Clinical trial NCT05717426: The Effects of Open Versus Closed Kinetic Chain Exercises on Ankle Joint Function
Official title: The Effects of Open Versus Closed Kinetic Chain Exercises on Ankle Joint Function in Athletes With Chronic Ankle Instability
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Ankle Injuries
Lead sponsor: Sehat Medical Complex
Sponsor class: OTHER
First posted: 2023-02-08
Enrollment: 26
Sex: MALE
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The goal of this Randomized clinical trial is to find the effects of open versus closed kinetic chain exercises on ankle joint function in athletes with chronic ankle instability. The main question it aims to answer is:

• To compare the effects of open versus closed kinetic chain exercises on pain, instability and balance in athletes with chronic ankle instability.

Participants were given consent form and after subjects read and signed the informed consent and completed the self-reported questionnaires designed to identify subjects with CHRONIC ANKLE INSTABILITY, subjects completed baseline measurements that included Foot and Ankle Ability Measure (FAAM)-Sport Subscale, Reach distance, and SEBT. Participant were divided into two groups (Group A and Group B) through lottery method. Group A received open kinetic exercises 3times a week for 3-4 weeks. Group B received close kinetic exercises 3 times a week for 3-4 weeks.

Detailed description: Chronic instability is a common condition in sports and there are many treatment methods and rehabilitation protocols available which are used according to extent of injury. The purpose of this study is to find out the effects of close kinetic chain exercises and open kinetic chain exercises and to find out which technique is more efficient for treating ankle instability, pain, and imbalance in athletes with chronic ankle instability. This study will help physical therapists and medical team to enhance the rehabilitation process.

The study was randomized clinical trial conducted at Pakistan Sports board Lahore in which convenient random sampling technique was used. This study included total 26 participants and for this purpose Open Epi tool would be used as a sample size calculation. Participants falling in this category were recruited into the study after inclusion and exclusion criteria. The Cumberland ankle instability tool was used as a tool for pre and post assessment of athletes. In this study we divided population into two groups. Group A received open chain kinetic exercises and Group B was treated with Closed chain kinetic exercises. Data was analyzed through SPSS 25 version.

Eligibility criteria: Inclusion Criteria:

* Male
* Age 18-30years
* Tennis, Football, Cricketers, volley ball and Hockey players
* Athletes with balance problems
* Chronic ankle injuries

Exclusion Criteria:

* Acute injuries
* Non-athletes (minimum once a week sports participation)
* Athletes with pain related to calf muscles and achillies tendon

Primary outcomes:
measure: Numeric pain rating scale
timeFrame: 4 weeks
measure: Star excursion balance test.
timeFrame: 4 weeks
measure: Reach distance. (functional reach test)
timeFrame: 4 weeks
measure: Cumberland Ankle Instability Tool (CHRONIC ANKLE INSTABILITYT) and Ankle Instability Instrument (AII)
timeFrame: 4 weeks
measure: Foot and Ankle Ability Measure (FAAM)-Sport Subscale
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Pakistan sports board Lahore
state: Punjab
Study officials:
affiliation: Riphah International University
name: Muhammad Ahmed sajjad, MS-SPT
role: PRINCIPAL_INVESTIGATOR
References: