Clinical trial NCT05859256: Flossing Protocol and Manual Therapy in Young Subjects With Recurrent Ankle Sprains
Official title: Efficacy of a Flossing Protocol and Manual Therapy in the Clinical and Functional Improvement of Young Subjects With Recurrent Ankle Sprains. A Randomized Clinical Study.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Young People
Lead sponsor: Universidad Católica San Antonio de Murcia
Sponsor class: OTHER
First posted: 2023-05-15
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Maximum age (years): 22
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The most frequent lateral ankle sprain mechanism consists of talocrural plantarflexion added to a subtalar inversion. The anterior talofibular ligament, in plantar flexion, suffers maximum stress, being very sensitive to injury mechanisms with inversion of the foot, being the cause of up to 70% of sprains. The risk of injury recurrence must be taken into account. In sports practice, this percentage of recurrence is especially relevant.

Randomized clinical study. Participants will be randomized to a control or experimental group. The dependent variable will be the range of motion in ankle dorsiflexion. Secondary variables will be pressure pain threshold, and stability of the foot and ankle. Three evaluations will be carried out: before the start of the study (T0), after the intervention (T1) and after a 4-week follow-up period (T2). All evaluations will be performed by one evaluator, blinded to player assignment The intervention consists of the application of a treatment protocol based on an initial active warm-up consisting of 3 active exercises, walking for 1 minute performing slow and controlled movement of the ankle, raising the heels, 15 repetitions, dorsiflexion of the ankle in the standing position. gentleman, 15 reps. Subsequently, the floss band will be placed, performing again the 3 active warm-up exercises with the band on. After this, the passive manual techniques will be carried out for the remaining time, removing the flossing at the end of the latter, and actively mobilizing again.


Eligibility criteria: Inclusion Criteria:

* Young people between 18 and 22 years old
* Who have suffered a previous sprain
* No chronic or degenerative musculoskeletal pathologies of the ankle or knee
* That they do physical activity regularly.

Exclusion Criteria:

* Have suffered a sprain in the last 6 months
* Being receiving another physiotherapy treatment at the time of the study
* Not signing the informed consent document.

Primary outcomes:
measure: Change from baseline ankle range of motion after treatment and at 4 weeks
timeFrame: Screening visit, within the first seven days after treatment and after four weeks follow-up
Secondary outcomes:
measure: Change from baseline pressure pain threshold treatment and at 4 weeks
timeFrame: Screening visit, within the first seven days after treatment and after four weeks follow-up
measure: Change from baseline foot and ankle stability after treatment and at 4 weeks
timeFrame: Screening visit, within the first seven days after treatment and after four weeks follow-up
Other outcomes:
Locations:
city: Murcia
country: Spain
facility: Universidad Católica San Antonio de Murcia
Study officials:
affiliation: Universidad de Oviedo
name: Rubén Cuesta-Barriuso, PhD
role: STUDY_DIRECTOR
References: