NCT05757375

Brief Summary

34 volunteer professional volleyball players with (n=12) and without (n=22) CAI will include in the study. Mulligan ankle taping will apply. Measurements will take before and after the intervention. Muscle tone, stiffness, and elasticity will measure with MyotonPRO hand-held device. The static balance will measure with single leg stance test(SLST) while the eyes-closed, dynamic balance will measure with the Y balance test(YBT). Single leg hopping test(SLHT) will evaluate performance and an active position sense test will use for JPS. During the static and dynamic balance and performance tests, the ankle's confidence will be evaluated with the Visual Analog Scale (VAS). The study aimed to determine the effect of Mulligan fibular taping over the Tibialis Anterior(TA), Peroneus Longus(PL), Gastrocnemius Lateralis(GCL), and Medialis(GCM) muscles on muscle tone, stiffness, elasticity, as well as the performance, joint position sense(JPS), static and dynamic balance in female volleyball players with and without chronic ankle instability(CAI).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
34

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 12, 2023

Completed
10 days until next milestone

Study Start

First participant enrolled

January 22, 2023

Completed
1 month until next milestone

First Posted

Study publicly available on registry

March 7, 2023

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 12, 2023

Completed
8 days until next milestone

Study Completion

Last participant's last visit for all outcomes

May 20, 2023

Completed
Last Updated

August 21, 2025

Status Verified

August 1, 2025

Enrollment Period

4 months

First QC Date

January 12, 2023

Last Update Submit

August 20, 2025

Conditions

Keywords

Chronic ankle instabilityMulligan fibular tapingmuscle elasticitymuscle stiffnessmuscle tone

Outcome Measures

Primary Outcomes (1)

  • Myotonometric Measurement

    MyotonPRO is a wireless handheld device that objectively evaluates the viscoelastic properties of muscles such as tone, stiffness, and elasticity with numerical values. It creates a mechanical effect on the subcutaneous tissue and senses the response of the tissue. The 3-millimeter probe of the device is placed 90 degrees perpendicular to the subcutaneous tissue to be measured. With the measurement, muscle tone, stiffness, and elasticity are listed numerically. Muscle tone will be calculated in hz and muscle stiffness in N/m.

    4 weeks

Secondary Outcomes (5)

  • Single Leg Stand Test with Eyes Closed

    4 weeks

  • Y Balance Test

    4 weeks

  • Single Leg Hop Test

    4 weeks

  • Joint Position Test

    4 weeks

  • Confidence in the Ankle

    4 weeks

Study Arms (2)

Volleyball players with Chronic Ankle Instability

EXPERIMENTAL

Before the taping application, the application area of all athletes will be shaved. It will be cleaned with an alcohol wipe before the application so that situations such as sweat or moisture do not reduce the effect of the banding. For taping, while the athlete lies in a supine position on a portable stretcher, the leg weight will be taken by placing the athlete's foot on the abdomen with slight knee and hip flexion. The rigid tape will be measured and cut obliquely starting approximately 2 cm anterior to the fibula and approximately 1 cm anterior to the lateral malleolus and ending in the middle of the anterior tibia region. To increase the strength of the banding, another band will be added to it. In the application, only banding will be preferred and mobilization will not be done.

Other: Mulligan Manuel Therapy Consept

Volleybal players without Chronic Ankle Instability

EXPERIMENTAL

Before the taping application, the application area of all athletes will be shaved. It will be cleaned with an alcohol wipe before the application so that situations such as sweat or moisture do not reduce the effect of the banding. For taping, while the athlete lies in a supine position on a portable stretcher, the leg weight will be taken by placing the athlete's foot on the abdomen with slight knee and hip flexion. The rigid tape will be measured and cut obliquely starting approximately 2 cm anterior to the fibula and approximately 1 cm anterior to the lateral malleolus and ending in the middle of the anterior tibia region. To increase the strength of the banding, another band will be added to it. In the application, only banding will be preferred and mobilization will not be done.

Other: Mulligan Manuel Therapy Consept

Interventions

Mulligan ankle taping is a noninvasive, painless, low-cost, and easily applicable technique of the Mulligan manual therapy concept. It is frequently used in cases of ankle instability. In healthy people, it is a method to prevent ankle sprains.

Volleybal players without Chronic Ankle InstabilityVolleyball players with Chronic Ankle Instability

Eligibility Criteria

Age15 Years - 24 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsThe study will be carried out on a single gender because female volleyball players experience ankle sprains more often and due to hormonal levels.
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Being between the ages of 15-24,
  • Being a professional volleyball player,
  • Training for 90 minutes at least 3 days a week,
  • Turkish native speakers,
  • For participants with chronic ankle instability, those with a Foot and Ankle Disability Index score below 90% and a Foot and Ankle Disability Index-Sport survey score below 75% were included.

You may not qualify if:

  • An ankle sprain history in the last 6 weeks,
  • Having a previous history of fracture in the lower extremity,
  • Having bilateral chronic ankle instability,
  • Pregnant athletes were excluded from the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Istinye University

Istanbul, Zeytinburnu, 34010, Turkey (Türkiye)

Location

Study Officials

  • ÖZGE ECEM E ŞENEL, PT

    İSTİNYE UNIVERSITY

    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
Research Assistant

Study Record Dates

First Submitted

January 12, 2023

First Posted

March 7, 2023

Study Start

January 22, 2023

Primary Completion

May 12, 2023

Study Completion

May 20, 2023

Last Updated

August 21, 2025

Record last verified: 2025-08

Locations