Clinical trial NCT05799885: The Effects of Combined Neuro-vestibular-ocular Exercises and Myofascial Release on Proprioception and Performance in Soccer Players With Chronic Ankle Instability
Official title: The Effects of Combined Neuro-vestibular-ocular Exercises and Myofascial Release on Proprioception and Performance in Soccer Players With Chronic Ankle Instability
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Ankle Inversion Sprain
Ankle Injuries
Lead sponsor: Yeditepe University
Sponsor class: OTHER
First posted: 2023-04-05
Enrollment: 61
Sex: MALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: TREATMENT

Brief summary: Chronic ankle instability was first defined by Freeman as recurrent ankle sprains following an ankle sprain and the feeling of dislocation in the ankle lasting longer than six months. The recurrence of ankle sprains in athletes leads to the realization of ankle instability. Functional ankle instability gives the feeling that a re-sprain will occur at any time due to decreased static and dynamic support in the joint.Neuro-vestibular-ocular exercises is an approach that combines neuromuscular training and vestibular-ocular training techniques.At the same time, we are doing this study because of the mixed studies on the effect of fascial relaxation on the performance and proprioception of a specific group of football players.

Detailed description: A total of 60 football players with instability \<27 according to the CAIT scale, whose proprioception and performance (jump, sprint, zig-zag test, kick speed) values were taken at the beginning, will be divided into two groups.Myofascial release will be applied to the lower extremity posterior line chain described by Myers by the physiotherapist to the first group.The other group (30 people) will be given neuro-vestibular-ocular exercises.Both groups will continue their training programme as ready.The training will be done in 2 sessions and 30 minutes per week.

Eligibility criteria: Inclusion Criteria:

* a history of 'giving way' and/or recurrent sprains and/or 'feeling of instability' in the injured ankle joint within the last 6 months.
* decreased function due to ankle sprain history
* "feeling of instability" will be defined as ≤27 points on the Cumberland ankle instability scale (CAIT) and the most affected side will be determined as the relevant limb for testing. CAIT score between right and left foot The dominant ankle will be selected.
* Having had at least two previous lateral sprains in the same ankle.

Exclusion Criteria:

* history of musculoskeletal surgery and/or fractures in the lower extremities;
* acute injury to the musculoskeletal structures of other lower extremity joints in the last three months that affects joint integrity and function and causes interruption of desired physical activity for at least one day;
* having a history of balance and vestibular disorders.

Primary outcomes:
measure: CAIT Scale
timeFrame: a day before the rehabilitation-at the time of discharge(8 weeks)
Secondary outcomes:
measure: proprioception evaluation
timeFrame: a day before the rehabilitation-at the time of discharge(8 weeks)
measure: Landing Error Scoring System (LESS)
timeFrame: a day before the rehabilitation-at the time of discharge(8 weeks)
measure: 30 meters Sprint Test
timeFrame: a day before the rehabilitation-at the time of discharge(8 weeks)
measure: Zigzag agility test(with and without the ball)
timeFrame: a day before the rehabilitation-at the time of discharge(8 weeks)
measure: Kick Speed
timeFrame: a day before the rehabilitation-at the time of discharge(8 weeks)
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Büşra
state: Maltepe
Study officials:
affiliation: Yeditepe University
name: Büşra Kocakılıç, master
role: PRINCIPAL_INVESTIGATOR
References: