. The overall prevalence of PFP has been reported as between 15-45% of the population, and its incidence is higher among women. The literature cites as etiology of PFP the ocorrence of dysfunctions in the local (knee), proximal (trunk, pelvis and hip complex) and distal (ankle and foot regions) factores. Actually, there is a lack of studies that investigate the interventions influences on distal factors in outcomes clinical in persons with PFP. Thus, the aim of this study is analyze the effect of ankle mobilization techiniques in ankle dorsiflexion range of motion closed kinetic chain in women with patellofemoral pain and with dorsoflexion restriction.

Conditions

Patellofemoral Pain Syndrome

Outcome Measures

Primary Outcomes (1)

• Range of motion of ankle dorsiflexion.

  Closed kinetic chain evaluation to find the greatest distance between the foot and the wall without compensations.

  Immediatly after intervention day.

Secondary Outcomes (4)

• Range of motion of ankle dorsiflexion.

  Two days after intervention day.

• Angle of projection in the frontal plane in the lower limb.

  Immediatly and two days after intervention day.

• Numeric Pain Scale.

  Immediatly and two days after intervention day.

• Global Effect Perception Scale for Treatment

  Immediatly and two days after intervention day.

Study Arms (3)

Group from posterior to anterior (GPA)

EXPERIMENTAL

Participants in group GPA will receive a manual therapy intervention, through the technique of mobilization with movement in the ankle joint, with a slip sense from posterior to anterior. The physiotherapist will be positioned in front the participant's ankle, and a belt will be posicioned above the participant's malleolus and around physiotherapist's pelvis. The therapist applies with belt a anterior slip sustained in the tibia of the participant, while the talus are secured with the space between the thumb and the second finger of the hand of both hands on the physiotherapist´s. The participant will be instructed to perform a slow dorsiflexion movement at its maximum amplitude and hold five seconds in that position, returning to the initial position at the end of the five seconds.

Other: Manual Therapy

Group from anterior to posterior (GAP)

ACTIVE COMPARATOR

Participants in group GAP will receive a manual therapy intervention, through the technique of mobilization with movement in the ankle joint, with a slip sense from anterior to posterior. The physiotherapist will be positioned behind the participant's ankle. An belt will be posicioned above the participant's malleolus and around physiotherapist's trunk. The therapist applies with belt a posterior slip sustained in the tibia of the participant, while the heel and rearfoot are secured with the space between the thumb and the second finger of the hand of both hands on the physiotherapist´s. The participant will be instructed to perform a slow dorsiflexion movement at its maximum amplitude and hold five seconds in that position, returning to the initial position at the end of the five seconds.

Other: Manual Therapy

Group GPA-AP

ACTIVE COMPARATOR

Participants in group GAP will receive a manual therapy intervention, through the technique of mobilization with movement in the ankle joint, with a slip sense both from posterior to anterior and anterior to posterior. In the group GPA-AP, will be apllied both the procedure described for the group GPA as for the group GAP. To standardized the sequence of mobilization, the first two sets will be performed with slip sense from posterior to anterior, and the last two sets will be performede with slip sense from anterior to posterior.

Other: Manual Therapy

Interventions

Manual Therapy OTHER

The manual therapy intervention, through the technique of mobilization with movement in the ankle joint (following the specific sense direction of the group), will be performed in a protocol that consists of four sets of five repetitions, with rest time between series of one minute.

Also known as: Manual Physical Therapy

Group GPA-AP; Group from anterior to posterior (GAP); Group from posterior to anterior (GPA)

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Presence of localized pain in the anterior region of the knee and / or around the patella, reproduced with at least two of the following activities: climbing / descending stairs, crouching, kneeling, long sitting, isometric contraction of the quadriceps, running and jump.
• Existence of a report of pain for at least three months, beginning incidental and unrelated to some traumatic event in the knee.
• Pain with intensity of at least three points in the Visual Analogue Scale (VAS) of pain in the last week.
• Limitation of the ankle dorsiflexion range of motion measured by the Lunge Test in the lower limb with Patellofemoral Pain.

You may not qualify if:

• History of surgery in the lumbar spine, hip, knee and / or ankle;
• History of fractures in the lumbar spine, hip, knee and / or ankle;
• History of patellar dislocation;
• Presence of edema in the knee joint;
• Presence of meniscal injury;
• Injury of cruciate ligament and / or collateral ligaments;
• Presence of tendonopathy in the patellar tendon, tendons of the goose and / or band leg tibial ilium;
• Presence of Osgood-Schlatter Syndrome or Sinding-Larsen-Johansson Syndromes.
• Presence of pain in the lumbar spine and / or hip.

Sponsors & Collaborators

• Universidade Federal do Ceara: lead

Study Sites (1)

Federal University of Ceara

Fortaleza, Ceará, 60430-160, Brazil

Location

MeSH Terms

Conditions

Patellofemoral Pain Syndrome

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Gabriel PL Almeida, MSc

  Federal University of Ceará (UFC), Brazil.

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: September 11, 2017
• First Posted: September 13, 2017
• Study Start: September 14, 2017
• Primary Completion: March 31, 2018
• Study Completion: September 25, 2018
• Last Updated: February 22, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)