The Effect of Manual Lymphatic Drainage on Acute and Post-acute Ankle Sprain in Athletes

Not Applicable

Not yet recruiting

• Conditions: Ankle Sprains
• Interventions: Other: Manual lymphatic drainage. will be applied three days per week for four weeks.

• Registration Number: NCT06168240
• Lead Sponsor: Sylvia Maher Mohsen Farid Hanna

Brief Summary

Manual lymphatic drainage techniques (MLDTs) are special techniques in manual therapy used in rehabilitation for treatment of physical dysfunctions and pathologies. Such practices could be done by medical team or clinicians. Theories on MLDTs address functions like stimulating the lymphatic system by increasing lymph circulation, facilitating the removal of waste products from body tissues, reducing edema, and decreasing the responses of sympathetic nervous system while increasing the parasympathetic nervous tone leading to a relaxed body state.

Detailed Description

This study will examine the effect of manual lymphatic drainage on pain intensity, ankle swelling, range of motion, static and dynamic functional stability in acute and post-acute ankle sprain in athletes.

Edema treatment includes a variety of techniques; elevation, compression, electrical stimulation, ultrasound, and massage are a few of them. Profound clinical check is required to determine the kind of edema management. However, the effect of these techniques on the lymphatic system and the edema itself is questionable. Manual Lymphatic Drainage mechanism, although still under investigation, is also a valid treatment management that does not cause inflammation, reduces the absorption of waste products and excess fluid and still urges the lymphatic system to work better.

Study Timeline

• Study First Submitted: 2023-11-20
• Study First Submitted QC: 2023-12-04
• Study First Posted: 2023-12-13
• Status Verified: 2024-02
• Study Start: 2024-02
• Last Update Submitted: 2024-02-09
• Last Update Posted: 2024-02-12
• Primary Completion: 2024-05
• Study Completion: 2024-05

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

1. . Basketball Athletes patients diagnosed as acute and post-acute ankle sprain. 2. Patients within 18 and 30 years old. 3. Patients with grade I, II ankle inversion sprain. 4. All participants complains of pain and moderate swelling in the ankle.

Exclusion Criteria

1. Previous ankle surgery.
2. Serious pathology.
3. History of fractures in the ankle joint.
4. Vascular disorders.
5. Grade III ankle sprain.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
group A	Manual lymphatic drainage. will be applied three days per week for four weeks.	will receive Manual lymphatic drainage plus Traditional physical therapy program that will include LASER, cold packs, manual mobilization, and exercise program. Training will applied 3 days a week, for a total of 4 weeks.
group B	Manual lymphatic drainage. will be applied three days per week for four weeks.	will receive Traditional physical therapy program only that will include LASER, cold packs, manual mobilization, and exercise program. Training will applied 3 days a week, for a total of 4 weeks.

Primary Outcome Measures

Name	Time	Method
static balance	starting and after 4 weeks	Flamingo Balance Test to assess static balance
dynamic postural balance	starting and after 4 weeks	Star Excursion Balance Test to assess dynamic postural balance

Secondary Outcome Measures

Name	Time	Method
swelling	starting and after 4 weeks	Figure of Eight with tape measurement by tape measurement to assess swelling in centimeter
range of motion	starting and after 4 weeks	Goniometer to assess range of motion
Pain intensity	starting and after 4 weeks	Numeric Pain Rating Scale to assess pain intensity with zero score represents no pain (the better) and ten score represents maximum pain (the worest).