NCT03598985

Brief Summary

This study aims at investigating the validity and reliability of a smartphone application "MyAnkle: in assessing the balance component of postural control in patients with chronic ankle instability (CAI).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
67

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Jul 2018

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 16, 2018

Completed
7 days until next milestone

Study Start

First participant enrolled

July 23, 2018

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 26, 2018

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 27, 2019

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 30, 2019

Completed
Last Updated

October 23, 2019

Status Verified

October 1, 2019

Enrollment Period

7 months

First QC Date

July 16, 2018

Last Update Submit

October 22, 2019

Conditions

Keywords

BalanceSmartphoneValidityReliabilitychronic ankle instability

Outcome Measures

Primary Outcomes (1)

  • Concurrent validity of smartphone MyAnkle application

    Correlation between the score of "MyAnkle" smartphone balance application and stability score of the Biodex balance system.

    One day

Secondary Outcomes (2)

  • Intrarater reliability of smartphone measurements

    one week

  • Interrater reliability of smartphone measurements

    one day

Study Arms (2)

Patients with CAI

Patients referred with a confirmed diagnosis of CAI, with a Cumberland Ankle Instability tool score lower than 27 points. Patients should have had a recurrent sprain within the previous year. Patients will have their balance assessed using the "Myankle" smartphone application simultaneously with Biodex balance system assessment.

Diagnostic Test: Smartphone "MyAnkle" balance application

Healthy participants

Healthy participants who are not complaining of pain and have not be exposed to trauma, injury or undergone surgery for the lower quadrant of the body. Participants will have their balance assessed using the "MyAnkle" smartphone application simultaneously with Biodex balance system assessment.

Diagnostic Test: Smartphone "MyAnkle" balance application

Interventions

Balance will be assessed simultaneously using "MyAnkle" application and the Biodex balance system. The smartphone will be fixed to the middle of the shin with an armband. Participants will assume a single leg stance on each side under two conditions: eyes opened and closed. Testing will be done at three levels of difficulty; least difficult (level 8), moderate (level 6) and severe difficult (level 4). A conditioning trial for each level will be given for 30 seconds. Further, a 2-minute rest between tests will be given. During the testing, participants should not touch the ground or stance limb by other limb nor to grasp the handrail. Participants will repeat the same testing in two separate sessions, with one-week interval in between.

Also known as: Biodex Balance system
Healthy participantsPatients with CAI

Eligibility Criteria

Age18 Years - 35 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Fifty patients with CAI and 50 gender-, BMI and age-matched healthy volunteers will be enrolled in this study. Healthy participants will be recruited from undergraduate and graduate students of the faculty of Physical Therapy, Cairo University, Egypt. All healthy subjects will be asymptomatic with no neuromusculoskeletal signs or symptoms. Male and female adult patients with CAI will be recruited from the outpatient clinic of the faculties of Physical Therapy and Medicine, Cairo University, Egypt.

You may qualify if:

  • Adult males and females aging from 18 to 35 years old.
  • Referred with a confirmed diagnosis of CAI, with a Cumberland Ankle Instability tool score lower than 27 points.
  • Had a recurrent sprain within the previous year.

You may not qualify if:

  • History of major surgery of lower limb or spine.
  • History of ankle fracture or any other lower limb fracture in the past 2 years.
  • History of lower limb injury 3 months prior to study.
  • Presence of problems that affect balance performance as visual or vestibular deficits, neurologic disease, or cerebral concussions during the past 3 months.
  • Being currently enrolled in a balance training rehabilitation program.
  • Weakness of lower limb musculatures or trunk upon screening muscle testing by the investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of Physical therapy, Cairo University

Giza, 11391, Egypt

Location

Related Publications (21)

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    PMID: 15728682BACKGROUND
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    PMID: 7810781BACKGROUND
  • Capela NA, Lemaire ED, Baddour N, Rudolf M, Goljar N, Burger H. Evaluation of a smartphone human activity recognition application with able-bodied and stroke participants. J Neuroeng Rehabil. 2016 Jan 20;13:5. doi: 10.1186/s12984-016-0114-0.

    PMID: 26792670BACKGROUND
  • Chiu YL, Tsai YJ, Lin CH, Hou YR, Sung WH. Evaluation of a smartphone-based assessment system in subjects with chronic ankle instability. Comput Methods Programs Biomed. 2017 Feb;139:191-195. doi: 10.1016/j.cmpb.2016.11.005. Epub 2016 Nov 11.

    PMID: 28187890BACKGROUND
  • Delahunt E, Monaghan K, Caulfield B. Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. J Orthop Res. 2006 Oct;24(10):1991-2000. doi: 10.1002/jor.20235.

    PMID: 16894592BACKGROUND
  • Delahunt E, Monaghan K, Caulfield B. Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional instability of the ankle joint. Am J Sports Med. 2006 Dec;34(12):1970-6. doi: 10.1177/0363546506290989. Epub 2006 Aug 22.

    PMID: 16926342BACKGROUND
  • Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014 Jan;44(1):123-40. doi: 10.1007/s40279-013-0102-5.

    PMID: 24105612BACKGROUND
  • Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006 Sep;87(9):1235-41. doi: 10.1016/j.apmr.2006.05.022.

    PMID: 16935061BACKGROUND
  • Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br. 1965 Nov;47(4):678-85. No abstract available.

    PMID: 5846767BACKGROUND
  • Garrick JG. The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med. 1977 Nov-Dec;5(6):241-2. doi: 10.1177/036354657700500606. No abstract available.

    PMID: 563179BACKGROUND
  • Patterson JA, Amick RZ, Thummar T, Rogers ME. Validation of measures from the smartphone sway balance application: a pilot study. Int J Sports Phys Ther. 2014 Apr;9(2):135-9.

    PMID: 24790774BACKGROUND
  • Triantafyllidis AK, Velardo C, Salvi D, Shah SA, Koutkias VG, Tarassenko L. A Survey of Mobile Phone Sensing, Self-Reporting, and Social Sharing for Pervasive Healthcare. IEEE J Biomed Health Inform. 2017 Jan;21(1):218-227. doi: 10.1109/JBHI.2015.2483902. Epub 2015 Sep 29.

    PMID: 26441432BACKGROUND
  • Mourcou Q, Fleury A, Diot B, Vuillerme N. iProprio: a smartphone-based system to measure and improve proprioceptive function. Annu Int Conf IEEE Eng Med Biol Soc. 2016 Aug;2016:2622-2625. doi: 10.1109/EMBC.2016.7591268.

    PMID: 28268860BACKGROUND
  • Perron M, Hebert LJ, McFadyen BJ, Belzile S, Regniere M. The ability of the Biodex Stability System to distinguish level of function in subjects with a second-degree ankle sprain. Clin Rehabil. 2007 Jan;21(1):73-81. doi: 10.1177/0269215506071288.

    PMID: 17213244BACKGROUND
  • Roeing KL, Hsieh KL, Sosnoff JJ. A systematic review of balance and fall risk assessments with mobile phone technology. Arch Gerontol Geriatr. 2017 Nov;73:222-226. doi: 10.1016/j.archger.2017.08.002. Epub 2017 Aug 4.

    PMID: 28843965BACKGROUND
  • Ross SE, Guskiewicz KM. Examination of static and dynamic postural stability in individuals with functionally stable and unstable ankles. Clin J Sport Med. 2004 Nov;14(6):332-8. doi: 10.1097/00042752-200411000-00002.

    PMID: 15523204BACKGROUND
  • Hertel J. Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. J Athl Train. 2002 Dec;37(4):364-375.

    PMID: 12937557BACKGROUND
  • Ross SE, Guskiewicz KM, Gross MT, Yu B. Balance measures for discriminating between functionally unstable and stable ankles. Med Sci Sports Exerc. 2009 Feb;41(2):399-407. doi: 10.1249/MSS.0b013e3181872d89.

    PMID: 19127184BACKGROUND
  • Schwenk M, Mohler J, Wendel C, D'Huyvetter K, Fain M, Taylor-Piliae R, Najafi B. Wearable sensor-based in-home assessment of gait, balance, and physical activity for discrimination of frailty status: baseline results of the Arizona frailty cohort study. Gerontology. 2015;61(3):258-67. doi: 10.1159/000369095. Epub 2014 Dec 24.

    PMID: 25547185BACKGROUND
  • Shah N, Aleong R, So I. Novel Use of a Smartphone to Measure Standing Balance. JMIR Rehabil Assist Technol. 2016 Mar 29;3(1):e4. doi: 10.2196/rehab.4511.

    PMID: 28582247BACKGROUND
  • Testerman C, Vander Griend R. Evaluation of ankle instability using the Biodex Stability System. Foot Ankle Int. 1999 May;20(5):317-21. doi: 10.1177/107110079902000510.

    PMID: 10353771BACKGROUND

Study Officials

  • Aliaa Rehan Youssef, PhD

    Cairo University, Faculty of Physical Therapy

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
assistant professor

Study Record Dates

First Submitted

July 16, 2018

First Posted

July 26, 2018

Study Start

July 23, 2018

Primary Completion

February 27, 2019

Study Completion

May 30, 2019

Last Updated

October 23, 2019

Record last verified: 2019-10

Data Sharing

IPD Sharing
Will share

Individual participant data for all primary and secondary outcome measures will be made available.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
Data will be available within 6 months of study completion.
Access Criteria
Data access requests will be reviewed by an external independent review panel. Requestors will be required to sign a data access agreement.

Locations