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Foot Intensive Rehabilitation With Perturbation Based Training in Ankle Sprain Patients

2026年6月28日 更新者：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.

研究概览

地位

完全的

条件

干预/治疗

详细说明

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

研究类型

介入性

注册 (实际的)

36

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 巴基斯坦
    • Punjab Province
      • Lahore、Punjab Province、巴基斯坦、54000
        • Pakistan sports board

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人

接受健康志愿者

不

描述

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)

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：单身的

武器和干预

参与者组/臂
干预/治疗
有源比较器：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
其他：Foot-Intensive Rehabilitation

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.
实验性的：Foot-Intensive Rehabilitation + Perturbation-Based Training
In addition to the foot-intensive rehabilitation program, participants will undergo perturbation-based training sessions
其他：Foot-Intensive Rehabilitation + Perturbation-Based Training

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.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Numeric pain rate scale (NPRS)
大体时间：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
大体时间：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:
大体时间：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
大体时间：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)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

University of Lahore

调查人员

  • 首席研究员：Sana Akram, MSOMPT、University of Lahore

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2025年12月27日

初级完成 (实际的)

2026年3月12日

研究完成 (实际的)

2026年4月27日

研究注册日期

首次提交

2026年6月13日

首先提交符合 QC 标准的

2026年6月13日

首次发布 (实际的)

2026年6月18日

研究记录更新

最后更新发布 (实际的)

2026年6月30日

上次提交的符合 QC 标准的更新

2026年6月28日

最后验证

2025年12月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • UOL/IREB/25/15/03/10

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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