Effects of Supervised Balance and Proprioceptive Neuromuscular Facilitation Training After Lateral Ligament Sprains of the Ankle
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 22
- 试验地点
- 2
- 主要终点
- Ankle Functional Stability, Via the Single-leg Hops for Time Test
研究概览
简要总结
The purpose of this study was to determine the effects of supervised balance and proprioceptive neuromuscular facilitation (PNF) training for the rehabilitation of ankle sprains
详细描述
Supervised proprioceptive training has been recommended by recently published guidelines for the rehabilitation of ankle sprains. However, research evidence on the efficacy of this type of training is still weak, mainly owing to the methodological limitations of relevant studies. In addition, there is paucity of evidence concerning the effects of such training for the outcomes of functional performance, pain, ankle range of motion, and contradictory results have been reported for postural control.
This study aimed to substantiate the benefits of supervised training for the rehabilitation of ankle sprains, and elucidate the effects of two different proprioceptive protocols on the above-mentioned outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals with a symptomatic, conventionally treated, post acute (after 14 days) lateral ankle sprain, Grade I-II
排除标准
- •Individuals with lateral ankle sprains Grade III
- •Individuals with ankle sprain to the medial ligaments
- •Individuals with ankle sprain to the interosseous (syndesmotic) ligament
- •Individuals with concurrent fracture
- •Individuals with chronic ankle instability
- •Individuals with history of surgery to the ankles
- •Individuals with history of lower limb nerve injuries
- •Individuals with history of further ankle injuries, after the sprain
- •Individuals with any injuries that hindered training participation
研究组 & 干预措施
Proprioceptive Neuromuscular Facilitation (PNF)
Supervised PNF training
干预措施: PNF training (Other)
Balance
Supervised balance training
干预措施: Balance training (Other)
结局指标
主要结局
Ankle Functional Stability, Via the Single-leg Hops for Time Test
时间窗: Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2)
Participants hopped, using the sprained leg, as fast as possible, a six-meter distance. Three trials were performed, and the mean hopping time was used for analysis.
Ankle Functional Stability, Via the Single-leg Hop for Distance Test
时间窗: Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2)
Participants hopped, using the sprained leg, as far forward as possible, and remained in the landing position for 2sec. Three trials were performed, and the mean hopping distance was used for analysis.
Endurance of Ankle Plantar Flexor Muscles
时间窗: Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2)
The rising on toes test was used, and participants rose on the toes of the sprained leg, as many times as possible. Scoring:10 points for \>40 rises, 5 points for 30-39 rises, 0 points for \<30 rises.
Endurance of Ankle Dorsiflexor Muscles
时间窗: Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2)
The rising on heel test was used, and participants rose on the heel of the sprained leg, as many times as possible. Scoring:10 points for \>40 rises, 5 points for 30-39 rises, 0 points for \<30 rises.
次要结局
- Electromyographic Activity of Anterior Tibialis Muscle During Ankle Dorsiflexion at 30°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Electromyographic Activity of Peroneus Longus Muscle During Foot Eversion at 30°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Electromyographic Activity of Peroneus Longus Muscle During Foot Eversion at 120°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Electromyographic Activity of Tibialis Anterior Muscle During Foot Inversion at 120°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Medial-lateral Stability Index(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Anterior-posterior Stability Index(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Pain Intensity During the Week Before Testing(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Peak Torque of Ankle Dorsiflexor Muscles at 120°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Peak Torque of Ankle Plantar Flexor Muscles at 120°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Peak Torque of Foot Evertor Muscles at 30°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Overall Stability Index(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Ankle Dorsiflexion Range of Motion(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Pain Sensation(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Present Pain(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Ankle Joint Sense for 10° Dorsiflexion(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Ankle Joint Sense for 15° Plantar Flexion(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Ankle Joint Sense for 30° Plantar Flexion(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Peak Torque of Ankle Dorsiflexor Muscles at 30°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Peak Torque of Ankle Plantar Flexor Muscles at 30°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Peak Torque of Foot Evertor Muscles at 120°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Peak Torque of Foot Invertor Muscles at 120°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Electromyographic Activity of Anterior Tibialis Muscle During Ankle Dorsiflexion at 120°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Electromyographic Activity of Peroneus Longus Muscle During Ankle Plantar Flexion at 30°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Electromyographic Activity of Peroneus Longus Muscle During Ankle Plantar Flexion at 120°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Electromyographic Activity of Tibialis Anterior Muscle During Foot Inversion at 30°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
- Participants With Recurrent Ankle Sprain(Twelve months after the completion of training)
- Peak Torque of Foot Invertor Muscles at 30°/Sec Speed(Baseline, after the completion of training (follow-up 1), and eight weeks after the completion of training (follow-up 2))
研究者
Lazaros Lazarou
Physiotherapist (MSc)
Aristotle University Of Thessaloniki