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The Immediate Effect of Mobilisation With Movement in Amateur Futsal Athletes With Chronic Ankle Instability

Primary Purpose

Ankle Injuries and Disorders

Status
Completed
Phase
Not Applicable
Locations
Portugal
Study Type
Interventional
Intervention
Mobilisation With Movement 1
Mobilisation With Movement 2
Placebo
Sponsored by
Escola Superior de Tecnologia da Saúde do Porto
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ankle Injuries and Disorders

Eligibility Criteria

18 Years - 35 Years (Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. A history of at least one significative ankle sprain:

    • Initial sprain must have occurred at least 12 months prior to study enrolment;
    • Was associated with inflammatory symptoms;
    • Created at least one interrupted day of desired physical activity;
    • The most recent injury must have occurred more than 3 months prior to study enrolment.
  2. A history of the previously injured ankle joint "giving way" and/or recurrent sprain and/or "feelings of instability":

    • Participants should report at least two episodes of "giving way" in the 12 months prior to study enrolment, to account for the seasonal nature of futsal;
    • Recurrent sprain was defined as two or more sprains to the same ankle.
  3. Self-reported ankle instability should be confirmed with the Ankle Instability Instrument: answer "yes" to at least 5 yes/no questions.

Exclusion Criteria:

  1. A history of previous surgeries to the musculoskeletal structures (i.e., bones, joint structures, nerves) in either lower extremity.
  2. A history of bilateral ankle sprain.
  3. A history of a fracture in either lower extremity requiring realignment.
  4. Acute injury to musculoskeletal structures of other joints of the lower extremity in the previous 3 months that impacted joint integrity and function (i.e., sprains, fractures), resulting in at least one interrupted day of desired physical activity.
  5. Have conditions for which manual therapy is generally contraindicated (such as the presence of a tumour, fracture, rheumatoid arthritis, osteoporosis, prolonged history of steroid use, or severe vascular disease).
  6. Receiving concurrent physiotherapy treatment in the last 3 months.
  7. Inability to read Portuguese.

Sites / Locations

  • Escola Superior de Saúde do Porto

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Experimental

Arm Label

Mobilisation with Movement 1 (MWM1)

Mobilisation with Movement 2 (MWM2)

Placebo

Intervention

Arm Description

Participants received two ankle dorsiflexion MWM techniques, with glides applied at fibula and talus. Three sets of 10 repetitions of each techniques, were administrated.

Participants received two ankle dorsiflexion MWM techniques, with glides applied at talus and fibula (order of application inverted). Three sets of 10 repetitions of each techniques, were administrated.

The Placebo group participants performed the same number of sets and repetitions of lean/lunge forward into dorsiflexion, without any glide application, in the same position

The experimental groups (MWM1 and MWM2), were later merged into a single Intervention group.

Outcomes

Primary Outcome Measures

Dorsiflexion range of motion
The dorsiflexion range of motion (DFROM) of the ankle joint was measured by the Weight-Bearing Lunge Test (WBLT)

Secondary Outcome Measures

Dynamic balance
The dynamic balance was measured by the anterior (ANT), posteromedial (PM) and posterolateral (PL) reach directions of the Star Excursion Balance Test (SEBT)
Performance variables
The performance variables were measured by the time needed to complete the Side Hop Test and the Sprint Test

Full Information

First Posted
December 30, 2020
Last Updated
March 8, 2021
Sponsor
Escola Superior de Tecnologia da Saúde do Porto
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1. Study Identification

Unique Protocol Identification Number
NCT04699396
Brief Title
The Immediate Effect of Mobilisation With Movement in Amateur Futsal Athletes With Chronic Ankle Instability
Official Title
The Immediate Effect of Two Mobilization With Movement Techniques on Dorsiflexion, Dynamic Balance and Performance Variables, in Futsal Athletes With Chronic Ankle Instability: A Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
January 14, 2021 (Actual)
Primary Completion Date
February 28, 2021 (Actual)
Study Completion Date
February 28, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Escola Superior de Tecnologia da Saúde do Porto

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Chronic ankle instability (CAI) is an increasingly prevalent condition among futsal athletes. Mobilization with Movement (MWM) is a conservative rehabilitation strategy commonly used in this condition. Even so, the effects of two MWM dorsiflexion techniques on sports performance are not known. The aim is to analyze the immediate effect of two MWM techniques on the dorsiflexion range of motion, the dynamic balance and the performance variables in futsal athletes with CAI. Also, to analyze the impact of performing them in a different order.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ankle Injuries and Disorders

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Mobilisation with Movement 1 (MWM1)
Arm Type
Experimental
Arm Description
Participants received two ankle dorsiflexion MWM techniques, with glides applied at fibula and talus. Three sets of 10 repetitions of each techniques, were administrated.
Arm Title
Mobilisation with Movement 2 (MWM2)
Arm Type
Experimental
Arm Description
Participants received two ankle dorsiflexion MWM techniques, with glides applied at talus and fibula (order of application inverted). Three sets of 10 repetitions of each techniques, were administrated.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
The Placebo group participants performed the same number of sets and repetitions of lean/lunge forward into dorsiflexion, without any glide application, in the same position
Arm Title
Intervention
Arm Type
Experimental
Arm Description
The experimental groups (MWM1 and MWM2), were later merged into a single Intervention group.
Intervention Type
Procedure
Intervention Name(s)
Mobilisation With Movement 1
Other Intervention Name(s)
Mulligan
Intervention Description
Application of a sustained passive accessory movement to a joint (talus or fibula) while the patient actively performs a forward lean/lunge that was previously limited. 3 sets of 10 repetitions of a glide applied to the talus were performed, followed by 3 sets of 10 repetitions of a glide applied to the fibula.
Intervention Type
Procedure
Intervention Name(s)
Mobilisation With Movement 2
Other Intervention Name(s)
Mulligan
Intervention Description
Application of a sustained passive accessory movement to a joint (talus or fibula) while the patient actively performs a forward lean/lunge that was previously limited. 3 sets of 10 repetitions of a glide applied to the fibula were performed, followed by 3 sets of 10 repetitions of a glide applied to the talus.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
The Placebo group participants performed the same number of sets and repetitions (6 sets of 20 repetitions) of lean/lunge forward into dorsiflexion, without any glide application.
Primary Outcome Measure Information:
Title
Dorsiflexion range of motion
Description
The dorsiflexion range of motion (DFROM) of the ankle joint was measured by the Weight-Bearing Lunge Test (WBLT)
Time Frame
Immediate after procedure
Secondary Outcome Measure Information:
Title
Dynamic balance
Description
The dynamic balance was measured by the anterior (ANT), posteromedial (PM) and posterolateral (PL) reach directions of the Star Excursion Balance Test (SEBT)
Time Frame
Immediate after procedure
Title
Performance variables
Description
The performance variables were measured by the time needed to complete the Side Hop Test and the Sprint Test
Time Frame
Immediate after procedure

10. Eligibility

Sex
Male
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A history of at least one significative ankle sprain: Initial sprain must have occurred at least 12 months prior to study enrolment; Was associated with inflammatory symptoms; Created at least one interrupted day of desired physical activity; The most recent injury must have occurred more than 3 months prior to study enrolment. A history of the previously injured ankle joint "giving way" and/or recurrent sprain and/or "feelings of instability": Participants should report at least two episodes of "giving way" in the 12 months prior to study enrolment, to account for the seasonal nature of futsal; Recurrent sprain was defined as two or more sprains to the same ankle. Self-reported ankle instability should be confirmed with the Ankle Instability Instrument: answer "yes" to at least 5 yes/no questions. Exclusion Criteria: A history of previous surgeries to the musculoskeletal structures (i.e., bones, joint structures, nerves) in either lower extremity. A history of bilateral ankle sprain. A history of a fracture in either lower extremity requiring realignment. Acute injury to musculoskeletal structures of other joints of the lower extremity in the previous 3 months that impacted joint integrity and function (i.e., sprains, fractures), resulting in at least one interrupted day of desired physical activity. Have conditions for which manual therapy is generally contraindicated (such as the presence of a tumour, fracture, rheumatoid arthritis, osteoporosis, prolonged history of steroid use, or severe vascular disease). Receiving concurrent physiotherapy treatment in the last 3 months. Inability to read Portuguese.
Facility Information:
Facility Name
Escola Superior de Saúde do Porto
City
Porto
ZIP/Postal Code
4200-072
Country
Portugal

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
31895285
Citation
Lopez-Segovia M, Vivo Fernandez I, Herrero Carrasco R, Pareja Blanco F. Preseason Injury Characteristics in Spanish Professional Futsal Players: The LNFS Project. J Strength Cond Res. 2022 Jan 1;36(1):232-237. doi: 10.1519/JSC.0000000000003419.
Results Reference
background
PubMed Identifier
31162943
Citation
Hertel J, Corbett RO. An Updated Model of Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):572-588. doi: 10.4085/1062-6050-344-18. Epub 2019 Jun 4.
Results Reference
background
PubMed Identifier
24989067
Citation
Cruz-Diaz D, Lomas Vega R, Osuna-Perez MC, Hita-Contreras F, Martinez-Amat A. Effects of joint mobilization on chronic ankle instability: a randomized controlled trial. Disabil Rehabil. 2015;37(7):601-10. doi: 10.3109/09638288.2014.935877. Epub 2014 Jul 3.
Results Reference
background
PubMed Identifier
27665249
Citation
Langarika-Rocafort A, Emparanza JI, Aramendi JF, Castellano J, Calleja-Gonzalez J. Intra-rater reliability and agreement of various methods of measurement to assess dorsiflexion in the Weight Bearing Dorsiflexion Lunge Test (WBLT) among female athletes. Phys Ther Sport. 2017 Jan;23:37-44. doi: 10.1016/j.ptsp.2016.06.010. Epub 2016 Jun 29.
Results Reference
background
PubMed Identifier
24679362
Citation
Marron-Gomez D, Rodriguez-Fernandez AL, Martin-Urrialde JA. The effect of two mobilization techniques on dorsiflexion in people with chronic ankle instability. Phys Ther Sport. 2015 Feb;16(1):10-5. doi: 10.1016/j.ptsp.2014.02.001. Epub 2014 Feb 14.
Results Reference
background
PubMed Identifier
23902805
Citation
Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty CL, Fourchet F, Fong D, Hertel J, Hiller C, Kaminski TW, McKeon PO, Refshauge KM, van der Wees P, Vicenzino B, Wikstrom EA. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Orthop Sports Phys Ther. 2013 Aug;43(8):585-91. doi: 10.2519/jospt.2013.0303. Epub 2013 Jul 31.
Results Reference
background

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The Immediate Effect of Mobilisation With Movement in Amateur Futsal Athletes With Chronic Ankle Instability

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