Effect of Balance Training Protocols on Balance, Proprioception, ROM, and Pain in Athlete With Chronic Ankle Instability

NCT04599985 | Completed

• 1 other identifier: RRC-2019-11
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The ankle joint sustains injuries particularly in athletics/sports activities at a high rate, resulting in loss of static \& dynamic balance, neuromuscular control, and diminished lower extremity's function. This study aimed to compare the effectiveness of two balance-training protocols on balance, proprioception, range of motion (ROM), and pain in male athletes with chronic ankle instability (CAI). Both the balance training protocols were proven to be equally effective in improving the static \& dynamic balance, proprioception, ROM, and pain in athletes with CAI.

Conditions

Chronic Ankle Instability

Outcome Measures

Primary Outcomes (5)

• Static Balance

  Static balance assessed by single-leg stance time test with eyes open and closed. It measures the time (in sec) taken by an individual to uphold their base of support with minimal movement while standing on single leg.

  4-weeks

• Proprioception

  Assessed by foot position sense. Foot position sense recorded by placing the ankle joint of non-affected side in some degrees of either dorsiflexion or plantarflexion, and asking athlete to match the position with the affected ankle with eyes closed. Angle of difference in the position of ankles was noted in degrees.

  4-weeks

• Pain intensity,

  assessed by Visual Analog Scale (VAS). A 10-cm horizontal line marked with 0 (no pain) and 10 (worst pain) on its either end.

  4-weeks

• Ankle Range of motion

  Assessed by hand held half-circle goniometer marked with 0 and 180 degree at either end. It has two arm named as stable arm which is fixed in line with the axis of the non-movable arm and movable arm of goniometer is fixed with the movable arm of the body. It is measured in degree.

  4-weeks

• Dynamic balance

  The dynamic balance assessed by Star Excursion Balance Test (SEB test) where an individual was asked to stand barefooted on the affected leg and attempt to reach farthest in all 8-directions one by one with the swing leg and return to the starting position while maintaining the balance on the stance leg. Either falling of swing leg or the deviation of stance-leg from its fixed place while attempting to reach farthest in a particular direction and reaching to its starting position considered as a foul to the test and discarded the reading until correct reach performed.

  4-weeks

Study Arms (2)

Star excursion balance training (SEBT)

EXPERIMENTAL

Received star excursion balance training (SEBT) program. Performed 3-trials in all 8 directions of the SEBT grid.

Other: star excursion balance training (SEBT)

Simplified star excursion balance training (SSEBT)

ACTIVE COMPARATOR

Received simplified star excursion balance training (SSEBT) program. Performed 3-trials in all 3 directions of SSEBT grid.

Other: Simplified star excursion balance training (SSEBT)

Interventions

star excursion balance training (SEBT) OTHER

The SEBT is aimed to be maintained the single limb stance on one leg while reaching farthest possible with the swing leg. An individual can reach farthest with the swing leg while maintaining the balance on the stance leg

Star excursion balance training (SEBT)

Simplified star excursion balance training (SSEBT) OTHER

It is one of the training protocols, in a simplified way, with respect to star excursion balance test. It consists a series of reaching tasks for the lower limbs in three-directions i.e., anteromedial, medial and posteromedial.

Simplified star excursion balance training (SSEBT)

Eligibility Criteria

• Age: 18 Years - 24 Years
• Gender Eligibility Details: Young adult athletes with chronic ankle instability
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Self-reported case of unilateral CAI with grade I \& II verified on CT/MRI by orthopedic surgeon;
• Aged between 18-25 years;
• Onset between 2 to 6 months;
• Exhibited enough strength and flexibility of lower extremity, available ankle ROM, and coordination to execute SEBT and SSEBT.

You may not qualify if:

• Self-reported case of bilateral CAI;
• Grade III ankle sprain;
• No past injuries to the lower extremity including ankle sprain within 2-months prior to the commencement of the study;
• Exhibited any neurological, vestibular, and visual disorder;
• Showed muscle tightness, muscle weakness and joint stiffness of lower extremity;
• History of fracture to the ankle; and
• Showed non-cooperation for the study

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

Rehabilitation Research Chair

Riyadh, 11433, Saudi Arabia

Location

Study Officials

• AMIR IQBAL, MPT-Ortho

  Rehabilitation Research Chair, CAMS, King Saud University, Riyadh, Saudi Arabia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Two-arm, parallel groups randomized comparative Trial.

Study Record Dates

• First Submitted: October 12, 2020
• First Posted: October 23, 2020
• Study Start: March 10, 2019
• Primary Completion: June 19, 2019
• Study Completion: October 21, 2019
• Last Updated: October 23, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)