Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05717426
Other study ID # ahmadsajjad0446
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 28, 2023
Est. completion date July 25, 2023

Study information

Verified date August 2023
Source Sehat Medical Complex
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The goal of this Randomized clinical trial is to find the effects of open versus closed kinetic chain exercises on ankle joint function in athletes with chronic ankle instability. The main question it aims to answer is: • To compare the effects of open versus closed kinetic chain exercises on pain, instability and balance in athletes with chronic ankle instability. Participants were given consent form and after subjects read and signed the informed consent and completed the self-reported questionnaires designed to identify subjects with CHRONIC ANKLE INSTABILITY, subjects completed baseline measurements that included Foot and Ankle Ability Measure (FAAM)-Sport Subscale, Reach distance, and SEBT. Participant were divided into two groups (Group A and Group B) through lottery method. Group A received open kinetic exercises 3times a week for 3-4 weeks. Group B received close kinetic exercises 3 times a week for 3-4 weeks.


Description:

Chronic instability is a common condition in sports and there are many treatment methods and rehabilitation protocols available which are used according to extent of injury. The purpose of this study is to find out the effects of close kinetic chain exercises and open kinetic chain exercises and to find out which technique is more efficient for treating ankle instability, pain, and imbalance in athletes with chronic ankle instability. This study will help physical therapists and medical team to enhance the rehabilitation process. The study was randomized clinical trial conducted at Pakistan Sports board Lahore in which convenient random sampling technique was used. This study included total 26 participants and for this purpose Open Epi tool would be used as a sample size calculation. Participants falling in this category were recruited into the study after inclusion and exclusion criteria. The Cumberland ankle instability tool was used as a tool for pre and post assessment of athletes. In this study we divided population into two groups. Group A received open chain kinetic exercises and Group B was treated with Closed chain kinetic exercises. Data was analyzed through SPSS 25 version.


Recruitment information / eligibility

Status Completed
Enrollment 26
Est. completion date July 25, 2023
Est. primary completion date May 30, 2023
Accepts healthy volunteers No
Gender Male
Age group 18 Years to 35 Years
Eligibility Inclusion Criteria: - Male - Age 18-30years - Tennis, Football, Cricketers, volley ball and Hockey players - Athletes with balance problems - Chronic ankle injuries Exclusion Criteria: - Acute injuries - Non-athletes (minimum once a week sports participation) - Athletes with pain related to calf muscles and achillies tendon

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Open chain exercises
An open chain exercise is one that allows the furthest part of the chain to move freely. For example, picking up a glass of water is an open-chain exercise. The hand affects the elbow and the shoulder as it is not fixed in place. However, it does not effect the rest of your body.
Closed kinetic chain exercises
Closed Kinetic Chain (CKC) exercises or closed chain exercises are exercises or movements where the distal aspect of the extremity is fixed to an object that is stationary.

Locations

Country Name City State
Pakistan Pakistan sports board Lahore Lahore Punjab

Sponsors (1)

Lead Sponsor Collaborator
Sehat Medical Complex

Country where clinical trial is conducted

Pakistan, 

Outcome

Type Measure Description Time frame Safety issue
Primary Numeric pain rating scale The Numeric Pain Rating Scale (NPRS) is commonly used to assess pain. Change in the NPRS across time can be interpreted with responsiveness indices. 4 weeks
Primary Star excursion balance test. The SEBTs are functional tests that incorporate a single-leg stance on one leg with maximum reach of the opposite leg. The SEBTs are performed with the subject standing at the center of a grid placed on the floor, with 8 lines extending at 45° increments from the center of the grid. The 8 lines positioned on the grid are labeled according to the direction of excursion relative to the stance leg: anterolateral (AL), anterior (A), anteromedial (AM), medial (M), posteromedial (PM), posterior (P), posterolateral (PL), and lateral (L). The grid was constructed in an athletic training facility using a protractor and 3-in (7.62-cm)-wide adhesive tape and was enclosed in a 182.9-cm by 182.9-cm square on the hard tile floor. 4 weeks
Primary Reach distance. (functional reach test) Functional Reach (standing instructions): The patient is instructed to next to, but not touching, a wall and position the arm that is closer to the wall at 90 degrees of shoulder flexion with a closed fist. The assessor records the starting position at the 3rd metacarpal head on the yardstick. Instruct the patient to "Reach as far as you can forward without taking a step." The location of the 3rd metacarpal is recorded. Scores are determined by assessing the difference between the start and end position is the reach distance, usually measured in inches. Three trials are done and the average of the last two is noted. 4 weeks
Primary Cumberland Ankle Instability Tool (CHRONIC ANKLE INSTABILITYT) and Ankle Instability Instrument (AII) The Cumberland Ankle Instability Tool (CHRONIC ANKLE INSTABILITYT) is a PROM that can detect functional ankle instability and provide a measure of the severity of the instability . It does so through nine questions evaluating ankle pain, subjective instability during activities such as running or hopping and the ability of the ankle to cope with episodes of giving way . The answers for the nine questions are added up to a total score, which goes from 0 (indicating an extreme functional instability of the ankle) to 30 points (indicating a stable ankle) 4 weeks
Primary Foot and Ankle Ability Measure (FAAM)-Sport Subscale The Foot and Ankle Ability Measure (FAAM) is a patient-reported questionnaire for patients with muscu loskeletal foot and ankle disorders consisting of two sub scales, ADL and Sports, with a total of 32 questions. The FAAM is an evaluative self-reported instrument to comprehensively assess physical function of individu als with musculoskeletal disorders of the foot and ankle. It consists of an ADL (FAAM-ADL) and Sports (FAAM-Sport) subscale, containing 21 and 9 items, respectively. Standardized answer options are given in five-point Likert boxes, ranging from 0 (no difficulty at all) to 4 (unable to do). The sixth option is 'not applicable, which will not be taken into account when counting the percentage scores. According to Martin et al. we only calculated a total subscale if =2 items were missing (or inapplicable) in the FAAM-ADL and if =1 item was missing (or inapplicable) in the FAAM-Sport domain. A higher score represents a higher level of function in each subscale 4 weeks
See also
  Status Clinical Trial Phase
Terminated NCT05009342 - Evaluation of Functional Outcomes at 2 Months According to Therapeutic Management, in Trauma With Low-grade Osteo-ligamentous Ankle Injury in Children N/A
Completed NCT04367532 - Foam Rolling and Tissue Flossing of the Cuff Muscles N/A
Not yet recruiting NCT05484778 - Analysis of Balance and Functional Hop Tests Used for Return to Sports in Athletes With Lower Extremity Injuries by Dual Task Study N/A
Completed NCT02609308 - Lateral Ankle Sprain and Platelet Rich Plasma N/A
Recruiting NCT01196338 - Early Weightbearing and Mobilization Versus Non-Weightbearing and Mobilization in Unstable Ankle Fractures N/A
Not yet recruiting NCT01205841 - A Prospective Study Comparing Different Clinical Decision Rules in Adult and Pediatric Ankle Trauma N/A
Recruiting NCT05916300 - Diagnostic Ultrasonography in Physiotherapy
Completed NCT06041243 - Effects of Progressive Exercise Method Using Balance Board in Recreational Athletes With Functional Ankle Instability N/A
Completed NCT04302961 - Effects of Gait Retraining With Auditory Feedback Early Phase 1
Recruiting NCT04493645 - Ankle Instability Using Foot Intensive Rehabilitation N/A
Completed NCT02276339 - Muscle Activation in Chronic Ankle Instability and the Effect of an Exercise Programme N/A
Completed NCT06086418 - Perineural Dexamethasone on the Duration of Popliteal Nerve Block for Anesthesia After Pediatric Ankle Surgery Phase 4
Completed NCT05074511 - Weight Variations Impacts on the Ankle of the Child
Completed NCT05130372 - Comparison of The Acute Effects of Different Stretching Methods on Ankle Joint Range In Healty Older Adults N/A
Completed NCT06343207 - Percussive Therapy Reduced EMG Activity During Calf Raise in Limbs With and Without Chronic Ankle Instability N/A
Completed NCT01945034 - 5% Topical Ibuprofen (IBU) for Ankle Sprain Phase 3
Recruiting NCT05729542 - Comparing Clinical Outcomes of Suture Button Versus Fibulink Fixation for Acute Ankle Syndesmosis Injuries N/A
Not yet recruiting NCT06086223 - Functional Outcomes Following Ankle Fracture Fixation With or Without Ankle Arthroscopy N/A
Completed NCT05538845 - Comparison of Screw and Suture Button Technique Results in Ankle Syndesmosis Injuries
Not yet recruiting NCT02705690 - Benchmarking the iOS Balance Application Against the Berg Balance Test N/A