Chronic ankle instability
Conditions
Interventions
CAI cluster 1:Psychological counseling
CAI cluster 1:Traditional exercise therapy
CAI cluster 2:Functional training
CAI cluster 2:Traditional exercise therapy
CAI cluster 3:Psychological counseling combined with kinesio taping
CAI cluster 3:Traditional exercise therapy
CAI cluster 4:Psychological counseling combined with functional training
CAI cluster 4:Traditional exercise therapy
CAI cluster 5:Kinesio taping combined with functional training
CAI cluster 5:Traditional exercise therapy
Coper (CAI cluster 1):Psychological counseling
Coper (CAI cluster 2):Functional training
Coper (CAI cluster 3):Psychological counseling combined with kinesio taping
Coper (CAI cluster 4):Psychological counseling combined with functional training
Coper (CAI cluster 5):Kinesio taping combined with functional training
Coper:Traditional exercise therapy
Healthy control (CAI cluster 1):Psychological counseling
Healthy control (CAI cluster 2):Functional training
Healthy control (CAI cluster 3):Psychological counseling combined with kinesio taping
Healthy control (CAI cluster 4):Psychological counseling combined with functional training
Sponsors
College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Inclusion Criteria for CAI (Chronic Ankle Instability): 1. History of at least one significant ankle sprain: - The initial sprain must have occurred at least 12 months prior to study enrollment. - It was accompanied by inflammatory symptoms (pain, swelling, etc.). - It resulted in at least one day of interrupted desired physical activity. - The most recent injury must have occurred more than 3 months prior to study enrollment. 2. History of "giving way," "recurrent sprain," or "feeling of instability" in the previously injured ankle: - "Giving way" is defined as uncontrolled and unpredictable excessive ankle inversion (typically experienced during early contact phase of walking or running) that usually does not lead to an acute lateral ankle sprain. Participants should report at least two instances of giving way in the 6 months prior to enrollment. - "Recurrent sprain" is defined as having two or more sprains of the same ankle. - "Feeling of instability" is defined as a sensation of the ankle being unstable during daily and sports activities, usually accompanied by fear of acute ligament sprains. This feeling should be confirmed using related self-report scales. Examples include: - Ankle Instability Instrument (AII), with at least 5 "yes" responses. - Cumberland Ankle Instability Tool (CAIT) score of 11. 3. Selective reference to commonly used self-report foot and ankle functional scales/questionnaires to describe the degree of disability: - Examples include: - Foot and Ankle Ability Measure (FAAM): ADL subscale score 90%, sports subscale score >80%. Healthy Individuals: - No history of ankle sprains or symptoms of ankle instability.
Exclusion criteria
Exclusion criteria: Exclusion Criteria for CAI (Chronic Ankle Instability): 1. History of surgery on any musculoskeletal structure of the lower limb (e.g., bone, joint, nerve). 2. History of fractures in any part of the lower limb (e.g., requiring remodeling). 3. Acute musculoskeletal injury to other joints in the lower limb within the past 3 months that affects joint integrity and function, resulting in at least one day of interrupted desired physical activity. 4. Presence of any neuromuscular disorders, such as spinal cord injury, vestibular disorders, or brain injuries that affect sensory or balance functions. 5. Presence of any major diseases such as cancer or tumors. 6. Any traumatic, inflammatory, or infectious disease of the lower limb. 7. Presence of cardiovascular diseases such as diabetes or hypertension. Exclusion Criteria for Copers: 1. Acute head and/or lower limb injury occurring =3 months prior to testing. 2. History of fractures and/or surgery on the ankle joint. 3. Current and/or intermittent ankle pain.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumberland Ankle Instability Tool;Identification of Functional Ankle Instability;Foot and Ankle Ability Measure;Anterior Drawer Test;Star-Excursion Balance Test;Timed Up and Go Test;Short Form 36 Health Survey;Activities of Daily Living;Pain;Ankle Proprioception; | — |
Secondary
| Measure | Time frame |
|---|---|
| Muscle strength;kinematics;kinetics;muscle activity;center of pressure; | — |
Countries
China
Contacts
Public ContactJia Han
College of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences
Outcome results
None listed