Ankle Sprain Rehabilitation With the Wii Balance Board

Study Overview
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Brief Summary
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Physical activity and in particular sport is beneficial to health. Nevertheless, some of these activities may create a risk of injury. Ankle sprain is the most common sport related injury. Sports that are causing the highest number of ankle sprains are: football (30%), handball-basketball-volleyball-rugby (24%), gymnastics sports (6%), skiing (6%), cycling (6%), athletics (4%) and contact sports (4%). A recent study in the Netherlands identified a total of 1.3 million sports injuries. 47% of these patients required medical care. The total costs (direct and indirect) were assessed 84.240.000 EUR per year. Prospective studies demonstrated that athletes with a ankle sprain have a twofold risk of re-injury during the first year after the trauma, and in half of patients with an ankle sprain recurrence this could lead to instability or chronic pain of the ankle. The Wii Balance Board ® is a tool that is increasingly used in the field of health. In some hospitals, therapists are beginning to use it for the rehabilitation of patients after surgery, fractures or strokes. Patients are asked to complete their physical therapy session by practicing sports via video games such as skiing, bowling or hula hoop. Currently, there are no randomized controlled studies that publish on the effectiveness of this tool. Recently, a study investigated the efficacy of the Wii Balance Board ® to improve balance, strength, joint mobility and level of physical activity. After 10 weeks of training, people an increased strength and balance was found. However, these results still require statistical confirmation. Thus this objectives of this study are To assess the efficacy of exercise training with the Wii Balance Board ® Platform To evaluate the effectiveness of physical therapy (based on current guidelines) To compare these two types of care (conventional physiotherapy versus Wii) to a control group (non-treatment).

Conditions
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Ankle Sprain

Intervention / Treatment
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* Other: Physical Therapy
* Other: Wii Balance Board


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with an ankle sprain (grad 1 or 2), between 18 and 65 years old, Exclusion Criteria: The subjects will not be included in the study if they are under 18 years They have other neurological or orthopedic disorders If taking medications (other than analgesics +/- NSAIDs prescribed during a sprain) that may influence the measurements. The patients with recurrent sprain of the ankle which was less than 12 months or who require surgery were also excluded.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: No treatment<br> | |
| Active Comparator: Physical Therapy<br> | Other: Physical Therapy<br>* These patients have a standardized conventional therapy (i.e. 9 sessions of physical therapy over 6 weeks)<br>* Other names: physiotherapy;|
| Experimental: Wii Balance group<br> | Other: Wii Balance Board<br>* These patients get an instruction about how to install and use the Wii Balance Board ®. After the instruction they get the equipment for 6 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in the balance performance(COP displacement in ML and AP direction) | Change in the range of COP displacement during a single leg stance of 30 sec Change in the velocity of COP displacement during a single leg stance of 30 sec | 6 Weeks after the ankle sprain occured, after treatment (6 weeks) and in a 6 month follow up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in several functional parameters | pain (VAS) delay in return to work delay in return to sport passive joint mobility of the ankle in flexion and extension isometric strength of the inverters and evertors, plantar and dorsal flexors functional ankle instability evaluated with FAAM questionnaire gait parameters (kinematics and electromyographic activity of peroneus, gastrocnemius and tibialis anterior) performance during a forwrd jump monopodal: distance and time to stabilize the ankle incidence of recurrent sprains side: 12-month prospective follow-up | 6 weeks after ankle sprain, after treatment (6 weeks) and 6 month follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ankle sprain, Balance, Gait