The Effect of Different Talocrural Joint Mobilization Techniques in Lateral Ankle Sprain

Bahçeşehir University

Status: Completed

Conditions: Jumping From Height; Kinesiophobia; Ankle Sprains; Ankle Injuries

Treatments: Other: Single lep drop jump test

Study type: Interventional

Funder types: Other

Identifiers

NCT06295198

OPMM-Ankle Instability

Details and patient eligibility

About

Decreased ankle dorsiflexion range of motion (DFROM) has been identified among the factors that increase the risk of lateral ankle sprain (LAS) in basketball players. Restoring the DFROM is important in restoring reduced functional abilities and reducing the risk of re-injury. There is evidence that talocrural joint mobilization improves DFROM, but studies investigating the effectiveness of different mobilization techniques are needed. Our study aims to investigate the effects of single-session Mulligan and Maitland talocrural joint mobilization methods on dorsiflexion joint range of motion, jumping performance, and kinesiophobia in elite basketball players.

Full description

Lateral ankle sprain (LAS) accounts for 80% of all ankle injuries. LAS injuries have high recurrence rates and are the most common injury type in basketball players with a rate of 41.1%. Many LAS injuries; It occurs in situations such as falling to the ground after jumping, at the end of the swing phase, during contact of the foot with the ground, in hard turns, collision, falling and sudden stopping. Decreased ankle dorsiflexion range of motion has been identified among the factors that increase the risk of LAS in basketball players. Dorsiflexion range of motion (DFROM) of the ankle is important in restoring reduced functional abilities and reducing the risk of re-injury. Among the talocrural antero-posterior mobilization techniques, Maitland 3rd degree talocrural anterior-posterior mobilization and Mulligan talocrural mobilization with movement are frequently preferred mobilization methods. Ankle DFROM limitation reduces the ability to absorb force through the lower extremity during jumping and landing, resulting in a decrease in vertical jumping ability. Fear of movement, called kinesiophobia, is a primary psychosocial construct in the fear-avoidance model. The development of chronic pain to sports injury appears to be a common psychological response. Because fear of re-injury can impact recovery as a barrier to return to sport, it is important to recognize fear of movement/re-injury to facilitate athletes' return to sport. Although kinesiophobia is associated with chronic orthopedic symptoms, there are no studies on athletes with LAS. There is little evidence regarding the association of kinesiophobia in athletes with chronic ankle instability, the advanced version of which presents with symptoms for 12 months or more. Although the effects of different treatment methods on kinesiophobia have been investigated in the literature, to our knowledge, the effect of talocrural joint mobilization on kinesiophobia has not been investigated. The study aimed to investigate the effects of different talocrural joint mobilization techniques on jumping performance and kinesiophobia in elite basketball players with LAS.

Enrollment: 72 patients

Sex: All

Ages: 18 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

18-35 years old Being a professional basketball player Clinical diagnosis of lateral ankle sprain in the last 12 months Having a Cumberland Ankle Instability Test score <24 >2.5 cm symmetry between the two extremities in the lunge test Not to participate in any ankle treatment program in the last three months, Being Volunteer

Exclusion criteria

History of lower extremity surgery History of disease that may affect sensorimotor function in the lower extremity Musculoskeletal disorders that may affect balance Having any musculoskeletal and orthopedic problems Having a history of previous ankle fracture or ankle surgery Presence of any visual impairment, metabolic, neurological or rheumatological disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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72 participants in 2 patient groups

Mulligan Group

Experimental group

Description:

Participants in the Mulligan group stood in front of the physical therapist at the end of the treatment table and placed their affected lower extremity forward and the other slightly backward. The physical therapist placed both hands on top of each other on the patient's talus to stabilize the talus. The athlete was asked to move until he reached the end of his pain-free ankle dorsiflexion range. Meanwhile, the physiotherapist gave posterior pushing with both hands. The Mulligan mobilization technique was performed 10 times by each athlete.

Treatment:

Other: Single lep drop jump test

Maitland Group

Experimental group

Description:

Maitland group, III. degree talus mobilization technique was applied. In this mobilization technique, 120 seconds of application, 60 seconds of rest, and then 120 seconds of application were performed. Maitland III, which takes 5 minutes in total. For the 10-degree mobilization technique, the participant was placed on his back with the foot pointing forward, the ankle was placed in 20° plantar flexion, and the talocrural ligament was in a relaxed position. The hand stabilizing the foot was placed proximal to the malleolus to stabilize the leg. The other hand performing the mobilization grasped the anterior talus using the first web space. The talus was then shifted posteriorly downwards with force.

Treatment:

Other: Single lep drop jump test