Ankle Mobilization for Knee Pain
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how limited ankle movement might affect knee pain, particularly during exercises like squats. Researchers are testing whether "Mobilization with Movement," involving specific ankle exercises, can improve knee pain. Participants will be divided into two groups: one will perform the ankle exercises, while the other will engage in minimal exercise and read an infographic. This trial suits women who have experienced knee pain for over six months, have not received recent treatment for it, and have limited ankle flexibility.
As an unphased trial, this study allows participants to contribute to innovative research that could lead to new insights and treatments for knee pain.
Do I need to stop taking my current medications for the trial?
The trial protocol does not specify whether you need to stop taking your current medications.
What prior data suggests that this ankle mobilization technique is safe for knee pain?
Research has shown that mobilization with movement (MWM) is generally well-tolerated by people with knee osteoarthritis. In various studies, participants experienced less pain and improved knee movement. However, information on safety remains limited. Only a few studies specifically examined safety, and they did not identify any clear safety issues with MWM. This suggests that the treatment is likely safe for most people, but further research may be needed for confirmation.12345
Why are researchers excited about this trial?
Researchers are excited about this trial because it explores a novel approach to managing knee pain by targeting ankle mobility. Unlike traditional treatments such as pain relievers or physical therapy focused solely on the knee, this method aims to improve dorsiflexion range of motion in the ankle, which may indirectly alleviate knee discomfort. This could offer a new, non-invasive pathway to pain relief that could complement existing therapies. By examining the effects of ankle mobilization, researchers hope to uncover a deeper understanding of the interconnectedness of joint movements and pain relief.
What evidence suggests that ankle mobilization could be effective for knee pain?
Studies have shown that a technique called mobilization with movement (MWM) effectively alleviates knee pain and enhances knee function. Research indicates that MWM benefits individuals with knee osteoarthritis by increasing their knee's range of motion and reducing pain. In this trial, participants in the Primary Intervention Group will receive MWM to increase dorsiflexion range of motion. One study found that combining MWM with regular physiotherapy was more effective than physiotherapy alone. This method not only eases pain but also improves knee flexibility and aids in daily activities. Overall, MWM appears to be a promising approach to managing knee pain and improving movement.14678
Who Is on the Research Team?
Everett Lohman, Dsc
Principal Investigator
Loma Linda University
Are You a Good Fit for This Trial?
This trial is for women aged 18-59 with Patellofemoral Pain lasting at least 6 months, who haven't had clinic treatments in that time. They must have limited ankle movement (<45 degrees on a lunge test) and no knee swelling, abnormal limb structures, severe resting pain, or past surgery/fractures affecting leg/spine biomechanics.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Assessment
Participants complete self-reported questionnaires and undergo initial measurements of dorsiflexion and hip abductor strength
Intervention
Experimental group receives interventions to increase dorsiflexion; minimal intervention group reads an infographic and walks on a treadmill
Post-Intervention Assessment
Participants undergo post-intervention measurements and complete additional trials of the Lateral Step Down test
Follow-up
Participants are monitored for any changes in dorsiflexion and functional outcomes
What Are the Treatments Tested in This Trial?
Interventions
- Mobilization with Movement
- No mobilization with movement and education
Find a Clinic Near You
Who Is Running the Clinical Trial?
Loma Linda University
Lead Sponsor