Flossing Protocol and Manual Therapy in Young Subjects With Recurrent Ankle Sprains

NCT05859256 | Completed

• 1 other identifier: Flossing
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The most frequent lateral ankle sprain mechanism consists of talocrural plantarflexion added to a subtalar inversion. The anterior talofibular ligament, in plantar flexion, suffers maximum stress, being very sensitive to injury mechanisms with inversion of the foot, being the cause of up to 70% of sprains. The risk of injury recurrence must be taken into account. In sports practice, this percentage of recurrence is especially relevant. Randomized clinical study. Participants will be randomized to a control or experimental group. The dependent variable will be the range of motion in ankle dorsiflexion. Secondary variables will be pressure pain threshold, and stability of the foot and ankle. Three evaluations will be carried out: before the start of the study (T0), after the intervention (T1) and after a 4-week follow-up period (T2). All evaluations will be performed by one evaluator, blinded to player assignment The intervention consists of the application of a treatment protocol based on an initial active warm-up consisting of 3 active exercises, walking for 1 minute performing slow and controlled movement of the ankle, raising the heels, 15 repetitions, dorsiflexion of the ankle in the standing position. gentleman, 15 reps. Subsequently, the floss band will be placed, performing again the 3 active warm-up exercises with the band on. After this, the passive manual techniques will be carried out for the remaining time, removing the flossing at the end of the latter, and actively mobilizing again.

Conditions

Young People

Outcome Measures

Primary Outcomes (1)

• Change from baseline ankle range of motion after treatment and at 4 weeks

  Using an analog goniometer, range of motion was measured. This instrument has shown excellent reliability. The joint range in plantar and dorsiflexion was measured. The unit of measurement is degrees (the higher the degree, the greater the mobility).

  Screening visit, within the first seven days after treatment and after four weeks follow-up

Secondary Outcomes (2)

• Change from baseline pressure pain threshold treatment and at 4 weeks

  Screening visit, within the first seven days after treatment and after four weeks follow-up

• Change from baseline foot and ankle stability after treatment and at 4 weeks

  Screening visit, within the first seven days after treatment and after four weeks follow-up

Study Arms (2)

Experimental group

EXPERIMENTAL

The intervention consists of the application of a treatment protocol based on an initial active warm-up consisting of 3 active exercises, walking for 1 minute performing slow and controlled movement of the ankle, raising the heels, 15 repetitions, dorsiflexion of the ankle in the standing position. gentleman, 15 reps. Subsequently, the floss band will be placed, performing again the 3 active warm-up exercises with the band on. After this, the passive manual techniques will be carried out for the remaining time, removing the flossing at the end of the latter, and actively mobilizing again.

Other: Experimental

Control group

PLACEBO COMPARATOR

The subjects included in the control group will perform the same procedures, but placing the flossing without tension and performing the Kaltenborn manual techniques without sliding and without joint mobilization.

Other: Control

Interventions

Experimental OTHER

The intervention consists of the application of a treatment protocol based on an initial active warm-up consisting of 3 active exercises, walking for 1 minute performing slow and controlled movement of the ankle, raising the heels, 15 repetitions, dorsiflexion of the ankle in the standing position. gentleman, 15 reps. Subsequently, the floss band will be placed, performing again the 3 active warm-up exercises with the band on. After this, the passive manual techniques will be carried out for the remaining time, removing the flossing at the end of the latter, and actively mobilizing again.

Experimental group

Control OTHER

The same procedures will be carried out, but placing the flossing without tension and performing the Kaltenborn manual techniques without sliding and without joint mobilization.

Control group

Eligibility Criteria

• Age: 18 Years - 22 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Young people between 18 and 22 years old
• Who have suffered a previous sprain
• No chronic or degenerative musculoskeletal pathologies of the ankle or knee
• That they do physical activity regularly.

You may not qualify if:

• Have suffered a sprain in the last 6 months
• Being receiving another physiotherapy treatment at the time of the study
• Not signing the informed consent document.

Sponsors & Collaborators

• Universidad Católica San Antonio de Murcia: lead

Study Sites (1)

Universidad Católica San Antonio de Murcia

Murcia, 30107, Spain

Location

Study Officials

• Rubén Cuesta-Barriuso, PhD

  Universidad de Oviedo

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: All evaluations will be carried out by one evaluator, blinded to the study conditions and the assignment of the players to the two study groups. In the subjects included in the control group, the same procedures will be carried out, but placing the flossing without tension and performing the Kaltenborn manual techniques without slipping and without joint mobilization.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 5, 2023
• First Posted: May 15, 2023
• Study Start: May 6, 2023
• Primary Completion: June 3, 2023
• Study Completion: July 1, 2023
• Last Updated: April 11, 2024

Record last verified: 2023-05

Locations

ES (1)