Ankle manual therapy for individuals with post-acute ankle sprains: description of a randomized, placebo-controlled clinical trialReport as inadecuate

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BMC Complementary and Alternative Medicine

, 10:59

First Online: 19 October 2010Received: 25 September 2010Accepted: 19 October 2010


BackgroundAnkle sprains are common within the general population and can result in prolonged disablement. Limited talocrural dorsiflexion range of motion DF ROM is a common consequence of ankle sprain. Limited talocrural DF ROM may contribute to persistent symptoms, disability, and an elevated risk for re-injury. As a result, many health care practitioners use hands-on passive procedures with the intention of improving talocrural joint DF ROM in individuals following ankle sprains. Dosage of passive hands-on procedures involves a continuum of treatment speeds. Recent evidence suggests both slow- and fast-speed treatments may be effective to address disablement following ankle sprains. However, these interventions have yet to be longitudinally compared against a placebo study condition.

Methods-DesignWe developed a randomized, placebo-controlled clinical trial designed to test the hypotheses that hands-on treatment procedures administered to individuals following ankle sprains during the post-acute injury period can improve short-, intermediate-, and long-term disablement, as well as reduce the risk for re-injury.

DiscussionThis study is designed to measure the clinical effects of hands-on passive stretching treatment procedures directed to the talocrural joint that vary in treatment speed during the post-acute injury period, compared to hands-on placebo control intervention.

Trial identifier NCT00888498.

AbbreviationsADLactivities of daily living

ATFLanterior talofibular ligament


FAAMFoot and Ankle Ability Measure

FABQFear Avoidance Beliefs Questionnaire

GROCGlobal rating of change

LExSESLower Extremity Self Efficacy Scale

MMTmanual muscle test

NPRSnumeric pain rating scale

PANASPositive and Negative Affect Scale

RCTrandomized clinical trial

RICErest, ice, compression, and elevation

ROMrange of motion

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6882-10-59 contains supplementary material, which is available to authorized users.

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Author: Todd E Davenport - Kornelia Kulig - Beth E Fisher


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