Department of Physical Therapy, Thomas J, Long School of Pharmacy and Health Sciences, University of the Pacific, Stockton, California, USA.
BMC Complement Altern Med. 2010 Oct 19;10:59. doi: 10.1186/1472-6882-10-59.
Ankle sprains are common within the general population and can result in prolonged disablement. Limited talocrural dorsiflexion range of motion (DF ROM) is a common consequence of ankle sprain. Limited talocrural DF ROM may contribute to persistent symptoms, disability, and an elevated risk for re-injury. As a result, many health care practitioners use hands-on passive procedures with the intention of improving talocrural joint DF ROM in individuals following ankle sprains. Dosage of passive hands-on procedures involves a continuum of treatment speeds. Recent evidence suggests both slow- and fast-speed treatments may be effective to address disablement following ankle sprains. However, these interventions have yet to be longitudinally compared against a placebo study condition.
METHODS/DESIGN: We developed a randomized, placebo-controlled clinical trial designed to test the hypotheses that hands-on treatment procedures administered to individuals following ankle sprains during the post-acute injury period can improve short-, intermediate-, and long-term disablement, as well as reduce the risk for re-injury.
This study is designed to measure the clinical effects of hands-on passive stretching treatment procedures directed to the talocrural joint that vary in treatment speed during the post-acute injury period, compared to hands-on placebo control intervention.
http://www.clinicaltrials.gov identifier NCT00888498.
踝关节扭伤在普通人群中很常见，可导致长期残疾。距下关节背屈活动范围（DF ROM）受限是踝关节扭伤的常见后果。距下关节 DF ROM 受限可能导致持续症状、残疾和再受伤风险增加。因此，许多医疗保健从业者使用手法被动治疗程序，旨在改善踝关节扭伤后个体的距下关节 DF ROM。被动手法治疗的剂量涉及治疗速度的连续体。最近的证据表明，慢速度和快速度治疗可能对解决踝关节扭伤后的残疾都有效。然而，这些干预措施尚未与安慰剂研究条件进行纵向比较。
方法/设计：我们开发了一项随机、安慰剂对照临床试验，旨在检验以下假设：在急性损伤后期，对踝关节扭伤患者实施手法治疗程序可以改善短期、中期和长期残疾，并降低再受伤风险。
本研究旨在测量在急性损伤后期，治疗速度不同的手法被动拉伸治疗程序对距下关节的临床效果，与手法安慰剂对照干预进行比较。
http://www.clinicaltrials.gov 标识符 NCT00888498。
