Balance and Proprioception Training Program in Patients With Chronic Ankle Sprains

Study Overview
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Brief Summary
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To examine the effects of an individualized balance and proprioception training program on pain, function, and the risk of recurrent ankle sprains.

Official Title
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The Effects of an Individualized Balance and Proprioception Training Program on Pain and Function in Patients With Chronic Ankle Sprains: A Randomized Controlled Trial

Conditions
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Ankle Sprains

Intervention / Treatment
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* Other: balance and proprioception training program.
* Other: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults aged 18-55 years History of at least two ankle sprains within the last 12 months Presence of ankle instability symptoms, such as recurrent giving way or chronic pain Exclusion Criteria: Acute ankle injury within the last six weeks Lower extremity fracture within the last six months Other musculoskeletal or neurological disorders affecting the lower extremity Inability to comply with study requirements

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 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 |
| --- | --- |
| Experimental: Intervention Group:<br>Participants will receive an eight-week individualized balance and proprioception training program. | Other: balance and proprioception training program.<br>* The program will include exercises focused on improving ankle stability and joint position sense, such as single-leg stance, wobble board, and resistance band exercises. Participants will attend two supervised sessions per week and perform home-based exercises 3-4 times per week. Progression of exercises will be individualized based on participant performance and tolerance.<br>|
| Active Comparator: Control group<br>Participants will continue their usual care, including general strength and flexibility exercises. | Other: Usual care<br>* Participants will continue their usual care, including general strength and flexibility exercises. No specific balance and proprioception training will be provided.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Pain intensity | Pain intensity will be measured using the Numeric Pain Rating Scale (NPRS) | Changes in Pain intensity at baseline, 8 weeks, and 16 weeks follow up | 
| Changes in Functional Ability | Functional ability will be assessed using the Foot and Ankle Ability Measure (FAAM) | Changes in Functional ability at baseline, 8 weeks, and 16 weeks follow up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Balance | Balance will be assessed using the Star Excursion Balance Test (SEBT) | Changes in balance at baseline, 8 weeks, and 16 weeks follow up | 
| Changes in Proprioception | Proprioception will be measured using the joint position sense test with an ankle electrogoniometer | Changes in proprioception at baseline, 8 weeks, and 16 weeks follow up | 
| Incidence of Recurrent Ankle Sprains | Incidence of recurrent ankle sprains during the follow-up period will be recorded | From post-intervention at 8 weeks to the end of the follow-up period at 16 weeks |