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Foot Intensive Rehabilitation With Perturbation Based Training in Ankle Sprain Patients

2026년 6월 28일 업데이트: University of Lahore

Foot Intensive Rehabilitation With & Without Perturbation Based Training in Patients With Ankle Sprain

To determine the foot-intensive rehabilitation with and without perturbation-based training on pain reduction, range of motion improvement, balance enhancement, and functional instability in patients recovering from ankle sprains NULL HYPOTHESIS There will be no significant difference in the effectiveness of foot-intensive rehabilitation with perturbation-based training compared to foot-intensive rehabilitation alone in reducing pain, improving range of motion, enhancing balance, or reducing functional instability among patients recovering from ankle sprains.

ALTERNATE HYPOTHESIS There will be a significant difference in pain reduction, range of motion improvement, balance enhancement, and reduction in functional instability between patients undergoing foot- intensive rehabilitation with perturbation-based training compared to those undergoing foot-intensive rehabilitation.

Study Design:

It will be a Randomized Clinical Trial

Study Population:

Ankle Sprain Both groups will undergo the assigned interventions for the duration of 6 weeks under the supervision of trained physical therapists or healthcare professionals. The interventions will aim to address pain reduction, range of motion improvement, balance enhancement, and reduction in functional instability among participants recovering from ankle sprains.

연구 개요

상세 설명

Group A: Foot-Intensive Rehabilitation with Perturbation-Based Training

Foot-Intensive Rehabilitation:

Participants in Group A will undergo a structured rehabilitation program focused on addressing ankle sprains and improving foot-specific impairments. This program will typically include:

  • Therapeutic Exercises: Range of motion exercises, strengthening exercises for foot and ankle muscles, proprioceptive training, and flexibility exercises tailored to individual needs.
  • Manual Therapy: Hands-on techniques performed by a physical therapist or trained personnel to address soft tissue restrictions, joint mobilization, and mayofascial release.
  • Modalities: Use of modalities like ice, heat, ultrasound, or electrical stimulation for pain relief and enhancing tissue healing.
  • Functional Training: Specific drills and activities mimicking daily tasks or sports- related movements to improve functional capacity.

Perturbation-Based Training: In addition to the foot-intensive rehabilitation program, participants will undergo perturbation-based training sessions:

  • Balance Challenges: Engaging in exercises on unstable surfaces (e.g., balance boards, foam pads) or using devices inducing controlled instability to challenge balance and neuro- muscular control.
  • Dynamic Movements: Performing controlled perturbations or sudden movements to elicit adaptive responses and improve reactive balance strategies.
  • Progression: Gradual progression of difficulty and complexity in perturbation-based exercises based on individual tolerance and improvement.

Group B: Foot-Intensive Rehabilitation without Perturbation-Based Training

Foot-Intensive Rehabilitation:

Participants in Group B will receive the same structured rehabilitation program focusing on foot- intensive exercises as in Group A. This program includes similar components such as therapeutic exercises, manual therapy, modalities, and functional training targeting ankle sprain recovery and foot-specific impairments.

Both groups will undergo the assigned interventions for the duration of 6 weeks under the supervision of trained physical therapists or healthcare professionals

연구 유형

중재적

등록 (실제)

36

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • Punjab Province
      • Lahore, Punjab Province, 파키스탄, 54000
        • Pakistan sports board

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 성인

건강한 자원 봉사자를 받아들입니다

아니

설명

Inclusion Criteria:

  • • Gender: male /female

    • Participants aged 18 to 35 years old.
    • Diagnosis of an ankle sprain (within 4 weeks of injury).
    • No prior history of severe ankle fractures or surgeries(Hoch et al., 2023)

Exclusion Criteria:

  • Presence of severe or complex ankle fractures requiring surgical intervention.
  • Conditions other than ankle sprain like neuropathy that affect balance or cutaneous sensation.
  • Neurological disorders impacting balance or proprioception.
  • Pregnancy or planning to become pregnant during the study period(Hoch et al., 2023)

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 하나의

무기와 개입

참가자 그룹 / 팔
개입 / 치료
활성 비교기: Foot-Intensive Rehabilitation

Foot-Intensive Rehabilitation:

Participants in Group A will undergo a structured rehabilitation program focused on addressing ankle sprains and improving foot-specific impairments

Foot-Intensive Rehabilitation

This program will typically include:

  • Therapeutic Exercises: Range of motion exercises, strengthening exercises for foot and ankle muscles, proprioceptive training, and flexibility exercises tailored to individual needs.
  • Manual Therapy: Hands-on techniques performed by a physical therapist or trained personnel to address soft tissue restrictions, joint mobilization, and mayofascial release.
  • Modalities: Use of modalities like ice, heat, ultrasound, or electrical stimulation for pain relief and enhancing tissue healing.
  • Functional Training: Specific drills and activities mimicking daily tasks or sports- related movements to improve functional capacity.
실험적: Foot-Intensive Rehabilitation + Perturbation-Based Training
In addition to the foot-intensive rehabilitation program, participants will undergo perturbation-based training sessions

In addition to the foot-intensive rehabilitation program, participants in experimental group will undergo perturbation-based training sessions:

  • Balance Challenges: Engaging in exercises on unstable surfaces (e.g., balance boards, foam pads) or using devices inducing controlled instability to challenge balance and neuro- muscular control.
  • Dynamic Movements: Performing controlled perturbations or sudden movements to elicit adaptive responses and improve reactive balance strategies.
  • Progression: Gradual progression of difficulty and complexity in perturbation-based exercises based on individual tolerance and improvement.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Numeric pain rate scale (NPRS)
기간: 6 weeks (Baseline, 3rd week, 6th week)
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain" (Riley et al., 2019)
6 weeks (Baseline, 3rd week, 6th week)
Range of Motion (ROM) Measurement
기간: 6 weeks (Baseline, 3rd week, 6th week)
Goniometer: To measure dorsiflexion, plantarflexion, inversion, and eversion of the ankle joint(Rome & Cowieson, 1996).
6 weeks (Baseline, 3rd week, 6th week)
Balance Assessment:
기간: 6 weeks (Baseline, 3rd week, 6th week)
Star Excursion Balance Test (SEBT): Measures reach distances in multiple directions to assess dynamic balance and reach symmetry.(Coughlan et al., 2012)
6 weeks (Baseline, 3rd week, 6th week)
Functional Instability Measurement
기간: 6 weeks (Baseline, 3rd week, 6th week)
Cumberland Ankle Instability Tool (CAIT): A questionnaire to assess the severity of functional ankle instability.(ALEXANDRE et al., 2024)
6 weeks (Baseline, 3rd week, 6th week)

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

수사관

  • 수석 연구원: Sana Akram, MSOMPT, University of Lahore

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2025년 12월 27일

기본 완료 (실제)

2026년 3월 12일

연구 완료 (실제)

2026년 4월 27일

연구 등록 날짜

최초 제출

2026년 6월 13일

QC 기준을 충족하는 최초 제출

2026년 6월 13일

처음 게시됨 (실제)

2026년 6월 18일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 6월 30일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 6월 28일

마지막으로 확인됨

2025년 12월 1일

추가 정보

이 연구와 관련된 용어

추가 관련 MeSH 약관

기타 연구 ID 번호

  • UOL/IREB/25/15/03/10

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

미정

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

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