Neuromuscular Training vs Strength Training

NCT ID: NCT05250739

Last Updated: 2022-03-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 67 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-03-01
• Study Completion Date: 2021-11-10

Brief Summary

Chronic ankle instability is a complex condition. Limited mobility, perceived instability, and recurrent ankle sprains are common characteristics that reduce the quality of life in subjects who suffer chronic ankle instability. Neuromuscular training and strength training has been recommended in chronic ankle instability management interventions. However, there are contradictory findings on results when comparing neuromuscular training, strength training, and control group.

Detailed Description

Participants were randomly assigned to the neuromuscular training group, strength training group, and control group with no intervention if participants met the inclusion criteria.

Neuromuscular training group. It consisted of a multi-station training with 6 exercises, increasing the difficulty progressively as the participants controlled the execution. The exercises were all performed barefoot and with the injured foot. These were a combination of standing and jumping exercises involving the injured ankle.

A strength training group was performed with resistance bands. The band was fastened to the unaffected ankle, while the participant was told to perform front and back pulls, as well as adduction and abduction movements with the affected ankle. Participants were told to control the ankle movement and to make it slow.

Control group received no intervention.

Conditions

Ankle Injuries

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Strength training

Participants completed 16 training sessions of strength training during eight weeks.

Group Type: EXPERIMENTAL

Strength training

Intervention Type: OTHER

Strength training was performed with resistance bands. The band was fastened to the unaffected ankle, while the participant was told to perform front and back pulls, as well as adduction and abduction movements with the affected ankle. They were told to control the ankle movement and to make it slow. Since the first day, they were told to perform the exercise pulling the band as if they wanted to make the resistance of 5 on a scale from 0 to 10.

Neuromuscular training

Participants completed 16 training sessions of neuromuscular training during eight weeks.

Group Type: EXPERIMENTAL

Neuromuscular training

Intervention Type: OTHER

consisted in a multi-station training with 6 exercises, increasing the difficulty progressively as the participants controlled the execution. The exercises were all performed barefoot and with the injured foot. These were a combination of standing and jumping exercises involving the injured ankle. The participants did not start the next progression until they perform a complete circuit in the level before.

Control group

The Control group received no intervention.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Strength training

Strength training was performed with resistance bands. The band was fastened to the unaffected ankle, while the participant was told to perform front and back pulls, as well as adduction and abduction movements with the affected ankle. They were told to control the ankle movement and to make it slow. Since the first day, they were told to perform the exercise pulling the band as if they wanted to make the resistance of 5 on a scale from 0 to 10.

Intervention Type: OTHER

Neuromuscular training

consisted in a multi-station training with 6 exercises, increasing the difficulty progressively as the participants controlled the execution. The exercises were all performed barefoot and with the injured foot. These were a combination of standing and jumping exercises involving the injured ankle. The participants did not start the next progression until they perform a complete circuit in the level before.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• To have suffered the first sprain at least 6 months before the beginning of the study.
• Cumberland ankle instability score ≤24.
• To be physically active.

Exclusion Criteria

• Participants could not have suffered an acute sprain in the 6 previous weeks to the beginning of the study.
• History of recent ankle surgery.
• Epilepsy or previous seizures.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

DAVID CRUZ DÍAZ

OTHER

Sponsor Role: lead

Responsible Party

DAVID CRUZ DÍAZ

Principal Investigator

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

David Cruz-Diaz, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Jaen

Locations

University of Jaen

Jaén, , Spain

Countries

Spain

References

Halabchi F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World J Orthop. 2020 Dec 18;11(12):534-558. doi: 10.5312/wjo.v11.i12.534. eCollection 2020 Dec 18.

Reference Type: BACKGROUND

PMID: 33362991 (View on PubMed)

Beynnon BD, Vacek PM, Murphy D, Alosa D, Paller D. First-time inversion ankle ligament trauma: the effects of sex, level of competition, and sport on the incidence of injury. Am J Sports Med. 2005 Oct;33(10):1485-91. doi: 10.1177/0363546505275490. Epub 2005 Jul 11.

Reference Type: BACKGROUND

PMID: 16009979 (View on PubMed)

Ahern L, Nicholson O, O'Sullivan D, McVeigh JG. Effect of Functional Rehabilitation on Performance of the Star Excursion Balance Test Among Recreational Athletes With Chronic Ankle Instability: A Systematic Review. Arch Rehabil Res Clin Transl. 2021 May 21;3(3):100133. doi: 10.1016/j.arrct.2021.100133. eCollection 2021 Sep.

Reference Type: BACKGROUND

PMID: 34589684 (View on PubMed)

Other Identifiers

ANKLEST

Identifier Type: -

Identifier Source: org_study_id