Effects of Combining Mobilization of the Proximal Tibiofibular Joint and the Talocrural Joint in Subjects with Ankle Instability
National Yang-Ming University
60 participants
Oct 15, 2019
Interventional
Conditions
Summary
The purpose of this study is to investigate the proportion of PTFJ hypomobility in subjects with ankle instability and to compare the effect of two kinds of mobilization approach. This study will be a randomized control trial and separate the subjects into two groups. Each group will receive treatments twice a week for 3 weeks. Evaluations of treatment effect include ankle dorsiflexion range of motion, tibial internal rotation range of motion, dynamic balance, landing performance, and self-feeling report.
Eligibility
Inclusion Criteria6
- Age between 20-60
- Greater than or equal to 1 significant ankle sprain and recurrent sprain greater than or equal to 2 times
- Feeling of instability at the ankle
- Compared to the opposite side ankle dorsiflexion range of motion greater than or equal to 5° deficit or the range is smaller than normal value
- And
- tibial internal range of motion greater than or equal to 5° deficit or the range if smaller than then normal value
Exclusion Criteria5
- Significant sprain or injury of the other ankle
- Acute injury to musculoskeletal structures
- History of proximal tibiofibular joint dislocation
- History of fracture or surgeries of the tested lower limb
- Visual impairments that affect balance, vestibular or neurologic functions
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Interventions
There will be two experimental groups, in which all subjects will receive joint mobilization treatment for their proximal tibiofibular joints and the talocrural joints. One of the experimental groups will receive additional proximal tibiofibular joint mobilization in the direction of anterior glide, while the other experimental group will receive additional proximal tibiofibular joint mobilization in the direction of posterior glide. Dosage of the mobilization will be 2 sets of 10 repetitions at each joint, twice a week for 3 weeks. The intervention will be given by a physical therapist.
Locations(1)
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ACTRN12619001152112