Chronic Ankle Instability and Balance
Conditions
Keywords
Core stability Balance CAI Atheletes
Brief summary
To study the effect of adding Core stability exercise to the conventional Program of Chronic ankle instability on balance, Functional instability, and Performance in athletes with CAI
Detailed description
Chronic Ankle Instability (CAI) is a prevalent and debilitating condition that afflicts a considerable portion of the population (Al Adal et al.,2020) it is a condition characterized by repetitive episodes or perceptions of the ankle giving way; ongoing symptoms such as pain, weakness, or reduced ankle range of motion (ROM); diminished self-reported function; and recurrent ankle sprains that persist for more than 1 year after the initial injury (Gribble et al.,2013). Purpose of the Study To study the effect of adding Core stability exercise to the conventional Program of Chronic ankle instability on balance, Functional instability, and Performance in athletes with CAI Methods:Triple Blinded RCT (Blinded: Participants, Research Assistant (for assessment of patient pre- and post-intervention) and statistician) Results :An unpaired t-test will be conducted for comparison of age, weight, and height between groups. * Chi-squared test will be conducted for comparison of sex distribution between groups * Mixed MANOVA will be conducted to compare the effect of time (pre versus post) and the effect of treatment (between groups), as well as the interaction between time and treatment on dependent variables. * The level of significance for all statistical tests will be set at p \< 0.05. * All statistical measures will be performed through the statistical package for social sciences (SPSS) version 25 for Windows.
Interventions
OTHERbalance exercise
Balance exercises are physical activities designed to improve stability, coordination, and posture by challenging the body's ability to maintain an upright position. These exercises target the muscles and systems involved in balance, particularly the core, legs, and the sensory systems (like vision and proprioception).
OTHERCore stability exercises
Core stability exercises are physical activities designed to improve the strength, endurance, and coordination of the muscles that support and stabilize the spine, pelvis, and torso. These exercises specifically target the muscles of the abdomen, lower back, hips, and pelvis, collectively referred to as the core. The goal is to enhance overall posture, prevent injury, and improve performance in daily activities or sports by increasing the body's ability to stabilize itself during movement.
Sponsors
Pharos University in Alexandria
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
Triple ( Participant, Care provider, outcomes Assessor )
Eligibility
Sex/Gender
ALL
Age
19 Years to 30 Years
Healthy volunteers
Yes
Inclusion criteria
* Athletes having a history of chronic lateral ankle sprain during the offseason period. 2\. Patients aged between 19-30 years, with BMI ranging between (18.5-29.5kg/m2). 3\. Patients having unilateral CAI with the diagnosis to be based on the criteria described by the International Ankle Consortium for enrolling patients of CAI in controlled research (Gribble et al., 2014) as follows: 1. A history of at least one significant ankle sprain (the initial sprain must have occurred at least more than 3 months prior to study enrollment, at least one interrupted day of desired physical activity. 2. Participants should report at least 2 episodes of giving way and/or recurrent sprain and/or feelings of instability in the 6 months prior to study enrollment. 3. Self-reported ankle instability should be confirmed using a validated ankle instability questionnaire, CAIT\>24.
Exclusion criteria
* Those with a history of spine, pelvis, and lower extremity injury, fracture, or surgery. 2- Those with LBP that required medical or surgical intervention. 3- Those who participated in supervised or unsupervised ankle rehabilitation within 3 months before enrollment in the study. 4- Having a history of an acute lower extremity injury in the 3 months before the study. 5\. Participation in formal rehabilitation in the 3 months before the study. 6. Having a history of lower extremity surgery or fracture that required alignment in the involved limb. 7\. Being diagnosed with neurologic dysfunction, such as multiple sclerosis, Parkinson's disease, or head injury.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Star Excursion Balance test | 4 weeks | is a reliable functional test to evaluate dynamic postural control of the lower limb and distinguish CAI from copers and healthy individuals |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional Instability | 4 weeks | The Cumberland Ankle Instability Tool assesses ankle instability during activities of daily living and sports and is valid and reliable for determining the presence of CAI |
| Functional Performance | 4 weeks | Functional performance tests are dynamic measures used to assess general lower body function. These tests are helpful because they combine multiple components, such as muscular strength, neuromuscular coordination, and joint stability, which could be affected after joint injury. |
Contacts
Primary ContactAya Ahme Nada, PHD
Backup ContactAbanoub Malak Khalifa, Demonstrator
Outcome results
None listed