The Effects of Open Versus Closed Kinetic Chain Exercises on Ankle Joint Function

NCT ID: NCT05717426

Last Updated: 2023-08-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-28
• Study Completion Date: 2023-07-25

Brief Summary

The goal of this Randomized clinical trial is to find the effects of open versus closed kinetic chain exercises on ankle joint function in athletes with chronic ankle instability. The main question it aims to answer is:

• To compare the effects of open versus closed kinetic chain exercises on pain, instability and balance in athletes with chronic ankle instability.

Participants were given consent form and after subjects read and signed the informed consent and completed the self-reported questionnaires designed to identify subjects with CHRONIC ANKLE INSTABILITY, subjects completed baseline measurements that included Foot and Ankle Ability Measure (FAAM)-Sport Subscale, Reach distance, and SEBT. Participant were divided into two groups (Group A and Group B) through lottery method. Group A received open kinetic exercises 3times a week for 3-4 weeks. Group B received close kinetic exercises 3 times a week for 3-4 weeks.

Detailed Description

Chronic instability is a common condition in sports and there are many treatment methods and rehabilitation protocols available which are used according to extent of injury. The purpose of this study is to find out the effects of close kinetic chain exercises and open kinetic chain exercises and to find out which technique is more efficient for treating ankle instability, pain, and imbalance in athletes with chronic ankle instability. This study will help physical therapists and medical team to enhance the rehabilitation process.

The study was randomized clinical trial conducted at Pakistan Sports board Lahore in which convenient random sampling technique was used. This study included total 26 participants and for this purpose Open Epi tool would be used as a sample size calculation. Participants falling in this category were recruited into the study after inclusion and exclusion criteria. The Cumberland ankle instability tool was used as a tool for pre and post assessment of athletes. In this study we divided population into two groups. Group A received open chain kinetic exercises and Group B was treated with Closed chain kinetic exercises. Data was analyzed through SPSS 25 version.

Conditions

Ankle Injuries

Study Design

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

Study Groups

Open chain exercises group

Group A(Open chain exercises group) received open kinetic exercises 3 times a week for 3-4 weeks.

Group Type: ACTIVE_COMPARATOR

Open chain exercises

Intervention Type: OTHER

An open chain exercise is one that allows the furthest part of the chain to move freely. For example, picking up a glass of water is an open-chain exercise. The hand affects the elbow and the shoulder as it is not fixed in place. However, it does not effect the rest of your body.

Closed kinetic chain exercises group

Group B(Closed kinetic chain exercises group) received close kinetic exercises 3 times a week for 3-4 weeks.

Group Type: ACTIVE_COMPARATOR

Closed kinetic chain exercises

Intervention Type: OTHER

Closed Kinetic Chain (CKC) exercises or closed chain exercises are exercises or movements where the distal aspect of the extremity is fixed to an object that is stationary.

Interventions

Open chain exercises

An open chain exercise is one that allows the furthest part of the chain to move freely. For example, picking up a glass of water is an open-chain exercise. The hand affects the elbow and the shoulder as it is not fixed in place. However, it does not effect the rest of your body.

Intervention Type: OTHER

Closed kinetic chain exercises

Closed Kinetic Chain (CKC) exercises or closed chain exercises are exercises or movements where the distal aspect of the extremity is fixed to an object that is stationary.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Male
• Age 18-30years
• Tennis, Football, Cricketers, volley ball and Hockey players
• Athletes with balance problems
• Chronic ankle injuries

Exclusion Criteria

• Acute injuries
• Non-athletes (minimum once a week sports participation)
• Athletes with pain related to calf muscles and achillies tendon

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: MALE
• Accepts Healthy Volunteers: No

Sponsors

Sehat Medical Complex

OTHER

Sponsor Role: lead

Responsible Party

Waseem Javaid

Project Director

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Muhammad Ahmed sajjad, MS-SPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Pakistan sports board Lahore

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

ahmadsajjad0446

Identifier Type: -

Identifier Source: org_study_id