The Immediate Effect of Mobilisation With Movement in Amateur Futsal Athletes With Chronic Ankle Instability

Not Applicable

Completed

• Conditions: Ankle Injuries and Disorders
• Interventions: Procedure: Mobilisation With Movement 1; Procedure: Mobilisation With Movement 2; Other: Placebo

• Registration Number: NCT04699396
• Lead Sponsor: Escola Superior de Tecnologia da Saúde do Porto

Brief Summary

Chronic ankle instability (CAI) is an increasingly prevalent condition among futsal athletes. Mobilization with Movement (MWM) is a conservative rehabilitation strategy commonly used in this condition. Even so, the effects of two MWM dorsiflexion techniques on sports performance are not known. The aim is to analyze the immediate effect of two MWM techniques on the dorsiflexion range of motion, the dynamic balance and the performance variables in futsal athletes with CAI. Also, to analyze the impact of performing them in a different order.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-12-30
• Study First Submitted QC: 2021-01-06
• Study First Posted: 2021-01-07
• Study Start: 2021-01-14
• Primary Completion: 2021-02-28
• Study Completion: 2021-02-28
• Status Verified: 2021-03
• Last Update Submitted: 2021-03-08
• Last Update Posted: 2021-03-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 18

Inclusion Criteria

1. A history of at least one significative ankle sprain:

   • Initial sprain must have occurred at least 12 months prior to study enrolment;
   • Was associated with inflammatory symptoms;
   • Created at least one interrupted day of desired physical activity;
   • The most recent injury must have occurred more than 3 months prior to study enrolment.

2. A history of the previously injured ankle joint "giving way" and/or recurrent sprain and/or "feelings of instability":

   • Participants should report at least two episodes of "giving way" in the 12 months prior to study enrolment, to account for the seasonal nature of futsal;
   • Recurrent sprain was defined as two or more sprains to the same ankle.

3. Self-reported ankle instability should be confirmed with the Ankle Instability Instrument: answer "yes" to at least 5 yes/no questions.

Exclusion Criteria

1. A history of previous surgeries to the musculoskeletal structures (i.e., bones, joint structures, nerves) in either lower extremity.
2. A history of bilateral ankle sprain.
3. A history of a fracture in either lower extremity requiring realignment.
4. Acute injury to musculoskeletal structures of other joints of the lower extremity in the previous 3 months that impacted joint integrity and function (i.e., sprains, fractures), resulting in at least one interrupted day of desired physical activity.
5. Have conditions for which manual therapy is generally contraindicated (such as the presence of a tumour, fracture, rheumatoid arthritis, osteoporosis, prolonged history of steroid use, or severe vascular disease).
6. Receiving concurrent physiotherapy treatment in the last 3 months.
7. Inability to read Portuguese.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Mobilisation with Movement 1 (MWM1)	Mobilisation With Movement 1	Participants received two ankle dorsiflexion MWM techniques, with glides applied at fibula and talus. Three sets of 10 repetitions of each techniques, were administrated.
Mobilisation with Movement 2 (MWM2)	Mobilisation With Movement 2	Participants received two ankle dorsiflexion MWM techniques, with glides applied at talus and fibula (order of application inverted). Three sets of 10 repetitions of each techniques, were administrated.
Placebo	Placebo	The Placebo group participants performed the same number of sets and repetitions of lean/lunge forward into dorsiflexion, without any glide application, in the same position
Intervention	Mobilisation With Movement 1	The experimental groups (MWM1 and MWM2), were later merged into a single Intervention group.
Intervention	Mobilisation With Movement 2	The experimental groups (MWM1 and MWM2), were later merged into a single Intervention group.

Primary Outcome Measures

Name	Time	Method
Dorsiflexion range of motion	Immediate after procedure	The dorsiflexion range of motion (DFROM) of the ankle joint was measured by the Weight-Bearing Lunge Test (WBLT)

Secondary Outcome Measures

Name	Time	Method
Dynamic balance	Immediate after procedure	The dynamic balance was measured by the anterior (ANT), posteromedial (PM) and posterolateral (PL) reach directions of the Star Excursion Balance Test (SEBT)
Performance variables	Immediate after procedure	The performance variables were measured by the time needed to complete the Side Hop Test and the Sprint Test

Trial Locations

Locations (1)

Escola Superior de Saúde do Porto; 🇵🇹 Porto, Portugal