Chronic ankle instability Balance Sensory reweighing Lateral Ankle Sprain Chronic Ankle Instability Exergaming Children
Conditions
Interventions
Participants in this group will perform rhythmic stepping task using the StepMania interface, where participants respond to visual cues synchronized with auditory stimuli. To ensure reproducibility, t
difficulty grade'
within the software.
The core requirement of the rhythmic exergaming intervention is multidirectional stepping, which necessitates rapid transitions from double-leg to single-leg stance. This imposes
StepMania group ,Balance exercise program group,Control
Sponsors
Faculty of Physical Therapy, Mahidol University
Eligibility
Sex/Gender
All
Age
8 Years to 12 Years
Inclusion criteria
Inclusion criteria: 1) Typically developing children aged 8 - 12 years old 2) BMI between 5th & 85th percentile 3) History of at least 1 unilateral ankle sprain that interrupted PA at least 1 day and the sprain must occur more than 1 year prior to study enrollment. 4) A history of 'giving way' (reported more than 2 giving ways in 6 months prior to enrollment) and/or 'recurrent sprain' (at least 2 times) and/or 'feelings of instability' of the previously sprained ankle obtaining by CAITY-Thai version score less than or equal to 25 5) Has no experience playing StepMania exergames.
Exclusion criteria
Exclusion criteria: 1) Children who cannot understand Thai language. 2) Children who had grade III ankle sprain that require surgical intervention. 3) Children who had history of surgery at musculoskeletal structures or fracture of either limb of the lower extremity. 4) Children who have bilateral CAI and/or having history of ankle sprain on both legs 5) Children who have other conditions that may influence postural control (i.e., vestibular or visual disorders, peripheral neuropathies, pain at lower extremity). 6) Children who have acute injury to musculoskeletal structures of other joints of lower extremity in the past 3 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensory reweighting baseline, at week 4 and 8 Identified by Rhomberg ratio using single leg stance (SLS) test and Inertial Measurement Units (IMUs) during eyes open (EO)/eyes closed (EC) on firm/foam surface conditions | — |
Secondary
| Measure | Time frame |
|---|---|
| Static standing balance baseline, at week 4 and 8 single leg standing (SLS) test in different sensory conditions measured by IMUs,Dynamic standing balance baseline, at week 4 and 8 Y-Balance test (YBT) reach distance normalizes by leg length and segment acceleration & angular velocity during YBT test measured by IMUs,Perceived instability baseline, at week 4 and 8 Cumberland Ankle Instability Tool-Youth (CAITY) score,Self-report ankle function baseline, at week 4 and 8 Functional Ankle Ability Measure (FAAM) score,Fear of movement (Kinesiophobia) baseline, at week 4 and 8 TAMPA scale for kinesiophobia (TSK) ,Intrinsic motivation at week 4 Intrinsic Motivation Inventory (IMI),Exercise adherence at week 4 Exercise Adherence Rating Scale (EARS) | — |
Countries
Thailand
Contacts
Public ContactThitirat Suphasubtrakul
Faculty of Physical Therapy, Mahidol University
Outcome results
None listed