Un estudio que investiga los efectos de un programa de rehabilitación de tobillo en atletas de secundaria con inestabilidad de tobillo
Un ensayo controlado aleatorio que investiga los efectos de un programa de rehabilitación de tobillo de 4 semanas en atletas de secundaria con inestabilidad crónica de tobillo
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Descripción detallada
Tipo de estudio
Tipo de estudio
Inscripción (Actual)
Inscripción
Fase
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Georgia
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Atlanta, Georgia, Estados Unidos, 30327
- Holy Innocents' Episcopal School
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Atlanta, Georgia, Estados Unidos, 30327
- The Lovett School
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Atlanta, Georgia, Estados Unidos, 30327
- The Westminister Schools
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College Park, Georgia, Estados Unidos, 30337
- Woodward Academy
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Decatur, Georgia, Estados Unidos, 30030
- Decatur High School
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Marietta, Georgia, Estados Unidos, 30062
- The Walker School
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Marietta, Georgia, Estados Unidos, 30062
- Walton High School
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Criterios de inclusión:
- activo durante al menos 1,5 horas a la semana, antecedentes de al menos 1 esguince de tobillo significativo que requirió intervención médica, síntomas repetidos de dolor, hinchazón, debilidad, inestabilidad y episodios repetidos de "ceder".
Criterio de exclusión:
- presencia de cualquier lesión actual en las extremidades inferiores (diagnosticada por un profesional médico en los últimos 3 meses con síntomas presentes), cirugía previa en cualquiera de las piernas, esguince de tobillo diagnosticado en las últimas 6 semanas, antecedentes de fracturas y/o dislocaciones de tobillo.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
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Sin intervención: Grupo de control
Cada paciente en el grupo de control no realizó ningún ejercicio de rehabilitación.
Durante el período de tiempo de la intervención, el paciente debía consultar con un miembro del equipo de investigación cada semana para analizar cualquier cambio en su tobillo o informar cualquier incidencia de lesión.
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Experimental: Grupo de bandas de resistencia
Cada sesión, los pacientes completaron el entrenamiento de resistencia utilizando una banda de resistencia en 4 direcciones de movimiento del tobillo (flexión plantar, dorsiflexión, inversión y eversión).
Los pacientes completarían 3 series de 10 repeticiones durante cada sesión.
Cada 3 sesiones, la resistencia de la banda aumentaría.
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Banda de resistencia: utiliza una banda de tensión para proporcionar resistencia durante el movimiento del tobillo
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Experimental: Sistema de plataforma de tobillo biomecánico
La tabla del sistema de plataforma biomecánica de tobillo es una tabla de forma ovalada que utiliza una media esfera en la parte inferior de la tabla para permitir que el paciente entrene en una superficie inestable.
Se realizó una postura con una sola pierna en la extremidad afectada en el tablero del sistema de plataforma biomecánica de tobillo mientras se completaban círculos en sentido horario y antihorario.
La rotación inicial de dirección fue seleccionada por el paciente y cambiada cada 10 segundos de la prueba de 40 segundos.
Se completaron cinco pruebas de 40 segundos con intervalos de descanso de 1 minuto entre las pruebas.
La progresión fue determinada por el médico supervisor y se basó en la capacidad del paciente para realizar transiciones suaves entre cambios de dirección y completar rotaciones circulares suaves en ambas direcciones.
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Grupo de placa del sistema de plataforma de tobillo biomecánico: utiliza diferentes niveles de medias esferas para aumentar la cantidad de movimiento permitido en el tobillo.
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Experimental: Grupo combinado
Los pacientes que completaron el protocolo combinado completaron tanto la banda de resistencia como los protocolos de la placa del Sistema Biomecánico de Plataforma de Tobillo durante cada sesión.
El orden de realización de los ejercicios se equilibró para cada sesión.
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Grupo de combinación: incluye tanto la banda de resistencia como los programas del sistema de plataforma biomecánica de tobillo.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Evaluaciones de equilibrio estático
Periodo de tiempo: 4 semanas
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Pruebas clínicas de equilibrio estático
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4 semanas
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Evaluaciones de equilibrio funcional
Periodo de tiempo: 4 semanas
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Ensayos Clínicos de Equilibrio Funcional
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4 semanas
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Resultados autoinformados por el paciente
Periodo de tiempo: 4 a 12 semanas
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Cuestionarios de resultados subjetivos informados por el paciente
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4 a 12 semanas
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Investigadores
Investigadores
- Director de estudio: Benjamin M Goerger, PhD, Georgia State University
Publicaciones y enlaces útiles
Publicaciones Generales
- Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006 Sep;87(9):1235-41. doi: 10.1016/j.apmr.2006.05.022.
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- Swenson DM, Collins CL, Fields SK, Comstock RD. Epidemiology of U.S. high school sports-related ligamentous ankle injuries, 2005/06-2010/11. Clin J Sport Med. 2013 May;23(3):190-6. doi: 10.1097/JSM.0b013e31827d21fe.
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- Hertel J. Functional instability following lateral ankle sprain. Sports Med. 2000 May;29(5):361-71. doi: 10.2165/00007256-200029050-00005.
- Tropp H. Commentary: Functional Ankle Instability Revisited. J Athl Train. 2002 Dec;37(4):512-515. No abstract available.
- Bonnel F, Toullec E, Mabit C, Tourne Y; Sofcot. Chronic ankle instability: biomechanics and pathomechanics of ligaments injury and associated lesions. Orthop Traumatol Surg Res. 2010 Jun;96(4):424-32. doi: 10.1016/j.otsr.2010.04.003. Epub 2010 May 20.
- Kavanagh JJ, Bisset LM, Tsao H. Deficits in reaction time due to increased motor time of peroneus longus in people with chronic ankle instability. J Biomech. 2012 Feb 2;45(3):605-8. doi: 10.1016/j.jbiomech.2011.11.056. Epub 2011 Dec 16.
- McLeod MM, Gribble PA, Pietrosimone BG. Chronic Ankle Instability and Neural Excitability of the Lower Extremity. J Athl Train. 2015 Aug;50(8):847-53. doi: 10.4085/1062-6050-50.4.06. Epub 2015 Jun 19.
- McVey ED, Palmieri RM, Docherty CL, Zinder SM, Ingersoll CD. Arthrogenic muscle inhibition in the leg muscles of subjects exhibiting functional ankle instability. Foot Ankle Int. 2005 Dec;26(12):1055-61. doi: 10.1177/107110070502601210.
- McKeon PO, Hertel J. Spatiotemporal postural control deficits are present in those with chronic ankle instability. BMC Musculoskelet Disord. 2008 Jun 2;9:76. doi: 10.1186/1471-2474-9-76.
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- Wright CJ, Arnold BL, Ross SE, Linens SW. Recalibration and validation of the Cumberland Ankle Instability Tool cutoff score for individuals with chronic ankle instability. Arch Phys Med Rehabil. 2014 Oct;95(10):1853-9. doi: 10.1016/j.apmr.2014.04.017. Epub 2014 May 9.
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Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Actual)
Finalización primaria
Finalización del estudio (Actual)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
Otros números de identificación del estudio
- CON006264
Plan de datos de participantes individuales (IPD)
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Descripción del plan IPD
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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