ankle manual therapy for individuals with post-acute ankle sprains description of a randomized, placebo-controlled clinical trial脚踝手动治疗急性踝关节扭伤患者的描述一项随机、安慰剂对照的临床试验.pdfVIP

Davenport et al. BMC Complementary and Alternative Medicine 2010, 10:59 /1472-6882/10/59 STUDY PROTOCOL Open Access Ankle manual therapy for individuals with post- acute ankle sprains: description of a randomized, placebo-controlled clinical trial 1* 2 3 Todd E Davenport , Kornelia Kulig , Beth E Fisher Abstract Background: 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. Discussion: 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. Trial Registration: identifier NC Backgr