STUDY DESIGN: Assessor-blinded within-subject randomized controlled trial. OBJECTIVE: To determine the effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury. SETTING: Community, Australia. METHODS: A total of 20 people with tetraplegia living in the community had one ankle randomized to a control group and the other to an experimental group. Carers administered passive movements to participants' experimental ankles for 10 min, 10 times a week for 6 months. The control ankles were left untreated. The primary outcome was passive ankle dorsiflexion range of motion. RESULTS:Adherence was high (mean adherence rate of 96%). Ankle dorsiflexion range of motion decreased by a mean (s.d.) of 2 degrees (4) in control ankles and increased by 2 degrees (4) in experimental ankles. The mean (95% confidence interval, CI) effect on ankle dorsiflexion range of motion was 4 degrees (95% CI, 2-6 degrees ). CONCLUSION:Regular passive movements have small effects on ankle joint mobility. It is unclear if these effects are clinically worthwhile.
RCT Entities:
STUDY DESIGN: Assessor-blinded within-subject randomized controlled trial. OBJECTIVE: To determine the effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury. SETTING: Community, Australia. METHODS: A total of 20 people with tetraplegia living in the community had one ankle randomized to a control group and the other to an experimental group. Carers administered passive movements to participants' experimental ankles for 10 min, 10 times a week for 6 months. The control ankles were left untreated. The primary outcome was passive ankle dorsiflexion range of motion. RESULTS: Adherence was high (mean adherence rate of 96%). Ankle dorsiflexion range of motion decreased by a mean (s.d.) of 2 degrees (4) in control ankles and increased by 2 degrees (4) in experimental ankles. The mean (95% confidence interval, CI) effect on ankle dorsiflexion range of motion was 4 degrees (95% CI, 2-6 degrees ). CONCLUSION: Regular passive movements have small effects on ankle joint mobility. It is unclear if these effects are clinically worthwhile.
Authors: Paulo Henrique Ferreira de Araujo Barbosa; Joanne V Glinsky; Emerson Fachin-Martins; Lisa A Harvey Journal: Spinal Cord Date: 2021-02-09 Impact factor: 2.772
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