Comparison of the effect of ankle joint mobilization and exercise therapy along with dry needling with ankle joint mobilization and exercise therapy on balance, range of motion, pain and function in patients with chronic ankle instability In Hamedan city: Randomized clinical trial

Not Applicable

Conditions: Chronic Ankle Instability.
Other instability, unspecified ankle
M25.373

Registration Number: IRCT20230205057336N3

Lead Sponsor: Shiraz University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 40

Inclusion Criteria

patients with unilateral chronic ankle instability aged between 18-50 years
A history of at least one ankle sprain in the past 12 months with symptoms of inflammation that prevented activity for at least one day
At least three months have passed since the last ankle sprain.
People who have a feeling of instability or recurrent ankle sprains (two or more cases in one ankle) or ankle sprains (at least two cases in six months).
Trigger points in at least one of the muscles: Peroneus Longus, peroneus brevis, gastrocnemius and anterior tibialis
ankle instability scores 25 and less in Cumberland ankle instability tool
Foot and Ankle Ability Measurement questionnaire (FAAM) (Home scale<90%, sport scale<80%)

Exclusion Criteria

History of any musculoskeletal surgery in any of the lower limbs
History of fractures in any of the lower limbs
Having diseases related to imbalance (people with peripheral neuropathy, MS, Parkinson's, migraine, radiculopathy and diseases related to the middle ear)
Individuals who received physical therapy and dry needling for pain from their CAI in the past 6 months
history of skeletal-muscular injuries in other joints of the lower limbs in the last three months

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Dynamic balance. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: Modified star excursion balance test.;Ankle dorsiflexion range of motion. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: weight bearing lung test.;Pain. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: Visual analogue scale.;Function. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: Foot and Ability Measure questionnaire.

Secondary Outcome Measures

Name	Time	Method
Severity of functional ankle instability. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: Cumberland Ankle Instability Tool (CAIT).