Chronic Ankle Instability, CAI
Conditions
Keywords
Gait, Balance, Pelvic torsion, Rigid taping, Chronic ankle instability
Brief summary
Ankle sprain is one of the most common musculoskeletal injuries, with a high incidence among physically active individuals. acute ankle sprains associated with the development of chronic ankle instability (CAI) which has been found to affect the whole lower quarter kinetic chain. This chronicity decrease the physical activity level and quality of life, All these consequences cost the patients physically, emotionally, socially and financially. Purpose: To investigate the effect of corrected pelvic torsion using rigid taping on gait parameters and balance in patients with unilateral CAI associated with pelvic torsion.
Detailed description
Background: Ankle sprain is one of the most common musculoskeletal injuries, with a high incidence among physically active individuals. acute ankle sprains associated with the development of chronic ankle instability (CAI) which has been found to affect the whole lower quarter kinetic chain. This chronicity decrease the physical activity level and quality of life, All these consequences cost the patients physically, emotionally, socially and financially. Purpose: To investigate the effect of corrected pelvic torsion using rigid taping on gait parameters and balance in patients with unilateral CAI associated with pelvic torsion. Materials and Methods: 22 subjects from both genders were assessed for the presence of unilateral CAI associated with pelvic torsion , gait and balance were assessed using teckscan walkway assessment system and biodex balance system then rigid tape applied to the anteriorly tilted innominate then gait and balance reassessed again immediately after taping ,after one week and after two weeks.
Interventions
OTHERCorrective rigid taping
Rigid taping used to correct pelvic torsion in patients with CAI
Sponsors
Cairo University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
A single group with repeated measurement design was used to evaluate the effect of rigid taping on gait and balance over four time points: pre-intervention, immediately,1 week, and 2 weeks post- intervention
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
Inculsion criteria : 1. history of at least one significant ankle sprain (the initial sprain must have occurred at least 12 months prior to study enrollment and the most recent injury must have occurred more than 3 months prior to study enrollment. 2. Participants should report at least 2 episodes of giving way in the last 6 month. 3. Self-reported ankle instability using CAIT should be \>24 . 4. the presence of pelvic torsion must be present and confirmed using the PALM-Meter .
Exclusion criteria
1. Individuals with bilateral lateral anklesprain. 2. Those with low back pain that required medical or surgical intervention. 3. Those with a history of spine, pelvis, and lower extremity injury, fracture, or surgery. 4. patients with trunk asymmetry angle of more than 7º and leg length discrepancy of more than 0.5 cm(19), those with skin diseases or sensitivity to rigid
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Stability Index measured by Biodex Balance System | Baseline, immediately post-intervention(Day 1), one week post-intervention(week 1), two weeks post-intervention(week 2) | Change in overall stability index using the Biodex Balance System |
| Anterior/Posterior Stability Index measured by Biodex Balance System | Baseline, immediately post-intervention (Day1), 1 week post-intervention, 2 weeks post intervention. | Change in anterior/posterior stability index using the Biodex Balance System |
| Medial/Lateral Stability Index measured by Biodex Balance System | Baseline, immediately post-intervention (Day1), 1 week post-intervention, 2 weeks post intervention. | Change in medial/lateral stability index using the Biodex Balance System |
| Maximum peak plantar pressure assessed using Tekscan walkway system. | Baseline, immediately post-intervention (Day1), 1 week post-intervention, 2 weeks post-intervention. | Maximum peak pressure(N/cm²) during walking as measured using the Tekscan walkway system. This represents the highest pressure recorded under the foot during gait. |
| Walking Velocity | Baseline, immediately post-intervention (Day1), 1 week post-intervention, 2 weeks post-intervention | Average walking speed (m/s) during gait assessment using the Tekscan walkway system. Calculated as distance traveled divided by time taken. |
| Cadence | Baseline, immediately post-intervention(Day 1), 1 week post-intervention, 2 weeks post- intervention. | Number of steps taken per minute (steps/min) during walking assessment using the Tekscan walkway system. |
| Step length | Baseline, immediately post-intervention (Day1), 1 week post-intervention, 2 weeks post-intervention. | Average distance(m) between successive heel contacts of opposite feet during walking, measured using the Tekscan walkway system. |
Countries
Egypt
Outcome results
None listed