The Effect of Manual Lymphatic Drainage on Acute and Post-acute Ankle Sprain in Athletes

Study Overview
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Brief Summary
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Manual lymphatic drainage techniques (MLDTs) are special techniques in manual therapy used in rehabilitation for treatment of physical dysfunctions and pathologies. Such practices could be done by medical team or clinicians. Theories on MLDTs address functions like stimulating the lymphatic system by increasing lymph circulation, facilitating the removal of waste products from body tissues, reducing edema, and decreasing the responses of sympathetic nervous system while increasing the parasympathetic nervous tone leading to a relaxed body state.

Detailed Description
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This study will examine the effect of manual lymphatic drainage on pain intensity, ankle swelling, range of motion, static and dynamic functional stability in acute and post-acute ankle sprain in athletes. Edema treatment includes a variety of techniques; elevation, compression, electrical stimulation, ultrasound, and massage are a few of them. Profound clinical check is required to determine the kind of edema management. However, the effect of these techniques on the lymphatic system and the edema itself is questionable. Manual Lymphatic Drainage mechanism, although still under investigation, is also a valid treatment management that does not cause inflammation, reduces the absorption of waste products and excess fluid and still urges the lymphatic system to work better.

Official Title
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THE EFFECT OF MANUAL LYMPHATIC DRAINAGE ON ACUTE AND POST-ACUTE ANKLE SPRAIN IN ATHLETES

Conditions
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Ankle Sprains

Intervention / Treatment
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* Other: Manual lymphatic drainage. will be applied three days per week for four weeks.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: . Basketball Athletes patients diagnosed as acute and post-acute ankle sprain. 2. Patients within 18 and 30 years old. 3. Patients with grade I, II ankle inversion sprain. 4. All participants complains of pain and moderate swelling in the ankle. Exclusion Criteria: Previous ankle surgery. Serious pathology. History of fractures in the ankle joint. Vascular disorders. Grade III ankle sprain.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

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 |
| --- | --- |
| Experimental: group A<br>will receive Manual lymphatic drainage plus Traditional physical therapy program that will include LASER, cold packs, manual mobilization, and exercise program. Training will applied 3 days a week, for a total of 4 weeks. | Other: Manual lymphatic drainage. will be applied three days per week for four weeks.<br>* Training will applied 3 days a week, for a total of 4 weeks.<br>* Other names: Traditional physical therapy program that will include LASER, cold packs, manual mobilization, and exercise program). will applied three days per week for four weeks.;|
| Active Comparator: group B<br>will receive Traditional physical therapy program only that will include LASER, cold packs, manual mobilization, and exercise program. Training will applied 3 days a week, for a total of 4 weeks. | Other: Manual lymphatic drainage. will be applied three days per week for four weeks.<br>* Training will applied 3 days a week, for a total of 4 weeks.<br>* Other names: Traditional physical therapy program that will include LASER, cold packs, manual mobilization, and exercise program). will applied three days per week for four weeks.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| static balance | Flamingo Balance Test to assess static balance | starting and after 4 weeks | 
| dynamic postural balance | Star Excursion Balance Test to assess dynamic postural balance | starting and after 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain intensity | Numeric Pain Rating Scale to assess pain intensity with zero score represents no pain (the better) and ten score represents maximum pain (the worest). | starting and after 4 weeks | 
| swelling | Figure of Eight with tape measurement by tape measurement to assess swelling in centimeter | starting and after 4 weeks | 
| range of motion | Goniometer to assess range of motion | starting and after 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ankle sprain, Athletes, Manual lymphatic drainage