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Effects of Cervical and Oculomotor Exercises on Functional Status, Balance, and Proprioception in Chronic Ankle Instability

4. juni 2026 opdateret af: Simge Nur UNGAN, Izmir Katip Celebi University

Effects of Cervical and Oculomotor Exercises Added to Conventional Treatment on Ankle Functional Status, Balance, and Proprioception in Individuals With Chronic Ankle Instability: A Randomized Controlled Trial

Effects of Cervical and Oculomotor Exercises on Functional Status, Balance, and Proprioception in Chronic Ankle Instability

Studieoversigt

Status

Rekruttering

Intervention / Behandling

Detaljeret beskrivelse

Effects of Cervical and Oculomotor Exercises Added to Conventional Treatment on Ankle Functional Status, Balance, and Proprioception in Individuals with Chronic Ankle Instability: A Randomized Controlled Trial

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

38

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Çiğli
      • Izmir, Çiğli, Tyrkiet (Türkiye), 35650
        • Rekruttering
        • Izmir Katip Celebi University Physiotherapy and Rehabilitation Department
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Diagnosed with unilateral chronic ankle instability (CAI) in accordance with the International Ankle Consortium recommendations
  • A history of at least one significant lateral ankle sprain that occurred at least 12 months prior to participation, resulting in inflammatory symptoms such as pain and swelling and causing at least one day of interruption in physical activity
  • A history of "giving way" and/or recurrent ankle sprains and/or a feeling of instability in the affected ankle within the past 6 months
  • A Cumberland Ankle Instability Tool (CAIT) score of ≤ 25

Exclusion Criteria:

  • History of surgery or fracture in the lower extremities or spine
  • Acute musculoskeletal injury affecting other joints of the lower extremity within the past 3 months (e.g., sprains, fractures) that impaired joint integrity and function and caused at least one day of interruption in physical activity
  • History of injection in the affected ankle
  • History of ankle sprain in the affected extremity within the past 4 weeks
  • Presence of systemic musculoskeletal disorders, neurological disorders, vestibular disorders, or any other condition that may affect balance or sensory function
  • Previous participation in any rehabilitation program for the ankle or cervical region
  • History of head or neck trauma or diagnosed pathology within the past 12 months
  • History of neck pain greater than 3/10 in severity within the past 12 months

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Conventional Treatment + Cervical and Oculomotor Exercises
Participants in the experimental group will receive a conventional rehabilitation program including mobility, strengthening, balance, and proprioceptive exercises targeting the ankle joint. In addition, they will perform cervical stabilization and oculomotor exercises. The intervention will be conducted for 4 weeks, with 3 sessions per week. Participants will follow a home exercise program that includes ankle mobility, strengthening, balance, and oculomotor exercises on days when they do not attend the clinic.
Participants in the experimental group will receive a conventional rehabilitation program including mobility, strengthening, balance, and proprioceptive exercises targeting the ankle joint. In addition, they will perform cervical stabilization and oculomotor exercises.
Participants in the control group will receive a conventional rehabilitation program including mobility, strengthening, balance, and proprioceptive exercises targeting the ankle joint.
Aktiv komparator: Conventional Treatment
Participants in the control group will receive a conventional rehabilitation program consisting of mobility, strengthening, balance, and proprioceptive exercises targeting the ankle joint. The intervention will be conducted for 4 weeks, with 3 sessions per week. Participants will follow a home exercise program that includes ankle mobility, strengthening and balance exercises on days when they do not attend the clinic.
Participants in the experimental group will receive a conventional rehabilitation program including mobility, strengthening, balance, and proprioceptive exercises targeting the ankle joint. In addition, they will perform cervical stabilization and oculomotor exercises.
Participants in the control group will receive a conventional rehabilitation program including mobility, strengthening, balance, and proprioceptive exercises targeting the ankle joint.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Y-Balance Test
Tidsramme: Baseline and post-intervention (after 4 weeks)
Dynamic balance performance assessed using balance tests (Y-Balance Test)
Baseline and post-intervention (after 4 weeks)
Foot and Ankle Ability Measure (FAAM)
Tidsramme: Baseline and post-intervention (after 4 weeks)
Functional status assessed using the Foot and Ankle Ability Measure (FAAM) The daily living activities subscale contains 21 items; the minimum score is 0 and the maximum score is 84. The sports subscale consists of 8 items; the minimum score is 0 and the maximum score is 32. A higher score represents a higher level of physical function.
Baseline and post-intervention (after 4 weeks)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Ankle Joint Position Error Test
Tidsramme: Baseline and post-intervention (after 4 weeks)
Ankle proprioception assessed using laser beam device joint position error (JPE) tests
Baseline and post-intervention (after 4 weeks)
Weight Bearing Lunge Test
Tidsramme: Baseline and post-intervention (after 4 weeks)
Ankle dorsiflexion range of motion will be assessed with the weight bearing lunge test
Baseline and post-intervention (after 4 weeks)
Computerized balance assessment
Tidsramme: Baseline and post-intervention (after 4 weeks)
Postural stability will be assessed using the Prokin Tecnobody balance assessment system.
Baseline and post-intervention (after 4 weeks)
Side Hop Test
Tidsramme: Baseline and post-intervention (after 4 weeks)
Side hop test will be used to assess the dynamic postural control capacity around the ankle.
Baseline and post-intervention (after 4 weeks)
Ankle Pain
Tidsramme: Baseline and post-intervention (after 4 weeks)
Ankle pain will be assessed using a visual analog scale (VAS). The VAS is a scale ranging from 0 (no pain) to 10 (most severe pain), with higher scores indicating greater pain.
Baseline and post-intervention (after 4 weeks)
Cervical Joint Position Error Test
Tidsramme: Baseline and post-intervention (after 4 weeks)
Cervical proprioception will be assessed using the Cervical Joint Position Error Test.
Baseline and post-intervention (after 4 weeks)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Samarbejdspartnere

Efterforskere

  • Studiestol: Damla KARABAY, Assistant Professor, Izmir Katip Celebi University
  • Ledende efterforsker: Simge N UNGAN, Physiotherapist (Bachelor), Izmir Katip Celebi University
  • Studieleder: Sercan Çapkın, Associate Professor, İzmir Bakırçay University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

7. juni 2026

Primær færdiggørelse (Anslået)

7. juni 2027

Studieafslutning (Anslået)

7. juni 2027

Datoer for studieregistrering

Først indsendt

29. april 2026

Først indsendt, der opfyldte QC-kriterier

6. maj 2026

Først opslået (Faktiske)

12. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

8. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

4. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

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IPD-planbeskrivelse

A final decision regarding the sharing of individual participant data has not yet been made due to considerations related to data protection regulations. If a decision to share is made in the future, only de-identified data relevant to the published results may be shared upon reasonable request and in accordance with applicable regulations.

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