Clinical trial NCT05602233: The Effect of Balance Training Following STARS on Postural Control
Official title: The Effect of Balance Training Following STARS on Postural Control and Function in Athletes With Chronic Ankle Instability
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Kinesiophobia
Ankle Sprains
Sensory Deficit
Ankle Instability
Functional Performance
Lead sponsor: Bahçeşehir University
Sponsor class: OTHER
Collaborators: name: Nevsehir Haci Bektas Veli University
First posted: 2022-11-02
Enrollment: 21
Sex: ALL
Minimum age (years): 18
Maximum age (years): 25
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants between the ages of 18-25, diagnosed with chronic ankle sprain who met the inclusion criteria will be included in the study. Sample size of the study is calculated as 21. All evaluations of the participants, including postural control, weight bearing dorsiflexion angle measurement, function and kinesiophobia will be made by the same physiotherapist. The physiotherapist who made the evaluations will not know which treatment method will be applied to the participants.
Primary purpose: TREATMENT

Brief summary: Chronic ankle instability (CAI) is defined as the symptoms continuing 12 months after the first sprain and the functional and/or mechanical instability reported by the individual. The number of researches that include a combined treatment approach that will affect both sensory and motor components in rehabilitation strategies applied for CAI is limited.

The aim of this study is to isolated sensory, isolated motor and combined targeted approaches for the treatment of chronic ankle instability (CAI); to compare the effects on postural control, range of motion, function and kinesiophobia and to contribute to an effective approach related to the applicability of Sensory-Targeted Ankle Rehabilitation Strategies in the treatment of CAI.

Detailed description: Lateral ankle sprains are among the most common injuries in athletes and physically active individuals, accounting for 80% of ankle injuries. After the ankle is sprained for the first time, it becomes more prone to re-injury. Chronic ankle instability (CAI) is defined as the symptoms continuing 12 months after the first sprain and the functional and/or mechanical instability reported by the individual. Long-term ongoing CAI symptoms; It includes pain, swelling, give away that reduces the person's quality of life.

Symptoms of CAI include both motor and sensory aspects of the sensorimotor system. Despite sensory and motor deficits in sensorimotor control, researches on CAI rehabilitation have focused on either motor or sensory components. The number of researches that include a combined treatment approach that will affect both sensory and motor components in rehabilitation strategies applied for CAI is limited.

Sensory-Targeted Ankle Rehabilitation Strategies (STARS) and balance training have proven to be effective in relieving CAI-associated deficits. Although the effects of isolated STARS were positive, in a recent study, there was no statistically significant difference between the groups when the balance training given with STARS was compared with the balance training alone. However, the reason for the lack of difference between the groups may be the simultaneous application of both treatment protocols. In addition, the effects of the isolated use of the STARS combination in the treatment of CAI are still unclear and to our knowledge, there are no studies in this area.

The aim of this study is to isolated sensory, isolated motor and combined targeted approaches for the treatment of chronic ankle instability (CAI); to compare the effects on postural control, range of motion, function and kinesiophobia and to contribute to an effective approach related to the applicability of STARS in the treatment of CAI.

Eligibility criteria: Inclusion Criteria:

* History of first ankle sprain more than 1 year ago

  * Having at least 2 "give away" episodes in the last 6 months
  * Identification of Functional Ankle Instability's score above 11
  * 18-25 age range
  * Foot and Ankle Ability Measure (FAAM), the score of which is less than %90
  * Foot and Ankle Ability Measure Sports scale (FAAM-S), the score of which is less than %80

Exclusion Criteria:

* History of lower extremity surgery
* History of disease that may affect sensorimotor function in the lower extremity
* Musculoskeletal disorders that may affect balance

Primary outcomes:
measure: Postural control evaluation change
timeFrame: Change from Baseline postural control at 6 weeks
Secondary outcomes:
measure: Ankle dorsiflexion measurement change
timeFrame: Change from baseline ankle dorsiflexion measurement at 6 weeks
measure: Function change
timeFrame: Change from baseline ankle function measurement at 6 weeks
measure: Kinesiophobia change
timeFrame: Change from baseline kinesiophobia measurement at 6 weeks
Other outcomes:
Locations:
city: Beşiktaş
country: Turkey
facility: Bahcesehir University
state: İstanbul
Study officials:
affiliation: Bahçeşehir University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department
name: Pelin Pişirici, PhD, PT
role: STUDY_CHAIR
affiliation: Nevsehir Haci Bektas Unıversity, Faculty of Sports Sciences, Department of Coaching Education
name: Serkan Uzlaşır, PhD, PT
role: STUDY_DIRECTOR
affiliation: Bahçeşehir University, Graduate Education Institute, Physical Therapy and Rehabilitation Program
name: Aynur Merve Zümre, PT
role: PRINCIPAL_INVESTIGATOR
References: