Chronic ankle instability is characterized by a patient's being more than 12 months removed from the initial LAS and exhibiting a propensity for recurrent ankle sprains, frequent episodes or perceptions of the ankle giving way, and persistent symptoms such as pain, swelling, limited motion, weakness, and diminished self-reported function. This study will Compare Resistance Training with and without Plyometric exercises on Athletes with Chronic Ankle instability and changes will be recorded using different methods and tools. Patients will be randomly allocated into two different groups. Group A will be treated with resistance training and Group B will be treated with resistance training along with plyometric exercises . Participants will complete clinician-oriented tests. Participants of both groups will be evaluated before and after the application of respective interventions at the end of 8th week. Data will be analysed.
Resistance training applies effort to overcome resistance, which results in increased muscle fibre recruitment and stronger synchronization, ultimately enhancing neuromuscular control and leading to muscular growth. Elastic resistance training is not only the cheaper intervention but is also able to promote similar strength gains to conventional resistance training. Both isokinetic muscle strength training and Thera-Band strength training have been used extensively to increase muscle strength after sports injuries and improve muscle performance in athletes, thereby accelerating injury recovery. Plyometric training provided benefits in both static and dynamic balances for individuals with Functional ankle instability. Plyometric are more effective than resistive exercises in improving functional performance of athletes after lateral ankle sprain. Convenient sampling technique will be used to collect the data. The sample size of 24 patients will be recruited. Patients will be randomly allocated into two different groups through sealed envelope method.12 patients will be allocated in each group A will be treated with resistance training and Group B will be treated with resistance training along with plyometric exercises so resistance training exercises are help full in athletic performance .Group B will be treated with resistance training along with plyometric exercises . Participants will complete patient-oriented questionnaires (CAIT for measuring the severity of functional ankle instability Foot and Ankle Ability Measure \[FAAM\] to assess physical function for individuals with foot and ankle related impairments, Numeric pain rating scale for pain, Short-Form 36 \[SF-36\] to indicate the health status of particular populations, to help with service planning and to measure the impact of clinical and social interventions. Culture-specific data are required to calculate SF-36 norm-based. Goniometer to measure available ranges will also be used Participants of both groups will be evaluated before the application of interventional techniques and re-evaluated after the application of respective interventions at the end of 8th week. Data will be analysed on SPSS 21 .The combination of both resistance and plyometric exercises could give more significant result.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
24
We will apply protocol for 8 weeks 24 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane).After resistance training the athletes will go for plyometric exercises and will follow the following guidelines.Tubing Exercises,Plyometric Ankle Jumps Ankle Circles
We will apply protocol for 8 weeks 24 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane). While controlling the time that a maximal contraction will be maintained, the therapist will assure that the targeted musculature will being maximally loaded
Sehat Medical Complex, Pakistan sports board complex
Lahore, Punjab Province, Pakistan
RECRUITINGNumeric pain rating scale
NPRS consists of a scale with 0-10 readings. The zero denotes no pain while 1, 2, 3 denotes to mild pain, 4, 5, 6 denotes to moderate pain while 7-10 denotes to severe pain.
Time frame: 8 Weeks
Goniometer
Active Range of Motion of the patient will be assessed using universal standard goniometer for ankle plantar flexion, dorsiflexion, inversion and eversion. All ranges will be assessed in sitting position.The data will be collected at baseline ankle goniometry. Goniometry will be performed using a universal goniometer with a measuring scale marked out at two-degree interval
Time frame: 8 Weeks
The Star Excursion Balance Test (SEBT)
The Star Excursion Balance Test (SEBT) is a widely accepted method of assessing dynamic postural stability. The Y Balance Test (YBT) is a commercially available device for measuring balance that uses 3 (anterior, posteromedial, and posterolateral) of the 8 SEBT directions and has been advocated as a method for assessing dynamic balance.
Time frame: 8 Weeks
1 RM Leg Press test
A training load that corresponds to 60-80% of one repetition maximum to increase muscle strength in leg and ankle of subjects with a loading range of 10-12 repetitions. It will measure the strength in pre treatment and post treatment evaluation
Time frame: 8 Weeks
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