The Effect of Manipulation on Dysfunction of the Talo-crural Joint

Study Overview
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Brief Summary
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The purpose of this trial was to explore the effects of chiropractic manipulation in patients with talo-crural joint dysfunction.

Detailed Description
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Ankle sprains is one of the most common problems in clinical practice, mostly due to loss of mobility. Factors affecting the mobility of the joints may be due to muscle tension, ligamentous or anatomical anomalies. Research over the last years have reported a scarce of trials investigating chiropractic treatment of the ankle joint. Previous studies have focused on investigating ROM and proprioception. This study aimed to determine whether a single high-velocity, low-amplitude (HVLA) thrust manipulation to the talo-crural joint altered ankle function in subjects with dysfunction of the talo-crural joint.

Official Title
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The Effect of Manipulation on Dysfunction of the Talo-crural Joint- a Clinical Randomised Trial

Conditions
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Other Biomechanical Lesions, Talo-crural Joint Dysfunction

Intervention / Treatment
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* Other: Chiropractic (HVLA) manipulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: First league handball player Talo-crural joint dysfunction Age >16 yrs Exclusion Criteria: Patients with a history of recent trauma or previous operations with remaining fixation material in the foot or ankle

Ages Eligible for Study
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Minimum Age: 16 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Placebo<br>Single high-velocity, low-amplitude (HVLA) thrust manipulation towards Tibia, not affecting the dysfunctional talo-crural joint | Other: Chiropractic (HVLA) manipulation<br>* Single high-velocity, low-amplitude (HVLA long axis) thrust manipulation to the talo-crural joint, once a week during a three week period<br>|
| Experimental: Treatment<br>Single high-velocity, low-amplitude (HVLA long axis) thrust manipulation on dysfunctional talo-crural joint | Other: Chiropractic (HVLA) manipulation<br>* Single high-velocity, low-amplitude (HVLA long axis) thrust manipulation to the talo-crural joint, once a week during a three week period<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Counter movement jump; IVAR test system | First assessment: One leg single jump before and after treatment (active or placebo) | Day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Counter movement jump; IVAR test system | Second assessment: Active or placebo treatment if needed | Week one | 
| Counter movement jump; IVAR test system | Third assessment: One leg single jump before and after treatment (active or placebo | Week two | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ankle joint, Talo-crural joint, Vertical jump, Chiropractic manipulation (HVLA), ROM, Proprioception, Pain