Effects of Talocrural Joint Mobilizations in the Treatment of Subacute Lateral Ankle Sprains
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ankle Sprain
- Sponsor
- University of Virginia
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change in self-reported function
- Last Updated
- 14 years ago
Overview
Brief Summary
The goal is to determine if standard therapy including joint mobilizations of the ankle performed 3 times per week for 2 weeks will increase self-reported function and decrease pain in patients with mild lateral ankle sprains.
Detailed Description
The purpose of this protocol is to assess the effects of grade IV anterior to posterior joint mobilization on self-reported function, dorsiflexion range of motion and talar glide on subjects suffering from lateral ankle sprain in the past 2-10 days and exhibit 5 degree dorsiflexion deficit in range of motion or a restriction in posterior glide of the talus.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Incomplete tear of lateral ligaments with mild laxity as measured by anterior drawer test and talar tilt
- •Slight reduction in function
- •Anterolateral ankle tenderness
- •Dorsiflexion ROM asymmetry greater than 5° compared to uninvolved limb
- •Posterior talar glide restriction greater than 5° compared to uninvolved limb; or
- •Posterior talar glide less than 19°, which is one standard deviation (7°) from our previously established normative values (26°)9, 10
- •Suffered from grade 1 or 2 lateral ankle sprain within the last 48hr - 8 days
Exclusion Criteria
- •A history of ankle surgery that involves intra-articular fixation,
- •Syndesmotic ankle sprain (to be ruled out based on clinical examination),
- •History or signs of reflex sympathetic dystrophy,
- •Have received manual therapy for the ankle sprain prior to enrollment
- •Grade III ankle sprain.
Outcomes
Primary Outcomes
Change in self-reported function
Time Frame: Baseline and four weeks
We hypothesize that the group that receives joint mobilization in addition to standard therapy will show greater improvements in Functional Ankle and Ability Measure (FAAM) and FAAM-Sport (FAAM-S) scores than those who receive standard therapy alone.
Change in self-reported pain
Time Frame: Baseline and 4 weeks
We hypothesize visual analog scale (VAS) scores for pain will have a greater improvement in those who received joint mobilization in addition to standard therapy when compared to standard therapy alone.
Secondary Outcomes
- Change in ankle dorsiflexion range of motion(Baseline and 4 weeks)
- Change in ligamentous laxity(Baseline and 4 weeks)