MedPath

Joint Mobilisation in Chronic Ankle Instability

Not Applicable
Completed
Conditions
Chronic Ankle Instability
Musculoskeletal - Other muscular and skeletal disorders
Registration Number
ACTRN12617001467325
Lead Sponsor
The University of Newcastle
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
30
Inclusion Criteria

Standard inclusion criteria endorsed, as a minimum, by the International Ankle Consortium for enrolling patients that fall within the heterogeneous condition of chronic ankle instability in controlled research (Gribble, Delahunt et al. 2014)
1. A history of at least 1 significant ankle sprain
The initial sprain must have occurred at least 12 months prior to study enrollment
Was associated with inflammatory symptoms (pain, swelling, etc)
Created at least 1 interrupted day of desired physical activity
The most recent injury must have occurred more than three months prior to study enrollment.
2. A history of the previously injured ankle joint ‘‘giving way’’ and/or recurrent sprain and/or ‘‘feelings of instability.’’
Specifically, participants should report at least 2 episodes of giving way in the 12 months prior to study enrollment.
Specifically, self-reported ankle instability should be confirmed with a validated ankle instability specific questionnaire using the associated cut-off score.
-Cumberland Ankle Instability Tool (CAIT)- less than or equal to 24
3. A general self-reported foot and ankle function questionnaire to describe the level of disability of the cohort;
-Foot and Ankle Ability Measure (FAAM): ADL scale, less than or equal to 90%, Sport scale, less than or equal to 80 %

Exclusion Criteria

•A history of previous surgeries to the musculoskeletal structures (ie, bones, joint structures, nerves) in either limb of the lower extremity
•A history of a fracture in either limb of the lower extremity requiring realignment
•Acute injury to musculoskeletal structures of other joints of the lower extremity in the previous 3 months, which impacted joint integrity and function (ie, sprains, fractures) resulting in at least 1 interrupted day of desired physical activity
They will also be excluded if they 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)
•radiological imaging is contraindicated (e.g. pregnancy)
•taping is contraindicated (e.g. allergy to strapping tape
and receiving concurrent treatment (the most recent treatment for the ankle condition should have received at least a week prior to study enrolment), and inability to read English

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Self -reported function will be assessed using the Foot and Ankle Ability Measure (FAAM) questionnaire[Baseline (pre -intervention), and at 4th week after enrolment, 12th week after intervention completion and 12th month after intervention completion ];Position of the fibula will be determined using a lateral pain X-ray in weight bearing position<br><br>[Baseline (pre- intervention), and at 4th week after enrolment, ]
Secondary Outcome Measures
NameTimeMethod
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