Supervised Manual Physical Therapy Exercise for Ankle Disability After Motor Vehicle Accidents.

Jouf University

Status: Completed

Conditions: Ankle Deformity

Treatments: Other: Supervised physical therapy manual exercise program.; Other: Stretching exercise, ROM, Strengthening exercises.

Study type: Interventional

Funder types: Other

Identifiers

NCT06010706

123456

Details and patient eligibility

About

Every year more than 50 million people worldwide are injured due to RTAs which in turn makes it one of the leading causes of disability. During automobile collisions, the lower limbs are the most commonly injured region of the human body. Ankle injuries can be particularly long-lasting, resulting in excessive medical costs, inability to work, and serious psychological distress. Physiotherapists often contribute to the rehabilitation of ankle fractures, which typically starts soon after the period of immobilization. Joint mobilization led to increased ankle movement, improved gait patterns, reduced pain and the number of treatment sessions required, and hastened return to activities when compared with the usual rest, ice, compression, and elevation protocol.

Full description

Participants will be assigned into two groups:

1. Study group will receive a Supervised physical therapy exercise program in the form of Mobilization exercise, Stretching exercise, and Strengthening exercise.
2. Control group will receive a Home-based exercise program of Stretching exercises, strengthening exercises and ROM exercises.

Enrollment: 60 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with Stable ankle fractures after motor vehicle accidents involving the distal tibia, distal fibula, or talus treated with cast immobilization, with the removed cast in the preceding seven days.
• Approval from the orthopedic specialist to weight-bear as tolerated or partial weight-bear. -- Their ages will be between the age of 18 to 50 years of age.
• Participants having no concurrent injuries or pathology, such as neurological injury or other fractures.

Exclusion criteria

• Patients with surgical fixation,
• Fracture malunion or nonunion,
• Syndesmosis injury, or any standard contraindication to manual physical therapy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Supervised Manual Physical Therapy Program

Experimental group

Description:

Participants will receive a supervised physical therapy program including: mobilizing exercises, stretching exercises, and strengthening exercises. 3 sessions a week for eight consecutive weeks.

Treatment:

Other: Supervised physical therapy manual exercise program.

Home based exercise program:

Active Comparator group

Description:

Patients at the control group will receive instruction for home based exercise program of physical therapy exercise. The home program primarily consisted of exercises targeting deficits in joint ROM, muscle flexibility and strength, and balance. The home-based program will include stretching, ROM and strengthening exercises

Treatment:

Other: Stretching exercise, ROM, Strengthening exercises.