The Effect of Balance Training Following STARS on Postural Control

NCT05602233 | Completed

• 1 other identifier: Ankle-BAU&HBU-20221012
• Study Type: interventional
• Target: 21
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic ankle instability (CAI) is defined as the symptoms continuing 12 months after the first sprain and the functional and/or mechanical instability reported by the individual. The number of researches that include a combined treatment approach that will affect both sensory and motor components in rehabilitation strategies applied for CAI is limited. The aim of this study is to isolated sensory, isolated motor and combined targeted approaches for the treatment of chronic ankle instability (CAI); to compare the effects on postural control, range of motion, function and kinesiophobia and to contribute to an effective approach related to the applicability of Sensory-Targeted Ankle Rehabilitation Strategies in the treatment of CAI.

Conditions

Kinesiophobia; Ankle Sprains; Sensory Deficit; Ankle Instability; Functional Performance

Outcome Measures

Primary Outcomes (1)

• Postural control evaluation change

  Star excursion balance test (SEBT): The star excursion balance test is frequently used to evaluate the dynamic balance and postural control of the lower extremities. SEBT, is a test that measures the maximum reach of the individual by maintaining balance and performing a single-leg squat in lines drawn at 45 degrees intervals in eight different directions. The participant stands in the middle of the star shape with bare feet. For the starting position, the ankle should be stationary, the hands on the hips, and the participant should maintain the starting position throughout the test. The participant is asked to reach anteriorly, posteromedially and posterolaterally with the unstable ankle, make a light touch to the line, and rotate the outstretched leg back to the center while maintaining a one-leg stance with the other leg.The participant will be allowed to make 4 trials in each direction

  Change from Baseline postural control at 6 weeks

Secondary Outcomes (3)

• Ankle dorsiflexion measurement change

  Change from baseline ankle dorsiflexion measurement at 6 weeks

• Function change

  Change from baseline ankle function measurement at 6 weeks

• Kinesiophobia change

  Change from baseline kinesiophobia measurement at 6 weeks

Study Arms (3)

Balance training:

EXPERIMENTAL

It is planned to apply hop to stabilization exercises developed by Mckeon et al. The training will be given for 6 weeks, 3 times a week for 20 minutes. This phased balance training program is based on the participant's ability to maintain a single limb posture while performing balance activities. The program includes: 1) hop to stabilization, 2) hop to stabilization and reach, 3) hop to stabilization box drill, 4) progressive single-limb stance balance activities with eyes open, and 5) progressive single-limb stance activities with eyes closed. Participants will be followed up with a physiotherapist and will be able to proceed to the next stage of the test after completing the previous level without errors.

Other: Exercise

STARS

EXPERIMENTAL

A combination of STARS developed by Mckeon et al. is planned for the STARS group. The training will be given for 6 weeks, 3 times a week for 5 minutes. STARS includes; joint mobilization, plantar massage and triceps surae stretching.

Other: STARS (Sensory-Targeted Ankle Rehabilitation Strategies)

Combined Training

EXPERIMENTAL

Each participant in the combined training program will receive 4 weeks of balance training after 2 weeks of STARS treatment. STARS and hop to stabilization treatment protocol will be applied in the same way.

Other: Exercise; Other: STARS (Sensory-Targeted Ankle Rehabilitation Strategies)

Interventions

Exercise OTHER

The training will be given for 6 weeks, 3 times a week for 20 minutes. This phased balance training program is based on the participant's ability to maintain a single limb posture while performing balance activities. The program includes: 1) hop to stabilization, 2) hop to stabilization and reach, 3) hop to stabilization box drill, 4) progressive single-limb stance balance activities with eyes open, and 5) progressive single-limb stance activities with eyes closed. Participants will be followed up with a physiotherapist and will be able to proceed to the next stage of the test after completing the previous level without errors.

Balance training:; Combined Training

STARS (Sensory-Targeted Ankle Rehabilitation Strategies) OTHER

STARS includes; joint mobilization, plantar massage and triceps surae stretching. The training will be given for 6 weeks, 3 times a week for 5 minutes.

Combined Training; STARS

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• History of first ankle sprain more than 1 year ago
• Having at least 2 "give away" episodes in the last 6 months
• Identification of Functional Ankle Instability's score above 11
• age range
• Foot and Ankle Ability Measure (FAAM), the score of which is less than %90
• Foot and Ankle Ability Measure Sports scale (FAAM-S), the score of which is less than %80

You may not qualify if:

• History of lower extremity surgery
• History of disease that may affect sensorimotor function in the lower extremity
• Musculoskeletal disorders that may affect balance

Sponsors & Collaborators

• Bahçeşehir University: lead
• Nevsehir Haci Bektas Veli University: collaborator

Study Sites (1)

Bahcesehir University

Beşiktaş, Istanbul, 34353, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Kinesiophobia; Ankle Injuries

Interventions

Exercise

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders; Leg Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Pelin Pişirici, PhD, PT

  Bahçeşehir University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department

  STUDY CHAIR

• Serkan Uzlaşır, PhD, PT

  Nevsehir Haci Bektas Unıversity, Faculty of Sports Sciences, Department of Coaching Education

  STUDY DIRECTOR

• Aynur Merve Zümre, PT

  Bahçeşehir University, Graduate Education Institute, Physical Therapy and Rehabilitation Program

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The physiotherapist who made the evaluations will be blind to the groups. He will not know which treatment method will be applied to the participants.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor, PT, PhD

Model Details: Participants between the ages of 18-25, diagnosed with chronic ankle sprain who met the inclusion criteria will be included in the study. Sample size of the study is calculated as 21. All evaluations of the participants, including postural control, weight bearing dorsiflexion angle measurement, function and kinesiophobia will be made by the same physiotherapist. The physiotherapist who made the evaluations will not know which treatment method will be applied to the participants.

Study Record Dates

• First Submitted: October 26, 2022
• First Posted: November 2, 2022
• Study Start: November 1, 2022
• Primary Completion: January 1, 2023
• Study Completion: January 30, 2023
• Last Updated: January 31, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)