Effect Of Thoracic Mobility Versus Lumbopelvic Stabilization Exercises On Patients With Chronic Ankle Instability

NCT ID: NCT06020131

Last Updated: 2023-08-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-01

Study Completion Date

2023-01-15

Brief Summary

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The aim of the study is to investigate the effectiveness of thoracic mobility versus lumbopelvic stabilization exercises combined with ankle strengthening exercises with resistive band on patients with chronic ankle instability in terms of lower extremity flexibility, proprioception and dynamic balance.The participants were divided into two group as Thoracic Mobility group (n=15) and Lumbopelvic Stability group (n=15). In addition their exercise programs (2 times/wk, 8 wk duration), both groups were given home exercise ankle strengthening exercises.(3 sets/ 10 reps, 3 times/wk.)

Detailed Description

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The aim of the study is to investigate the effectiveness of thoracic mobility versus lumbopelvic stabilization exercises combined with ankle strengthening exercises with resistive band on patients with chronic ankle instability in terms of lower extremity flexibility, proprioception and dynamic balance. The study were conducted in Noi Physio Pilates Studio in Istanbul between November 2022 - January 2023 during 8 weeks. 30 volunteers with chronic ankle instability were included according to Cumberland Ankle Instability Tool (CAIT). The cut off value for the CAIT test was determined as 27. Participants who received 27 or less than this value were included in the study. All participants were right dominant. Lower extremity flexibility was assessed with Active Straight Leg Raise Test, proprioception (hip, knee, ankle) was assessed with Joint Position Sense Test using electronic goniometer. Determined angles for joints; hip flexion angle as 75°, knee flexion angle as 50° and ankle dorsiflexion as 10° plantarflexion as 40°.Y Balance Test (anterior, posterolateral, posteromedial) was used for evaluating dynamic balance. 30 participants were divided into two groups as thoracic mobility and lumbopelvic stability group. Both groups were given ankle strengthening exercises (dorsiflexion, plantarflexion, inversion and eversion) with resistive band. Home exercises were performed 3 days a week for a total of 3 sets of 10 repetitions. Thoracic mobility group was given; thoracic extension on foam roller, sidelying thoracic rotation, quadruped thoracic rotation, squat with extension and rotation. Lumbopelvic stabilization group was prescribed; bridge with alternate leg, single leg bridge, four point kneeling with arm and leg extension, side plank on front arm with knee flexed (right, left), sitting on a Swiss Ball and hip flexion.Sessions took approximately 50 minutes and exercise program was planned twice a week for 8 weeks, 16 sessions total. Both groups were given ankle strengthening exercises (dorsiflexion, plantarflexion, inversion and eversion) with resistive band. Home exercises were performed 3 days a week for a total of 3 sets of 10 repetitions.

Conditions

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Chronic Ankle Instability

Keywords

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chronic ankle instability dynamic balance proprioception flexibility thoracic mobility lumbopelvic stability

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The sample of study consist of patients with chronic ankle instability who gets 27 and less point from Cumberland Ankle Instability Tool. The study was conducted between November 2022 - January 2023 in Noi Physio Pilates Studio in İstanbul.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Thoracic Mobility Group

Thoracic Mobility Exercises Ankle Strengthening Home Exercises with resistive band

Group Type EXPERIMENTAL

Thoracic Mobility Rehabilitation

Intervention Type PROCEDURE

Thoracic mobility exercises: Thoracic extension on foam roller, Sidelying thoracic rotation, Quadruped thoracic rotation, Squat with extension and rotation ( 10 reps x 3 set - 2 times x wk - 8 wk)

Ankle Strengthening Home Exercises

Intervention Type PROCEDURE

Ankle Strengthening exercises with resistive band (dorsiflexion, plantarflexion, inversion, eversion) (10 reps x 3 set - 3 times/wk)

Lumbopelvic Stability Group

Lumbopelvic stabilization exercises Ankle Strengthening Home Exercises with resistive band

Group Type EXPERIMENTAL

Lumbopelvic Stability Rehabilitation

Intervention Type PROCEDURE

Lumbopelvic Stabilization Exercises : Bridge with alternate leg, Single leg bridge, Four point kneeling with arm and leg extension, Side plank on front arm with knee flexed (right, left), Sitting on a Swiss Ball and hip flexion (10 reps x 3 set - 2times/wk - 8 wk)

Ankle Strengthening Home Exercises

Intervention Type PROCEDURE

Ankle Strengthening exercises with resistive band (dorsiflexion, plantarflexion, inversion, eversion) (10 reps x 3 set - 3 times/wk)

Interventions

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Thoracic Mobility Rehabilitation

Thoracic mobility exercises: Thoracic extension on foam roller, Sidelying thoracic rotation, Quadruped thoracic rotation, Squat with extension and rotation ( 10 reps x 3 set - 2 times x wk - 8 wk)

Intervention Type PROCEDURE

Lumbopelvic Stability Rehabilitation

Lumbopelvic Stabilization Exercises : Bridge with alternate leg, Single leg bridge, Four point kneeling with arm and leg extension, Side plank on front arm with knee flexed (right, left), Sitting on a Swiss Ball and hip flexion (10 reps x 3 set - 2times/wk - 8 wk)

Intervention Type PROCEDURE

Ankle Strengthening Home Exercises

Ankle Strengthening exercises with resistive band (dorsiflexion, plantarflexion, inversion, eversion) (10 reps x 3 set - 3 times/wk)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Being older than 18 years
* Having at least two previous lateral ankle sprain of same ankle.
* At least one episode of "giving way" wtihin previous 6 months.
* Having persistent symptoms during functional activities and being free of.
* Symptoms from any previous lower limb injuries.
* No other lower extremity injuries.

Exclusion Criteria

* Having any systemic illness (eg. Rheumatoid arthritis, DM).
* Any surgery history related to fractures or disorders.
* Getting steroid injection or physiotherapy intervention previous 6 months.
* Being a pregnant and existence of tumor.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yeditepe University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ecem Nur TAKINDI, MSc

Role: PRINCIPAL_INVESTIGATOR

Yeditepe University, Institute of Health Science, Sports Physiotherapy Department

Elif Tuğçe ÇİL, PhD

Role: STUDY_DIRECTOR

Yeditepe University, Institute of Health Science, Sports Physiotherapy Department

Locations

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Noi Physio Pilates Studio

Istanbul, Ataşehir, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Other Identifiers

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ecemnur

Identifier Type: -

Identifier Source: org_study_id