Core Stability Traning Exercises in Chronic Ankle Instability in Atheletes

N/ANot Yet RecruitingNCT06678503

Pharos University in Alexandria28 enrolled

Overview

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

Chronic Ankle Instability (CAI) is a prevalent and debilitating condition that afflicts a considerable portion of the population (Al Adal et al.,2020) it is a condition characterized by repetitive episodes or perceptions of the ankle giving way; ongoing symptoms such as pain, weakness, or reduced ankle range of motion (ROM); diminished self-reported function; and recurrent ankle sprains that persist for more than 1 year after the initial injury (Gribble et al.,2013). Purpose of the Study 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 Methods:Triple Blinded RCT (Blinded: Participants, Research Assistant (for assessment of patient pre- and post-intervention) and statistician) Results :An unpaired t-test will be conducted for comparison of age, weight, and height between groups. * Chi-squared test will be conducted for comparison of sex distribution between groups * Mixed MANOVA will be conducted to compare the effect of time (pre versus post) and the effect of treatment (between groups), as well as the interaction between time and treatment on dependent variables. * The level of significance for all statistical tests will be set at p \< 0.05. * All statistical measures will be performed through the statistical package for social sciences (SPSS) version 25 for Windows.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Chronic Ankle Instability and Balance

Interventions

balance exerciseOTHER

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).

Core stability exercisesOTHER

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.

Eligibility

Sex: ALLMin age: 19 YearsMax age: 30 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Athletes having a history of chronic lateral ankle sprain during the offseason period. 2\. Patients aged between 19-30 years, with BMI ranging between (18.5-29.5kg/m2). 3\. 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: 1. 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. 2. 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. 3. Self-reported ankle instability should be confirmed using a validated ankle instability questionnaire, CAIT\>24. Exclusion Criteria: * Those with a history of spine, pelvis, and lower extremity injury, fracture, or surgery. 2- 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. 4- Having a history of an acute lower extremity injury in the 3 months before the study. 5\. 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. 7\. Being diagnosed with neurologic dysfunction, such as multiple sclerosis, Parkinson's disease, or head injury.

Outcomes

Primary Outcomes

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

Time frame: 4 weeks

Secondary Outcomes

Functional Instability

The Cumberland Ankle Instability Tool assesses ankle instability during activities of daily living and sports and is valid and reliable for determining the presence of CAI

Time frame: 4 weeks

Functional Performance

Functional performance tests are dynamic measures used to assess general lower body function. These tests are helpful because they combine multiple components, such as muscular strength, neuromuscular coordination, and joint stability, which could be affected after joint injury.

Time frame: 4 weeks

Central Contacts

Aya Ahme Nada, PHD

CONTACT

01285859034 Aya.ahmed@pua.edu.eg

Abanoub Malak Khalifa, Demonstrator

CONTACT

01271341177 abanoub.khalifa@pua.edu.eg

Data from ClinicalTrials.gov

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