NCT06010706

Supervised Manual Physical Therapy Exercise for Ankle Disability After Motor Vehicle Accidents.

Efficacy of Supervised Manual Physical Therapy Exercise for Ankle Disability After Motor Vehicle Accidents, Randomized Controlled Trial.

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Jouf University · Academic / Other
• Sex: All
• Age: 18 Years – 50 Years
• Healthy volunteers: Not accepted

Summary

Every year more than 50 million people worldwide are injured due to RTAs which in turn makes it one of the leading causes of disability. During automobile collisions, the lower limbs are the most commonly injured region of the human body. Ankle injuries can be particularly long-lasting, resulting in excessive medical costs, inability to work, and serious psychological distress. Physiotherapists often contribute to the rehabilitation of ankle fractures, which typically starts soon after the period of immobilization. Joint mobilization led to increased ankle movement, improved gait patterns, reduced pain and the number of treatment sessions required, and hastened return to activities when compared with the usual rest, ice, compression, and elevation protocol.

Detailed description

Participants will be assigned into two groups: 1. Study group will receive a Supervised physical therapy exercise program in the form of Mobilization exercise, Stretching exercise, and Strengthening exercise. 2. Control group will receive a Home-based exercise program of Stretching exercises, strengthening exercises and ROM exercises.

Conditions

• Ankle Deformity

Interventions

Type	Name	Description
OTHER	Supervised physical therapy manual exercise program.	1. Mobilization Techniques : The joint mobilization technique will be the anterior-posterior glide of the talus. The participant will be positioned in supine or long sitting. 2. Stretching Exercise: Passive stretching with therapist assistance was used for ankle dorsiflexion with the knee both flexed and extended. Force during passive stretching was modified to patient tolerance. Each participant flexed the knee slightly while standing on a 10° incline board. The participant was asked to slightly flex both knees until a stretch was felt in the calf muscle. 3. Strengthening Exercise: The resistance training protocol will be based on the progressive resistance training principle and was a modification of the protocol used by Frontera et al \[10\] in older men. Plantar-flexion resistance training will be performed on a customized hydraulic apparatus, which provide a constant resistance over the entire ROM and allow for concentric as well as eccentric.
OTHER	Stretching exercise, ROM, Strengthening exercises.	Patients at the control group will receive instruction for home based exercise program of physical therapy exercise. The home program primarily consisted of exercises targeting deficits in joint ROM, muscle flexibility and strength, and balance.

Timeline

• Start date: 2023-08-25
• Primary completion: 2024-03-01
• Completion: 2024-03-01
• First posted: 2023-08-24
• Last updated: 2024-04-08

Locations

1 site across 1 country: Egypt