Core Stability Traning Exercises in Chronic Ankle Instability in Atheletes

NCT06678503 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005346
• Study Type: interventional
• Target: 28
• Locations: 0 countries
• Sites: N/A

Brief Summary

To study the effect of adding Core stability exercise to the conventional Program of Chronic ankle instability on balance, Functional instability, and Performance in athletes with CAI

Conditions

Chronic Ankle Instability and Balance

Keywords

Core stability Balance CAI Atheletes

Outcome Measures

Primary Outcomes (1)

• Star Excursion Balance test

  is a reliable functional test to evaluate dynamic postural control of the lower limb and distinguish CAI from copers and healthy individuals

  4 weeks

Secondary Outcomes (2)

• Functional Instability

  4 weeks

• Functional Performance

  4 weeks

Study Arms (2)

Control Group

ACTIVE COMPARATOR

1. Single legged stance: 2. Single-legged stance on the balance board 3. Single legged hop 4. Quadrant Hop: 5. Single legged Ball Catch: 6. Hop ups and downs:

Other: balance exercise

Experimental Group

EXPERIMENTAL

Participants Will perform the same exercises in addition to core exercises The core exercises will include 12 different exercises: Week 1 : 1. Abdominal Drawing In 2. Abdominal Drawing in with alternating lower limb movement 3. Pelvic tilting with standing 4. Forward lunge Week 2 : 1. Bracing with bridging 2. Curl up with bracing 3. Quadruped with bracing 4. Side plank with knee flexed Week 3 : 1. Bracing with straight leg raising 2. Quadruped leg lift with bracing 3. Bridging with bracing on a Swiss ball 4. Side plank with the knee extended Week 4 : 1. Alternate arm and leg raise from quadruped 2. Abdominal drawing in with a squat against a wall 3. Single limb deadlift 4. Squat with overhead sustained lift

Other: balance exercise; Other: Core stability exercises

Interventions

balance exercise OTHER

Balance exercises are physical activities designed to improve stability, coordination, and posture by challenging the body's ability to maintain an upright position. These exercises target the muscles and systems involved in balance, particularly the core, legs, and the sensory systems (like vision and proprioception).

Control Group; Experimental Group

Core stability exercises OTHER

Core stability exercises are physical activities designed to improve the strength, endurance, and coordination of the muscles that support and stabilize the spine, pelvis, and torso. These exercises specifically target the muscles of the abdomen, lower back, hips, and pelvis, collectively referred to as the "core." The goal is to enhance overall posture, prevent injury, and improve performance in daily activities or sports by increasing the body's ability to stabilize itself during movement.

Experimental Group

Eligibility Criteria

• Age: 19 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Athletes having a history of chronic lateral ankle sprain during the offseason period.
• \. Patients aged between 19-30 years, with BMI ranging between (18.5-29.5kg/m2).
• \. Patients having unilateral CAI with the diagnosis to be based on the criteria described by the International Ankle Consortium for enrolling patients of CAI in controlled research (Gribble et al., 2014) as follows:
• A history of at least one significant ankle sprain (the initial sprain must have occurred at least more than 3 months prior to study enrollment, at least one interrupted day of desired physical activity.
• Participants should report at least 2 episodes of giving way and/or recurrent sprain and/or feelings of instability in the 6 months prior to study enrollment.
• Self-reported ankle instability should be confirmed using a validated ankle instability questionnaire, CAIT\>24.

You may not qualify if:

• Those with a history of spine, pelvis, and lower extremity injury, fracture, or surgery.
• Those with LBP that required medical or surgical intervention. 3- Those who participated in supervised or unsupervised ankle rehabilitation within 3 months before enrollment in the study.
• Having a history of an acute lower extremity injury in the 3 months before the study.
• \. Participation in formal rehabilitation in the 3 months before the study. 6. Having a history of lower extremity surgery or fracture that required alignment in the involved limb.
• \. Being diagnosed with neurologic dysfunction, such as multiple sclerosis, Parkinson's disease, or head injury.

Sponsors & Collaborators

• Pharos University in Alexandria: lead

Related Publications (5)

• Huang PY, Chen WL, Lin CF, Lee HJ. Lower extremity biomechanics in athletes with ankle instability after a 6-week integrated training program. J Athl Train. 2014 Mar-Apr;49(2):163-72. doi: 10.4085/1062-6050-49.2.10. Epub 2014 Feb 25.

  PMID: 24568224 BACKGROUND

• Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. Epidemiology of Ankle Sprains and Chronic Ankle Instability. J Athl Train. 2019 Jun;54(6):603-610. doi: 10.4085/1062-6050-447-17. Epub 2019 May 28.

  PMID: 31135209 RESULT

• Hale SA, Fergus A, Axmacher R, Kiser K. Bilateral improvements in lower extremity function after unilateral balance training in individuals with chronic ankle instability. J Athl Train. 2014 Mar-Apr;49(2):181-91. doi: 10.4085/1062-6050-49.2.06. Epub 2014 Feb 25.

  PMID: 24568231 RESULT

• Hall EA, Chomistek AK, Kingma JJ, Docherty CL. Balance- and Strength-Training Protocols to Improve Chronic Ankle Instability Deficits, Part I: Assessing Clinical Outcome Measures. J Athl Train. 2018 Jun;53(6):568-577. doi: 10.4085/1062-6050-385-16. Epub 2018 Jul 5.

  PMID: 29975573 RESULT

• Hiller CE, Nightingale EJ, Raymond J, Kilbreath SL, Burns J, Black DA, Refshauge KM. Prevalence and impact of chronic musculoskeletal ankle disorders in the community. Arch Phys Med Rehabil. 2012 Oct;93(10):1801-7. doi: 10.1016/j.apmr.2012.04.023. Epub 2012 May 7.

  PMID: 22575395 RESULT

Study Officials

• Enas Fawzy Yousef, Professor

  Cairo University

  STUDY CHAIR

• Tarek Saad, Associate Professor

  Cairo University

  STUDY DIRECTOR

• Aya Ahmed Nada, PHD

  Pharos University in Alexandria

  STUDY DIRECTOR

Central Study Contacts

Aya Ahme Nada, PHD

CONTACT

01285859034; Aya.ahmed@pua.edu.eg

Abanoub Malak Khalifa, Demonstrator

CONTACT

01271341177; abanoub.khalifa@pua.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: Triple ( Participant, Care provider, outcomes Assessor )
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical therapist

Study Record Dates

• First Submitted: November 6, 2024
• First Posted: November 7, 2024
• Study Start: December 1, 2024
• Primary Completion: June 1, 2025
• Study Completion (Estimated): June 1, 2026
• Last Updated: November 13, 2024

Record last verified: 2024-11