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Assessment of Balance and Function After Lateral Ankle Ligament Repair

Conditions
Postural Balance
Physical Functional Performance
Complete Tear, Ankle, Lateral Ligament
Interventions
Other: Balance assessment
Other: Functionality assessment
Other: Performance assessment
Other: ROM assessment
Registration Number
NCT04788225
Lead Sponsor
Gazi University
Brief Summary

Approximately 85% of ankle injuries are lateral region injuries.Surgical repair of lateral ligaments is indicated if there is more than 20 degrees of varus or more than 15 mm translation, if conservative treatment is ineffective and degree of damage is high and chronic instability has developed.After the surgery in addition to pain and edema control, weight transfer is not performed on the ankle for 6 weeks.Therefore, this process may adversely affect the muscle strength and range of motion of the ankle, and lower extremity performance and muscular synergies of balance.Although pathological changes caused by ligament damage have been investigated very well in the literature, it is not clear how surgical repair affects these changes. In our study we aim to investigate post-surgical changes.

Primary aim of the study is to evaluate the balance parameters of individuals who have undergone anterior talofibular ligament and / or calcaneofibular ligament repair, and its secondary purpose is to evaluate lower extremity performance, ankle functionality, pain, range of motion and muscle strength and compare them with healthy individuals.

Our hypothesis is that the balance, lower extremity performance and functionality, pain, range of motion and muscle strength of patients who have undergone ankle lateral ligament repair are worse than healthy individuals.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Patients who have passed at least 1 year after the operation Unilateral arthroscopic ATFL repair Volunteer to participate in the study
Exclusion Criteria
  • Any orthopedic conditions, neuromuscular disease, balance disorder, cognitive disorder, history of fracture and surgical operation of the lower extremity

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Control groupBalance assessmentBetween the ages of 18-65 Volunteer to participate in the study Healthy individuals with no disease
Control groupFunctionality assessmentBetween the ages of 18-65 Volunteer to participate in the study Healthy individuals with no disease
Patients with ATFL repair by arthroscopic methodBalance assessmentPatients who have passed at least 1 year after the operation Unilateral arthroscopic ATFL repair Between the ages of 18-65 Volunteer to participate in the study Without any orthopedic conditions, neuromuscular disease, balance disorder, cognitive disorder No history of fracture and surgical operation of the lower extremity
Patients with ATFL repair by arthroscopic methodPerformance assessmentPatients who have passed at least 1 year after the operation Unilateral arthroscopic ATFL repair Between the ages of 18-65 Volunteer to participate in the study Without any orthopedic conditions, neuromuscular disease, balance disorder, cognitive disorder No history of fracture and surgical operation of the lower extremity
Patients with ATFL repair by arthroscopic methodROM assessmentPatients who have passed at least 1 year after the operation Unilateral arthroscopic ATFL repair Between the ages of 18-65 Volunteer to participate in the study Without any orthopedic conditions, neuromuscular disease, balance disorder, cognitive disorder No history of fracture and surgical operation of the lower extremity
Patients with ATFL repair by arthroscopic methodFunctionality assessmentPatients who have passed at least 1 year after the operation Unilateral arthroscopic ATFL repair Between the ages of 18-65 Volunteer to participate in the study Without any orthopedic conditions, neuromuscular disease, balance disorder, cognitive disorder No history of fracture and surgical operation of the lower extremity
Control groupPerformance assessmentBetween the ages of 18-65 Volunteer to participate in the study Healthy individuals with no disease
Control groupROM assessmentBetween the ages of 18-65 Volunteer to participate in the study Healthy individuals with no disease
Primary Outcome Measures
NameTimeMethod
Dynamic balance assessment1 year postoperatively

Dynamic balances will be evaluated with the Y balance test.

Static balance assessment-Postural Stability Test1 year postoperatively

Postural Stability will be measured with the Biodex-BioSway 950-462 static balance device in single foot stance and double foot stance.

Static balance assessment-Stability Limit Test1 year postoperatively

Stability Limit will be measured with the Biodex-BioSway 950-462 static balance device in double foot stance.

Static balance assessment-Modified Sensori Organization Test1 year postoperatively

Modified Sensori Organization will be measured with the Biodex-BioSway 950-462 static balance device in double foot stance.

Secondary Outcome Measures
NameTimeMethod
Foot and ankle functionality assessment1 year postoperatively

Functionality will be evaluated with the AOFAS (American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale)

Jumping performance assessment1 year postoperatively

Performance evaluation will be made with a single leg jump test.

Lower limb functionality assessment1 year postoperatively

Functionality will be evaluated with the Lower Extremity Functional Scale.

ROM assessment1 year postoperatively

Range of motion (ROM) of the ankle will be measured with an electrogonyometer in dorsi-plantar flexion.

Walking ability1 year postoperatively

Performance evaluation will be made with time up and go test.

Trial Locations

Locations (1)

Inci Ayas

šŸ‡¹šŸ‡·

Ankara, Turkey

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