Effects of Closed Chain Exercise Versus Neuromuscular Training on Chronic Ankle Sprain in Football Players
Condition: Ankle Sprains; Chronic Pain
MeSH terms: Chronic Pain; Sprains and Strains; Ankle Injuries
Study type: Interventional

Summary: 
      A current study will be conducted to determine the effects of closed-chain exercise versus
      neuromuscular training on pain, range of motion, and functional performance in football
      players with a chronic ankle sprain. This study will be a clinical trial conducted at the
      Pakistan sports board in the Lahore district. The study will be completed within the time
      duration of Six months. Non-probability convenient sampling technique will be used to collect
      the data. The sample size of 17 participants in each group will be taken in this study to
      find the effects of closed-chain exercise versus neuromuscular training on pain, range of
      motion, and functional performance in football players with a chronic ankle sprain. Athletes
      will be divided into two groups. Group A will be treated with closed-chain exercises and
      Group B will be with neuromuscular training. Pain (Numeric pain rating scale NPRS),
      Proprioceptive (balancing on a single leg with the eyes closed, balancing on a wobble board,
      Dynamic balance (Star Excursion Balance test and Y Balance Test), Functional Ankle
      Instability (Greek version of the Identification functional ankle instability questionnaire
      IdFAI), Cumberland Ankle Instability Tool (CHRONIC ANKLE INSTABILITY) and Ankle Instability
      Instrument (AII), Foot and Ankle Ability Measure (FAAM)-Sport Subscale, Range of Motion ROM
      (measure Goniometer) will be used as Data collecting tools. Three sessions of treatment per
      week for 4 weeks will be given. Data will be analyzed on SPSS version 22. In descriptive
      statistics Frequency tables, pie charts, and bar charts will be used to show the summary of
      group measurements measured over time.
    

Detailed description: 
      To determine the effects of closed-chain exercise versus neuromuscular training on pain,
      range of motion, and functional performance in football players with a chronic ankle sprain.

      The study design will be a Randomized Clinical trial. Non-Probability Convenient Sampling
      will be used.

      the sample size of 34 subjects is calculated.

      TOOLS:

        1. Pain (Numeric pain rating scale NPRS)

        2. Range of Motion ROM (measure Goniometer)

        3. Proprioceptive (balancing on a single leg with the eyes closed, balancing on a wobble
           board)

        4. Dynamic balance (Star Excursion Balance test and Y Balance Test)

        5. Functional Ankle Instability (Greek version of the Identification functional ankle
           instability questionnaire IdFAI)

        6. Ankle Instability Instrument (AII)

        7. Foot and Ankle Ability Measure (FAAM)-Sport Subscale The data will be analyzed using
           SPSS for Windows software, version 25. Statistical significance will be set at P= 0.05.
           After assessing the normality of the data by Shapiro wilk test it will be decided
           whether parametric or non-parametric test will be used within a group or between two
           groups.
    

Intervention name(s): Group A - Closed Chain Exercise; Group B - Neuromuscular Training Exercise
Intervention type(s): Other; Other
Intervention description(s): 17 participants were in experimental group giving them closed chain exercise plan of 5 exercises, 10reps x 3sets each, on alternate 3 days per week for duration of 4-weeks, all values measured before and after 4-weeks; 17 participants were in experimental group giving them neuromuscular training plan of 5 exercises, 10reps x 3sets each, on alternate 3 days per week for duration of 4-weeks, all values measured before and after 4-weeks.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Ankle Sprain; Chronic Ankle Instability; Exercise programs; Neuromuscular Training; Sports Injuries