Neuromuscular Training vs Strength Training

NCT05250739 | Completed

• 1 other identifier: ANKLEST
• Study Type: interventional
• Target: 67
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic ankle instability is a complex condition. Limited mobility, perceived instability, and recurrent ankle sprains are common characteristics that reduce the quality of life in subjects who suffer chronic ankle instability. Neuromuscular training and strength training has been recommended in chronic ankle instability management interventions. However, there are contradictory findings on results when comparing neuromuscular training, strength training, and control group.

Conditions

Ankle Injuries

Outcome Measures

Primary Outcomes (1)

• Self-reported instability

  To determine the presence and severity of chronic ankle instability, participants completed the Cumberland Ankle Instability Tool, a valid and reliable instrument for measuring the severity of ankle instability. The Cumberland Ankle Instability Tool is a 9-item subjective questionnaire with a range score from 0 (severe instability) to 30 (normal stability)

  From baseline to eight weeks

Secondary Outcomes (3)

• Ankle range of motion

  From baseline to eight weeks

• Dynamic balance

  From baseline to eight weeks

• Functional status

  From baseline to eight weeks

Study Arms (3)

Strength training

EXPERIMENTAL

Participants completed 16 training sessions of strength training during eight weeks.

Other: Strength training

Neuromuscular training

EXPERIMENTAL

Participants completed 16 training sessions of neuromuscular training during eight weeks.

Other: Neuromuscular training

Control group

NO INTERVENTION

The Control group received no intervention.

Interventions

Strength training OTHER

Strength training was performed with resistance bands. The band was fastened to the unaffected ankle, while the participant was told to perform front and back pulls, as well as adduction and abduction movements with the affected ankle. They were told to control the ankle movement and to make it slow. Since the first day, they were told to perform the exercise pulling the band as if they wanted to make the resistance of 5 on a scale from 0 to 10.

Strength training

Neuromuscular training OTHER

consisted in a multi-station training with 6 exercises, increasing the difficulty progressively as the participants controlled the execution. The exercises were all performed barefoot and with the injured foot. These were a combination of standing and jumping exercises involving the injured ankle. The participants did not start the next progression until they perform a complete circuit in the level before.

Neuromuscular training

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• To have suffered the first sprain at least 6 months before the beginning of the study.
• Cumberland ankle instability score ≤24.
• To be physically active.

You may not qualify if:

• Participants could not have suffered an acute sprain in the 6 previous weeks to the beginning of the study.
• History of recent ankle surgery.
• Epilepsy or previous seizures.

Sponsors & Collaborators

• DAVID CRUZ DÍAZ: lead

Study Sites (1)

University of Jaen

Jaén, 23071, Spain

Location

Related Publications (3)

• Halabchi F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World J Orthop. 2020 Dec 18;11(12):534-558. doi: 10.5312/wjo.v11.i12.534. eCollection 2020 Dec 18.

  PMID: 33362991 BACKGROUND

• Beynnon BD, Vacek PM, Murphy D, Alosa D, Paller D. First-time inversion ankle ligament trauma: the effects of sex, level of competition, and sport on the incidence of injury. Am J Sports Med. 2005 Oct;33(10):1485-91. doi: 10.1177/0363546505275490. Epub 2005 Jul 11.

  PMID: 16009979 BACKGROUND

• Ahern L, Nicholson O, O'Sullivan D, McVeigh JG. Effect of Functional Rehabilitation on Performance of the Star Excursion Balance Test Among Recreational Athletes With Chronic Ankle Instability: A Systematic Review. Arch Rehabil Res Clin Transl. 2021 May 21;3(3):100133. doi: 10.1016/j.arrct.2021.100133. eCollection 2021 Sep.

  PMID: 34589684 BACKGROUND

MeSH Terms

Conditions

Ankle Injuries

Interventions

Resistance Training

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• David Cruz-Diaz, PhD

  University of Jaen

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: An independent assessor blinded to the data collection was responsible for the allocation process. A list of the computer-generated number was employed to assign participants to experimental or control group
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Model Details: A single-blind randomized controlled trial.

Study Record Dates

• First Submitted: February 10, 2022
• First Posted: February 22, 2022
• Study Start: March 1, 2021
• Primary Completion: October 1, 2021
• Study Completion: November 10, 2021
• Last Updated: March 10, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)