Effects of Improvement of the Ankle Joint Range on Balance in the Elderly.

Study Overview
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Brief Summary
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The effects of aging on the ankle joint will contribute negatively to balance in the elderly. Manual therapy is a technique that is usually used to treat ankle arthrokinematics, although there is little literature on this population. This study seeks to investigate the effects that a mobilization on the ankle will produce in order to improve its joint range and if the balance of the older adult improves after the intervention.

Official Title
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Effects of Improvement of the Ankle Joint Range on Balance in the Elderly: Randomized Controlled Trial

Conditions
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Aging Problems

Intervention / Treatment
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* Procedure: Manual Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 60 years or more Exclusion Criteria: Do not sign the consent No acute pathology (3 months) Vestibular pathology CNS disease

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Manual Therapy<br>6 sessions of ankle manual therapy | Procedure: Manual Therapy<br>* AP ankle mobilization<br>|
| No Intervention: Control<br>No intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Test Up and Go | It is a test in which the functional mobility of the participant is measured. | Change from baseline to day 21 | 
| One Leg Balance Test | The time that the participant can be with monopodal support is measured | Change from baseline to day 21 | 
| Functional Reach Test | It measures the ability to move the center of gravity forward without losing balance. | Change from baseline to day 21 | 
| Analysis of Center of Pressure | Measurement of the displacement of the center of pressures using a Pressure Platform. | Change from baseline to day 21 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Active ankle range of movement | Measurement of the total active joint range of the ankle in discharge with a goniometer. | Change from baseline to day 21 | 
| Weight Bearing Dorsiflexion Lunge Test | Measurement of dorsiflexion of the ankle under load with an inclinometer. | Change from baseline to day 21 | 
| Falls Efficacy Scale | Scale that measures the worry of suffering a fall. | Change from baseline to day 21 | 
| Assessment of ankle plantar flexion muscle strength | Measurement of the strength of the plantar flexion of the ankle with a dynamometer. | Change from baseline to day 21 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ankle, Balance, Manual Therapy, Older Adult