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| Name | Class |
|---|---|
| American Physical Therapy Association | OTHER |
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The goal is to determine if standard therapy including joint mobilizations of the ankle performed 3 times per week for 2 weeks will increase self-reported function and decrease pain in patients with mild lateral ankle sprains.
The purpose of this protocol is to assess the effects of grade IV anterior to posterior joint mobilization on self-reported function, dorsiflexion range of motion and talar glide on subjects suffering from lateral ankle sprain in the past 2-10 days and exhibit 5 degree dorsiflexion deficit in range of motion or a restriction in posterior glide of the talus.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| "Laying of hands" plus standard therapy | Sham Comparator | Subjects will lie on their back as if they were receiving the joint mobilization treatment and the therapist will place their hands in a position as if to perform the mobilization but no movement will occur. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression |
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| Standard therapy with joint mobilization | Experimental | This group will receive three 60-second bouts of posterior joint mobilizations applied to the ankle joint during each treatment session, in addition to standard therapy. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mobilization therapy in addition to standard therapy | Other | Subject will receive three 60-second bouts of posterior joint mobilizations applied to the ankle joint during each treatment session. Standard therapy will consist of ankle strengthening exercises with elastic bands, balance, active ROM, and 20 minutes of ice bag application, elevation and compression. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in self-reported function | We hypothesize that the group that receives joint mobilization in addition to standard therapy will show greater improvements in Functional Ankle and Ability Measure (FAAM) and FAAM-Sport (FAAM-S) scores than those who receive standard therapy alone. | Baseline and four weeks |
| Change in self-reported pain | We hypothesize visual analog scale (VAS) scores for pain will have a greater improvement in those who received joint mobilization in addition to standard therapy when compared to standard therapy alone. | Baseline and 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in ankle dorsiflexion range of motion | We hypothesize that mobilization when applied to the talocrural joint in addition to standard therapy will result in a greater increase of ankle dorsiflexion ROM than just standard therapy alone. | Baseline and 4 weeks |
| Change in ligamentous laxity |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Terry Grindstaff, PhD, DPT | University of Virginia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Virginia | Recruiting | Charlottesville | Virginia | 22908 | United States |
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| ID | Term |
|---|---|
| D016512 | Ankle Injuries |
| D001265 | Athletic Injuries |
| D001168 | Arthritis |
| ID | Term |
|---|---|
| D007869 | Leg Injuries |
| D014947 | Wounds and Injuries |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D019650 | Hematopoietic Stem Cell Mobilization |
| ID | Term |
|---|---|
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
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| Sham intervention | Other | Physical therapist will lay hands as if to perform the joint mobilization but no movement will occur. |
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We hypothesize that ligamentous laxity in both groups will be reduced. |
| Baseline and 4 weeks |