The Effect of Different Talocrural Joint Mobilization Techniques in Lateral Ankle Sprain

NCT06295198 | Completed

• 1 other identifier: OPMM-Ankle Instability
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

Decreased ankle dorsiflexion range of motion (DFROM) has been identified among the factors that increase the risk of lateral ankle sprain (LAS) in basketball players. Restoring the DFROM is important in restoring reduced functional abilities and reducing the risk of re-injury. There is evidence that talocrural joint mobilization improves DFROM, but studies investigating the effectiveness of different mobilization techniques are needed. Our study aims to investigate the effects of single-session Mulligan and Maitland talocrural joint mobilization methods on dorsiflexion joint range of motion, jumping performance, and kinesiophobia in elite basketball players.

Conditions

Ankle Sprains; Ankle Injuries; Kinesiophobia; Jumping From Height

Keywords

talocrural joint; single-leg drop jump test; dorsiflexion limitation

Outcome Measures

Primary Outcomes (1)

• Single-leg drop jump test

  Upon instruction, participants will aim to fall to the ground with the leg to be tested from the 30 cm high step, with their hands on their hips, and then immediately jump as high as possible. Specific instructions are given as "minimizing ground contact time and maximizing bounce height," in line with previous research. A one-minute rest is allowed between attempts.

  baseline, immediately after the intervention

Secondary Outcomes (3)

• Weight-bearing lunge test

  baseline, immediately after the intervention

• Tampa kinesiophobia scale

  baseline, immediately after the intervention

• Fear Avoidance Belief Questionnaire

  baseline, immediately after the intervention

Study Arms (2)

Mulligan Group

EXPERIMENTAL

Participants in the Mulligan group stood in front of the physical therapist at the end of the treatment table and placed their affected lower extremity forward and the other slightly backward. The physical therapist placed both hands on top of each other on the patient's talus to stabilize the talus. The athlete was asked to move until he reached the end of his pain-free ankle dorsiflexion range. Meanwhile, the physiotherapist gave posterior pushing with both hands. The Mulligan mobilization technique was performed 10 times by each athlete.

Other: Single lep drop jump test

Maitland Group

EXPERIMENTAL

Maitland group, III. degree talus mobilization technique was applied. In this mobilization technique, 120 seconds of application, 60 seconds of rest, and then 120 seconds of application were performed. Maitland III, which takes 5 minutes in total. For the 10-degree mobilization technique, the participant was placed on his back with the foot pointing forward, the ankle was placed in 20° plantar flexion, and the talocrural ligament was in a relaxed position. The hand stabilizing the foot was placed proximal to the malleolus to stabilize the leg. The other hand performing the mobilization grasped the anterior talus using the first web space. The talus was then shifted posteriorly downwards with force.

Other: Single lep drop jump test

Interventions

Single lep drop jump test OTHER

All evaluations will be repeated before and after the treatment.

Also known as: Weight-bearing lunge test, Tampa kinesiophobia scale, Fear Avoidance Belief Questionnaire

Maitland Group; Mulligan Group

Eligibility Criteria

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

You may qualify if:

• years old Being a professional basketball player Clinical diagnosis of lateral ankle sprain in the last 12 months Having a Cumberland Ankle Instability Test score \<24 \>2.5 cm symmetry between the two extremities in the lunge test Not to participate in any ankle treatment program in the last three months, Being Volunteer

You may not qualify if:

• History of lower extremity surgery History of disease that may affect sensorimotor function in the lower extremity Musculoskeletal disorders that may affect balance Having any musculoskeletal and orthopedic problems Having a history of previous ankle fracture or ankle surgery Presence of any visual impairment, metabolic, neurological or rheumatological disease

Sponsors & Collaborators

• Bahçeşehir University: lead

Study Sites (1)

Bahcesehir University

Beşiktaş, Istanbul, 34353, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Ankle Injuries; Kinesiophobia

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries; Phobic Disorders; Anxiety Disorders; Mental Disorders

Study Officials

• Pelin Pişirici, PT, PhD

  Bahcesehir University, Faculty of Health Sciences, Department of Physiotherapy

  STUDY DIRECTOR

• Arif Ozan Yıldırım, PT, MSc

  Bahcesehir University, Graduate Education Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: After evaluations, the groups determined as a result of randomization via a website were placed in opaque envelopes. The participant is randomized to one of the Mulligan or Maitland groups by selecting an envelope.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor, PT, PhD

Model Details: Participants with lateral ankle sprains will be randomized to the Mulligan and Maithland groups, and their evaluations and treatments will be completed.

Study Record Dates

• First Submitted: February 6, 2024
• First Posted: March 6, 2024
• Study Start: July 30, 2023
• Primary Completion: May 30, 2024
• Study Completion: June 30, 2024
• Last Updated: August 6, 2024

Record last verified: 2024-08

Locations

TU (1)