Combined Effects of Talocrural MWM and Therapeutic US on Pain, Balance and Disability in Athletes With Ankle Sprain

NCT ID: NCT06866808

Last Updated: 2025-03-10

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

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-01

Study Completion Date

2024-09-30

Brief Summary

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Combined Effects of Talocrural MWM and Therapeutic US on Pain, Balance and Disability in Athletes With Ankle Sprain. Study consist of two groups. One group receives conventional physiotherapy treatment conventional physiotherapy treatment including icing and ankle isometrics. Other receives Talocrural mobilization with therapeutic ultrasound therapy on ankle joint.

Detailed Description

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Ankle sprain is a prevalent injury marked by harm to the ligaments that provide support to the ankle joint. Ligaments are resilient and pliable fibrous structures that establish a connection between bones, providing joint stability. Ankle sprains commonly arise from excessive rotation or bending of the foot, resulting in the stretching or tearing of ligaments. Talocrural mobilization is a therapy method that utilizes manual techniques to treat the Talocrural joint, which is the joint formed by the tibia, fibula, and talus bone in the ankle. This mobilization approach is designed to enhance joint function, expand range of motion, and alleviate symptoms related to limited movement or musculoskeletal disorders that impact the ankle joint.

Randomized Control Trial will be conducted at the Punjab Stadium over a 10-month period. The sample size, after considering a 10% attrition rate, will consist of 15 participants in each group. Group A, the control group, will receive conventional physiotherapy treatment including icing and ankle isometrics, while Group B will undergo Talocrural mobilization with therapeutic ultrasound therapy and conventional physiotherapy. Participants aged 18 to 40 years diagnosed with ankle sprain and experiencing ankle pain within the last six weeks will be included. Exclusion criteria involve a history of ankle or foot fractures, concurrent lower extremity injuries, neurological disorders affecting lower limb function, and recent ankle or foot surgeries within the last six months. Data collection tools include the Foot and Ankle Disability Index (FADI) for disability, Star Excursion Balance Test (SEBT) for balance, and Numeric Pain Rating Scale (NPRS) for pain intensity. The study will involve pre and post assessments over a 6-week duration, analyzing changes within and between groups using statistical tests such as paired sample t-test, Wilcoxon signed rank test, independent sample t-test, and Mann Whitney U test. The Talocrural mobilization protocol for Group B will comprise five sessions per week, each lasting 40 minutes, including 20 minutes of therapeutic ultrasound and 20 minutes of Talocrural mobilization. The data will be analyzed using SSP for Windows software version 25.

Conditions

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Ankle Sprains

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Experimental Group

Experimental group receive Talocrural mobilization with therapeutic ultrasound therapy.

Group Type EXPERIMENTAL

talocrural MWM and Therapeutic US

Intervention Type OTHER

Mobilization with movement alongwith the therapeutic ultrasound

Control Group

Control Group receive the conventional physiotherapy treatment including icing and ankle isometrics.

Group Type OTHER

Conventional physiotherapy

Intervention Type OTHER

Ankle isometrics, calf stretches, icing

Interventions

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talocrural MWM and Therapeutic US

Mobilization with movement alongwith the therapeutic ultrasound

Intervention Type OTHER

Conventional physiotherapy

Ankle isometrics, calf stretches, icing

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Athletes age 18 to 40 years
* Patients diagnosed with ankle sprain.
* Onset of ankle pain during last six weeks.

Exclusion Criteria

* Previous history of ankle or foot fractures.
* Concurrent lower extremity injuries affecting pain, balance, and disability assessment
* Any neurological disorders affecting lower limb function.
* Recent ankle or foot surgeries within the last six months.
* Planned surgeries in next 6 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Adeela Arif, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Punjab Stadium

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Ersoy U, Kocak UZ, Unuvar E, Unver B. The Acute Effect of Talocrural Joint Mobilization on Dorsiflexor Muscle Strength in Healthy Individuals: A Randomized Controlled Single-Blind Study. J Sport Rehabil. 2019 Aug 1;28(6):601-605. doi: 10.1123/jsr.2018-0124.

Reference Type BACKGROUND
PMID: 30040011 (View on PubMed)

Kaminski TW, Needle AR, Delahunt E. Prevention of Lateral Ankle Sprains. J Athl Train. 2019 Jun;54(6):650-661. doi: 10.4085/1062-6050-487-17. Epub 2019 May 22.

Reference Type BACKGROUND
PMID: 31116041 (View on PubMed)

D'Hooghe P, Cruz F, Alkhelaifi K. Return to Play After a Lateral Ligament Ankle Sprain. Curr Rev Musculoskelet Med. 2020 Jun;13(3):281-288. doi: 10.1007/s12178-020-09631-1.

Reference Type BACKGROUND
PMID: 32377961 (View on PubMed)

Chen ET, Borg-Stein J, McInnis KC. Ankle Sprains: Evaluation, Rehabilitation, and Prevention. Curr Sports Med Rep. 2019 Jun;18(6):217-223. doi: 10.1249/JSR.0000000000000603.

Reference Type BACKGROUND
PMID: 31385837 (View on PubMed)

Sarcon AK, Heyrani N, Giza E, Kreulen C. Lateral Ankle Sprain and Chronic Ankle Instability. Foot Ankle Orthop. 2019 Jun 13;4(2):2473011419846938. doi: 10.1177/2473011419846938. eCollection 2019 Apr.

Reference Type BACKGROUND
PMID: 35097325 (View on PubMed)

Medina McKeon JM, Hoch MC. The Ankle-Joint Complex: A Kinesiologic Approach to Lateral Ankle Sprains. J Athl Train. 2019 Jun;54(6):589-602. doi: 10.4085/1062-6050-472-17. Epub 2019 Jun 11.

Reference Type BACKGROUND
PMID: 31184957 (View on PubMed)

Halabchi F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World J Orthop. 2020 Dec 18;11(12):534-558. doi: 10.5312/wjo.v11.i12.534. eCollection 2020 Dec 18.

Reference Type BACKGROUND
PMID: 33362991 (View on PubMed)

Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. Epidemiology of Ankle Sprains and Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):603-610. doi: 10.4085/1062-6050-447-17. Epub 2019 May 28.

Reference Type BACKGROUND
PMID: 31135209 (View on PubMed)

Other Identifiers

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Aman Naveed

Identifier Type: -

Identifier Source: org_study_id

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