Chronic ankle instability. Other instability, ankle and foot
Conditions
Interventions
Intervention 1: Intervention group: semi-rigid supportive ankle orthosis. Intervention 2: Intervention group: balance training. Intervention 3: Intervention group: supportive ankle orthosis in additio
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: criteria are in-line with the recommendations made by the International Ankle Consortium 18 to 40 years old a history of at least 1 ankle sprain which had limited patients activity at that day and had been associated with inflammatory signs self-reported history of the first ankle sprain more than 12 months ago the last sprain has occurred at least 3 month ago history of at least two episodes of ‘giving way’ and ‘feelings of ankle joint instability’ during the last 6 months Cumberland Ankle Instability Tool (CAIT) score = 24 having self-assessed disability scores of =90% on the activities of daily living subscale on the Foot and Ankle Ability Measure (FAAM); and having self-assessed disability scores =80% on the sport subscale on the FAAM.
Exclusion criteria
Exclusion criteria: reluctance to continue participating in the project not wearing of the prescribed orthosis during physical activities missing 3 or more non-consecutive sessions or 2 consecutive sessions allergic skin reaction because of wearing semi-rigid ankle support orthosis acute injury during 4-week project period a history of lower limb surgery a history of lower limb fracture which has required realignment acute injuries of lower limb musculoskeletal structures over the past 3 months chronic disorders of lower limb, neurological disorders, vestibular disorders Diabetic neuropathy and or other disorders affecting balance control receiving treatment strategies for their chronic ankle instability over the past 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reach distance in Star Excursion Balance Test. Timepoint: before and after 4 weeks intervention. Method of measurement: the reach distance per centimeter. | — |
Secondary
| Measure | Time frame |
|---|---|
| Center of Pressure (COP) based measures of gait initiation, reaction time, time of each phase of the gait initiation. Timepoint: before and after 4 weeks intervention. Method of measurement: force platform.;Time to boundary measures postural control in single leg stance. Timepoint: before and after 4 weeks intervention. Method of measurement: force platform.;Self-reported physical function. Timepoint: before and after 4 weeks intervention. Method of measurement: Foot and Ankle Ability Measure.;Self-reported functional ankle instability. Timepoint: before and after 4 weeks intervention. Method of measurement: Cumberland Ankle Instability Tool.;Kinesiophobia. Timepoint: before and after 4 weeks intervention. Method of measurement: TAMPA scale of kinesiophobia. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemeh Azadinia
Iran University of Medical Sciences
Outcome results
None listed