Assessment of Balance and Function After Lateral Ankle Ligament Repair
Study Details
Study Description
Brief Summary
Approximately 85% of ankle injuries are lateral region injuries.Surgical repair of lateral ligaments is indicated if there is more than 20 degrees of varus or more than 15 mm translation, if conservative treatment is ineffective and degree of damage is high and chronic instability has developed.After the surgery in addition to pain and edema control, weight transfer is not performed on the ankle for 6 weeks.Therefore, this process may adversely affect the muscle strength and range of motion of the ankle, and lower extremity performance and muscular synergies of balance.Although pathological changes caused by ligament damage have been investigated very well in the literature, it is not clear how surgical repair affects these changes. In our study we aim to investigate post-surgical changes.
Primary aim of the study is to evaluate the balance parameters of individuals who have undergone anterior talofibular ligament and / or calcaneofibular ligament repair, and its secondary purpose is to evaluate lower extremity performance, ankle functionality, pain, range of motion and muscle strength and compare them with healthy individuals.
Our hypothesis is that the balance, lower extremity performance and functionality, pain, range of motion and muscle strength of patients who have undergone ankle lateral ligament repair are worse than healthy individuals.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Patients with ATFL repair by arthroscopic method Patients who have passed at least 1 year after the operation Unilateral arthroscopic ATFL repair Between the ages of 18-65 Volunteer to participate in the study Without any orthopedic conditions, neuromuscular disease, balance disorder, cognitive disorder No history of fracture and surgical operation of the lower extremity |
Other: Balance assessment
Static balances will be measured with the Biodex-BioSway 950-462 static balance device according to 3 different standard test procedures (Postural Stability Test, Stability Limit Test and Modified Sensori Organization Test) in single foot stance and double foot stance.
Dynamic balances will be evaluated with the Y balance test.
Other Names:
Other: Functionality assessment
Functionality will be evaluated with the Lower Extremity Functional Scale and AOFAS (American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale)
Other Names:
Other: Performance assessment
Performance evaluation will be made with a single leg jump test and time up and go test.
Other Names:
Other: ROM assessment
Range of motion (ROM) of the ankle will be measured with an electrogonyometer in dorsi-plantar flexion.
Other Names:
|
| Control group Between the ages of 18-65 Volunteer to participate in the study Healthy individuals with no disease |
Other: Balance assessment
Static balances will be measured with the Biodex-BioSway 950-462 static balance device according to 3 different standard test procedures (Postural Stability Test, Stability Limit Test and Modified Sensori Organization Test) in single foot stance and double foot stance.
Dynamic balances will be evaluated with the Y balance test.
Other Names:
Other: Functionality assessment
Functionality will be evaluated with the Lower Extremity Functional Scale and AOFAS (American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale)
Other Names:
Other: Performance assessment
Performance evaluation will be made with a single leg jump test and time up and go test.
Other Names:
Other: ROM assessment
Range of motion (ROM) of the ankle will be measured with an electrogonyometer in dorsi-plantar flexion.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Static balance assessment-Postural Stability Test [1 year postoperatively]
Postural Stability will be measured with the Biodex-BioSway 950-462 static balance device in single foot stance and double foot stance.
- Static balance assessment-Stability Limit Test [1 year postoperatively]
Stability Limit will be measured with the Biodex-BioSway 950-462 static balance device in double foot stance.
- Static balance assessment-Modified Sensori Organization Test [1 year postoperatively]
Modified Sensori Organization will be measured with the Biodex-BioSway 950-462 static balance device in double foot stance.
- Dynamic balance assessment [1 year postoperatively]
Dynamic balances will be evaluated with the Y balance test.
Secondary Outcome Measures
- Jumping performance assessment [1 year postoperatively]
Performance evaluation will be made with a single leg jump test.
- Walking ability [1 year postoperatively]
Performance evaluation will be made with time up and go test.
- Lower limb functionality assessment [1 year postoperatively]
Functionality will be evaluated with the Lower Extremity Functional Scale.
- Foot and ankle functionality assessment [1 year postoperatively]
Functionality will be evaluated with the AOFAS (American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale)
- ROM assessment [1 year postoperatively]
Range of motion (ROM) of the ankle will be measured with an electrogonyometer in dorsi-plantar flexion.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients who have passed at least 1 year after the operation Unilateral arthroscopic ATFL repair Volunteer to participate in the study
Exclusion Criteria:
- Any orthopedic conditions, neuromuscular disease, balance disorder, cognitive disorder, history of fracture and surgical operation of the lower extremity
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Inci Ayas | Ankara | Turkey | 06560 |
Sponsors and Collaborators
- Gazi University
Investigators
- Study Director: seyit çıtaker, Gazi University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IAyas