Pelvic Parameters in Males With and Without Ankle Instability
Pelvic Parameters in Male Athletes With and Without Chronic Ankle Instability: A Cross Sectional Study
This study aims to investigate the relationship between pelvic alignment and ankle stability in male athletes with and without a history of ankle sprain.
Chronic ankle instability is a common condition that may affect not only the ankle joint but also the alignment and function of other body segments, including the pelvis. Understanding this relationship may help improve injury prevention and rehabilitation strategies.
Participants will undergo clinical assessments, functional tests, and radiographic evaluation of pelvic parameters to compare findings between injured and non-injured groups.
The objective of this study is to determine whether differences in pelvic sagittal parameters are associated with ankle instability in male athletes.
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Descrição detalhada
This cross-sectional case-control study aims to investigate the relationship between chronic ankle instability and pelvic sagittal alignment in male athletes. Chronic ankle instability may lead to alterations in lower limb biomechanics, postural control, and proximal body alignment, including pelvic positioning.
Participants will be divided into two groups: athletes with chronic ankle instability and healthy athletes without a history of ankle instability. All participants will undergo clinical evaluation, functional assessment, and radiographic measurement of pelvic sagittal parameters.
Clinical assessment will include evaluation of ankle instability severity, pain intensity, and dynamic balance performance using validated assessment tools. Pelvic alignment parameters will be assessed radiographically to identify potential biomechanical differences between groups.
The findings of this study may contribute to a better understanding of the relationship between chronic ankle instability and proximal biomechanical adaptations, which may improve rehabilitation and injury prevention strategies in athletes.
Tipo de estudo
Inscrição (Estimado)
Contactos e Locais
Contato de estudo
- Nome: ahmed korany Elsawy, Bsc
- Número de telefone: 002-010-938-986-84
- E-mail: ahmedsawy442@gmail.com
Estude backup de contato
- Nome: abdallah mohamed kamel, phd
- Número de telefone: 002-011-448-814-39
- E-mail: abdallah.kamel@pt.cu.edu.eg
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
Aceita Voluntários Saudáveis
Método de amostragem
População do estudo
Descrição
Inclusion Criteria:
- Male football players aged between 18 and 35 years (Herzog et al., 2019; Jiang et al., 2022).
- A documented history of lateral ankle sprain (LAS) for at least 12 months before the study, with the initial injury resulting in a minimum of one day of weight-bearing restriction.
- Self-reported episodes of ankle "giving way" occurring at least twice within the 6-12 months preceding enrollment.
- The most recent injury must have occurred more than 3 months before study enrollment.
- A perceived sense of the injured ankle being chronically weaker and/or less functional than the contralateral side before the first LAS episode.
- A Cumberland Ankle Instability Tool (CAIT) score of less than 24 indicates chronic ankle instability.
- For group B: participants with no previous history of ankle sprain.
Exclusion Criteria:
- Bilateral LAS (Tahoon et al., 2022).
- Previous injury, fracture, or surgical intervention involving the spine, pelvis, or lower extremity.
- History of low back pain requiring medical or surgical intervention.
- Engagement in supervised or unsupervised ankle rehabilitation within one month before the study.
- Any LAS occurring within three months before participation.
- Leg length discrepancy exceeding 0.5 cm.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
Coortes e Intervenções
Grupo / Coorte |
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Group A: Male athletes with a history of ankle sprain and chronic ankle instability.
Group A Male Athletes With Chronic Ankle Instability Male competitive football players aged 18 to 35 years with a history of unilateral lateral ankle sprain and symptoms consistent with chronic ankle instability. Participants in this group will report recurrent episodes of ankle "giving way," perceived ankle weakness and/or reduced ankle function, and a Cumberland Ankle Instability Tool (CAIT) score of less than 24. The most recent ankle sprain must have occurred more than 3 months before enrollment. |
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Group B: Male athletes without a history of ankle sprain or chronic ankle instability.
Group B Healthy Male Athletes Male competitive football players aged 18 to 35 years with no previous history of lateral ankle sprain, chronic ankle instability, or lower limb musculoskeletal injury within the previous 12 months. Participants in this group will be matched to the chronic ankle instability group according to age, playing level, and training exposure. |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
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Ankle instability
Prazo: Baseline assessment
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Ankle instability assessed using the Anterior Drawer Test
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Baseline assessment
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Chronic ankle instability
Prazo: Baseline assessment
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Chronic ankle instability severity assessed using the Cumberland Ankle Instability Tool (CAIT)
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Baseline assessment
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Dynamic balance
Prazo: Baseline assessment
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Dynamic balance performance assessed using the Y Balance Test
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Baseline assessment
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Pelvic incidence
Prazo: Baseline assessment
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Pelvic incidence measured using standing lateral pelvic radiographs
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Baseline assessment
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Pelvic tilt
Prazo: Baseline assessment
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Pelvic tilt measured using standing lateral pelvic radiographs
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Baseline assessment
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Sacral slope
Prazo: Baseline assessment
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Sacral slope measured using standing lateral pelvic radiographs
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Baseline assessment
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Diretor de estudo: maha mostafa alibeiny, phd, Cairo University
Publicações e links úteis
Publicações Gerais
- Powden CJ, Dodds TK, Gabriel EH. THE RELIABILITY OF THE STAR EXCURSION BALANCE TEST AND LOWER QUARTER Y-BALANCE TEST IN HEALTHY ADULTS: A SYSTEMATIC REVIEW. Int J Sports Phys Ther. 2019 Sep;14(5):683-694.
- Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006 Dec;36(12):911-9. doi: 10.2519/jospt.2006.2244.
- Shakeri M, Mahdavi SM, Rikhtehgar M, Soleimani M, Ghandhari H, Jafari B, Daneshmand S. EOS(R) is reliable to evaluate spinopelvic parameters: a validation study. BMC Med Imaging. 2024 Feb 6;24(1):35. doi: 10.1186/s12880-023-01178-0.
- Pierobon A, Raguzzi I, Solino S, Salzberg S, Vuoto T, Gilgado D, Perez Calvo E. Minimal detectable change and reliability of the star excursion balance test in patients with lateral ankle sprain. Physiother Res Int. 2020 Oct;25(4):e1850. doi: 10.1002/pri.1850. Epub 2020 May 26.
- Fusco A, Giancotti GF, Fuchs PX, Wagner H, da Silva RA, Cortis C. Y balance test: Are we doing it right? J Sci Med Sport. 2020 Feb;23(2):194-199. doi: 10.1016/j.jsams.2019.09.016. Epub 2019 Sep 26.
- Shdefat SA, Arshad Z, Khan R, Haq II, Bhatia M. Patient reported outcome measures in the foot and ankle literature: A systematic review. Foot (Edinb). 2025 Dec;65:102209. doi: 10.1016/j.foot.2025.102209. Epub 2025 Sep 29.
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Mais Informações
Termos relacionados a este estudo
Palavras-chave
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Outros números de identificação do estudo
- Chronic ankle instability
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