Assessment of Balance and Function After Lateral Ankle Ligament Repair

• Conditions: Postural Balance; Physical Functional Performance; Complete Tear, Ankle, Lateral Ligament

• 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

Study Timeline

• Study Start: 2021-02-12
• Study First Submitted: 2021-02-27
• Status Verified: 2021-03
• Study First Submitted QC: 2021-03-04
• Last Update Submitted: 2021-03-04
• Study First Posted: 2021-03-09
• Last Update Posted: 2021-03-09
• Primary Completion: 2022-02-01
• Study Completion: 2022-02-01

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

Primary Outcome Measures

Name	Time	Method
Dynamic balance assessment	1 year postoperatively	Dynamic balances will be evaluated with the Y balance test.
Static balance assessment-Postural Stability Test	1 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 Test	1 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 Test	1 year postoperatively	Modified Sensori Organization will be measured with the Biodex-BioSway 950-462 static balance device in double foot stance.

Secondary Outcome Measures

Name	Time	Method
Jumping performance assessment	1 year postoperatively	Performance evaluation will be made with a single leg jump test.
Lower limb functionality assessment	1 year postoperatively	Functionality will be evaluated with the Lower Extremity Functional Scale.
Foot and ankle functionality assessment	1 year postoperatively	Functionality will be evaluated with the AOFAS (American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale)
ROM assessment	1 year postoperatively	Range of motion (ROM) of the ankle will be measured with an electrogonyometer in dorsi-plantar flexion.
Walking ability	1 year postoperatively	Performance evaluation will be made with time up and go test.

Trial Locations

Locations (1)

Inci Ayas; 🇹🇷 Ankara, Turkey