Effects of MET vs Mulligan MWM on Pain, Disability & Balance in Athletes With Ankle Sprain

NCT05393310 | Unknown

• 1 other identifier: REC/22/0401 Faiz Ali
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 2

Brief Summary

Ankle Sprains are the most common injury in Athletes and have a high rate of recurrence, pain, dynamic balance and disability is the leading cause of season break in athletes with chronic ankle sprain so as we see post isometric relaxation and Mulligan MWM are the useful techniques used to minimize pain, improve dynamic balance and to restrain athlete from disability due to chronic ankle sprain. This study will be a randomized clinical trial,non probability convenience sampling technique will be used to collect the data. The sample size of athletes will be taken in this study to find the effect of post isometric relaxation and mulligan mobilization with movement in athletes.

Conditions

Chronic Ankle Sprain

Keywords

ankle sprain, mulligan MWM, METs

Outcome Measures

Primary Outcomes (4)

• Numeric pain rating scale

  Changes from baseline numeric pain rating scale for pain from 0-10 (0 means no pain and 10 means worst pain)

  4th week

• Dorsiflexion lunge test

  Participants are instructed to lunge forward until their knee touches the wall (vertical line). The heel is required to remain in contact with the floor at all times. The foot is moved away from the wall to the point where the knee can only make slight contact with the wall, while the heel remains in contact with the floor. This puts the ankle joint in maximal dorsiflexion. The leg not being tested can rest on the the floor and participants are allowed to hold onto the wall for support. The maximum distance from the wall to the tip of the big toe is recorded. The distance is measured in centimeters (cm) with each centimeter corresponding to approximately 3.6° of ankle dorsiflexion

  4th week

• star excursion balance test

  The Star Excursion Balance Test is a dynamic test that requires strength, flexibility, and proprioception.

  4th week

• Foot and Ankle outcome score

  ankle disability

  4th week

Study Arms (2)

post-isometric relaxation

EXPERIMENTAL

effects of post-isometric relaxation on pain, disability and dynamic balance in athletes with chronic ankle sprain

Other: post isometric relaxation

mulligan mobilization with movement

EXPERIMENTAL

effects of mulligan mobilization with movement on pain, disability and dynamic balance in athletes with chronic ankle sprain

Other: MWM group

Interventions

post isometric relaxation OTHER

The therapist will apply Post isometric relaxation ensure that foot will not actually move and only a static muscle contraction apply and held for 20 seconds. This will be followed by 2-3 second of relaxation, and then the foot passively stretched to dorsiflexion up to the palpated barrier and/or tolerance to stretch. This will continue until no further gains achieved 2 sets of 5 repetitions a day for 3 days a week for 4 weeks

post-isometric relaxation

MWM group OTHER

MWM group will receive inferior tibiofibular, talocrural, or cubometatarsal MWM 2-8 treatment sessions over 4 weeks.

mulligan mobilization with movement

Eligibility Criteria

• Age: 20 Years - 35 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosed cases of chronic ankle sprain (grade I or II) (3-4 months)
• Players have spent at least one year in sports

You may not qualify if:

• Players undergone surgery or had an accident.
• Any malignant or chronic disease
• Players with the history of fracture in the same ankle

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Pakistan sports board

Lahore, Punjab Province, 5433, Pakistan

RECRUITING

PSB

Lahore, Punjab Province, 5433, Pakistan

RECRUITING

Related Publications (5)

• Hertel J. Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. J Athl Train. 2002 Dec;37(4):364-375.

  PMID: 12937557 BACKGROUND

• McGovern RP, Martin RL. Managing ankle ligament sprains and tears: current opinion. Open Access J Sports Med. 2016 Mar 2;7:33-42. doi: 10.2147/OAJSM.S72334. eCollection 2016.

  PMID: 27042147 BACKGROUND

• Mohd Salim NS, Umar MA, Shaharudin S. Effects of the standard physiotherapy programme on pain and isokinetic ankle strength in individuals with grade I ankle sprain. J Taibah Univ Med Sci. 2018 Nov 30;13(6):576-581. doi: 10.1016/j.jtumed.2018.10.007. eCollection 2018 Dec.

  PMID: 31435381 BACKGROUND

• Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Dynamic balance deficits in individuals with chronic ankle instability compared to ankle sprain copers 1 year after a first-time lateral ankle sprain injury. Knee Surg Sports Traumatol Arthrosc. 2016 Apr;24(4):1086-95. doi: 10.1007/s00167-015-3744-z. Epub 2015 Aug 8.

  PMID: 26254090 BACKGROUND

• Golightly YM, Devellis RF, Nelson AE, Hannan MT, Lohmander LS, Renner JB, Jordan JM. Psychometric properties of the foot and ankle outcome score in a community-based study of adults with and without osteoarthritis. Arthritis Care Res (Hoboken). 2014 Mar;66(3):395-403. doi: 10.1002/acr.22162.

  PMID: 24023029 BACKGROUND

MeSH Terms

Conditions

Ankle Injuries

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Study Officials

• Amna Shahid

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Faiz Ali Mehdi, MS-SPT

CONTACT

0333-6023110; faizalimehdi@gmail.com

Study Design

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

Study Record Dates

• First Submitted: May 23, 2022
• First Posted: May 26, 2022
• Study Start: October 25, 2021
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: September 7, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)