Dose-response of Anteroposterior Mobilizations in Weight Bearing Talus Dorsiflexion

NCT04563663 | Completed

• 1 other identifier: KTV01
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

Ankle mobility limitations are common in older adults. A possible treatment to restore joint mobility is manual therapy based on mobilization techniques, in this case, applied on the ankle joint. Previous research had proposed different treatment volumes (one to twelve sessions), but shown a different and non-consistent degree of effectiveness according to such factor. Therefore, this work aims to determine the dose-response relationship of manual therapy (talus mobilizations) on ankle range of motion in the older adult.

Conditions

Aging Problems

Keywords

Weight Bearing Dorsiflexion; Manual Therapy; Ankle; Dose-response

Outcome Measures

Primary Outcomes (1)

• Treatment dose

  Number of sessions of experimental intervention needed to induce a clinically important gain in ankle mobility after the intervention. A baseline progression over 4.6º in the Lunge test will be considered clinically important (Powden, 2015), so that the number of sessions will be established when this threshold is exceeded (see secondary outcome) .

  Change from baseline to end of intervention (2 weeks) and follow-up (10 weeks)

Secondary Outcomes (1)

• The Lunge test

  Change from baseline, to end of intervention (2 weeks) and follow-up (10 weeks)

Study Arms (4)

One session

EXPERIMENTAL

One session of talus posteriorization.

Procedure: Posteriorization of the talus.

Two sessions

EXPERIMENTAL

Two sessions of talus posteriorization.

Procedure: Posteriorization of the talus.

Three sessions

EXPERIMENTAL

Three sessions of talus posteriorization.

Procedure: Posteriorization of the talus.

Four sessions

EXPERIMENTAL

Four sessions of talus posteriorization.

Procedure: Posteriorization of the talus.

Interventions

Posteriorization of the talus. PROCEDURE

Three sets of a 30-s grade IV anteroposterior mobilization.

Four sessions; One session; Three sessions; Two sessions

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Community-dwelling older adults.
• Limited ankle mobility (\< 35 degrees).
• Over 60 years.

You may not qualify if:

• Not willing to participate or signing a consent form
• Lower limb injury in the three months prior to the study (ex. sprain)
• Diagnosed condition that may influence mobility assessments (i.e. stroke)

Sponsors & Collaborators

• University of Valencia: lead

Study Sites (1)

Universidad de Valencia

Valencia, 46010, Spain

Location

Study Officials

• José-María Blasco

  University of Valencia

  STUDY DIRECTOR

• David Hernández-Guillén

  University of Valencia

  PRINCIPAL INVESTIGATOR

• Catalina Tolsada-Velasco

  University of Valencia

  STUDY CHAIR

Study Design

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

Study Record Dates

• First Submitted: September 18, 2020
• First Posted: September 24, 2020
• Study Start: October 1, 2020
• Primary Completion: October 16, 2020
• Study Completion: December 16, 2020
• Last Updated: April 28, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)