Clinical trial NCT06020131: Effect Of Thoracic Mobility Versus Lumbopelvic Stabilization Exercises On Patients With Chronic Ankle Instability
Official title: Effect Of Thoracic Mobility Versus Lumbopelvic Stabilization Exercises On Lower Extremity Flexibility, Dynamic Balance And Proprioception In Patients With Chronic Ankle Instability
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Ankle Instability
Keywords: chronic ankle instability
dynamic balance
proprioception
flexibility
thoracic mobility
lumbopelvic stability
Lead sponsor: Yeditepe University
Sponsor class: OTHER
First posted: 2023-08-31
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The sample of study consist of patients with chronic ankle instability who gets 27 and less point from Cumberland Ankle Instability Tool. The study was conducted between November 2022 - January 2023 in Noi Physio Pilates Studio in İstanbul.
Primary purpose: PREVENTION

Brief summary: The aim of the study is to investigate the effectiveness of thoracic mobility versus lumbopelvic stabilization exercises combined with ankle strengthening exercises with resistive band on patients with chronic ankle instability in terms of lower extremity flexibility, proprioception and dynamic balance.The participants were divided into two group as Thoracic Mobility group (n=15) and Lumbopelvic Stability group (n=15). In addition their exercise programs (2 times/wk, 8 wk duration), both groups were given home exercise ankle strengthening exercises.(3 sets/ 10 reps, 3 times/wk.)

Detailed description: The aim of the study is to investigate the effectiveness of thoracic mobility versus lumbopelvic stabilization exercises combined with ankle strengthening exercises with resistive band on patients with chronic ankle instability in terms of lower extremity flexibility, proprioception and dynamic balance. The study were conducted in Noi Physio Pilates Studio in Istanbul between November 2022 - January 2023 during 8 weeks. 30 volunteers with chronic ankle instability were included according to Cumberland Ankle Instability Tool (CAIT). The cut off value for the CAIT test was determined as 27. Participants who received 27 or less than this value were included in the study. All participants were right dominant. Lower extremity flexibility was assessed with Active Straight Leg Raise Test, proprioception (hip, knee, ankle) was assessed with Joint Position Sense Test using electronic goniometer. Determined angles for joints; hip flexion angle as 75°, knee flexion angle as 50° and ankle dorsiflexion as 10° plantarflexion as 40°.Y Balance Test (anterior, posterolateral, posteromedial) was used for evaluating dynamic balance. 30 participants were divided into two groups as thoracic mobility and lumbopelvic stability group. Both groups were given ankle strengthening exercises (dorsiflexion, plantarflexion, inversion and eversion) with resistive band. Home exercises were performed 3 days a week for a total of 3 sets of 10 repetitions. Thoracic mobility group was given; thoracic extension on foam roller, sidelying thoracic rotation, quadruped thoracic rotation, squat with extension and rotation. Lumbopelvic stabilization group was prescribed; bridge with alternate leg, single leg bridge, four point kneeling with arm and leg extension, side plank on front arm with knee flexed (right, left), sitting on a Swiss Ball and hip flexion.Sessions took approximately 50 minutes and exercise program was planned twice a week for 8 weeks, 16 sessions total. Both groups were given ankle strengthening exercises (dorsiflexion, plantarflexion, inversion and eversion) with resistive band. Home exercises were performed 3 days a week for a total of 3 sets of 10 repetitions.

Eligibility criteria: Inclusion Criteria:

* Being older than 18 years
* Having at least two previous lateral ankle sprain of same ankle.
* At least one episode of "giving way" wtihin previous 6 months.
* Having persistent symptoms during functional activities and being free of.
* Symptoms from any previous lower limb injuries.
* No other lower extremity injuries.

Exclusion Criteria:

* Having any systemic illness (eg. Rheumatoid arthritis, DM).
* Any surgery history related to fractures or disorders.
* Getting steroid injection or physiotherapy intervention previous 6 months.
* Being a pregnant and existence of tumor.

Primary outcomes:
measure: Cumberland Ankle Instability Tool (CAIT)
timeFrame: 8 weeks
Secondary outcomes:
measure: Active Straight Leg Raise Test
timeFrame: 8 weeks
measure: Y Balance Test
timeFrame: 8 weeks
measure: Joint Position Sense Test
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Noi Physio Pilates Studio
state: Ataşehir
Study officials:
affiliation: Yeditepe University, Institute of Health Science, Sports Physiotherapy Department
name: Ecem Nur TAKINDI, MSc
role: PRINCIPAL_INVESTIGATOR
affiliation: Yeditepe University, Institute of Health Science, Sports Physiotherapy Department
name: Elif Tuğçe ÇİL, PhD
role: STUDY_DIRECTOR
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