An interventional study of Single lep drop jump test in Ankle Sprains, Ankle Injuries and Kinesiophobia, sponsored by Bahçeşehir University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2024-08-06.
Sponsored by Bahçeşehir University · Not applicable, Interventional, and Treatment
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.
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.
362 studies on the registry are indexed under Ankle Injuries; 72 are open to participants now.
This study's enrollment of 72 is above the median of 60 across 281 interventional studies indexed under Ankle Injuries.
Browse Ankle Injuries studies →Bahçeşehir University is the lead sponsor of 121 studies on the registry; 23 are open to participants now.
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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
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.
Other: Single lep drop jump test
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.
Other: Single lep drop jump test
All evaluations will be repeated before and after the treatment.
Also known as: Weight-bearing lunge test, Tampa kinesiophobia scale, Fear Avoidance Belief Questionnaire
Single-leg drop jump test
Upon instruction, participants will aim to fall to the ground with the leg to be tested from the 30 cm high step, with their hands on their hips, and then immediately jump as high as possible. Specific instructions are given as "minimizing ground contact time and maximizing bounce height," in line with previous research. A one-minute rest is allowed between attempts.
Time frame: baseline, immediately after the intervention
Weight-bearing lunge test
Weight-bearing lunge test (WBLT) is frequently used in individuals with ankle instability in order to determine dorsiflexion normal joint movement. During WBLT the participant puts their hands on the wall and takes one leg forward and the other leg helps balance behind. The maximum distance that the knee touches the wall is recorded without allowing the heel of the front foot to lose contact with the ground.
Time frame: baseline, immediately after the intervention
Tampa kinesiophobia scale
The Tampa kinesiophobia (TKS) scale is often used in musculoskeletal injuries. TKS has a checklist of 17 questions. A 4-point Likert scoring (1= I strongly disagree, 4= I totally agree) is used in the scale. After reversing items 4, 8, 12 and 16, a total score is calculated. The person gets a total score between 17-68. A high score on the scale indicates a high level of kinesiophobia.
Time frame: baseline, immediately after the intervention
Fear Avoidance Belief Questionnaire
The Fear Avoidance Questionnaire is a 10-item instrument designed to measure fear avoidance related to injury in sports. All items have a Likert type scale (1-5) from "strongly disagree" to "strongly agree" to be scored. The FAQ score ranges from 10 to 50. A higher score indicates a higher level of fear related to sports injury.
Time frame: baseline, immediately after the intervention
Ran from Jul 2023 to primary completion in May 2024, 10 months.
Of 133 non-industry interventional studies with no phase under Ankle Injuries, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 31. This study's 10 months is above that.
Counting every sponsor, half of 137 studies reached it within 9 months; a quarter within 4 and three quarters within 31.
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This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.
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