Ankle Sprains, Ankle Fractures, Ankle Dislocations, Ankle Bruises, Achilles Tendon Rupture
Conditions
Keywords
Mobilization, Joint Range of Motion, Ankle, Manual Therapy
Brief summary
The purpose of this study is to verify the effect of anteroposterior talus mobilization on range of motion, pain, and functional capacity in participants with sub-acute and chronic ankle injuries.
Detailed description
The purpose of this study was to verify the acute effect (one session) and chronic (six sessions) and follow-up of the anteroposterior talus mobilization Maitland's grade III on range of motion, pain, and functional capacity in participants with sub-acute and chronic ankle injuries. Thirty eight volunteers subjects (male and female) participated of this study with minimum 18 and maximum 59 years old. The volunteers were allocated in two groups: experimental and control. The variables related to range of motion, pain and functional capacity were measured by biplane goniometer, Visual Analog Scale and Foot and Ankle Ability Measure respectively in four moments: 1- baseline; 2- after the first intervention; 3- after the sixth intervention (two weeks); 4- follow-up (one month). The experimental group received anteroposterior articular mobilization of the talus and the control group received manual contact.
Interventions
OTHERjoint mobilization
The experimental group received joint mobilization (anteroposterior mobilization of the talus - Maitland grade III). During the mobilization cyclic movements were applied in an anteroposterior direction from the first tissue resistance barrier until the end of the accessory range of motion without any pain or discomfort. This mobilization maneuver was performed in 30-second duration sets with a 30-second interval between each set. The interventions lasted two weeks with three sessions each, completing six sessions.
OTHERmanual contact
The placebo group received only manual contact. This maneuver was performed in 30-second duration sets with a 30-second interval between each set. The interventions lasted two weeks with three sessions each, completing six sessions.
Sponsors
Federal University of Minas Gerais
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 59 Years
Healthy volunteers
No
Inclusion criteria
* unilateral traumatic injury of the ankle with at least two weeks and maximum eight months * at least a 5º limitation of passive dorsiflexion in comparison to the contralateral side * do not be under another physical therapy treatment for the lesion * able to unload partial or total body weight * do not be in use of analgesic * provided informed consent after receiving and explanation of all procedures and pertinent information regarding the study
Exclusion criteria
* joint blockage by surgical fixation or ankylosis * presence of vascular, rheumatic, neurological and neoplastic disease in the lower limb * open or contagious lesion in the ankle region * pain during palpation in the region anterior of the ankle
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in dorsiflexion range of motion | 1 month | Dorsiflexion range of motion were measured by biplane goniometer. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in pain intensity | 1 month | Pain were measured by Visual Analog Scale. |
| Changes in functional capacity | 1 month | Functional capacity were measured by Foot and Ankle Ability Measure. |
Countries
Brazil
Outcome results
None listed