Ignite Creation Date:
2024-05-06 @ 8:13 PM
Last Modification Date:
2024-10-26 @ 3:23 PM
Study NCT ID:
NCT06296537
Status:
RECRUITING
Last Update Posted:
2024-03-06
First Post:
2024-02-29
Brief Title:
Effectiveness of Balance Training And Dynamic Neuromuscular Stabilization Training in Amateur Athletes With Chronic Ankle Instability
Sponsor:
Medipol University
Organization:
Medipol University
Study Overview
Official Title:
Comparison of The Effectiveness of Balance Training And Dynamic Neuromuscular Stabilization Training in Amateur Athletes With Chronic Ankle Instability
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
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
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
Detailed Description:
Chronic ankle instability is a repetitive chronic ankle imbalance that leads to a high rate of ankle sprains Ankle sprains remain the most common foot-ankle and sports injury for which individuals require medical care including emergency room visits It is known that 585 of professional basketball and football athletes experience ankle sprains Approximately three-quarters of patients who sustain an ankle sprain have persistent symptoms 15 to 4 years after the injury
The hallmark symptoms of chronic ankle instability are a history of recurrent sprains andor repeated episodes of giving-way andor a feeling of instability Additionally many permanent symptoms such as pain structural changes and adaptations in the sensorimotor and vestibular systems have also been reported Both acute trauma and residual neuromuscular adaptations lead to biomechanical changes resulting in chronic ankle instability Chronic ankle instability generally occurs as a result of 2 deficiencies functional instability caused by proprioceptive and neuromuscular deficiencies and mechanical instability caused by changes in joint structure and function
Lateral ankle sprains and chronic ankle instability cause changes in feedback control which regulates motor control through reflex loops and in feedforward control which plans the movement pattern based on especially past experience Due to changes in neuromuscular control kinematic and kinetic adaptations are also common in individuals with chronic ankle instability compared to uninjured individuals and these adaptations may result in abnormal tension on the talar joint cartilage Therefore there is a need to identify therapeutic interventions that can restore appropriate neuromuscular control strategies
Surgical and conservative treatment methods that assist in ankle-foot deformity recovery return to social life activities and return to sports can provide even better results with in-depth knowledge of ankle anatomy biomechanics and pathology Anatomical repair tendon augmentation or both are the basic methods of surgical intervention and today arthroscopy treatment is becoming more and more common in the treatment of chronic ankle instability Conservative treatments include the use of orthoses in the acute period and physical therapy modalities that can be applied in the acutechronic period Exercise therapy in physiotherapy is one of the most supported interventions in treating chronic ankle instability and significantly reduces the risk of re-injury Strength training balance and dual task training and isokinetic exercises are effective in ankle instability It has been reported that 6 weeks of dynamic neuromuscular exercise training leads to improvements in sensorimotor control of the ankle joint in athletes with chronic ankle instability Moreover balance training exercises based on multi-station tasks have been observed to significantly improve self-reported sense of instability and dynamic balance in individuals with chronic ankle instability It has been reported that rehabilitation protocols focusing on balance training effectively improve health-related quality of life in individuals with chronic ankle instability However it is recommended that interventions include more open chain joint position sense training multi-plane single limb challenges and jumping and landing exercises In addition during rehabilitation the focus should not only be on exercising the muscles in their dynamic anatomical functions but their stabilizing functions should also be addressed Therefore dynamic neuromuscular stabilization DNS training has been developed which optimizes the movement system based on the scientific principles of developmental kinesiology DNS training aims to stimulate the natural movement control system in the brain to activate the bodys stabilization system In the literature studies on the effects of DNS training on ankle sensorimotor control and ankle joint position are limited Our aim in this study is to determine and compare the effects of balance and DNS training on ankle function adequacy functional instability severity physical activity level muscle strength proprioception stabilization balance reaction time and performance of amateur athletes with chronic ankle instability
Our hypothesis in this study
H0 Balance and DNS training does not positively affect functionality balance stabilization proprioception and performance in amateur athletes with chronic ankle sprains
H1 Balance and DNS training positively affects functionality balance stabilization proprioception and performance in amateur athletes with chronic ankle sprains The effect of balance training is superior to DNS training
H2 Balance and DNS training positively affects functionality balance stabilization proprioception and performance in amateur athletes with chronic ankle sprains The effect of DNS training is superior to balance training
The hallmark symptoms of chronic ankle instability are a history of recurrent sprains andor repeated episodes of giving-way andor a feeling of instability Additionally many permanent symptoms such as pain structural changes and adaptations in the sensorimotor and vestibular systems have also been reported Both acute trauma and residual neuromuscular adaptations lead to biomechanical changes resulting in chronic ankle instability Chronic ankle instability generally occurs as a result of 2 deficiencies functional instability caused by proprioceptive and neuromuscular deficiencies and mechanical instability caused by changes in joint structure and function
Lateral ankle sprains and chronic ankle instability cause changes in feedback control which regulates motor control through reflex loops and in feedforward control which plans the movement pattern based on especially past experience Due to changes in neuromuscular control kinematic and kinetic adaptations are also common in individuals with chronic ankle instability compared to uninjured individuals and these adaptations may result in abnormal tension on the talar joint cartilage Therefore there is a need to identify therapeutic interventions that can restore appropriate neuromuscular control strategies
Surgical and conservative treatment methods that assist in ankle-foot deformity recovery return to social life activities and return to sports can provide even better results with in-depth knowledge of ankle anatomy biomechanics and pathology Anatomical repair tendon augmentation or both are the basic methods of surgical intervention and today arthroscopy treatment is becoming more and more common in the treatment of chronic ankle instability Conservative treatments include the use of orthoses in the acute period and physical therapy modalities that can be applied in the acutechronic period Exercise therapy in physiotherapy is one of the most supported interventions in treating chronic ankle instability and significantly reduces the risk of re-injury Strength training balance and dual task training and isokinetic exercises are effective in ankle instability It has been reported that 6 weeks of dynamic neuromuscular exercise training leads to improvements in sensorimotor control of the ankle joint in athletes with chronic ankle instability Moreover balance training exercises based on multi-station tasks have been observed to significantly improve self-reported sense of instability and dynamic balance in individuals with chronic ankle instability It has been reported that rehabilitation protocols focusing on balance training effectively improve health-related quality of life in individuals with chronic ankle instability However it is recommended that interventions include more open chain joint position sense training multi-plane single limb challenges and jumping and landing exercises In addition during rehabilitation the focus should not only be on exercising the muscles in their dynamic anatomical functions but their stabilizing functions should also be addressed Therefore dynamic neuromuscular stabilization DNS training has been developed which optimizes the movement system based on the scientific principles of developmental kinesiology DNS training aims to stimulate the natural movement control system in the brain to activate the bodys stabilization system In the literature studies on the effects of DNS training on ankle sensorimotor control and ankle joint position are limited Our aim in this study is to determine and compare the effects of balance and DNS training on ankle function adequacy functional instability severity physical activity level muscle strength proprioception stabilization balance reaction time and performance of amateur athletes with chronic ankle instability
Our hypothesis in this study
H0 Balance and DNS training does not positively affect functionality balance stabilization proprioception and performance in amateur athletes with chronic ankle sprains
H1 Balance and DNS training positively affects functionality balance stabilization proprioception and performance in amateur athletes with chronic ankle sprains The effect of balance training is superior to DNS training
H2 Balance and DNS training positively affects functionality balance stabilization proprioception and performance in amateur athletes with chronic ankle sprains The effect of DNS training is superior to balance training
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None