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Effects of Closed Chain Exercise Versus Neuromuscular Training on Chronic Ankle Sprain in Football Players

Primary Purpose

Ankle Sprains, Chronic Pain

Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Group A - Closed Chain Exercise
Group B - Neuromuscular Training Exercise
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ankle Sprains focused on measuring Ankle Sprain, Chronic Ankle Instability, Exercise programs, Neuromuscular Training, Sports Injuries

Eligibility Criteria

18 Years - 35 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: • Both male and female Age 18-35 (3) Grade 1, 2 Ankle Sprain Recurrent ankle Sprains (3) Ankle Sprain Special Tests (Squeeze Test, Talar Tilt Test) Exclusion Criteria: • Traumatic history or Ankle fracture (6 months) any vestibular or balance disorders (1) athletes who had suffered a sprain in the month prior to the start of the study(3) who were taking anti-inflammatory drugs (3) Poor physical fitness Co-morbidities

Sites / Locations

  • Pakistan Sports Board

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Closed Chain Exercise

Neuromuscular Training Exercise

Arm Description

closed chain exercise plan given to the participant of this group

Neuromuscular training plan given to the participants of this group

Outcomes

Primary Outcome Measures

Pain (NPRS Scale)
The Numeric Pain Rating Scale (NPRS) is a widely used tool for measuring and assessing pain intensity. It is a simple and subjective rating scale that allows individuals to quantify and communicate their level of pain on a numerical scale. The NPRS typically consists of a horizontal or vertical line with numbers ranging from 0 to 10. The numbers represent a continuum of pain intensity, where 0 represents "no pain" and 10 represents the "worst possible pain." The individual is asked to select the number that best corresponds to their current level of pain, with 0 indicating no pain and 10 indicating the most severe pain imaginable.
Range of Motion (Goniometer)
A goniometer is a measuring tool commonly used in healthcare and physical therapy to assess and quantify the range of motion (ROM) in joints. It consists of a stationary arm, a movable arm, and a protractor or scale to measure angles. To measure range of motion with a goniometer, the stationary arm is aligned with a fixed point on the body, typically an anatomical landmark associated with the joint being assessed. The movable arm is aligned with a second anatomical landmark, which moves as the joint is flexed or extended.
Functional Performance (Special Tests)
Functional performance refers to an individual's ability to perform everyday tasks and activities effectively and independently. It encompasses the physical, cognitive, and emotional skills required to carry out various activities that are necessary for daily living, work, leisure, and social participation. Functional performance is closely tied to an individual's overall functional capacity, which involves the integration of physical abilities, such as strength, endurance, balance, and coordination, with cognitive and emotional factors, including problem-solving, decision-making, attention, and motivation. The concept of functional performance extends beyond isolated movements or specific skills and focuses on how individuals function within their unique environments and roles.

Secondary Outcome Measures

Full Information

First Posted
June 6, 2023
Last Updated
July 31, 2023
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05981560
Brief Title
Effects of Closed Chain Exercise Versus Neuromuscular Training on Chronic Ankle Sprain in Football Players
Official Title
Effects of Closed Chain Exercise Versus Neuromuscular Training on Pain, Range of Motion, and Functional Performance in Football Players With Chronic Ankle Sprain
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
December 22, 2022 (Actual)
Primary Completion Date
May 30, 2023 (Actual)
Study Completion Date
June 30, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
A current study will be conducted to determine the effects of closed-chain exercise versus neuromuscular training on pain, range of motion, and functional performance in football players with a chronic ankle sprain. This study will be a clinical trial conducted at the Pakistan sports board in the Lahore district. The study will be completed within the time duration of Six months. Non-probability convenient sampling technique will be used to collect the data. The sample size of 17 participants in each group will be taken in this study to find the effects of closed-chain exercise versus neuromuscular training on pain, range of motion, and functional performance in football players with a chronic ankle sprain. Athletes will be divided into two groups. Group A will be treated with closed-chain exercises and Group B will be with neuromuscular training. Pain (Numeric pain rating scale NPRS), Proprioceptive (balancing on a single leg with the eyes closed, balancing on a wobble board, Dynamic balance (Star Excursion Balance test and Y Balance Test), Functional Ankle Instability (Greek version of the Identification functional ankle instability questionnaire IdFAI), Cumberland Ankle Instability Tool (CHRONIC ANKLE INSTABILITY) and Ankle Instability Instrument (AII), Foot and Ankle Ability Measure (FAAM)-Sport Subscale, Range of Motion ROM (measure Goniometer) will be used as Data collecting tools. Three sessions of treatment per week for 4 weeks will be given. Data will be analyzed on SPSS version 22. In descriptive statistics Frequency tables, pie charts, and bar charts will be used to show the summary of group measurements measured over time.
Detailed Description
To determine the effects of closed-chain exercise versus neuromuscular training on pain, range of motion, and functional performance in football players with a chronic ankle sprain. The study design will be a Randomized Clinical trial. Non-Probability Convenient Sampling will be used. the sample size of 34 subjects is calculated. TOOLS: Pain (Numeric pain rating scale NPRS) Range of Motion ROM (measure Goniometer) Proprioceptive (balancing on a single leg with the eyes closed, balancing on a wobble board) Dynamic balance (Star Excursion Balance test and Y Balance Test) Functional Ankle Instability (Greek version of the Identification functional ankle instability questionnaire IdFAI) Ankle Instability Instrument (AII) Foot and Ankle Ability Measure (FAAM)-Sport Subscale The data will be analyzed using SPSS for Windows software, version 25. Statistical significance will be set at P= 0.05. After assessing the normality of the data by Shapiro wilk test it will be decided whether parametric or non-parametric test will be used within a group or between two groups.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ankle Sprains, Chronic Pain
Keywords
Ankle Sprain, Chronic Ankle Instability, Exercise programs, Neuromuscular Training, Sports Injuries

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
34 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Closed Chain Exercise
Arm Type
Experimental
Arm Description
closed chain exercise plan given to the participant of this group
Arm Title
Neuromuscular Training Exercise
Arm Type
Experimental
Arm Description
Neuromuscular training plan given to the participants of this group
Intervention Type
Other
Intervention Name(s)
Group A - Closed Chain Exercise
Intervention Description
17 participants were in experimental group giving them closed chain exercise plan of 5 exercises, 10reps x 3sets each, on alternate 3 days per week for duration of 4-weeks, all values measured before and after 4-weeks
Intervention Type
Other
Intervention Name(s)
Group B - Neuromuscular Training Exercise
Intervention Description
17 participants were in experimental group giving them neuromuscular training plan of 5 exercises, 10reps x 3sets each, on alternate 3 days per week for duration of 4-weeks, all values measured before and after 4-weeks.
Primary Outcome Measure Information:
Title
Pain (NPRS Scale)
Description
The Numeric Pain Rating Scale (NPRS) is a widely used tool for measuring and assessing pain intensity. It is a simple and subjective rating scale that allows individuals to quantify and communicate their level of pain on a numerical scale. The NPRS typically consists of a horizontal or vertical line with numbers ranging from 0 to 10. The numbers represent a continuum of pain intensity, where 0 represents "no pain" and 10 represents the "worst possible pain." The individual is asked to select the number that best corresponds to their current level of pain, with 0 indicating no pain and 10 indicating the most severe pain imaginable.
Time Frame
4 weeks
Title
Range of Motion (Goniometer)
Description
A goniometer is a measuring tool commonly used in healthcare and physical therapy to assess and quantify the range of motion (ROM) in joints. It consists of a stationary arm, a movable arm, and a protractor or scale to measure angles. To measure range of motion with a goniometer, the stationary arm is aligned with a fixed point on the body, typically an anatomical landmark associated with the joint being assessed. The movable arm is aligned with a second anatomical landmark, which moves as the joint is flexed or extended.
Time Frame
4 weeks
Title
Functional Performance (Special Tests)
Description
Functional performance refers to an individual's ability to perform everyday tasks and activities effectively and independently. It encompasses the physical, cognitive, and emotional skills required to carry out various activities that are necessary for daily living, work, leisure, and social participation. Functional performance is closely tied to an individual's overall functional capacity, which involves the integration of physical abilities, such as strength, endurance, balance, and coordination, with cognitive and emotional factors, including problem-solving, decision-making, attention, and motivation. The concept of functional performance extends beyond isolated movements or specific skills and focuses on how individuals function within their unique environments and roles.
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: • Both male and female Age 18-35 (3) Grade 1, 2 Ankle Sprain Recurrent ankle Sprains (3) Ankle Sprain Special Tests (Squeeze Test, Talar Tilt Test) Exclusion Criteria: • Traumatic history or Ankle fracture (6 months) any vestibular or balance disorders (1) athletes who had suffered a sprain in the month prior to the start of the study(3) who were taking anti-inflammatory drugs (3) Poor physical fitness Co-morbidities
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aamir Gul Memon, MS
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pakistan Sports Board
City
Lahore
State/Province
Punjab
ZIP/Postal Code
5400
Country
Pakistan

12. IPD Sharing Statement

Plan to Share IPD
No
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Effects of Closed Chain Exercise Versus Neuromuscular Training on Chronic Ankle Sprain in Football Players

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