Effect Of Thoracic Mobility Versus Lumbopelvic Stabilization Exercises On Patients With Chronic Ankle Instability
Condition: Chronic Ankle Instability
Study type: Interventional

Summary: 
      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 participants were divided into two group
      as Thoracic Mobility group (n=15) and Lumbopelvic Stability group (n=15). In addition their
      exercise programs (2 times/wk, 8 wk duration), both groups were given home exercise ankle
      strengthening exercises.(3 sets/ 10 reps, 3 times/wk.)
    

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.
    

Intervention name(s): Thoracic Mobility Rehabilitation; Lumbopelvic Stability Rehabilitation; Ankle Strengthening Home Exercises
Intervention type(s): Procedure; Procedure; Procedure
Intervention description(s): 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); 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); Ankle Strengthening exercises with resistive band (dorsiflexion, plantarflexion, inversion, eversion) (10 reps x 3 set - 3 times/wk)
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.
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: chronic ankle instability; dynamic balance; proprioception; flexibility; thoracic mobility; lumbopelvic stability