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Effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury: a randomized controlled trial
Harvey LA, Herbert RD, Glinsky J, Moseley AM, Bowden J
Spinal Cord 2009 Jan;47(1):62-66
clinical trial
8/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

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 (SD) 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 to 6 degrees). CONCLUSION: Regular passive movements have small effects on ankle joint mobility. It is unclear if these effects are clinically worthwhile.
Reprinted by permission from Spinal Cord, Macmillan Publishers Ltd.

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