Ankle Sprains, Instability, Joint
Conditions
Keywords
sprain, Brostrom, ankle instability
Brief summary
The objective of the study is to evaluate the postural control and proprioception before and after external capsulo-ligament reconstruction for ankle instability.
Detailed description
The objective of the study is to evaluate the postural control and proprioception before and after external capsulo-ligament reconstruction for ankle instability using differents tests, questionnaires and instrument: * Delos system (computerized oscillating platform) * Foot and Ankle Ability Measure (FAAM), l'American Orthopaedic Foot and Ankle Score (AOFAs), SF12 questionnaires * modified Star Excursional Balance Test (mSEBT) and Short Physical Performance Battery (SPPB)
Interventions
PROCEDUREPreoperative evaluation
Preoperative evaluation using differents clinical evaluation tests, questionnaires, and instrument: * Delos system (computerized oscillating platform) * Foot and Ankle Ability Measure (FAAM), l'American Orthopaedic Foot and Ankle Score (AOFAs), SF12 questionnaires * modified Star Excursional Balance Test (mSEBT) and Short Physical Performance Battery (SPPB)
PROCEDUREPostoperative evaluation
Postoperative evaluation at 4 months of follow up after surgery using differents clinical evaluation tests, questionnaires, and instrument: * Delos system (computerized oscillating platform) * Foot and Ankle Ability Measure (FAAM), l'American Orthopaedic Foot and Ankle Score (AOFAs), SF12 questionnaires * modified Star Excursional Balance Test (mSEBT) and Short Physical Performance Battery (SPPB)
Sponsors
Istituto Ortopedico Rizzoli
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
All patients who undergo surgery for a ankle lateral ligament reconstruction from 4th Febbruary 2019 till to the end of the study on 4th August 2020
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* patients who must undergo surgery; * patients of both sexes aged between 18-40 years; * patients who have given their informed written consent to participate in the study; * patients who have given their consent to reach the Hospital to perform the 4-month check-up
Exclusion criteria
* patients with BMI\> 30 kg / m2; * patients with rheumatoid arthritis; * patients with chronic inflammatory joint diseases; * patients with pre-existing abnormalities of the ambulatory kinematics (amputations, neuro-muscular diseases, polio, hip dysplasias); * patients with Severe arthrosis of the ankle (Kellgren-Lawrence\> 3); * patients with Severe knee arthritis (Kellgren-Lawrence\> 3); * patients with ACL injury; * patients with severe postural instability; * patients with cognitive impairments; * patients with concomitant neurological diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Delos (computerized oscillating platform) | End of the study, 18 month from the beginning (04 August 2020) | The patients will be analyzed pre and postoperatively using a computerized oscillating platform that shows the response of the foot as an adaptation to the ground. The result is expressed through stability index (%) compared to the average of the population. |
| Foot & Ankle Ability Measure (FAAM) questionnaire. | End of the study, 18 month from the beginning (04 August 2020) | FAAM: expresses the personal evaluation of the patient on his difficulty in performing activities using 5 values for each question: no difficulty, slight difficulty, moderate difficulty, extreme difficulty, inability. |
| American Orthopaedic Foot & Ankle score (AOFAs) questionnaire | End of the study, 18 month from the beginning (04 August 2020) | AOFAs: values from 0 to 100 dependent on limitations in performing activities |
| Short Form Health Survey - 12 questionnaire | End of the study, 18 month from the beginning (04 August 2020) | SF12: personal assessment of one's state of health using multiple-answer questions with different values for each question. |
| modified Star Excursional Balance Test (mSEBT) functional test | End of the study, 18 month from the beginning (04 August 2020) | mSEBT: best value resulting from the 3 equilibrium tests standardized for the length of the limb. The tests consist in reaching the greater distance with a foot along three (inverted Y-shaped) axes with between them an angle of 90 ° (rear) and two of 135 ° (antero-medial and anterior-lateral) while the opposite foot remains still on the ground |
| Short Physical Performance Battery functional test | End of the study, 18 month from the beginning (04 August 2020) | The SPPB scale is a short battery of tests designed to evaluate the functionality of the lower limbs. This battery consists of 3 different sections. The total score of the scale has a range from 0 to 12. |
Countries
Italy
Outcome results
None listed