Effects of Neurocognitive Training on Chronic Ankle Instability
- Conditions
- Chronic Ankle InstabilityBalanceNeurocognitive
- Registration Number
- NCT07004114
- Lead Sponsor
- Balikesir University
- Brief Summary
Aim: This study aimed to investigate the effects of neurocognitive training on pain, proprioception, injury-related fear, functional, and neurocognitive performance in athletes with chronic ankle instability (CAI).
Materials and Methods: A total of 30 athletes with CAI, with a mean age of 11.10±1.06 years and residing in Balıkesir, were included in the study. Participants were randomly assigned into two groups using simple randomization: the intervention group (n=15) and the control group (n=15). Two participants from the control group were excluded from the final analyses due to missing post-intervention assessments. The intervention group received a neurocognitive training program conducted twice a week for four weeks, following an initial familiarization week. The training was progressively administered on flat ground, balance mat, BOSU, and inverted BOSU. Both groups were evaluated before and after the 4-week intervention using the following measures: the Identification of Functional Ankle Instability (IdFAI), the Cumberland Ankle Instability Tool (CAIT), pain intensity, proprioception, fear of re-injury, Y Balance Test (YBT), Side Hop Test, Reactive Balance Test (RBT), and Upper Extremity Choice Reaction Time Test.
Results: The results were analyzed.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 28
Aged between 10 and 18 years
At least 2 years of active athletic participation
History of ankle sprain with at least 2 inflammatory symptoms (e.g., pain, swelling)
The most recent sprain occurred at least 3 months prior to the study start date
A score of 11 or above on the FABIT (Simon et al., 2012)
A score of ≤27 on the CAIT (Yin et al., 2022)
Willingness to participate in the study
History of hip/pelvis, knee, or ankle surgery within the past year
History of ankle fracture
Diagnosis of a neurological disorder
Presence of vestibular disorders
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Functional Ankle Instability Assessment Using the Identification of Functional Ankle Instability Questionnaire (IDFAI) from the beginning of the study until the end of the 4th week The IDFAI is a self-reported questionnaire consisting of 9 items designed to identify the presence and severity of functional ankle instability. Scores range from 0 to 37, with higher scores indicating greater instability. A score above 11 suggests the presence of instability. Scores are unitless numeric values representing the severity of symptoms and frequency of ankle sprains.
Functional Ankle Instability Evaluation Using the Cumberland Ankle Instability Tool (CAIT) from the beginning of the study until the end of the 4th week The CAIT is a self-assessment tool with 9 items measuring subjective ankle instability. Scores range from 0 (severe instability) to 30 (no instability). A score of 27 or below indicates functional ankle instability. The score is a unitless numeric value that reflects the level of perceived instability and risk of recurrent sprains.
Pain Severity Assessment-Visual Analog Scale (VAS) from the beginning of the study until the end of the 4th week The Visual Analog Scale (VAS) is a 10 cm line ranging from "No pain" to "Worst imaginable pain." Participants mark their pain intensity on the line, which is measured in centimeters to quantify pain severity. This unitless numeric score reflects pain intensity at rest, during training, and post-training in ankles with instability history.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Balikesir University
🇹🇷Balikesir, Bigadiç, Turkey