Chronic ankle instability. Other instability, unspecified ankle
Conditions
Interventions
Intervention 1: Intervention group: receive lumbopelvic manipulation and ankle manipulation along with exercise. In lumbopelvic manipulation, the patient lies supine on the bed. The therapist stands o
Sponsors
Shiraz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Having a report of chronic ankle instability according to the form announced by the International Ankle Association, in such a way that the person declares that they have a condition in which they feel the ankle is unstable during daily activities and sports activities, and usually with the fear of developing an acute sprain People who have a history of at least one ankle sprain in the last 12 months, which was accompanied by symptoms of inflammation and prevented them from doing their daily activities for at least one day At least 3 months have passed since the last injury People who have a feeling of instability or recurrent ankle sprains (2 or more cases in one ankle) or ankle sprains (at least two cases in the 6 months before the study) People who score less than 24 from the Cumberland ankle instability tools (CAIT) questionnaire. To investigate chronic ankle instability and the presence of instability, the Persian version of the CAIT questionnaire is used. This questionnaire consists of 9 questions, after completing it, a score between 0 and 30 is obtained. A score equal to and above 24 indicates stability, and a score below 24 indicates chronic instability. This questionnaire has been translated into Farsi, which has good validity and reliability People who score less than 90% for daily activities from the questionnaire (FAAM) foot and ankle ability measures. This questionnaire includes 21 items related to daily activities and 8 items related to sports. Each item is scored from zero to four, where zero means no ability to do it and 4 means no difficulty in doing it. ADL total score is from 0 to 84 and exercise score is from 0 to 32. Then these scores are calculated as a percentage. For instability, the ADL score should be less than 90% and the exercise score should be less than 80%. This questionnaire has been translated into Farsi and is a valid and reliable tool in determining the physical performance of people who have foot and ankle disorders People aged 18-45
Exclusion criteria
Exclusion criteria: Athletes (those who have special and regular sports training at least three times a week) Rheumatic diseases History of surgery or fracture on vertebrae and lower limb History of abdominal surgery Myelopathy, radiculopathy or nerve compression Taking similar treatments for ankle in the last 3 months Any neurological disease such as diabetic neuropathy or multiple sclerosis Chronic non-specific back pain Vestibular or balance disorders diagnosed by a physician History of damage to the central nervous system Taking sleeping pills 12 hours before balance tests Uncorrected visual impairment Any contraindication to manipulation such as spine and ankle hypermobility History of taking corticosteroid drugs Osteopenia and osteoporosis following metabolic diseases Sacroiliac problems Measurements should not be taken during the monthly cycle
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Static balance. Timepoint: Before the start of the intervention, immediately after the end of intervention, two weeks and one month after the end of intervention. Method of measurement: balance score static scale test, Biodex Balance machine.;Dynamic balance. Timepoint: Before the intervention, immediately after the end of the intervention, two weeks and one month after the intervention. Method of measurement: Y balance test, biodex balance machine. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: before the start of the intervention, immediately after the end of the intervention, two weeks and one month after the intervention. Method of measurement: Visual analogue scale.;Ankle dorsiflexion rang of motion. Timepoint: BeforeBefore the intervention, immediately after the end of the intervention, two weeks and one month after the intervention. Method of measurement: Goniometer. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNarges Meftahi
Shiraz University of Medical Sciences
Outcome results
None listed