Effectiveness of proprioceptive and balance training versus strengthening exercise with common use of Maitland mobilization for the treatment of chronic ankle instability in athletes

INTRODUCTION

Chronic Ankle Instability is a common and debilitating condition that affects an individual who are engaged in sports or physical activities that involve sudden changes in directions or jumping. They can range from mild tear (such sprains / small tears) to severe (when the ligament is completely torn). Most of the injuries in ankle occur when the players rapidly intend to change directions or lands on uneven surface (eg: grass, fields). This is the most common condition seen in players associated with football, volleyball, net balls and basketball. The quick change in direction and fall causes excessive stress on the ankle joint and its relative ligaments [Deltoid ligament (medially), the Anterior and Posterior Talofibular ligaments and the Calcaneofibular ligament (laterally)] leading to tear or a rupture of one or more ligament. This type injury can have significant negative effects on an individual’s performance, physical health, mental wellbeing and quality of life.

Proprioceptive and Balance training : It is a type of approach where the individual is trained to gain the motor control and functions. This method of treatment focus on improving functional stability which is carried on a stable platform progressing to an unstable platform with various functional activities on hard surface, foam surface, wobble board, trampoline, balance board.

Strength training : It is the development of muscle strength which plays an integral component of most rehabilitation or conditioning programs for individual of all ages and abilities. Strengthening exercise is an activity in which dynamic or static contraction is resisted by an external force either manually or mechanically.

Maitland mobilization : It is a type of manual therapy used in physical therapy that involves passive movements of joints and soft tissues to reduce pain, improve range of motion, and restore normal function. Maitland mobilization involves the therapist using their hands to apply graded Oscillatory movements to the joint or tissue being treated, with the goal of restoring range of motion and joint mobility in patients with chronic ankle instability.

 Need for the study

Chronic ankle instability are relatively common injuries among athletes. They occur most frequently in those who play sports involving pivoting (example: football, volleyball, basketball, netball, rugby, gymnastic, downhill skiing).

In this study, an effort will be made to find out the effectiveness of the Proprioceptive and Balance training and Strengthening exercise with common use of Maitland mobilization to treat chronic ankle instability in athletes.

Though there is limited documented research comparing the two approaches with common use of Maitland mobilization

 OBJECTIVE OF RESEARCH:

1.  1. To evaluate the effectiveness of Proprioceptive and Balance Training with Maitland mobilization for the treatment of chronic ankle instability athletes.

2.  2.    To evaluate the effectiveness Strengthening exercise with Maitland mobilization for the treatment of chronic ankle instability in athletes.

3.  3.    To compare the effectiveness of Proprioceptive and Balance training versus Strengthening exercise with common use of Maitland mobilization for the treatment of chronic ankle instability in athletes.

 RESEARCH HYPOTHESIS

NULL HYPOTHESIS (H0):

There will be no significant difference between the Effectiveness of Proprioceptive and Balance training versus Strengthening exercise with common use of Maitland mobilization for the treatment of chronic ankle instability in athletes.

ALTERNATIVE HYPOTHESIS (H1):

There will be significant difference between the Effectiveness of Proprioceptive and Balance training versus Strengthening exercise with common use of Maitland mobilization for the treatment of chronic ankle instability in athletes.

 Expected Outcome:

Both the groups are expected to show significant improvement after 4 weeks of rehabilitation with Chronic Ankle Instability. The proposed study must find out whether both the interventions are statistically significant or not as well as which group will show significant statistical functional independence.