Does lateral malleolus posterior glide taping affect ankle evertor muscle strength in recurrent ankle sprain?

ISRCTN ISRCTN53463752
DOI https://doi.org/10.1186/ISRCTN53463752
Secondary identifying numbers N0236164465
Submission date
29/09/2006
Registration date
29/09/2006
Last edited
23/04/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr John Hammond
Scientific

Faculty of Health and Social Care Sciences
St George's Hospital Medical School
Cranmer Terrace
London
SW17 0RE
United Kingdom

Study information

Study designRandomised controlled cross-over trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleDoes lateral malleolus posterior glide taping affect ankle evertor muscle strength in recurrent ankle sprain?
Study objectivesTo evaluate evertor muscle strength in recurrent ankle sprain and the effect of a taping technique.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedInjury, Occupational Diseases, Poisoning: Ankle sprain
InterventionConcentric and eccentric peak torque of evertor muscles will be measured at a constant velocity using an isokinetic dynamometer, the Cybex 6000 machine (Cybex, 2100 Smithtown Avenue, PO Box 9003, Ronkonkoma, NY 11779-0903). The Cybex software calculates and displays measures of muscle activity, eg. Peak torque, muscle work. This has been chosen as the cybex provides a more sensitive measures of muscle strength than that of more crude manual muscle testing (Munn et al 2003). Subjects will be positioned on the machine in supine with the hip and knee of the tested limb secured at 90 degrees flexion. The foot will be secured on the foot plate with the ankle in neutral. Prior to testing, the CYBEX machine will be calibrated to the individual's end rage of inversion and eversion.

The participants will be asked to complete a self-report functional questionnaire (adapted from de Bie et al 1997) which will determine the level of stability of the injured ankle. Both ankles of each subject will be tested, with the uninjured ankle acting as a control. Each ankle will be tested under three different conditions. To avoid experimental bias, the order of intervention and which ankle to test first will be randomised using random numbers (names drawn out of a hat).

1. Without tape
2. With tape and LMPG (active intervention)
3. With tape placed on skin without tension (placebo)

The LMPG will be applied as described by Mulligan (1999). The glide will be held in place with rigid adhesive tape (Hetherington 1996). To ensure consistency, the same researcher will apply the mobilisation each time. This will also be the case for application of tape.

Preparation for the study including a small pilot will be completed in September 2004. Data collection for the study will take place from October 2004 to February 2005 with final interpreting and analysis in March/April 2005.

Final Report May 2005
Intervention typeOther
Primary outcome measureMeasurements of torgue (peak torgue), power and muscle work will be determined using the cybex.
Secondary outcome measuresNot provided at time of registration
Overall study start date07/10/2004
Completion date01/07/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants20
Key inclusion criteria1. Healthy adult male and female subjects
2. Age 18-65
3. Who attend St Georges Hospital who have had a history of recurrent ankle sprain, on at least two occasions, with the most recent episode occurring more than 4 weeks ago
4. Unilateral functional ankle instability, assessed by a self-report functional questionnaire (adapted from de Bie et al 1997)
Key exclusion criteria1. Past history of orthopaedic surgery or fracture to the ankle
2. Any history of neurological conditions affecting balance or strength
3. Ankle pain at rest
4. Any known allergic reaction to tape
Date of first enrolment07/10/2004
Date of final enrolment01/07/2006

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

St George's Hospital Medical School
London
SW17 0RE
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Government

The Department of Health, Richmond House, 79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

St George's Healthcare NHS Trust (UK), NHS R&D Support Funding

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan