The Effects of Talocrural Joint Mobilizations in Individuals With Diminished Dorsiflexion Range of Motion After Ankle Sprain
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Change in dorsiflexion range of motion
研究概览
简要总结
The purpose of this study is the examine the effects of gentle movements applied to the ankle joint and stretching on self-reported function, ankle motion and stiffness in individuals who have suffered from an ankle sprain within the last year and have decreased ankle motion.
详细描述
The purpose of this study is the examine the effects of a grade IV anterior to posterior joint mobilization and stretching on self-reported function, dorsiflexion range of motion, talar glide and stiffness in individuals who have suffered from an ankle sprain within the last year and have a 5° dorsiflexion range of motion deficit.
We will quantify range of motion with standard goniometric measures, stiffness with the use of an instrumented ankle arthrometer, talar glide with the use of the posterior talar glide test and self-reported function using the foot and ankle ability measure (FAAM) and FAAM-sport.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •History of a lateral ankle sprain within the last year
- •Dorsiflexion range of motion deficit of 5°
- •Return to full activity prior to participation in this study
- •Individuals with dorsiflexion range of motion that is less than degrees of dorsiflexion.
排除标准
- •A history of ankle surgery that involves intra-articular fixation
- •Syndesmotic ankle sprain (to be ruled out based on the attending certified athletic trainers diagnosis)
- •A history or signs of reflex sympathetic dystrophy
- •Suffer from an acute injury in the lower extremity within the last 6 weeks
- •Have received manual therapy for the ankle sprain prior to enrollment
研究组 & 干预措施
Sham intervention plus standard treatment
This group will receive a "laying of hands" treatment in addition to standard treatment. The clinician will place his/her hands in a position to perform the AP joint mobilizations but will not actually perform them. The sham treatment will be performed 3 times and each will last a period of 60 seconds with a one minute rest in between.
干预措施: Sham ("laying of hands") intervention (Other)
Control Group
This group will be individuals who suffer from the same injury but will be instructed to stretch at home 5 days a week for 2 weeks.
Grade IV AP joint mobilization plus standard treatment
This group will receive 3 60-second treatments of Grade IV AP joint mobilizations of the talus during each treatment session, with a one minute rest in between each treatment.
干预措施: Grade IV AP joint mobilizations (Other)
结局指标
主要结局
Change in dorsiflexion range of motion
时间窗: Baseline and 4 weeks
Change in posterior talar glide
时间窗: Baseline and 4 weeks
Change in posterior talar translation
时间窗: Baseline and 4 weeks
次要结局
- Change in self reported function(Baseline and 4 weeks)
- Change in ankle stiffness(Baseline and 4 weeks)