Effect Of Thoracic Mobility Versus Lumbopelvic Stabilization Exercises On Patients With Chronic Ankle Instability

Sponsor

Yeditepe University (Other)

Overall Status

Completed

CT.gov ID

NCT06020131

Collaborator

(none)

Enrollment

Location

Arms

2.5

Actual Duration (Months)

12.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Condition or Disease	Intervention/Treatment	Phase
Chronic Ankle Instability	Procedure: Thoracic Mobility Rehabilitation Procedure: Lumbopelvic Stability Rehabilitation Procedure: Ankle Strengthening Home Exercises	N/A

Detailed Description

The aim of the study is to investigate the effectiveness of thoracic mobility versus lumbopelvic stabilization exercises combined with ankle strengthening exercises with resistive band on patients with chronic ankle instability in terms of lower extremity flexibility, proprioception and dynamic balance. The study were conducted in Noi Physio Pilates Studio in Istanbul between November 2022 - January 2023 during 8 weeks. 30 volunteers with chronic ankle instability were included according to Cumberland Ankle Instability Tool (CAIT). The cut off value for the CAIT test was determined as 27. Participants who received 27 or less than this value were included in the study. All participants were right dominant. Lower extremity flexibility was assessed with Active Straight Leg Raise Test, proprioception (hip, knee, ankle) was assessed with Joint Position Sense Test using electronic goniometer. Determined angles for joints; hip flexion angle as 75°, knee flexion angle as 50° and ankle dorsiflexion as 10° plantarflexion as 40°.Y Balance Test (anterior, posterolateral, posteromedial) was used for evaluating dynamic balance. 30 participants were divided into two groups as thoracic mobility and lumbopelvic stability group. Both groups were given ankle strengthening exercises (dorsiflexion, plantarflexion, inversion and eversion) with resistive band. Home exercises were performed 3 days a week for a total of 3 sets of 10 repetitions. Thoracic mobility group was given; thoracic extension on foam roller, sidelying thoracic rotation, quadruped thoracic rotation, squat with extension and rotation. Lumbopelvic stabilization group was prescribed; bridge with alternate leg, single leg bridge, four point kneeling with arm and leg extension, side plank on front arm with knee flexed (right, left), sitting on a Swiss Ball and hip flexion.Sessions took approximately 50 minutes and exercise program was planned twice a week for 8 weeks, 16 sessions total. Both groups were given ankle strengthening exercises (dorsiflexion, plantarflexion, inversion and eversion) with resistive band. Home exercises were performed 3 days a week for a total of 3 sets of 10 repetitions.

Study Design

Study Type:

Interventional

Actual Enrollment :

30 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

The sample of study consist of patients with chronic ankle instability who gets 27 and less point from Cumberland Ankle Instability Tool. The study was conducted between November 2022 - January 2023 in Noi Physio Pilates Studio in İstanbul.The sample of study consist of patients with chronic ankle instability who gets 27 and less point from Cumberland Ankle Instability Tool. The study was conducted between November 2022 - January 2023 in Noi Physio Pilates Studio in İstanbul.

Masking:

None (Open Label)

Primary Purpose:

Prevention

Official Title:

Effect Of Thoracic Mobility Versus Lumbopelvic Stabilization Exercises On Lower Extremity Flexibility, Dynamic Balance And Proprioception In Patients With Chronic Ankle Instability

Actual Study Start Date :

Nov 1, 2022

Actual Primary Completion Date :

Jan 1, 2023

Actual Study Completion Date :

Jan 15, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Thoracic Mobility Group Thoracic Mobility Exercises Ankle Strengthening Home Exercises with resistive band	Procedure: Thoracic Mobility Rehabilitation Thoracic mobility exercises: Thoracic extension on foam roller, Sidelying thoracic rotation, Quadruped thoracic rotation, Squat with extension and rotation ( 10 reps x 3 set - 2 times x wk - 8 wk) Procedure: Ankle Strengthening Home Exercises Ankle Strengthening exercises with resistive band (dorsiflexion, plantarflexion, inversion, eversion) (10 reps x 3 set - 3 times/wk)
Experimental: Lumbopelvic Stability Group Lumbopelvic stabilization exercises Ankle Strengthening Home Exercises with resistive band	Procedure: Lumbopelvic Stability Rehabilitation Lumbopelvic Stabilization Exercises : Bridge with alternate leg, Single leg bridge, Four point kneeling with arm and leg extension, Side plank on front arm with knee flexed (right, left), Sitting on a Swiss Ball and hip flexion (10 reps x 3 set - 2times/wk - 8 wk) Procedure: Ankle Strengthening Home Exercises Ankle Strengthening exercises with resistive band (dorsiflexion, plantarflexion, inversion, eversion) (10 reps x 3 set - 3 times/wk)

Arm

Intervention/Treatment

Experimental: Thoracic Mobility Group

Thoracic Mobility Exercises Ankle Strengthening Home Exercises with resistive band

Procedure: Thoracic Mobility Rehabilitation

Thoracic mobility exercises: Thoracic extension on foam roller, Sidelying thoracic rotation, Quadruped thoracic rotation, Squat with extension and rotation ( 10 reps x 3 set - 2 times x wk - 8 wk)

Procedure: Ankle Strengthening Home Exercises

Ankle Strengthening exercises with resistive band (dorsiflexion, plantarflexion, inversion, eversion) (10 reps x 3 set - 3 times/wk)

Experimental: Lumbopelvic Stability Group

Lumbopelvic stabilization exercises Ankle Strengthening Home Exercises with resistive band

Procedure: Lumbopelvic Stability Rehabilitation

Lumbopelvic Stabilization Exercises : Bridge with alternate leg, Single leg bridge, Four point kneeling with arm and leg extension, Side plank on front arm with knee flexed (right, left), Sitting on a Swiss Ball and hip flexion (10 reps x 3 set - 2times/wk - 8 wk)

Procedure: Ankle Strengthening Home Exercises

Ankle Strengthening exercises with resistive band (dorsiflexion, plantarflexion, inversion, eversion) (10 reps x 3 set - 3 times/wk)

Outcome Measures

Primary Outcome Measures

Cumberland Ankle Instability Tool (CAIT) [8 weeks]
CAIT is questionnaire' has 9 items with scores ranging from 0 to 30, with lower scores indicating worse stability

Secondary Outcome Measures

Active Straight Leg Raise Test [8 weeks]
It is used for evaluation of lower extremity flexibility.
Y Balance Test [8 weeks]
Dynamic balance test for right and left leg including three directions (anterior, posterolateral, posteromedial)
Joint Position Sense Test [8 weeks]
It is a test for measuring proprioception of joints. (Hip, knee, ankle)

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 45 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Being older than 18 years
Having at least two previous lateral ankle sprain of same ankle.
At least one episode of "giving way" wtihin previous 6 months.
Having persistent symptoms during functional activities and being free of.
Symptoms from any previous lower limb injuries.
No other lower extremity injuries.

Exclusion Criteria:

Having any systemic illness (eg. Rheumatoid arthritis, DM).
Any surgery history related to fractures or disorders.
Getting steroid injection or physiotherapy intervention previous 6 months.
Being a pregnant and existence of tumor.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Noi Physio Pilates Studio	Istanbul	Ataşehir	Turkey

Sponsors and Collaborators

Yeditepe University

Investigators

Principal Investigator: Ecem Nur TAKINDI, MSc, Yeditepe University, Institute of Health Science, Sports Physiotherapy Department
Study Director: Elif Tuğçe ÇİL, PhD, Yeditepe University, Institute of Health Science, Sports Physiotherapy Department