The Effect of Neuromuscular and Vestibulo-Ocular Training on Balance,Isokinetic Strength and Proprioception in Chronic Ankle Instability

Chronic Ankle Instability Clinical Trial

Official title:

The Effect of Neuromuscular and Vestibulo-Ocular Reflex Training Program on Balance, Isokinetic Muscle Strength and Proprioception in Subjects With Chronic Ankle Instability

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05455957
• Other study ID #: YeditepeU1
• Status: Completed
• Phase: N/A
• Start date: March 10, 2021
• Est. completion date: February 4, 2022

Study information

• Verified date: June 2022
• Source: Yeditepe University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of the study is to compare the effects of neromuscular exercise combined with vestibulo-ocular reflex training on balance,isokinetic muscle strength and proprioception in subjects with ankle instability.The aim of the study is to compare the effects of neromuscular exercise combined with vestibulo-ocular reflex training on balance and isokinetic muscle strength in subjects with ankle instability.

Hypotheses of the study; H0: Vestibulo-ocular reflex training protocol, which is given in addition to the neuromuscular exercise program, has an effect on isokinetic ankle muscle strength and balance in individuals with ankle instability.

H1: Vestibulo-ocular reflex training protocol, which is given in addition to the neuromuscular exercise program, has no effect on isokinetic ankle muscle strength and balance in individuals with ankle instability.

Description:

The aim of the study is to compare the effects of neromuscular exercise combined with vestibulo-ocular reflex training on balance,isokinetic muscle strength and proprioception in subjects with ankle instability. This study was conducted in Sportomed Athlete Health and Orthopedic Rehabilitation clinic in February 2020, September 2022.A total of 20 participants aged 18-30 were included in the study on a voluntary basis..Participants were randomly seperated to 2 groups. Demographic information and informed consent forms were filled into all subjects who volunteered to participate in the study and in accordance with the research criteria. After the evaluation, the subjects in the first group were included in the vestibulo-ocular exercise program in addition to the neuromuscular exercise programs with the same physiotherapist. Subjects in the second group were included in neuromuscular training programs. The trainings were applied three days a week for four weeks and each training session lasted approximately 60 minutes. Functional limitations of the participants before and after the treatment were evaluated with the Foot and Ankle Ability Measure Daily Living Subscale (FAAM-ADL) and Sports Subscale (FAAM-S). Dynamic balance evaluation with star excursion balance test, proprioception evaluation by measuring joint position sense with goniometer, and ankle evertor and inverter concentric muscle strength were evaluated using isokinetic dynamometer at angular velocities of 60/s, 120/s and 180/s, and the results were recorded.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: February 4, 2022
• Est. primary completion date: September 16, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• Being 18-30 years old

• At least 2 lateral sprains to the same ankle in the past

• At least 1 episode of "giving way" that had occurred within the past 6 months

• The presence of residual symptoms during functional activities and had to be free from symptoms of any other previous injury to the lower extremity.

• No other injuries to the lower limbs

Exclusion Criteria:

• Having a bilateral ankle instability

• Having a history of ankle fracture

• Having a history of fracture or surgery to the involved lower extremity

• Having a history of balance and vestibular disorders

Related Conditions & MeSH terms

• Chronic Ankle Instability
• Joint Instability

Intervention

Other:
• exercise
neuromuscular and vestibulo-ocular training

Locations

Country	Name	City	State
Turkey	Sportomed	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Yeditepe University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	balance,isokinetic muscle strength,proprioception	Dynamic balance evaluation with star excursion balance test recorded in centimeters.	1 hours
Primary	isokinetic muscle strength	ankle evertor- inverter concentric muscle strength by using isokinetic dynamometer at angular velocities of 60 degree/s, 120 degree /s and 180 degree/s were recorded.	1 hours
Primary	proprioception	Proprioception was evaluated by measuring joint position sense with a goniometer, and deviations in proprioception were recorded as degrees.	1 hours
Secondary	weight	kilogram	1 hours
Secondary	height	meter	1 hours