Chronic Ankle Instability. Sprain of ankle
Conditions
Interventions
Intervention 1: Intervention group: (1st intervention) subjects will complete progressive neuromuscular exercise, 2 sessions per week for 6 sequential weeks. Each session will last about 30 minutes. T
Sponsors
Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Regular sport activity in soccer, volleyball or basketball, at least 3 sessions per week, each lasting at least 2 hours A history of repeated ankle sprains along with inflammatory symptoms Existing ankle instability according to Cumberland Ankle Instability Tools (CAIT) Clinical presentation of trigger points in peroneal muscles
Exclusion criteria
Exclusion criteria: A history of musculoskeletal injury in other lower extremity joints within last 3 months leading to at least on day loss of regular activity. A history of the immune system or blood coagulation disorders, vestibular dysfunction, neurological or neurovascular conditions, or convulsion Acute inflammatory symptoms in ankle region
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Amplitude of electromyographic activity of peroneus longus, peroneus brevis, soleus, vastus medialis, gluteus medius, tibialis anterior. Timepoint: 1- Before intervention 2- Immediately after the 1st session of intervention 3- After the last session of intervention 4- Three months after the end of the last session of intervention. Method of measurement: Surface electromyography device (average amplitude of muscular activity 200 milliseconds before - 200 milliseconds after initial foot-ground contact).;Onset time of peroneus longus, peroneus brevis, soleus, vastus medialis, gluteus medius, tibialis anterior. Timepoint: 1- Before intervention 2- Immediately after the 1st session of intervention 3- After the last session of intervention 4- Three months after the end of the last session of intervention. Method of measurement: Surface electromyography device (time difference between initial foot-ground contact and onset of electromyographic activity of each muscle). | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional status scores. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: 1- Foot and Ankle Ability Measure (FAAM), 2- Cumberland's Ankle instability index.;Dynamic postural stability. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: Scores of the Star Excursion Balance Test (SEBT).;Time of figure of 8 hop test. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: Measurement of time for completing figure of 8 hop test.;Distance in triple hop test. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: Measuring distance in triple hop test.;Static postural control. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: Measuring stability indices in Biodex balance test. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMajid Hoseini
Shahid Beheshti University of Medical Sciences
Outcome results
None listed