Effects of Talocrural Joint Mobilizations in the Treatment of Subacute Lateral Ankle Sprains
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Change in self-reported function
研究概览
简要总结
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.
详细描述
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.
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
- Double (Participant, Investigator)
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
- •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
排除标准
- •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.
结局指标
主要结局
Change in self-reported function
时间窗: 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
时间窗: 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.
次要结局
- Change in ankle dorsiflexion range of motion(Baseline and 4 weeks)
- Change in ligamentous laxity(Baseline and 4 weeks)