WBV and Acute Lateral Ankle Sprain

NCT ID: NCT01702597

Last Updated: 2012-10-08

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

2012-10-31

Study Completion Date

2014-04-30

Brief Summary

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The aim of this bicentric, biphasic, randomized, controlled study is to compare of the current gold standard functional treatment to functional treatment plus WBV in patients with acute unilateral unstable inversion ankle sprains over a period of 12 months

Detailed Description

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Background:

Ankle sprains often result in ankle instability, which is most likely caused by damage to passive and neurological structures. Whole body vibration (WBV) is a neuromuscular training method improving those neurologic parameters impaired. The aim of this study is to compare the current gold standard functional treatment to functional treatment plus WBV in patients with acute unilateral unstable inversion ankle sprains.

Methods/Design:

60 patients, aged 18-40 years, presenting with an isolated, unilateral, acute unstable inversion ankle sprain will be included in this bicentric, biphasic, randomized controlled trial. Patients will be randomized by envelope drawing. All patients will be allowed early mobilization and pain-depending weight bearing, limited functional immobilization by orthesis, PRICE, NSARDs as well as home and supervised physiotherapy. Supervised physical therapy will take place twice a week, 30 minutes per session, for 6 weeks, following a standardized intervention protocol. During supervised physical therapy, the intervention group will perform similar exercises on a side-alternating sinusoidal vibration platform as the control group. Two time dependent primary outcome parameters will be assessed. Short-term outcome after six weeks will be postural control quantified by the sway index. Mid-term outcome after one year will be assessed by subjective instability, defined by the presence of giving-way attacks. Secondary outcome parameters include return to pre-injury level of activities, residual pain, recurrence, objective instability, energy / coordination, Foot and Ankle Disability Index and EQ 5D.

Conditions

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Postural Control Subjective Instablity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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WBV

Patients will receive supervised physical therapy using a whole body vibration device (Galileo® Med M Plus, Novotec, Pforzheim, Germany) twice a week, 30 minutes per session, for 6 weeks.

Group Type EXPERIMENTAL

Whole body vibration (Galileo® Med M Plus, Novotec, Pforzheim, Germany)

Intervention Type DEVICE

Patients will train on a WBV platform, following a standardized protocol, aiming at improving strength, endurance and proprioception of both legs.

Physiotherapy

Patient will receive the current gold standard treatment protocol: supervised physical therapy, twice a week, 30 minutes per session, for 6 weeks.

Group Type ACTIVE_COMPARATOR

Physiotherapy

Intervention Type OTHER

Patients will receive a standardized physical therapy.

Interventions

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Whole body vibration (Galileo® Med M Plus, Novotec, Pforzheim, Germany)

Patients will train on a WBV platform, following a standardized protocol, aiming at improving strength, endurance and proprioception of both legs.

Intervention Type DEVICE

Physiotherapy

Patients will receive a standardized physical therapy.

Intervention Type OTHER

Other Intervention Names

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WBV Galileo Physical Therapy, Training

Eligibility Criteria

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Inclusion Criteria

* Acute, unilateral, unstable, inversion ankle sprain (Grade II, III)

Exclusion Criteria

* Pregnancy
* Conditions affecting the neuromuscular- or musculoskeletal System
* Previous surgical interventions to the foot, ankle, knee or hip; known FAI, CAI
* Conditions possibly affecting balance
* Cardiovascular disease including thrombosis
* Respiratory diseases
* Abdominal diseases (including gallstones)
* Urological diseases (including kidney- and bladder stones)
* Gynaecological diseases and + intrauterine devices
* Neurological diseases including epilepsia within the last 2 years
* Acute injuries to the head
* Patient is not available for follow up visits
* Patient unable to give informed consent
* Patient suspected to be non-compliant
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medical University Innsbruck

OTHER

Sponsor Role collaborator

Ludwig-Maximilians - University of Munich

OTHER

Sponsor Role lead

Responsible Party

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Sebastian. F. Baumbach

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matthias Schieker, Prof.

Role: PRINCIPAL_INVESTIGATOR

Ludwig-Maximilians - University of Munich

References

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Baumbach SF, Fasser M, Polzer H, Sieb M, Regauer M, Mutschler W, Schieker M, Blauth M. Study protocol: the effect of whole body vibration on acute unilateral unstable lateral ankle sprain- a biphasic randomized controlled trial. BMC Musculoskelet Disord. 2013 Jan 14;14:22. doi: 10.1186/1471-2474-14-22.

Reference Type DERIVED
PMID: 23316791 (View on PubMed)

Other Identifiers

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MMW-Stiftung

Identifier Type: OTHER

Identifier Source: secondary_id

315-12

Identifier Type: -

Identifier Source: org_study_id