A study to compare the balance and strength training versus joint mobilisation(MWM) among the young adults with chronic ankle instability

Not yet recruiting

Conditions: Other instability of joint,

Registration Number: CTRI/2023/04/051534

Lead Sponsor: Suhana V

Brief Summary: Purpose :- To determine the efficacy of balance and strength training with conventional physiotherapy versus joint mobilisation(MWM) with conventional physiotherapy on improving ankle instability among the young adults with chronic ankle instability.

Hypothesis:

Null Hypothesis [H0]:

There will be no significant effects of balance and strength training with conventional physiotherapy on improving pain, range of motion, proprioception, balance, functional performance in the young adults with chronic ankle instability.

There will be no significant effects of joint mobilization (MWM) with conventional physiotherapy on improving pain, range of motion, proprioception, balance, functional performance in the young adults with chronic ankle instability.

There will be no significant differences in balance and strength training with conventional physiotherapy compared to joint mobilisation (MWM) with conventional physiotherapy on improving pain, range of motion, proprioception, balance, functional performance in the young adults with chronic ankle instability.

Alternate Hypothesis [H1]:

There will be significant effects of balance and strength training with conventional physiotherapy on improving pain, range of motion, proprioception, balance, functional performance in the young adults with chronic ankle instability.

There will be significant effects of joint mobilisation(MWM) with conventional physiotherapy on improving pain, range of motion, proprioception, balance, functional performance in the young adults with chronic ankle instability.

There will be significant differences in balance and strength training with conventional physiotherapy compared to joint mobilisation(MWM) with conventional physiotherapy on improving pain, range of motion, proprioception, balance, functional performance in the young adults with chronic ankle instability.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 76

Inclusion Criteria

A history of atleast 1 significant ankle sprain on the same side 2) Age group between 18 to 25 years 3) Asymmetry larger than 2cm on the weight bearing lunge test(WBLT) for ankle dorsiflexion 4) Self reported unilateral Chronic Ankle Instability 5) A history of atleast 2 episodes of giving way of the injured ankle joint in the 6 months prior to study enrollment 6) The participants must not have sustained an ankle sprain within 3 months of the start of the study 7) Participants who had a score of Cumberland Ankle Instability Tool(CAIT) of less than 24 points 8) Participants not receiving any alternative treatment during the study.

Exclusion Criteria

The participants with history of lower extremity injury/surgery, any history of head injury, and any vestibular or balance disorders 2) A history of a fracture in either limb of the lower extremity requiring realignment 3) Acute injury to musculoskeletal structures of other joints of the lower extremity in the previous 3 months, which impacted joint integrity and function (i.e, sprains, fractures) resulting in at least 1 interrupted day of desired physical activity 4) A history of bilateral ankle injury 5) Participants were excluded from the study if they missed more than two therapeutic sessions.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Dorsiflexion Range of Motion(DFROM)- (Active Dorsiflexion ROM), Dynamic Balance(Y balance test), Cumberland Ankle Instability Tool(CAIT)(CAIT score)	Baseline- 0 week \| Post intervention- 4th week

Secondary Outcome Measures

Name	Time	Method
Pain(Visual Analog Scale), Proprioception(Degree of joint position sense), Static Balance(One leg stance test)	Baseline- 0 week

Trial Locations

Locations (1): Physiotherapy OPD
🇮🇳
Bangalore, KARNATAKA, India
Physiotherapy OPD
🇮🇳Bangalore, KARNATAKA, India
Suhana V
Principal investigator
9741756100
suhana982@gmail.com