Analysis of Sensory Motor Training in Chronic Ankle Instability

NCT03768583 | Completed DMC

• 1 other identifier: Sensory motor training
• Study Type: interventional
• Target: 29
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Sensory motor training (STS) is part of rehabilitation and injury prevention in individuals with chronic ankle instability (ICS). The use of footwear during SST may interfere with neuromuscular responses, but little is known about the difference in motor control response when training is applied with the use of shoes or bare feet. Objectives: To establish the effect of sensory motor training with and without sports shoes on the dynamic postural control of athletes with chronic ankle instability. Materials and Methods: The study will be performed with athletes linked to the Athletics of the State University of Londrina, aged between 18 and 30 years, both sexes, with chronic ankle instability assessed using the Cumberland Ankle Instability Tool (CAIT) questionnaire. Dynamic postural control will be evaluated in Force Platform and muscle recruitment through the electromyography of the muscles: anterior tibial, lateral and medial gastrocnemius, long fibular, gluteus maximus and gluteus medius. After the evaluation the volunteers will be randomized into two groups: 1) barefoot sensory-motor training and 2) sensory motor training with sneakers. The two groups will develop the same protocol of sensory motor training consisting of exercises, for five weeks, twice a week. At the end of the training they will be re-evaluated and the data analyzed. Expected Results: It is expected to find better postural control in the group that will perform in barefoot sensory-motor training.

Conditions

Recruitment

Keywords

Postural Balace; Physioteraphy; Ankle Injuries; Electromyography

Outcome Measures

Primary Outcomes (1)

• Postural control response after intervention

  Response of sensorial motor training in improving motor control in volunteers with chronic ankle instability or not. Will use force platform.

  twenty weeks

Secondary Outcomes (2)

• Muscle recruitment response after intervention

  twenty weeks

• measurement ankle dorsiflexion

  twenty weeks

Study Arms (4)

Group TSM ICT sneakers

EXPERIMENTAL

* ICT with sneaker * five weeks * twice a week * half hour.

Other: Group TSM ICT sneakers

Group TSM ICT barefoot

EXPERIMENTAL

* ICT barefoot * five weeks * twice a week * half hour.

Other: Group TSM ICT barefoot

Group TSM health barefoot

EXPERIMENTAL

* Health with sneaker * five weeks * twice a week * half hour.

Other: Group TSM health barefoot

Group TSM health sneakers

EXPERIMENTAL

* Health barefoot * five weeks * twice a week * half hour.

Other: Group TSM health sneaker

Interventions

Group TSM ICT sneakers OTHER

Sensory motor training with sneakers for volunteers with Chronic ankle instability, for five weeks, twice a week.

Group TSM ICT sneakers

Group TSM ICT barefoot OTHER

Sensory motor training without sneakers for volunteers with Chronic ankle instability, for five weeks, twice a week.

Group TSM ICT barefoot

Group TSM health sneaker OTHER

Sensory motor training with sneakers for volunteers with Chronic ankle instability, for five weeks, twice a week.

Group TSM health sneakers

Group TSM health barefoot OTHER

Sensory motor training without sneaker for volunteers with Chronic ankle instability, for five weeks, twice a week.

Group TSM health barefoot

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• athletes of both sexes
• aged between 18 and 30 years,
• with history of the first ankle sprain for at least 12 months,
• feeling of instability or "flaccidity" of the ankle
• score determined by the CAIT questionnaire of less than 24,
• have not undergone sensory-motor or conventional physiotherapy training in the last six months.

You may not qualify if:

• Withdrawal at the time of the evaluation,
• Recurrence of sprain accompanied by signs of inflammation, acute and painful complaints in the lower group,
• history of lower limb surgery, neurological, cardiovascular, rheumatologic, diabetes, altered plantar sensitivity.

Sponsors & Collaborators

• Universidade Estadual de Londrina: lead

Study Sites (1)

university hospital of the State University of Londrina

Londrina, Paraná, 86038-350, Brazil

Location

Related Publications (3)

• 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: 16935061 BACKGROUND

• Konradsen L, Bech L, Ehrenbjerg M, Nickelsen T. Seven years follow-up after ankle inversion trauma. Scand J Med Sci Sports. 2002 Jun;12(3):129-35. doi: 10.1034/j.1600-0838.2002.02104.x.

  PMID: 12135444 BACKGROUND

• Heleno LR, da Silva RA, Shigaki L, Araujo CG, Coelho Candido CR, Okazaki VH, Frisseli A, Macedo CS. Five-week sensory motor training program improves functional performance and postural control in young male soccer players - A blind randomized clinical trial. Phys Ther Sport. 2016 Nov;22:74-80. doi: 10.1016/j.ptsp.2016.05.004. Epub 2016 May 10.

  PMID: 27620862 BACKGROUND

MeSH Terms

Conditions

Ankle Injuries

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Study Officials

• Christiane Macedo

  State University of Londrina

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 21, 2018
• First Posted: December 7, 2018
• Study Start: August 20, 2018
• Primary Completion: July 20, 2019
• Study Completion: July 30, 2019
• Last Updated: August 20, 2019

Record last verified: 2018-07

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)