Simplified Tai Chi Exercises to Improve Function in People With Chronic Ankle Instability
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Ankle neuromuscular reponses
研究概览
简要总结
The goal of this interventional trial is to evaluate the effectiveness of the simplified four-week Tai Chi training in improving function in people with chronic ankle instability. The main questions it aims to answer are:
- Does the 4-week Tai Chi training improve ankle neuromuscular responses?
- Does the 4-week Tai Chi training enhance ankle proprioception?
- Does the 4-week Tai Chi training improve ankle muscle strength？
- Does the 4-week Tai Chi training boost balance performance？
- Does the 4-week Tai Chi training enhance subjective ankle stability and quality of life?
Researchers will compare Tai Chi training to self-management to see if this Tai Chi training works to enhance ankle stability performance.
Participants will:
- Take self-management and Tai Chi training, and each for 4 weeks
- Visit the labs every 4 weeks for biomechanical measurements and questionnaires, totally 3 times.
详细描述
Tai Chi is a traditional Chinese exercise practiced by millions worldwide to stay active and improve health. Based on muscle activation levels across the full set of movements (108 forms), we developed a simplified 16-form Tai Chi routine to enhance ankle stability for individuals with chronic ankle instability.
To evaluate the benefits of this simplified 16-form version for ankle function in people with chronic ankle instability, we are recruiting individuals managing symptoms of chronic ankle instability for a 4-week training program and assess their ankle-related function three times. All participants are randomly allocated to both the Tai Chi training group or a self-management control group, while maintaining their usual lifestyle and exercise routines throughout the study. All participants will complete the same training content and assessment tasks; participants in the control group will be offered the Tai Chi training following completion of the second outcome assessment.
The Tai Chi training includes a total of 12 sessions over 4 weeks, with three sessions per week, each lasting 1 hour (10 minutes of warm-up, 45 minutes of Tai Chi practice, and a 5-minute cool down). Each of the three functional assessments will include consistent measures, including muscle activation, proprioception, muscle strength, balance testing, and self-assessment scales (ankle function and quality of life).
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
- None
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged from 18 to 40
- •A history of at least one significant lateral ankle sprain was associated with inflammatory symptoms (pain, swelling, etc) and disrupted activity
- •The initial sprain must have occurred at least 12 months prior to study enrolment
- •The most recent injury must have occurred more than 3 months prior to study enrolment
- •Reports of feeling instable or "giving way" during daily activities or physical activities and experienced at least 2 episodes in the 6 months prior to study enrolment
- •Scoring ≤25 on the Cumberland Ankle Instability Tool
排除标准
- •Any previous fractures or surgeries on the lower limbs
- •Have other muscle, joint or nerve disorders that affect the function of the lower limbs
- •Chest pain at rest, dizziness during rest, heart condition, or doctor's advice not to exercise without medical supervision
- •Currently enrolled in other ankle rehabilitation programmes
- •Already a Tai Chi practitioner
- •Allergic to adhesive tapes
研究组 & 干预措施
Exercise
Participants will be asked to choose three time slots per week to come to the lab, and each time slot will consist of a 1-hour workout that includes a 10-minute warm-up, a 45-minute Tai Chi practice, and a 5-minute cool-down.
干预措施: Tai Chi training (Behavioral)
Control
Participants replicated all the procedures of the exercise trial except for the different starting phase of the training.
结局指标
主要结局
Ankle neuromuscular reponses
时间窗: From the date of randomization until the completion of three assessments. This evaluation will be conducted at 0, 4, and 8 weeks after enrollment, with a maximum duration of 8 weeks.
This includes two tasks, one is drop-landing, the other is ankle inversion perturbation. Each side will perform each task three times. Six electromyography muscle sensors will be placed on peroneus longus, peroneus brevis and tibialis anterior muscles to record muscle activity.
次要结局
- Questionnaire(From the date of randomization until the completion of three assessments. This evaluation will be conducted at 0, 4, and 8 weeks after enrollment, with a maximum duration of 8 weeks.)
- Ankle proprioception(From the date of randomization until the completion of three assessments. This evaluation will be conducted at 0, 4, and 8 weeks after enrollment, with a maximum duration of 8 weeks.)
- Ankle muscle strength(From the date of randomization until the completion of three assessments. This evaluation will be conducted at 0, 4, and 8 weeks after enrollment, with a maximum duration of 8 weeks.)
- Balance performance(From the date of randomization until the completion of three assessments. This evaluation will be conducted at 0, 4, and 8 weeks after enrollment, with a maximum duration of 8 weeks.)
研究者
Qian Qian
Principal Investigator
Loughborough University