Efficacy of Balance Training by BBS on Gait Parameters and Balance in Patients With RLAS

Study Overview
=================
Brief Summary
-----------------
This study will be conducted to find out the effect of adding balance training on gait parameters, balance, and Sensory Interaction

Detailed Description
-----------------
LAS are not benign injuries. As many as 4 in 10 individuals will develop chronic ankle instability (CAI) after a first-time sprain, More than half of patients with osteoarthritis (OA) of the ankle report a history of a sport-related ankle injury, and 85% of those are LAS.

Official Title
-----------------
Efficacy of Balance Training by Biodex Balance System on Gait Parameters and Balance in Patients With RLAS

Conditions
-----------------
Ankle Sprains

Intervention / Treatment
-----------------
* Device: Biodex Balance System
* Other: specific physical therapy exercise program


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: The patient will be referred to the outpatient clinic of the orthopedic department, Faculty of physical therapy, MTI University. with a confirmed diagnosis of recurrent Lateral ankle sprain grade II Subjects will be excluded if they had one of the following criteria: Previous musculoskeletal injury to the lower limb or lumbar spine including a fracture, a sprain, or an unstable joint other than the injured ankle.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Interventional Model Description: Fifty subjects (power analysis) of both gender diagnosed with recurrent lateral ankle sprain patients will be assigned randomly into 2 groups. Group (A) will receive biodex balance training Group (B)will receive a physical therapy exercise protocol only
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Experimental Group<br>Group (A) twenty-five patients will receive biodex balance training | Device: Biodex Balance System<br>* Subjects will receive several unique training modules using biodex<br>* Other names: BBS;Other: specific physical therapy exercise program<br>* Subjects will receive recommended PT program<br>|
| Other: Controlled Group<br>twenty-five patients will receive a physical therapy exercise protocol | Other: specific physical therapy exercise program<br>* Subjects will receive recommended PT program<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cadence | Change in Cadence measurements using Walkway Gait System. | Before Treatment and after 6 weeks of treatment | 
| Gait time | Change in Gait time measurements using Walkway Gait System. | Before Treatment and after 6 weeks of treatment | 
| Clinical Test of Sensory Integration | Change in Clinical Sensory Integration test measurements using Biodex balance System. | Before Treatment and after 6 weeks of treatment |