The Acute Effect Comparisons of Manual Therapy Or Ankle Motion in Individuals Who Had Achilles Tendon Repair

NCT06112288 | Unknown

• 1 other identifier: Achilles2023
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Achilles tendon rupture is common among physically active individuals. Limitations, decreases in the level of standing on heel rise, and due to these limitations, failures in functional activities such as returning to sports, walking, running, jumping and performance tests are observed. Manual therapy methods included in rehabilitation programs are an effective option in solving these problems. The aim of the study is to investigate the effects of Compressive Myofascial Release and Ankle joint mobilization on ankle joint movement, functional tests, elasticity and stiffness of the muscle-tendon complex and muscle tone parameters in individuals who underwent Achilles tendon repair.

Conditions

Achilles Tendon Rupture; Functional Performance

Outcome Measures

Primary Outcomes (1)

• Passive Mechanical Properties

  The device measures the stiffness value in Newtons/meter (N/m).The MG measurement site was located at 30% of the length between the popliteal fossa and lateral malleolus, where cross-sectional areas of the gastrocnemius are almost maximum. LG stiffness was measured at one-third of the length between the small head of the fibula and the heel (Masood et al., 2014). stiffness measurements were performed when participants were in a prone position with the knee joint fully extended and the hip in the neutral position.The probe of the Myoton3 was placed perpendicular to the surface of the soft tissue for the stiffness measurement.

  2 year

Secondary Outcomes (3)

• Achilles tendon resting angle (ATRA)

  2 year

• Heel rise test

  2 year

• WBLT (weight bearing lunge test)

  2 year

Study Arms (2)

Compressive myofascial release (cmr)

EXPERIMENTAL

Participants in the CMR group were instructed to lie prone on the treatment table with their feet off the end of the table. The clinician began the treatment by bending the knee to 90° and shaking the muscle belly of the triceps surae group for 30 seconds. Next, the knee was fully extended, and CMR was performed on the medial and lateral sides of the Achilles tendon for 1 minute, followed by the musculotendinous junction for 2 minutes. Treatment consisted of broad strokes applied with the clinician's knuckles to release superficial restrictions, followed by more specific strokes applied with the clinician's thumb to any located restrictions. Strokes were applied at a contact point of 45° to the tissue, with pressure directed from distal to proximal. At the end of the intervention, the clinician shook the belly of the triceps surae complex for 30 seconds. The same examiner (T.S.) applied all CMR treatments.

Other: Compressive Myofascial Release

ankle mobilization

EXPERIMENTAL

The joint mobilization group received two sets of ankle joint mobilizations. Each set consisted of two-minutes of Grade III anterior-to-posterior talocrural joint mobilizations with a one-minute rest between sets with the patient in a long-sitting position. This mobilization was operationally defined as large-amplitude, one-second rhythmic oscillations from the mid- to end ROM with translation taken to tissue resistance

Other: Ankle mobilisation

Interventions

Compressive Myofascial Release OTHER

Compressive myofascial release is manual therapy technics.

Compressive myofascial release (cmr)

Ankle mobilisation OTHER

ankle mobilization is manual therapy technics.

ankle mobilization

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being male between the ages of 18-55,
• Having unilateral Achilles tendon repair performed for at least 6 months,
• No open wound,
• No history of fracture accompanying Achilles injury.

You may not qualify if:

• Presence of a history of repeated Achilles tendon rupture,
• Having a rupture or tendon injury on the contralateral side,
• Having a neurological deficit,
• Having a history of injury in any of the lower extremity joints for the last 1 year,
• Having a history of surgery other than Achilles tendon repair in any of the lower extremities,
• Having a history of corticosteroids applied to the Achilles tendon,

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Fırat Tan

Ankara, Eyalet/Yerleşke, 06100, Turkey (Türkiye)

RECRUITING

Study Officials

• Hande Güney Deniz, Proffessor

  Hacettepe University Faculty of Physical Therapy and Rehabilitation

  STUDY DIRECTOR

Central Study Contacts

Fırat Tan, MSc

CONTACT

+905462105071; fztfirattan@gmail.com

Fırat Tan

CONTACT

+905462105071; fztfirattan@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director

Study Record Dates

• First Submitted: September 29, 2023
• First Posted: November 1, 2023
• Study Start: April 26, 2023
• Primary Completion: April 30, 2024
• Study Completion: December 30, 2024
• Last Updated: November 1, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)