Joint Instability, Chronic Disease, Sprains
Conditions
Keywords
chronic, functional, instability, ankle
Brief summary
The aim of this pilot study is to analyze the effect of a 12-week specific jump training compared with conventional therapy in patients with chronic functional instability of the ankle. It is to be evaluated to what extent the symptoms in of chronic functional instability of the ankle can be influenced in everyday life.
Detailed description
There is a need for; 1. more homogeneous sub- groups with chronic functional instability of the ankle. 2. Studies are needed that older patients (up to 50 years) and also take into account women. 3. In addition, studies should be performed in a clinical environment and also at the same time clinically adapted test can be used as a form measurement. ( Hiller et al. , 2011).
Interventions
OTHERJumping exercise
Total 120min exercise
OTHERStrength exercise
Total 120 min exercise
Sponsors
Swanenburg
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Ankle injury more than 6 months ago * Chronic instability * Functional instability of the ankle * Experience with proprioceptive exercises
Exclusion criteria
* Foot surgery * Fresh ankle injury * Acute foot pain with signs of inflammation * Mechanical / anatomical ankle instability * Athletes with regularly jumping exercise (eg volleyball, basketball) * Taking medications which affect balance and coordination * Diseases that affect the balance * Serious diseases such as tumors, infections, neuropathies, severe articular degeneration * Non-German-speaking patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in Gait variables | Change from Baseline in Gait variables at week 3, week 7, and at the end of therapy (week 12) | Gait variables will be assessed with the OptoGait system OptoGait system is a floor-based photocell system for measuring spatiotemporal gait parameters. All measurements will be executed within 1hour |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Balance | Baseline, week 3, week 7, and at the end of therapy (week 12) | Time to Stability (Forceplate Accusway AMTI) * 1 leg jump test * step down test |
| Health questionnaire | Baseline, week 3, week 7, and at the end of therapy (week 12), followup 12 months | EQ-5D is a standardised instrument for use as a measure of health outcome. |
| Foot function questionnaire | Baseline, week 3, week 7, and at the end of therapy (week 12) | The Foot and Ankle Ability Measure (FAAM) is a self-report outcome instrument developed to assess physical function for individuals with foot and ankle related impairments. |
| Personal calendar | 12 months | Participant could enter any new ankle sprain into this calendar. As soon as possible after new ankle sprain the participant had to fill in the date, its cause, and sprain-related injuries. The calendar pages contained questions about the circumstances surrounding the new ankle sprain, including how and where it happened, activity performed, possible injury symptoms, time to recover and whether medical assistance or physical therapy was needed. Participants are also requested to record direct medical costs (e.g. physiotherapy, visits to general practitioners and medical specialists, nursing care, and medication) and indirect cost (e.g. disability related loss) using the personal calendar. At the end of 2 month, a calendar page was sent by each patient to the investigators |
Countries
Switzerland
Outcome results
None listed