Effects of Talocrural Joint Mobilizations in the Treatment of Subacute Lateral Ankle Sprains

NCT ID: NCT01117909

Last Updated: 2011-05-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2011-12-31

Brief Summary

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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

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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.

Conditions

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Ankle Sprain

Keywords

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ankle sprain athletic injury arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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"Laying of hands" plus standard therapy

Subjects will lie on their back as if they were receiving the joint mobilization treatment and the therapist will place their hands in a position as if to perform the mobilization but no movement will occur. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression

Group Type SHAM_COMPARATOR

Sham intervention

Intervention Type OTHER

Physical therapist will lay hands as if to perform the joint mobilization but no movement will occur.

Standard therapy with joint mobilization

This group will receive three 60-second bouts of posterior joint mobilizations applied to the ankle joint during each treatment session, in addition to standard therapy. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression

Group Type EXPERIMENTAL

Mobilization therapy in addition to standard therapy

Intervention Type OTHER

Subject will receive three 60-second bouts of posterior joint mobilizations applied to the ankle joint during each treatment session. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression.

Interventions

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Mobilization therapy in addition to standard therapy

Subject will receive three 60-second bouts of posterior joint mobilizations applied to the ankle joint during each treatment session. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression.

Intervention Type OTHER

Sham intervention

Physical therapist will lay hands as if to perform the joint mobilization but no movement will occur.

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American Physical Therapy Association

OTHER

Sponsor Role collaborator

University of Virginia

OTHER

Sponsor Role lead

Responsible Party

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University of Virginia

Principal Investigators

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Terry Grindstaff, PhD, DPT

Role: PRINCIPAL_INVESTIGATOR

University of Virginia

Locations

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University of Virginia

Charlottesville, Virginia, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Terry Grindstaff, PhD, DPT

Role: primary

Nicole Cosby, MS, ATC

Role: backup

Other Identifiers

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14919

Identifier Type: -

Identifier Source: org_study_id