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Joint Instability clinical trials

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NCT ID: NCT06296537 Recruiting - Chronic Pain Clinical Trials

Effectiveness of Balance Training And Dynamic Neuromuscular Stabilization Training in Amateur Athletes With Chronic Ankle Instability

Start date: March 2024
Phase: N/A
Study type: Interventional

The goal of this clinical trial is to determine and compare the effects of balance and dynamic neuromuscular stabilization training on ankle function ability, functional instability severity, physical activity level, muscle strength, proprioception, stabilization, balance, reaction time and performance of amateur athletes with chronic ankle instability. The main questions it aims to answer are: - Do balance and dynamic neuromuscular stabilization training positively affect functionality, balance, stabilization, proprioception and performance in amateur athletes with chronic ankle sprains? - Does balance training or dynamic neuromuscular stabilization training have a more positive effect on functionality, balance, stabilization, proprioception and performance in amateur athletes with chronic ankle sprains? Participants will apply: - a dynamic neuromuscular stabilization training program consisting of a series of special exercises based on the developmental kinesiology steps of a healthy baby. - balance training which consist of an effective postural stability program. - conventional training program which consist of stretching, joint range of motion, strengthening and postural control exercises. Researchers will compare balance and dynamic neuromuscular stabilization training to see if effectiveness of ankle function ability, functional instability severity, physical activity level, muscle strength, proprioception, stabilization, balance, reaction time and performance.

NCT ID: NCT06277401 Not yet recruiting - Knee Discomfort Clinical Trials

Exercise in Patients With Hypermobile Joints and Knee Pain

HIPEr-Knee
Start date: February 15, 2024
Phase: N/A
Study type: Interventional

Pain associated with knee joint hypermobility is common in the adult population, but evidence on treatment is sparse. This study investigates if high-load resistance training is superior to usual care in improving activity-related pain in young patients (18-45 years) with hypermobile joints and knee pain.

NCT ID: NCT06202924 Completed - Balance Clinical Trials

Muscle Strength and Balance in Individuals With Joint Hypermobility

Start date: January 15, 2024
Phase:
Study type: Observational

Joint hypermobility is a clinical condition characterized by joints having a range of motion beyond their normal limits. Joint hypermobility (JH) makes the joints more vulnerable to trauma in individuals with increased joint range of motion, changes in neuromuscular reflexes and decreased joint position sense. Individuals with JH have difficulty in stabilization and end of extension range of motion compared to healthy individuals. Accordingly, findings such as balance problems and an increased risk of falling occur in these patients. Recent evidence suggests that children and adults with JH may be identified with seemingly unrelated, common clinical problems such as chronic fatigue, anxiety, and a range of gastrointestinal functional disorders. The use of internal and external focus in learning motor skills is important in terms of performance and activity. In the external focus of attention (EF), attention is directed to movement and an environmental stimulus. In the internal focus (IF), attention is directed directly to body movements. In revealing positive effects in external focus; Methods such as metaphor, analogy, imaginary objects, mental analogies can be used. Adopting an external focus of attention (focusing on the effects of movements on the object or environment), as opposed to an internal focus of attention (focusing on body movements), has been found to significantly improve performance on a variety of tasks. For example, to improve balance performance, while a patient performs a single-leg balance task on a Bosu ball, the therapist may instruct the patient using an internal focus of attention such as "minimize movement of the feet." However, instructions can also be given externally by changing just one word, such as "minimize Bosu's movement." Additionally, a metaphor (e.g., "stand still as if stuck to Velcro"), analogy ("imagine being on top of a mountain, stay on the mountain!"), an object attached to the body ("keep the tape stuck to the chest still"), or the target of the movement An imaginary object (e.g., straight line) of which a mental image is obtained has been used within external focus instructions.

NCT ID: NCT06154460 Not yet recruiting - Surgery Clinical Trials

The Effects of Different Surgical Stabilization Methods in Recurrent Anterior Shoulder Instability

SSM-SI
Start date: December 18, 2023
Phase:
Study type: Observational

Shoulder instability is the inability to retain the humeral head in the glenoid fossa. The incidence of instability is 8.2 to 23.9 per 100,000 person-years with an estimated prevalence of 1.7%. The most common shoulder instability with a rate of 98% is anterior dislocation, in which the humeral head is displaced anterior to the glenoid. Conservative and surgical treatments of instability are available. There are many controversial issues related to these methods in the literature. For example; an atrophy and functional loss in the infraspinatus after reimplissage, atrophy and loss of proprioception in the muscles around the shoulder after capsular repair, and loss of proprioception after the laterjet procedure have been reported.Therefore, the aim of this study was to compare different surgical stabilization methods in terms of pain, proprioceptive sensation, functional status and muscle activation in recurrent anterior shoulder instability, which is very common in adults.

NCT ID: NCT06126458 Completed - Athletic Injuries Clinical Trials

the Effect of Stabilization on Archery Performance

Start date: November 5, 2021
Phase:
Study type: Observational [Patient Registry]

The aim of this study was to investigate the effect of stabilization and stabilization-related parameters on shooting performance at the cervical, lumbal and scapular levels in archery athletes. A total of 40 archery athletes aged between 10 and 18, who have been professionally engaged in archery for at least 1 year were included in the study. Demographic information and musculoskeletal system evaluations of the athletes were done. Performance of the athletes via Upper Extremity Closed Kinetic Chain Stability Test, Hand Grip Strength test; presence of scapular dyskinesia was evaluated via the Lateral Scapular Slide Test. Cervical region stabilization was evaluated via Craniocervical Flexion Test, scapular level stabilization was evaluated via Scapular Muscle Endurance Test, lumbar region stabilization was evaluated via Abdominal Drawing-in Test and Sahrmann's Core Stability Test. As the parameters related to stabilization, postures via Corbin Postural Rating Scale; balances via Stork Balance Test, Upper Extremity Y Balance Test; pain was evaluated via the Shoulder Pain and Disability Index. Shooting performances were evaluated with 72 target shootings and a total of 720 points. .

NCT ID: NCT06052657 Completed - Ankle Sprains Clinical Trials

Urdu Version of Identification of Functional Ankle Instability Questionnaire

Start date: December 21, 2022
Phase:
Study type: Observational

Functional instability should be considered as a potential cause of residual ankle impairment and instability. Even if neuromuscular anomalies are detected, the precise cause of injury and the most efficient prevention strategies remain uncertain. The use of standardized and validated research instruments is strongly advocated. This is due in part to the idea that it allows for international and cross-national comparison of results. Another assumption is that utilizing validated tools increases confidence that they are measuring what they are intended to measure. However, a previously validated tool does not guarantee its applicability in a new period, culture, or setting. The rationale of study is to provide a valid and reliable tool translated into native language of Urdu speaking populations so that self-evaluation of ankle instability can be assessed and re-assessed over the time. The questionnaire is translated into various languages including; French, Japanese, Brazilian, Persian, Thai, Malay, Greek, Chinese, Korean, Turkish and Spanish; whereas, Pakistani Urdu version has not yet studied. The present study fills this literature gap and serves a large proportion of Urdu community around the globe; specially, Pakistan. By measuring the psychometric properties of this scale in Urdu version, quantitatively strengthens up the evidence and patients themselves can report their exact level of disorder by answering a set of questions in their own language.

NCT ID: NCT06041191 Completed - Child Development Clinical Trials

Sensory Processing Skills in Toddler With Joint Hypermobility

Start date: June 1, 2023
Phase:
Study type: Observational

shows that children and adults with joint hypermobility may be identified with common clinical problems that are unrelated, such as chronic fatigue, anxiety, and a range of gastrointestinal functional disorders [4-6]. Considering the relationship of joint hypermobility with joint muscle tone and posture, sensory processing skills may also be affected in individuals with hypermobility. No study in the literature examines the relationship between joint hypermobility and sensory processing. This study was planned to detect joint hypermobility as early as 12-14 months and to examine its relationship with sensory processing skills.

NCT ID: NCT06033157 Recruiting - Clinical trials for Shoulder Instability Subluxation Bilateral

Physiotherapist Supervised Training in Patients With Anterior Shoulder Instability

ASIST
Start date: November 7, 2023
Phase: N/A
Study type: Interventional

The goal of this clinical trial is to investigate if physiotherapist supervised training improves neuromuscular control in patients suffering from traumatic anterior shoulder instability. The main question(s) it aims to answer are: - Does physiotherapist supervised training improve shoulder neuromuscular control - Does physiotherapist supervised training prevent recurring shoulder dislocations - Is physiotherapist supervised training as good as surgery in improving shoulder neuromuscular control Participants will be randomised to either a training group or a no-training group. Participants in the training group will undergo a 12 week training-program supervised by a physiotherapist. Participants in the no-training group will receive a consultation with a shoulder surgeon, where information and general advice regarding the shoulder injury is provided. Researchers will compare the training group to the no-training group to see if physiotherapist supervised training improves shoulder neuromuscular control in patients with traumatic anterior shoulder instability. The training group will also be compared to a historic group of patients with traumatic anterior shoulder instability, who underwent arthroscopic surgery.

NCT ID: NCT06021314 Recruiting - Clinical trials for Scoliosis Idiopathic

Brace Efficiency and Generalized Joint Hypermobility

Start date: January 1, 2023
Phase:
Study type: Observational

The goal of this observational study is to learn about effect of generalised joint hypermobility on the effectiveness of the brace in children with Adolesan Idiopatic Scoliosis and who use braces due to brace indication. The main questions it aims to answer are: - Does Generalized Joint Hypermobility have an effect on the amount of in-brace improvement achieved in children using braces? - Does Generalized Joint Hypermobility have an effect on the change in the numerical variables related to scoliosis recorded in the out-brace measurement at the end of 6 months?

NCT ID: NCT05977660 Completed - Ankle Injuries Clinical Trials

Turkish Language and Cross-cultural Adaptation of the Cumberland Ankle Instability Tool

CAIT-TR
Start date: July 29, 2023
Phase:
Study type: Observational [Patient Registry]

Cumberland Ankle Instability Tool (CAIT) is a valid patient-reported outcome measure (PROM) to determine the presence of ankle instability (AI) and assess its severity. The aim of current study is to adapt the CAIT into the Turkish language, test its psychometric properties and determine cut-off score in the Turkish population with AI compare to healthy counterparts. In order to evaluate the Turkish version of CAIT (CAIT-TR), data will obtaine from 200-250 participants with and without AI. Test-retest reliability, internal consistency, cut-off score, and ceiling and floor effects will evaluate.