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CompletedNCT02244008Updated Sep 18, 2014

Accumulative Effects of Talus Mobilization

An interventional study of joint mobilization and manual contact in Ankle Sprains, Ankle Fractures and Ankle Dislocations, sponsored by Federal University of Minas Gerais. Completed at 1 site in Brazil. Open to participants aged 18 Years to 59 Years. Per ClinicalTrials.gov, last updated 2014-09-18.

Sponsored by Federal University of Minas Gerais · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years to 59 Years
Sex
All
01

Study summary

The purpose of this study is to verify the effect of anteroposterior talus mobilization on range of motion, pain, and functional capacity in participants with sub-acute and chronic ankle injuries.

Read the detailed description

The purpose of this study was to verify the acute effect (one session) and chronic (six sessions) and follow-up of the anteroposterior talus mobilization Maitland's grade III on range of motion, pain, and functional capacity in participants with sub-acute and chronic ankle injuries. Thirty eight volunteers subjects (male and female) participated of this study with minimum 18 and maximum 59 years old. The volunteers were allocated in two groups: experimental and control. The variables related to range of motion, pain and functional capacity were measured by biplane goniometer, Visual Analog Scale and Foot and Ankle Ability Measure respectively in four moments: 1- baseline; 2- after the first intervention; 3- after the sixth intervention (two weeks); 4- follow-up (one month). The experimental group received anteroposterior articular mobilization of the talus and the control group received manual contact.

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Conditions studied

  • Ankle Sprains
  • Ankle Fractures
  • Ankle Dislocations
  • Ankle Bruises
  • Achilles Tendon Rupture

Keywords

  • Mobilization
  • Joint Range of Motion
  • Ankle
  • Manual Therapy
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In context

Rupture

557 studies on the registry are indexed under Rupture; 97 are open to participants now.

This study's enrollment of 38 is below the median of 72 across 334 interventional studies indexed under Rupture.

Browse Rupture studies →

Lead sponsor

Federal University of Minas Gerais is the lead sponsor of 150 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 59 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • unilateral traumatic injury of the ankle with at least two weeks and maximum eight months
  • at least a 5º limitation of passive dorsiflexion in comparison to the contralateral side
  • do not be under another physical therapy treatment for the lesion
  • able to unload partial or total body weight
  • do not be in use of analgesic
  • provided informed consent after receiving and explanation of all procedures and pertinent information regarding the study

Exclusion criteria

Exclusion Criteria:

  • joint blockage by surgical fixation or ankylosis
  • presence of vascular, rheumatic, neurological and neoplastic disease in the lower limb
  • open or contagious lesion in the ankle region
  • pain during palpation in the region anterior of the ankle
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    joint mobilization

    Anteroposterior mobilization of the talus (Maitland mobilization grade III)

    Other: joint mobilization

  • Placebo comparator
    manual contact

    Other: manual contact

Interventions

  • Otherjoint mobilization

    The experimental group received joint mobilization (anteroposterior mobilization of the talus - Maitland grade III). During the mobilization cyclic movements were applied in an anteroposterior direction from the first tissue resistance barrier until the end of the accessory range of motion without any pain or discomfort. This mobilization maneuver was performed in 30-second duration sets with a 30-second interval between each set. The interventions lasted two weeks with three sessions each, completing six sessions.

  • Othermanual contact

    The placebo group received only manual contact. This maneuver was performed in 30-second duration sets with a 30-second interval between each set. The interventions lasted two weeks with three sessions each, completing six sessions.

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What researchers measure

Primary outcomes

  1. Changes in dorsiflexion range of motion

    Dorsiflexion range of motion were measured by biplane goniometer.

    Time frame: 1 month

Secondary outcomes

  1. Changes in pain intensity

    Pain were measured by Visual Analog Scale.

    Time frame: 1 month

  2. Changes in functional capacity

    Functional capacity were measured by Foot and Ankle Ability Measure.

    Time frame: 1 month

07

Study locations

1 site
  • Minas Gerais College of Medical Sciences
    Belo Horizonte, Minas Gerais 30130-110, Brazil
08

References and documents

Publications

  • Hoch MC, Andreatta RD, Mullineaux DR, English RA, Medina McKeon JM, Mattacola CG, McKeon PO. Two-week joint mobilization intervention improves self-reported function, range of motion, and dynamic balance in those with chronic ankle instability. J Orthop Res. 2012 Nov;30(11):1798-804. doi: 10.1002/jor.22150. Epub 2012 May 18. PubMed 22610971 ↗
  • Landrum EL, Kelln CB, Parente WR, Ingersoll CD, Hertel J. Immediate Effects of Anterior-to-Posterior Talocrural Joint Mobilization after Prolonged Ankle Immobilization: A Preliminary Study. J Man Manip Ther. 2008;16(2):100-5. doi: 10.1179/106698108790818413. PubMed 19119395 ↗
  • Teixeira LM, Pires T, Silva RD, de Resende MA. Immediate effect of a single anteroposterior talus mobilization on dorsiflexion range of motion in participants with orthopedic dysfunction of the ankle and foot. J Manipulative Physiol Ther. 2013 Jul-Aug;36(6):369-75. doi: 10.1016/j.jmpt.2013.06.003. Epub 2013 Jul 11. PubMed 23850371 ↗
  • Hoch MC, McKeon PO. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J Orthop Res. 2011 Mar;29(3):326-32. doi: 10.1002/jor.21256. Epub 2010 Sep 30. PubMed 20886654 ↗
  • Harkey M, McLeod M, Van Scoit A, Terada M, Tevald M, Gribble P, Pietrosimone B. The immediate effects of an anterior-to-posterior talar mobilization on neural excitability, dorsiflexion range of motion, and dynamic balance in patients with chronic ankle instability. J Sport Rehabil. 2014 Nov;23(4):351-9. doi: 10.1123/jsr.2013-0085. Epub 2014 Apr 3. Erratum In: J Sport Rehabil. 2015 May;24(2):197. PubMed 24700526 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02244008
Lead sponsor
Federal University of Minas Gerais
Responsible party
RAFAEL DUARTE SILVA (Master, Federal University of Minas Gerais) — Principal investigator
First posted
Sep 18, 2014
Start date
Jul 2012
Primary completion
Dec 2013
Completion
Dec 2013
Last update
Sep 18, 2014

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2014. You cannot join it, but the record below documents what was studied.

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