Core Stability Traning Exercises in Chronic Ankle Instability in Atheletes

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-01

Study Completion Date

2026-06-01

Brief Summary

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To study the effect of adding Core stability exercise to the conventional Program of Chronic ankle instability on balance, Functional instability, and Performance in athletes with CAI

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Detailed Description

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Chronic Ankle Instability (CAI) is a prevalent and debilitating condition that afflicts a considerable portion of the population (Al Adal et al.,2020) it is a condition characterized by repetitive episodes or perceptions of the ankle giving way; ongoing symptoms such as pain, weakness, or reduced ankle range of motion (ROM); diminished self-reported function; and recurrent ankle sprains that persist for more than 1 year after the initial injury (Gribble et al.,2013).

Purpose of the Study To study the effect of adding Core stability exercise to the conventional Program of Chronic ankle instability on balance, Functional instability, and Performance in athletes with CAI Methods:Triple Blinded RCT (Blinded: Participants, Research Assistant (for assessment of patient pre- and post-intervention) and statistician) Results :An unpaired t-test will be conducted for comparison of age, weight, and height between groups.

* Chi-squared test will be conducted for comparison of sex distribution between groups
* Mixed MANOVA will be conducted to compare the effect of time (pre versus post) and the effect of treatment (between groups), as well as the interaction between time and treatment on dependent variables.
* The level of significance for all statistical tests will be set at p \< 0.05.
* All statistical measures will be performed through the statistical package for social sciences (SPSS) version 25 for Windows.

Conditions

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Chronic Ankle Instability and Balance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Triple ( Participant, Care provider, outcomes Assessor )

Study Groups

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Control Group

1. Single legged stance:
2. Single-legged stance on the balance board
3. Single legged hop
4. Quadrant Hop:
5. Single legged Ball Catch:
6. Hop ups and downs:

Group Type ACTIVE_COMPARATOR

balance exercise

Intervention Type OTHER

Balance exercises are physical activities designed to improve stability, coordination, and posture by challenging the body's ability to maintain an upright position. These exercises target the muscles and systems involved in balance, particularly the core, legs, and the sensory systems (like vision and proprioception).

Experimental Group

Participants Will perform the same exercises in addition to core exercises

The core exercises will include 12 different exercises:

Week 1 :

1. Abdominal Drawing In
2. Abdominal Drawing in with alternating lower limb movement
3. Pelvic tilting with standing
4. Forward lunge

Week 2 :

1. Bracing with bridging
2. Curl up with bracing
3. Quadruped with bracing
4. Side plank with knee flexed

Week 3 :

1. Bracing with straight leg raising
2. Quadruped leg lift with bracing
3. Bridging with bracing on a Swiss ball
4. Side plank with the knee extended

Week 4 :

1. Alternate arm and leg raise from quadruped
2. Abdominal drawing in with a squat against a wall
3. Single limb deadlift
4. Squat with overhead sustained lift

Group Type EXPERIMENTAL

balance exercise

Intervention Type OTHER

Balance exercises are physical activities designed to improve stability, coordination, and posture by challenging the body's ability to maintain an upright position. These exercises target the muscles and systems involved in balance, particularly the core, legs, and the sensory systems (like vision and proprioception).

Core stability exercises

Intervention Type OTHER

Core stability exercises are physical activities designed to improve the strength, endurance, and coordination of the muscles that support and stabilize the spine, pelvis, and torso. These exercises specifically target the muscles of the abdomen, lower back, hips, and pelvis, collectively referred to as the "core." The goal is to enhance overall posture, prevent injury, and improve performance in daily activities or sports by increasing the body's ability to stabilize itself during movement.

Interventions

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balance exercise

Balance exercises are physical activities designed to improve stability, coordination, and posture by challenging the body's ability to maintain an upright position. These exercises target the muscles and systems involved in balance, particularly the core, legs, and the sensory systems (like vision and proprioception).

Intervention Type OTHER

Core stability exercises

Core stability exercises are physical activities designed to improve the strength, endurance, and coordination of the muscles that support and stabilize the spine, pelvis, and torso. These exercises specifically target the muscles of the abdomen, lower back, hips, and pelvis, collectively referred to as the "core." The goal is to enhance overall posture, prevent injury, and improve performance in daily activities or sports by increasing the body's ability to stabilize itself during movement.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Athletes having a history of chronic lateral ankle sprain during the offseason period.

2\. Patients aged between 19-30 years, with BMI ranging between (18.5-29.5kg/m2).

3\. Patients having unilateral CAI with the diagnosis to be based on the criteria described by the International Ankle Consortium for enrolling patients of CAI in controlled research (Gribble et al., 2014) as follows:
1. A history of at least one significant ankle sprain (the initial sprain must have occurred at least more than 3 months prior to study enrollment, at least one interrupted day of desired physical activity.
2. Participants should report at least 2 episodes of giving way and/or recurrent sprain and/or feelings of instability in the 6 months prior to study enrollment.
3. Self-reported ankle instability should be confirmed using a validated ankle instability questionnaire, CAIT\>24.

Exclusion Criteria

* Those with a history of spine, pelvis, and lower extremity injury, fracture, or surgery.

2- Those with LBP that required medical or surgical intervention. 3- Those who participated in supervised or unsupervised ankle rehabilitation within 3 months before enrollment in the study.

4- Having a history of an acute lower extremity injury in the 3 months before the study.

5\. Participation in formal rehabilitation in the 3 months before the study. 6. Having a history of lower extremity surgery or fracture that required alignment in the involved limb.

7\. Being diagnosed with neurologic dysfunction, such as multiple sclerosis, Parkinson's disease, or head injury.

Minimum Eligible Age

19 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes