The Immediate Effect of Mobilisation With Movement in Amateur Futsal Athletes With Chronic Ankle Instability

NCT04699396 | Completed

• 1 other identifier: ESS-MWM
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic ankle instability (CAI) is an increasingly prevalent condition among futsal athletes. Mobilization with Movement (MWM) is a conservative rehabilitation strategy commonly used in this condition. Even so, the effects of two MWM dorsiflexion techniques on sports performance are not known. The aim is to analyze the immediate effect of two MWM techniques on the dorsiflexion range of motion, the dynamic balance and the performance variables in futsal athletes with CAI. Also, to analyze the impact of performing them in a different order.

Conditions

Ankle Injuries and Disorders

Outcome Measures

Primary Outcomes (1)

• Dorsiflexion range of motion

  The dorsiflexion range of motion (DFROM) of the ankle joint was measured by the Weight-Bearing Lunge Test (WBLT)

  Immediate after procedure

Secondary Outcomes (2)

• Dynamic balance

  Immediate after procedure

• Performance variables

  Immediate after procedure

Study Arms (4)

Mobilisation with Movement 1 (MWM1)

EXPERIMENTAL

Participants received two ankle dorsiflexion MWM techniques, with glides applied at fibula and talus. Three sets of 10 repetitions of each techniques, were administrated.

Procedure: Mobilisation With Movement 1

Mobilisation with Movement 2 (MWM2)

EXPERIMENTAL

Participants received two ankle dorsiflexion MWM techniques, with glides applied at talus and fibula (order of application inverted). Three sets of 10 repetitions of each techniques, were administrated.

Procedure: Mobilisation With Movement 2

Placebo

PLACEBO COMPARATOR

The Placebo group participants performed the same number of sets and repetitions of lean/lunge forward into dorsiflexion, without any glide application, in the same position

Other: Placebo

Intervention

EXPERIMENTAL

The experimental groups (MWM1 and MWM2), were later merged into a single Intervention group.

Procedure: Mobilisation With Movement 1; Procedure: Mobilisation With Movement 2

Interventions

Mobilisation With Movement 1 PROCEDURE

Application of a sustained passive accessory movement to a joint (talus or fibula) while the patient actively performs a forward lean/lunge that was previously limited. 3 sets of 10 repetitions of a glide applied to the talus were performed, followed by 3 sets of 10 repetitions of a glide applied to the fibula.

Also known as: Mulligan

Intervention; Mobilisation with Movement 1 (MWM1)

Mobilisation With Movement 2 PROCEDURE

Application of a sustained passive accessory movement to a joint (talus or fibula) while the patient actively performs a forward lean/lunge that was previously limited. 3 sets of 10 repetitions of a glide applied to the fibula were performed, followed by 3 sets of 10 repetitions of a glide applied to the talus.

Also known as: Mulligan

Intervention; Mobilisation with Movement 2 (MWM2)

Placebo OTHER

The Placebo group participants performed the same number of sets and repetitions (6 sets of 20 repetitions) of lean/lunge forward into dorsiflexion, without any glide application.

Placebo

Eligibility Criteria

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

You may qualify if:

• A history of at least one significative ankle sprain:
• Initial sprain must have occurred at least 12 months prior to study enrolment;
• Was associated with inflammatory symptoms;
• Created at least one interrupted day of desired physical activity;
• The most recent injury must have occurred more than 3 months prior to study enrolment.
• A history of the previously injured ankle joint "giving way" and/or recurrent sprain and/or "feelings of instability":
• Participants should report at least two episodes of "giving way" in the 12 months prior to study enrolment, to account for the seasonal nature of futsal;
• Recurrent sprain was defined as two or more sprains to the same ankle.
• Self-reported ankle instability should be confirmed with the Ankle Instability Instrument: answer "yes" to at least 5 yes/no questions.

You may not qualify if:

• A history of previous surgeries to the musculoskeletal structures (i.e., bones, joint structures, nerves) in either lower extremity.
• A history of bilateral ankle sprain.
• A history of a fracture in either lower extremity requiring realignment.
• Acute injury to musculoskeletal structures of other joints of the lower extremity in the previous 3 months that impacted joint integrity and function (i.e., sprains, fractures), resulting in at least one interrupted day of desired physical activity.
• Have conditions for which manual therapy is generally contraindicated (such as the presence of a tumour, fracture, rheumatoid arthritis, osteoporosis, prolonged history of steroid use, or severe vascular disease).
• Receiving concurrent physiotherapy treatment in the last 3 months.
• Inability to read Portuguese.

Sponsors & Collaborators

• Escola Superior de Tecnologia da Saúde do Porto: lead

Study Sites (1)

Escola Superior de Saúde do Porto

Porto, 4200-072, Portugal

Location

Related Publications (6)

• Lopez-Segovia M, Vivo Fernandez I, Herrero Carrasco R, Pareja Blanco F. Preseason Injury Characteristics in Spanish Professional Futsal Players: The LNFS Project. J Strength Cond Res. 2022 Jan 1;36(1):232-237. doi: 10.1519/JSC.0000000000003419.

  PMID: 31895285 BACKGROUND

• Hertel J, Corbett RO. An Updated Model of Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):572-588. doi: 10.4085/1062-6050-344-18. Epub 2019 Jun 4.

  PMID: 31162943 BACKGROUND

• Cruz-Diaz D, Lomas Vega R, Osuna-Perez MC, Hita-Contreras F, Martinez-Amat A. Effects of joint mobilization on chronic ankle instability: a randomized controlled trial. Disabil Rehabil. 2015;37(7):601-10. doi: 10.3109/09638288.2014.935877. Epub 2014 Jul 3.

  PMID: 24989067 BACKGROUND

• Langarika-Rocafort A, Emparanza JI, Aramendi JF, Castellano J, Calleja-Gonzalez J. Intra-rater reliability and agreement of various methods of measurement to assess dorsiflexion in the Weight Bearing Dorsiflexion Lunge Test (WBLT) among female athletes. Phys Ther Sport. 2017 Jan;23:37-44. doi: 10.1016/j.ptsp.2016.06.010. Epub 2016 Jun 29.

  PMID: 27665249 BACKGROUND

• Marron-Gomez D, Rodriguez-Fernandez AL, Martin-Urrialde JA. The effect of two mobilization techniques on dorsiflexion in people with chronic ankle instability. Phys Ther Sport. 2015 Feb;16(1):10-5. doi: 10.1016/j.ptsp.2014.02.001. Epub 2014 Feb 14.

  PMID: 24679362 BACKGROUND

• Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty CL, Fourchet F, Fong D, Hertel J, Hiller C, Kaminski TW, McKeon PO, Refshauge KM, van der Wees P, Vicenzino B, Wikstrom EA. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Orthop Sports Phys Ther. 2013 Aug;43(8):585-91. doi: 10.2519/jospt.2013.0303. Epub 2013 Jul 31.

  PMID: 23902805 BACKGROUND

MeSH Terms

Conditions

Ankle Injuries; Disease

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries; Pathologic Processes; Pathological Conditions, Signs and Symptoms

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: Principal Investigator

Study Record Dates

• First Submitted: December 30, 2020
• First Posted: January 7, 2021
• Study Start: January 14, 2021
• Primary Completion: February 28, 2021
• Study Completion: February 28, 2021
• Last Updated: March 9, 2021

Record last verified: 2021-03

Locations

PT (1)