Effects of Progressive Exercise Method Using Balance Board in Recreational Athletes With Functional Ankle Instability

NCT06041243 | Completed

• 1 other identifier: ATADEK 2023-10/347
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Ankle sprains are common injuries in physically active individuals who are involved in sports such as soccer and volleyball. It is also frequently seen in sedentary individuals who are not physically active and in people who engage in recreational sports. The recurrence rate of lateral ankle sprains has been shown to be 80%. Functional Ankle Instability can be defined as recurrent ankle sprain and/or a "giving away sensation" happens after the initial sprain. Conservative treatments are recommended to prevent recurrent injuries and to return to activity after stability, since the group that usually experiences a feeling of stability consists of young people. As a treatment, sensory and cognitive notifications and exercise applications that involve progression by increasingly challenging the individual, including reducing the support surface and changing the center of gravity, are recommended. The Balance Board is a simple, cheap and applicable tool used to improve balance in treatment. In addition to improving balance, it reduces ankle sprains by up to 50%. The balance board can train the ankle unidirectionally or multiaxially. Unidirectional balance usually allows uniaxial movement based on a flat wood and a semicircle underneath. Multiaxial balance board systems are systems that allow multi-directional movement in all axes regardless of the position of the foot. It was reported that the performance gained as a result of the use of the multiaxial balance board was long-lasting and showed a rapid recovery in injuries. It has been concluded that balance training with a balance board restores the normal neuromuscular feedback loop by improving mechanoreceptor function, which contributes to the retraining of the sensorimotor system. The use of game elements in treatment is defined as gamification and is a cheap and alternative method to perform various medical procedures. The increasing interest in gamification is due to lack of compliance with traditional treatment, increase in health care costs and inequitable access to health care. Musculoskeletal disorders are one of the leading causes of physical disability worldwide and gamification can be useful in various musculoskeletal rehabilitation such as tendonitis, degenerative joint disorders, neural compressions. Games are more attractive to patients and provide therapists with a wide range of alternatives for rehabilitation, making the treatment more dynamic and attractive. The aim of our study was to investigate the effects of the exercise method on ankle stability, ankle functionality and enjoyment level of exercise in individuals with functional ankle instability.

Conditions

Ankle Injuries

Keywords

ankle instability; game-based exercises; postural balance; physical performance; recreational athletes

Outcome Measures

Primary Outcomes (1)

• Star Excursion Balance Test

  Straight lines are drawn on the floor in anterior, posterolateral and posteromedial directions. The individual is in the middle of these directions with the leg with instability on the floor. The other leg is asked to reach in these directions. The individual is asked to reach each of these four directions three times and the average is taken.

  4 weeks

Secondary Outcomes (9)

• Foot Lift Test

  4 weeks

• Static Balance

  4 weeks

• 8 Figure Jump Test

  4 weeks

• Side Jump Test

  4 weeks

• Short Form-12 Quality of Life Scale

  4 weeks

Study Arms (2)

Treatment

EXPERIMENTAL

Game-based balance exercises on BoBo Home Balance Board

Other: Game-Based Exercises

Control

NO INTERVENTION

Interventions

Game-Based Exercises OTHER

Exercises aimed to improve postural balance with four different games

Treatment

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participating recreational sports and doing at least 1.5 hours of cardiovascular or resistance training per week,
• History of one or more ankle sprains,
• Functional Ankle Instability Definition (FABIT) score \>11,
• Having experienced a sprain/loss of instability in the last 6 months,
• Volunteering to attend the study.

You may not qualify if:

• History of an active injury in both lower extremities,
• History of surgery or fracture in both lower extremities,
• Visual, auditory and vestibular problems,
• Neurological and rheumatologic diseases.

Sponsors & Collaborators

• Acibadem University: lead

Study Sites (1)

Acıbadem Mehmet Ali Aydınlar University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Ankle Injuries

Condition Hierarchy (Ancestors)

Leg Injuries; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: September 11, 2023
• First Posted: September 18, 2023
• Study Start: September 11, 2023
• Primary Completion: February 15, 2024
• Study Completion: February 15, 2024
• Last Updated: June 4, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)