Clinical trial NCT06112288: The Acute Effect Comparisons of Manual Therapy Or Ankle Motion in Individuals Who Had Achilles Tendon Repair
Official title: The Acute Effect Comparisons of Manual Therapy Application to Ankle Soft Tissues or To Ankle Joint on Ankle Motion, Functional Status, and Passive Mechanical Properties of Muscle in Individuals Who Had Achilles Tendon Repair
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Achilles Tendon Rupture
Functional Performance
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2023-11-01
Enrollment: 20
Sex: MALE
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Achilles tendon rupture is common among physically active individuals. Limitations, decreases in the level of standing on heel rise, and due to these limitations, failures in functional activities such as returning to sports, walking, running, jumping and performance tests are observed. Manual therapy methods included in rehabilitation programs are an effective option in solving these problems. The aim of the study is to investigate the effects of Compressive Myofascial Release and Ankle joint mobilization on ankle joint movement, functional tests, elasticity and stiffness of the muscle-tendon complex and muscle tone parameters in individuals who underwent Achilles tendon repair.

Detailed description: Achilles tendon rupture is common among physically active individuals. It has been reported that 73% of all Achilles tendon ruptures are sports-related and injuries frequently occur between the ages of 30-49. Conservative or surgical treatments can be applied after Achilles tendon ruptures. After Achilles tendon injuries and repair, decreases in Soleus muscle strength and endurance, changes in lower extremity muscle activation levels, decreases in Gastro-Soleus muscle circumference, increase in Achilles tendon thickness and stiffness, decreases in elasticity, elongations in the Achilles tendon, ankle dorsiflexion range of motion. Limitations, decreases in the level of standing on heel rise, and due to these limitations, failures in functional activities such as returning to sports, walking, running, jumping and performance tests are observed. Manual therapy methods included in rehabilitation programs are an effective option in solving these problems. The aim of the study is to investigate the effects of Compressive Myofascial Release and Ankle joint mobilization on ankle joint movement, functional tests, elasticity and stiffness of the muscle-tendon complex and muscle tone parameters in individuals who underwent Achilles tendon repair. Compressive myofascial release will be applied to a group that has undergone Achilles tendon repair surgery, and ankle mobilization will be applied to another group. Muscle-tendon passive mechanical properties will be evaluated with Myoton-3 before and after the applications. Toe elevation level, ankle joint range of motion and Achilles tendon rest angle will be evaluated before and after the application.

Eligibility criteria: Inclusion Criteria:

* • Being male between the ages of 18-55,

  * Having unilateral Achilles tendon repair performed for at least 6 months,
  * No open wound,
  * No history of fracture accompanying Achilles injury.

Exclusion Criteria:

* • Presence of a history of repeated Achilles tendon rupture,

  * Having a rupture or tendon injury on the contralateral side,
  * Having a neurological deficit,
  * Having a history of injury in any of the lower extremity joints for the last 1 year,
  * Having a history of surgery other than Achilles tendon repair in any of the lower extremities,
  * Having a history of corticosteroids applied to the Achilles tendon,

Primary outcomes:
measure: Passive Mechanical Properties
timeFrame: 2 year
Secondary outcomes:
measure: Achilles tendon resting angle (ATRA)
timeFrame: 2 year
measure: Heel rise test
timeFrame: 2 year
measure: WBLT (weight bearing lunge test)
timeFrame: 2 year
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Fırat Tan
state: Eyalet/Yerleşke
Study officials:
affiliation: Hacettepe University Faculty of Physical Therapy and Rehabilitation
name: Hande Güney Deniz, Proffessor
role: STUDY_DIRECTOR
References: