Clinical trial NCT06469099: Ankle Injuries, Imaging and Prevention Program Effectiveness in New Army Recruits
Official title: Ankle Injuries, Imaging and Prevention Program Effectiveness in New Army Recruits
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Ankle Sprains
Keywords: soldiers
injury
ankle
exercise
Lead sponsor: University of Haifa
Sponsor class: OTHER
Collaborators: name: Zinman College of Physical Education and Sports Sciences
First posted: 2024-06-21
Enrollment: 700
Sex: MALE
Minimum age (years): 18
Maximum age (years): 22
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: active soldiers will perform baseline examinations for the musculoskeletal system. following, an exercise intervention program will be conducted with follow-up examination at the termination of program.
Primary purpose: PREVENTION

Brief summary: Infantry recruits will undergo a musculoskeletal examination to assess tendon, muscle, proprioception, agility, and joint status. Afterward, an exercise intervention program will be implemented, followed by a concluding evaluation.

Detailed description: Purpose: To evaluate ankle injuries in new infantry recruits, including their characteristics, association with imaging and functional measures, and the effectiveness of a preventive exercise program.

Methods: 650 new male infantry soldiers aged 18-23 will be recruited to participate in the study at the beginning of their military training. At the beginning and the end of the training (after approximately six months), the soldiers will be assessed for the following: 1. Demographics (height, weight, leg length, BMI calculation), 2. Proprioception ability (Active Movement Extent Discrimination Apparatus AMEDA), 3. Dynamic balance (Y-Balance Test YBT), 4. Leg muscle strength (bilateral heel rise test), 5. Hip strength (hand-held dynamometer), 6. Ankle agility (hexagon agility hop test), 7. Ankle stability (Anterior Drawer Test, musculoskeletal ultrasound for the Anterior Talofibular Ligament), 8. Achilles tendon structure (Ultrasound tissue Characterization UTC), 9. Aerobic ability (3000 meters run, will be recorded by the fitness instructors at the training base). In addition, the soldiers will fill out a previous ankle sprains questionnaire, pre-induction physical activity questionnaire, the Cumberland Ankle Instability Tool (CAIT) for ankle perceived instability, and the Ankle Fear Avoidance Beliefs Questionnaire (ankle-FABQ).

The soldiers will perform a constructed ankle sprain prevention program for five minutes every day during the six-month length of the study. Every 1-2 weeks, the researcher will arrive at the training base to monitor ankle injuries. Those who are diagnosed with a sprain will undergo ultrasound evaluations, which will be performed every few weeks.

Eligibility criteria: Inclusion Criteria:

* soldiers ages 18-22

Exclusion Criteria:

* knows disease of the bones
* before orthopedic surgery

Primary outcomes:
measure: Proprioception ability
timeFrame: baseline, end of intervention
measure: balance
timeFrame: baseline, end of intervention
measure: Leg muscle strength
timeFrame: baseline, end of intervention
measure: Hip muscle strength
timeFrame: baseline, end of intervention
measure: Ankle agility
timeFrame: baseline, end of intervention
measure: Ankle stability
timeFrame: baseline, end of intervention
measure: Achilles tendon structure
timeFrame: baseline, end of intervention
Secondary outcomes:
Other outcomes:
Locations:
city: Netanya
country: Israel
facility: The Academic college Levinsky-Wingate at the Wingate Institute
Study officials:
affiliation: University of Haifa
name: Gali Dar, Prof.
role: PRINCIPAL_INVESTIGATOR
References: