Effect of Kinesiotaping on Lower Limb Kinematics and Functional Related Outcomes Among Female Athletes With Chronic Lateral Ankle Instability

NCT ID: NCT07054788

Last Updated: 2025-07-08

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-06-30
• Study Completion Date: 2025-10-01

Brief Summary

The current study aims to measure the effect of adding kinesiology tape to ankle mobilization with movement with calf muscles flexibility exercise on dorsiflexion range of motion, dynamic balance, lower limb kinematics, and self-reported physical function versus mobilization with movement, calf muscles flexibility exercise, and placebo kinesiotapping in female basketball players with unilateral chronic lateral ankle instability

Detailed Description

Chronic ankle instability affects up to 70% of individuals with lateral ankle sprain, causing pain, recurrent sprains, and instability. This condition significantly impacts physical and financial welfare, necessitating effective treatment techniques. Ankle injuries are common in healthy, active individuals, affecting women more frequently than men. These injuries can cost healthcare systems around the United States dollars 6.2 billion in high school athletes in the United States and euro 208 million in the Netherlands annually. Most rehabilitation protocols focus on isolated interventions, neglecting the potential benefits of combined strategies. This study contributes to evidence-based practice by adding to existing knowledge on chronic ankle instability rehabilitation practices and supporting healthcare professionals in implementing effective treatment plans. Combined intervention strategies may enhance dorsiflexion range of motion, lower limb kinematics, ankle stability, postural control, and athletic performance, reducing time away from sports.

Conditions

Kinesiotapping; Kinematics; Athletes Foot; Chronic Ankle Instability

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Exercise therapy with Kinesiology tape

This group involves fifty-five participants and will receive kinesiology tape with mobilization with movement and calf muscle flexibility exercises. 3 sessions per week for 2 weeks.

Group Type: EXPERIMENTAL

Flexibility Exercise

Intervention Type: OTHER

Participants will perform calf muscle stretching exercises. The participant will be asked to keep the knee of the stretched leg straight with the heel flat on the ground, slightly bend the front knee, and push the hips toward a wall.

The exercise will be done in 2 sets of 3 repetitions, every repetition for 30 seconds and a ten-second rest, with a one-minute rest between sets

Mulligan mobilization with movement

Intervention Type: OTHER

The Mulligan mobilization techniques involve talar glide and fibular glide. Talar glide involves manually stabilizing the patient's talus and leg with anteroposterior direction pressure, while fibular glide involves a pain-free sustained anterior to posterior, slightly superior, and lateral glide of the distal fibula. The patient is then asked to plantar-flex, invert the foot, and perform overpressure. The technique is performed during ankle dorsiflexion in a closed kinetic chain.

Kinesiology Taping

Intervention Type: OTHER

The length of tape is calculated using a formula: B = A + (XA ∗ 0.35), where "A" is the tape's length, "X" is the pretension, "0.35" is the 35% tension, and "B" is the muscle's length from origin to insertion. In this study, 50% pretension was used, and "A" was added to the tails. Fibular taping is applied immediately after the MWM to improve positional alignment, wrapping around the distal tibia and applying Mueller tape in the same direction. Talar taping involves wrapping Mueller tape from the talus downward and posterior to the calcaneus while holding the ankle in slight dorsiflexion.

Exercise therapy with placebo tap

This group involves fifty-five participants and will receive mobilization with movement and calf muscle flexibility exercises and placebo tape. 3 sessions per week for 2 weeks.

Group Type: ACTIVE_COMPARATOR

Flexibility Exercise

Intervention Type: OTHER

Participants will perform calf muscle stretching exercises. The participant will be asked to keep the knee of the stretched leg straight with the heel flat on the ground, slightly bend the front knee, and push the hips toward a wall.

The exercise will be done in 2 sets of 3 repetitions, every repetition for 30 seconds and a ten-second rest, with a one-minute rest between sets

Mulligan mobilization with movement

Intervention Type: OTHER

The Mulligan mobilization techniques involve talar glide and fibular glide. Talar glide involves manually stabilizing the patient's talus and leg with anteroposterior direction pressure, while fibular glide involves a pain-free sustained anterior to posterior, slightly superior, and lateral glide of the distal fibula. The patient is then asked to plantar-flex, invert the foot, and perform overpressure. The technique is performed during ankle dorsiflexion in a closed kinetic chain.

Placebo tape

Intervention Type: OTHER

The formula for cutting tape length is B = A + (XA ∗ 0.35), where "A" represents the tape's length, "X" is the pretension, "0.35" is the 35% tension, and "B" is the muscle's length from origin to insertion. In this study, 50% pretension was used, and "A" was added to the tails' length. The tape application involves two steps: from below the medial calcaneus to the medial aspect of the lower leg, and from below the lateral malleolus to the lateral aspect.

Interventions

Flexibility Exercise

Participants will perform calf muscle stretching exercises. The participant will be asked to keep the knee of the stretched leg straight with the heel flat on the ground, slightly bend the front knee, and push the hips toward a wall.

The exercise will be done in 2 sets of 3 repetitions, every repetition for 30 seconds and a ten-second rest, with a one-minute rest between sets

Intervention Type: OTHER

Mulligan mobilization with movement

The Mulligan mobilization techniques involve talar glide and fibular glide. Talar glide involves manually stabilizing the patient's talus and leg with anteroposterior direction pressure, while fibular glide involves a pain-free sustained anterior to posterior, slightly superior, and lateral glide of the distal fibula. The patient is then asked to plantar-flex, invert the foot, and perform overpressure. The technique is performed during ankle dorsiflexion in a closed kinetic chain.

Intervention Type: OTHER

Kinesiology Taping

The length of tape is calculated using a formula: B = A + (XA ∗ 0.35), where "A" is the tape's length, "X" is the pretension, "0.35" is the 35% tension, and "B" is the muscle's length from origin to insertion. In this study, 50% pretension was used, and "A" was added to the tails. Fibular taping is applied immediately after the MWM to improve positional alignment, wrapping around the distal tibia and applying Mueller tape in the same direction. Talar taping involves wrapping Mueller tape from the talus downward and posterior to the calcaneus while holding the ankle in slight dorsiflexion.

Intervention Type: OTHER

Placebo tape

The formula for cutting tape length is B = A + (XA ∗ 0.35), where "A" represents the tape's length, "X" is the pretension, "0.35" is the 35% tension, and "B" is the muscle's length from origin to insertion. In this study, 50% pretension was used, and "A" was added to the tails' length. The tape application involves two steps: from below the medial calcaneus to the medial aspect of the lower leg, and from below the lateral malleolus to the lateral aspect.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Aged 18-24 years.

2. chronic ankle instability group has a history of unilateral ankle inversion injury since at least one year before the study onset

3. A period of restricted weight-bearing and/or immobilization for at least one day

4. The patient reported a tendency to give way during functional activities

5. Positive anterior drawer test and/or talar tilt test

6. At least 2 giving-way episodes within 6 months before the study enrollment and/or recurrent ankle sprain

7. Score of 24 on the Cumberland ankle instability tool

Exclusion Criteria

1. Acute ankle injuries within the past 3 months.

2. Any other lower extremity injuries or surgeries that could affect balance or ankle function.

3. Participation in either formal or informal rehabilitation before enrollment in the study

4. Skin allergy from kinesiotaping.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 24 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Mahmoud Abdelaziz Abdel Moneim Elnakee

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of Physical education for females, Helwan university

Helwan, , Egypt

Countries

Egypt

Central Contacts

Mahmoud Abd Elaziz Abdelmoneim, physical therapist

Role: CONTACT

Mahmoudelnakeeb84@gmail.com

01021247473

Facility Contacts

Mahmoud Abdelaziz Abdelmoneim, physical therapist

Role: primary

Mahmoudelnakeeb84@gmail.com

+201021247473

Other Identifiers

Mahmoud-005551

Identifier Type: -

Identifier Source: org_study_id