A Comparative Study on the Effective Combination of High Voltage Microcurrent (HVMC), Far Inffradiation (FIR), and Pulsed Electromagnetic Field Therapy (PEMF) with Ankle Rehabilitation on Chronic Ankle Instability
Authors: - NAMRATA SRIVASTAVA , - ALOK MUKHERJEE , - KARTIK CHHONKER , - KALPANA JAIN 
Published: April 2024

BACKGROUND-Ankle ligament sprain is a common biomechanial injury and numerous cases of acute ankle sprain suffering from habitual ankle insecurity which affecting – Calcaneofibular ligament( CFL) ,Posterior talofibular ligament( PTFL) Anterior talofibular ligament( ATF)) . An acute ankle sprain following, poverties in postural control, proprioception, muscle response time and strength generally happens which can lead to habitual ankle insecurity( CAI). A cases incapability to complete jumping and wharf tasks within 2 weeks of a first- time ankle sprain( AS) and poorer dynamic postural control and lower tone- reported function 6 months after a first- time AS were prophetic of eventual CAI outgrowth includes mechanical insecurity( stir exceeds normal physiological limits) and Functional insecurity( objectively stable with private passions of insecurity related to sensorimotor or neuromuscular poverties). According to studies a high rate of disability and rush of CAI Clinically, the cases with history of CAI shows past intermittent ankle sprains with severe inversion/ eversion injury case have to take special preventives against weight bearing, emphatic conditioning, and walking on uneven surface. PEMF is like a" battery re-charger" for your depleted cells. PEMF remedy has several times of clinical success in relieving pain at the source by pulsing electromagnetic swells at precise frequentness. speeding the body's recovery at a cellular position. The electrical material exchange pets up the cell function, and, as a result, nutrition is completely absorbed by the cell and waste material is excluded. Metabolism is increased and the function of the cell is gradationally revived. Power of Natural Healing.Far infrared radiation - Far infrared swells can access up to three elevation deep to induce warmth that can give immense relief to muscles and internal organs Increased blood rotation carries down metabolic waste products and delivers oxygen-rich blood to depleted muscles so they recover briskly.High voltage micro current- Low voltage in our cells is what causes them to malfunction, performing in illness and pain. High Voltage Micro Currents as a cells energizer.Our bodies use certain patterns of action capabilities to initiate the correct movements.
AIM/OBJECTIVE –
Chronic ankle instability happens to be the most common orthopedics affiliction among adults between the age of 18 to 45 and most common cause of instability among the adults and make an important contribution to control the stability of the body biomechanics with researched rehabilitation. To analyse the efficacy of a particular set of ankle rehabilitation programme with therapeutic modality for fast recovery as the strategy – training programme as the exercise and electrotherapy intervention in chronic instability patients .Therefore the need arises to compare the effectiveness of specific ankle rehabilitation programme with combination of FIR / PEMF / HVMC modality with conventional ankle exercise programme in chronic ankle instability The study objective is to establish and evaluate whether combination of PEMF/FIR/HVMC with ankle rehabilitation training in people with CAI will improve rehabilitation outcomes compared to standard rehabilitation .This study is also investigates the effect of electro combination unit on palpable ankle tenderness functional outcomes mechanical and functinal properties of ligament .

METHODOLOGY-The study was conducted at department of physiotherapy, Ram krishna medical college hospital and resesrch centre and private clinics and hospitals of BHOPAL (M.P) 40 subjects meeting the inclusion criteria were recruited for the study. They were allocated randomly into two groups , Group A and Group B respectively . Group 1 control group received standard ankle rehabilitation training which included strengthening ,gentle stretches, coordination exercises , balance exercises and landing tasks of lower limb and the group 2 experinental group received above mentioned rehabilitation training with electromodality that is combination of PEMF/FIR/HVMC treatment was given for 6 days per week for 4 weeks .
RESULTS –The parametric test was was used to examine both group Group A and Group B in this study. Paired t-tests were used to compare mean values within groups, while independent t-test were used to compare mean values between groups, i.e. Group A and Group B. A statistically significant difference was found in ankle instability and functional movements as CAI and all had a p= value 0.001 after treatment when compared to baseline.
CONCLUSION - The results of this study show that the standard ankle rehabilitataion exercises combination with PEMF/HVMC/FIR modality , are equally beneficial in improving proprioception, range of motion and functional ankle stability. We accept the null hypothesis because the investigation yielded no meaningful results.