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Effectiveness of a Therapeutic Exercise Protocol Vs a Mobilisation with Movement Protocol in Improving Ankle Dorsiflexion in Amateur Football Players

A Comparative Study of the Effectiveness of a Therapeutic Exercise Protocol Vs a Mobilisation with Movement Protocol in Improving Ankle Dorsiflexion in Amateur Football Players. Randomised Controlled Pilot Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06771089
Enrollment
44
Registered
2025-01-13
Start date
2023-12-01
Completion date
2024-03-02
Last updated
2025-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ankle Dorsiflexion

Keywords

Ankle dorsiflexion, Football, Therapeutic exercise, Mobilization with movement, Knee dynamic valgus

Brief summary

Objective: To evaluate and compare the immediate and short-term effectiveness of a therapeutic exercise protocol and a mobilisation with movement protocol, compared with a control group, in improving ankle dorsiflexion in amateur footballers. Material and methods: A single-blind randomised controlled pilot study was developed. Participants were amateur football players randomized into 3 groups (therapeutic exercise, mobilization with movement and control). The intervention was carried out with 2 weekly sessions for 4 weeks. Assessment tools included the Ankle Lunge Test and the Single Leg Squat.

Interventions

OTHERManual therapy and bandaging

The MTG group received an intervention based on anterior-posterior mobilizations of the talus and fibula and taping, both based on Mulligan® techniques Individually, participants received Grade IV passive mobilizations lasting approximately 30 seconds, totalling 12 active mobilizations performed by the participant. Furthermore, a tape was applied, placed on the anterior part of the talus with a posterior and caudal direction, with its ends anchored near the heel. Due to its placement, this taping maintained a sustained posterior force on the talus throughout the training session. This intervention was conducted on the affected limb(s) with DF deficits.

OTHERTherapeutic exercise

Therapeutic exercise protocol lasting approximately 5-10 minutes, performed before regular training sessions. It included 2 exercises, each performed in 3 sets of 10 repetitions with 1-minute rest intervals. Exercise 1: Weighted DF in a kneeling position. From this position, ankle DF is performed with the front leg, on which the weight of the arms and the torso is placed to force the movement. Exercise 2: Ankle lunge with band resistance at the ankle. The player performs ankle DF with a medium-resistance green Theraband® providing a posterior force vector on the talus. This intervention was applied to the affected limb(s) with ankle DF limitations and was supervised by a physiotherapist. It was performed before training session at each club's facilities.

The Control group received no specific treatment; they only participated in the current training sessions.

Sponsors

Iris Machado de Oliveira
CollaboratorUNKNOWN
Aldara Vázquez Méndez
CollaboratorUNKNOWN
Adrian Eiró Fernández
CollaboratorUNKNOWN
University of Vigo
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Football players over 18 years old who train a minimum of 3 days a week. * Football players with ankle DF less than 9 cm or a difference greater than 1.5 cm between both feet, measured with the Ankle Lunge Test (ALT) using the LegMOtion© device.

Exclusion criteria

* Players who, during the ALT, achieve less than 9 cm or a difference greater than 1.5 cm between both feet but reporting limitation due to tension in the gastrocnemius muscle. * Those with serious traumatic or rheumatological conditions that may interfere with the study. * Players who have participated in specific programs to improve ankle DF in the last 3 months. * Players with a history of ankle-foot surgery within the last 6 months. * Non-registered players training in those clubs. * Players unable to arrive 20 minutes prior to the beginning of the training session.

Design outcomes

Primary

MeasureTime frameDescription
Ankle dorsiflexion with Ankle Lunge Test (ALT) using the LegMOtion© device.4 weeksALT: ankle DF was measured in cm. The player stands with the foot to be assessed placed behind a black line on the device, while the other foot remains on the floor behind the tested foot. The player attempts to touch a metal rod with the knee without lifting the heel off the floor. The rod's position is adjusted to the maximum distance reached with difficulty. 3 repetitions were carried out and an average of the 3 repetitions was calculated to obtain the maximum ankle DF measurement. Both feet were measured.

Secondary

MeasureTime frameDescription
Dynamic knee valgus with the Single Leg Squat (SLS) test.4 weeksSLS: The participant, barefoot on a firm, flat surface, first performed 2 practice SLS repetitions unmeasured., then 2 consecutive sets of 5 repetitions were evaluated and the worst set was chosen for analysis., allowing for speed and compensation adjustments as fatigue developed. Each limb was tested. The examiner, positioned directly in front of the participant, recorded the activity with a mobile device. Movement execution was analysed using the Kinovea© software, with analysis focused on measuring the Q angle for each repetition, selecting the largest angle from the 5 executions for analysis.

Countries

Spain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026