Comparing VR and Balance Exercises In Rehabilitation of Adolescent Athletes

Study Overview
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Brief Summary
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Ankle sprains are common injuries in active young people. Most of these injuries recovery quickly on their own, do not require imaging, and do better with early motion and rehabilitation. High ankle sprains and fractures are much less common but more serious. They may require imaging and more treatment.

Detailed Description
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Phases of rehabilitation for ankle sprain Phase I treatment involves resting and protecting the ankle to permit healing, to prevent further injury, and to control pain and swelling. Phase II treatment begins once pain and swelling have subsided to the point where the athlete can comfortably bear weight and walk from place to place. Virtual reality (VR) is a simulated experience that can be similar to or completely different from the real world. Applications of virtual reality can include entertainment (i.e. video games) and educational purposes (i.e. medical or military training). Other, distinct types of VR style technology include augmented reality and mixed reality. Biodex Balance Training is one of the main tool that used to assess dynamic balance and dynamic limits of stability also it can used as training tool to improve the participant balance training

Official Title
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Virtual Reality Versus Biodex Balance Training In Adolescent Athletes With Chronic Ankle Instability.

Conditions
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Sport Injury

Intervention / Treatment
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* Other: balance exercising


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children will have sustained lateral ankle sprain (grade II). Their age was ranging from 13-16 years All children with stable medical and psychological status. They will able to follow the verbal commands or instructions during testing. Exclusion Criteria: Children with ankle or foot deformity Unstable medical and psychological status. Children not able to follow the verbal commands or instructions during testing Children with any disorder affecting balance.

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: G 1 (control) received traditional physical therapy program for 60 min. G 2(study) received traditional physical therapy program for 30 min. and virtual reality for 30 min. G 3 (study) received traditional physical therapy program for 30 min. and Biodex Balance Training all groups treated for four successive months.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: the control group<br>the control group Group 1 the control group received selected physical therapy program which contain strengthening exercises for upper limb and lower limb muscles, stretching exercises for elbow extensors, hand supinator, wrist extensors, knee extensors and ankle dorsiflexors, balancing exercises, coordination exercises and balance training exercises and gait training in open environment. | Other: balance exercising<br>* selected physical therapy program strengthening the muscles of upper and lower limbs, balancing exercise, gait training in open environment,stretching for elbow flexors and forearms pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors<br>|
| Experimental: the virtual reality group<br>Group 2 the study group received the same physical therapy program 30 min. plus virtual reality for 30 min | Other: balance exercising<br>* selected physical therapy program strengthening the muscles of upper and lower limbs, balancing exercise, gait training in open environment,stretching for elbow flexors and forearms pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors<br>|
| Experimental: the Biodex Balance Training group<br>Group 3 the study group received the same physical therapy program 30 min. plus virtual reality for 30 min | Other: balance exercising<br>* selected physical therapy program strengthening the muscles of upper and lower limbs, balancing exercise, gait training in open environment,stretching for elbow flexors and forearms pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| dynamic balance test | antro-posterior stability index | antro-posterior stability index at day 0 | 
| dynamic balance test | antro-posterior stability index | antro-posterior stability index at day 90 | 
| dynamic balance test | medio-lateral stability index | medio-lateral stability index at day 0 | 
| dynamic balance test | medio-lateral stability index | medio-lateral stability index at day 90 | 
| dynamic balance test | overall stability index | overall stability index at day 0 | 
| dynamic balance test | overall stability index | overall stability index at day 90 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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BalanceTraining,, Virtual Reality,, Ankle Instability.