Lateral Ankle Sprain
Conditions
Keywords
Ankle Sprain, Joint Mobilization, Manual Therapy, Range of Motion
Brief summary
The purpose of this study is the examine the effects of gentle movements applied to the ankle joint and stretching on self-reported function, ankle motion and stiffness in individuals who have suffered from an ankle sprain within the last year and have decreased ankle motion.
Detailed description
The purpose of this study is the examine the effects of a grade IV anterior to posterior joint mobilization and stretching on self-reported function, dorsiflexion range of motion, talar glide and stiffness in individuals who have suffered from an ankle sprain within the last year and have a 5° dorsiflexion range of motion deficit. We will quantify range of motion with standard goniometric measures, stiffness with the use of an instrumented ankle arthrometer, talar glide with the use of the posterior talar glide test and self-reported function using the foot and ankle ability measure (FAAM) and FAAM-sport.
Interventions
OTHERSham (laying of hands) intervention
The clinician will place his/her hands in a position to perform the AP joint mobilizations but will not actually perform them. The sham treatment will be performed 3 times and each will last a period of 60 seconds with a one minute rest in between.
OTHERGrade IV AP joint mobilizations
3 60-second treatments of Grade IV AP joint mobilizations of the talus during each treatment session, with a one minute rest in between each treatment.
Sponsors
National Athletic Training Association Research & Education Foundation
University of Virginia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* History of a lateral ankle sprain within the last year * Dorsiflexion range of motion deficit of 5° * Return to full activity prior to participation in this study * Individuals with dorsiflexion range of motion that is less than degrees of dorsiflexion.
Exclusion criteria
* A history of ankle surgery that involves intra-articular fixation * Syndesmotic ankle sprain (to be ruled out based on the attending certified athletic trainers diagnosis) * A history or signs of reflex sympathetic dystrophy * Suffer from an acute injury in the lower extremity within the last 6 weeks * Have received manual therapy for the ankle sprain prior to enrollment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in dorsiflexion range of motion | Baseline and 4 weeks |
| Change in posterior talar glide | Baseline and 4 weeks |
| Change in posterior talar translation | Baseline and 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change in self reported function | Baseline and 4 weeks |
| Change in ankle stiffness | Baseline and 4 weeks |
Countries
United States
Contacts
Primary ContactNicole Cosby
Backup ContactJay Hertel, PhD
Outcome results
None listed