Ankle Sprains, Instability, Joint
Conditions
Keywords
Ankle instability, Stabilometry
Brief summary
The objective of the study is to evaluate post-operatively the postural control through the Delos system with the Riva method of patients already treated surgically of external capsulo-ligament reconstruction due to ankle instability.
Detailed description
The patients will then be divided into two control groups: one group will undergo reconditioning through the Delos system and one group will undergo standard rehabilitation treatment. Primary outcome: improvement of joint stability and postoperative proprioception after reconditioning with the Delos system. Secondary outcomes: improvement of performance indicators and reduction of disability and satisfaction and assessment of long-term ankle stability after reconditioning with Delos system.
Interventions
Proprioceptive training using Delos instrument (computerized balance board). Static and dynamic evaluation through Delos with the Riva method; Physiatric visit; Clinical scores (AOFAs); Functional scores (SPPB); SF12 satisfaction.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients already undergoing surgery and with at least 4 months of follow-up; * 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 the willingness to reach the Hospital to carry out the checks.
Exclusion criteria
* patients with BMI\> 30 kg / m2; * patients with rheumatoid arthritis; * patients with chronic inflammatory joint diseases; * patients with pre-existing deambulation kinematics abnormalities (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 severe postural instability; * patients with cognitive impairments; * patients with concomitant neurological diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Static and Dynamic Stability Index | 5 weeks from the start of rehabilitation treatment | Evaluation of proprioception and mechanical stability of the post-operative ankle undergoing to reconditioning with a Delos device through Static and Dynamic Stability Index. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Personal perception of the patient | 5 weeks from the start of rehabilitation treatment | Subjective perception of the patient evaluated by administering clinical questionnaires (AOFAS ankle hindfoot) |
| Clinical test | 5 weeks from the start of rehabilitation treatment | Stability of the ankle operated evaluated by clinical test |
Countries
Italy