Chronic Ankle InstabilityNCT06552533
Comparison of Resistance Training With and Without Plyometric Exercises on Athletes With Chronic Ankle Instability.
A study testing Resistance Exercises with Plyometric exercises and Resistance Exercises without Plyometric exercises in people with Chronic Ankle Instability, run by Riphah International University at 1 site in Pakistan.
Trial summary
Chronic ankle instability is characterized by a patient's being more than 12 months removed from the initial LAS and exhibiting a propensity for recurrent ankle sprains, frequent episodes or perceptions of the ankle giving way, and persistent symptoms such as pain, swelling, limited motion, weakness, and diminished… Read more about this study
- Who is it for?
- Ages 18 to 35 years
- Conditions the study is for
- Chronic Ankle Instability
- What is being tested?
- Resistance Exercises with Plyometric exercises and Resistance Exercises without Plyometric exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 1 sitePakistan
- Study dates
- 14 Jun 2024to 14 Sep 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- A history of at least 1 substantial ankle sprain with associated inflammatory symptoms and at least 1 interrupted day of desired physical activity, multiple episodes of the ankle "giving way," recurrent sprain, and "feelings of instability" in the 6 months before the study. Patients scoring the FAAM, there should be two scores, less than the ADL subscale and the Sports subscale, 20/21 items and 7/8 items must be completed, respectively
- If both ankles qualified, the ankle with the highest score (i.e. the most severely affected ankle) was considered the involved limb.
Who cannot join
- Volunteers were excluded if they had sustained an acute lower extremity injury in the 3 months before the study
- Having participated in formal rehabilitation in the 3 months before the study
- Having a history of lower extremity surgery or fracture that required alignment in the involved limb
- Having any diagnosed neurologic dysfunction, such as multiple sclerosis, Parkinson disease, or head injury.
Trial locations and contacts
1 site in 1 country.
Pakistan1 site, 1 recruiting
- Recruiting
Sehat Medical Complex, Pakistan sports board complex
Lahore, Punjab Province, 54000
Anam Dalawar, DPT, 03403546668, doctoranum123@gmail.com
Syed Asad ullah Arslan, PHD
About this study
Official title: Comparison of Resistance Training With and Without Plyometric Exercises on Pain, Range of Motion, Dynamic Balance and Strength Among Athletes With Chronic Ankle Instability.
Chronic ankle instability is characterized by a patient's being more than 12 months removed from the initial LAS and exhibiting a propensity for recurrent ankle sprains, frequent episodes or perceptions of the ankle giving way, and persistent symptoms such as pain, swelling, limited motion, weakness, and diminished self-reported function. This study will Compare Resistance Training with and without Plyometric exercises on Athletes with Chronic Ankle instability and changes will be recorded using different methods and tools. Patients will be randomly allocated into two different groups. Group A will be treated with resistance training and Group B will be treated with resistance training along with plyometric exercises . Participants will complete clinician-oriented tests. Participants of both groups will be evaluated before and after the application of respective interventions at the end of 8th week. Data will be analysed.
Read the detailed description
Resistance training applies effort to overcome resistance, which results in increased muscle fibre recruitment and stronger synchronization, ultimately enhancing neuromuscular control and leading to muscular growth. Elastic resistance training is not only the cheaper intervention but is also able to promote similar strength gains to conventional resistance training. Both isokinetic muscle strength training and Thera-Band strength training have been used extensively to increase muscle strength after sports injuries and improve muscle performance in athletes, thereby accelerating injury recovery. Plyometric training provided benefits in both static and dynamic balances for individuals with Functional ankle instability. Plyometric are more effective than resistive exercises in improving functional performance of athletes after lateral ankle sprain. Convenient sampling technique will be used to collect the data. The sample size of 24 patients will be recruited. Patients will be randomly allocated into two different groups through sealed envelope method.12 patients will be allocated in each group A will be treated with resistance training and Group B will be treated with resistance training along with plyometric exercises so resistance training exercises are help full in athletic performance .Group B will be treated with resistance training along with plyometric exercises . Participants will complete patient-oriented questionnaires (CAIT for measuring the severity of functional ankle instability Foot and Ankle Ability Measure [FAAM] to assess physical function for individuals with foot and ankle related impairments, Numeric pain rating scale for pain, Short-Form 36 [SF-36] to indicate the health status of particular populations, to help with service planning and to measure the impact of clinical and social interventions. Culture-specific data are required to calculate SF-36 norm-based. Goniometer to measure available ranges will also be used Participants of both groups will be evaluated before the application of interventional techniques and re-evaluated after the application of respective interventions at the end of 8th week. Data will be analysed on SPSS 21 .The combination of both resistance and plyometric exercises could give more significant result.
- Conditions
- Chronic Ankle Instability
- Being tested
- Resistance Exercises with Plyometric exercises, Resistance Exercises without Plyometric exercises
- Keywords
- goniometry, plyometric exercises, resistance training
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Resistance Exercises with Plyometric exercisesOther
We will apply protocol for 8 weeks 24 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions.
Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane).After resistance training the athletes will go for plyometric exercises and will follow the following guidelines.Tubing Exercises,Plyometric Ankle Jumps Ankle Circles
Resistance Exercises without Plyometric exercisesOther
We will apply protocol for 8 weeks 24 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane). While controlling the time that a maximal contraction will be maintained, the therapist will assure that the targeted musculature will being maximally loaded
| Study group | Role | What they receive |
|---|---|---|
| Resistance Exercises with Plyometric exercises | Experimental | We will apply protocol for 8 weeks 24 Sessions (3 sessions in a week). Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane). While controlling the time that a maximal contraction will maintained, the therapist will assure that the targeted musculature will being maximally loaded. Resistance will be applied to the dorsum of the foot just above the toes to resist dorsiflexion and to the plantar surface of the foot at the metatarsals to resist plantar flexion. After resistance training the athletes will go for plyometric exercises and will follow the following guidelines.Tubing Exercises and Plyometric Ankle Jumps Ankle Circles. Move just your foot and ankle, not your leg. Vary the stretch by tracing out the letters of the alphabet with your big toe. Receives: Other: Resistance Exercises with Plyometric exercises |
| Resistance Exercises without Plyometric exercises | Active comparator | We will apply protocol for 8 weeks 24 Sessions (3 sessions in a week).We will apply protocol for 8 weeks 24 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane). Active weight bearing exercises in the form of heel rise and toe rise will performed for ten repetitions each. Towel curl and marble pick up was performed at the end of the session for ten repetitions. Receives: Other: Resistance Exercises without Plyometric exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric pain rating scale
NPRS consists of a scale with 0-10 readings. The zero denotes no pain while 1, 2, 3 denotes to mild pain, 4, 5, 6 denotes to moderate pain while 7-10 denotes to severe pain.
Measured: 8 Weeks
Goniometer
Active Range of Motion of the patient will be assessed using universal standard goniometer for ankle plantar flexion, dorsiflexion, inversion and eversion. All ranges will be assessed in sitting position.The data will be collected at baseline ankle goniometry. Goniometry will be performed using a universal goniometer with a measuring scale marked out at two-degree interval
Measured: 8 Weeks
The Star Excursion Balance Test (SEBT)
The Star Excursion Balance Test (SEBT) is a widely accepted method of assessing dynamic postural stability. The Y Balance Test (YBT) is a commercially available device for measuring balance that uses 3 (anterior, posteromedial, and posterolateral) of the 8 SEBT directions and has been advocated as a method for assessing dynamic balance.
Measured: 8 Weeks
1 RM Leg Press test
A training load that corresponds to 60-80% of one repetition maximum to increase muscle strength in leg and ankle of subjects with a loading range of 10-12 repetitions. It will measure the strength in pre treatment and post treatment evaluation
Measured: 8 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Aug 2024
- Study start14 Jun 2024
- Primary completion14 Sep 2024 (estimated)
- Study completion14 Sep 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (14)Papers the sponsor has linked to this study.
- Other trials for Chronic Ankle InstabilityStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- randomized clinical trial
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 24 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Muhammad Atif Javed, PP-DPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06552533
- Sponsor's protocol ID
- REC/RCR&AHS/23/0473
- Status last verified
- Aug 2024
- First submitted
- 24 Jun 2024
- Last updated
- 14 Aug 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Tanen L, Docherty CL, Van Der Pol B, Simon J, Schrader J. Prevalence of chronic ankle instability in high school and division I athletes. Foot Ankle Spec. 2014 Feb;7(1):37-44. doi: 10.1177/1938640013509670. Epub 2013 Nov 27.
PubMed 24287210Brown CN, Mynark R. Balance deficits in recreational athletes with chronic ankle instability. J Athl Train. 2007 Jul-Sep;42(3):367-73.
PubMed 18059992Chan KW, Ding BC, Mroczek KJ. Acute and chronic lateral ankle instability in the athlete. Bull NYU Hosp Jt Dis. 2011;69(1):17-26.
PubMed 21332435Yu P, Mei Q, Xiang L, Fernandez J, Gu Y. Differences in the locomotion biomechanics and dynamic postural control between individuals with chronic ankle instability and copers: a systematic review. Sports Biomech. 2022 Apr;21(4):531-549. doi: 10.1080/14763141.2021.1954237. Epub 2021 Aug 19.
PubMed 34412557Hall EA, Docherty CL, Simon J, Kingma JJ, Klossner JC. Strength-training protocols to improve deficits in participants with chronic ankle instability: a randomized controlled trial. J Athl Train. 2015 Jan;50(1):36-44. doi: 10.4085/1062-6050-49.3.71. Epub 2014 Nov 3.
PubMed 25365134Anderson K, Behm DG. The impact of instability resistance training on balance and stability. Sports Med. 2005;35(1):43-53. doi: 10.2165/00007256-200535010-00004.
PubMed 15651912Fakontis C, Iakovidis P, Kasimis K, Lytras D, Koutras G, Fetlis A, Algiounidis I. Efficacy of resistance training with elastic bands compared to proprioceptive training on balance and self-report measures in patients with chronic ankle instability: A systematic review and meta-analysis. Phys Ther Sport. 2023 Nov;64:74-84. doi: 10.1016/j.ptsp.2023.09.009. Epub 2023 Sep 30.
PubMed 37801793Wang B, Zhang X, Zhu F, Zhu W, Wang X, Jia F, Chen W, Zhang M. A randomized controlled trial comparing rehabilitation with isokinetic exercises and Thera-Band strength training in patients with functional ankle instability. PLoS One. 2022 Dec 1;17(12):e0278284. doi: 10.1371/journal.pone.0278284. eCollection 2022.
PubMed 36454876Lee HM, Oh S, Kwon JW. Effect of Plyometric versus Ankle Stability Exercises on Lower Limb Biomechanics in Taekwondo Demonstration Athletes with Functional Ankle Instability. Int J Environ Res Public Health. 2020 May 22;17(10):3665. doi: 10.3390/ijerph17103665.
PubMed 32456048Ismail MM, Ibrahim MM, Youssef EF, El Shorbagy KM. Plyometric training versus resistive exercises after acute lateral ankle sprain. Foot Ankle Int. 2010 Jun;31(6):523-30. doi: 10.3113/FAI.2010.0523.
PubMed 20557819Luan L, Adams R, Witchalls J, Ganderton C, Han J. Does Strength Training for Chronic Ankle Instability Improve Balance and Patient-Reported Outcomes and by Clinically Detectable Amounts? A Systematic Review and Meta-Analysis. Phys Ther. 2021 Jul 1;101(7):pzab046. doi: 10.1093/ptj/pzab046.
PubMed 33517464Molla-Casanova S, Ingles M, Serra-Ano P. Effects of balance training on functionality, ankle instability, and dynamic balance outcomes in people with chronic ankle instability: Systematic review and meta-analysis. Clin Rehabil. 2021 Dec;35(12):1694-1709. doi: 10.1177/02692155211022009. Epub 2021 May 31.
PubMed 34058832Matheny LM, Clanton TO. Rasch Analysis of Reliability and Validity of Scores From the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int. 2020 Feb;41(2):229-236. doi: 10.1177/1071100719884554. Epub 2019 Oct 30.
PubMed 31665926Lins-Kusterer L, Valdelamar J, Aguiar CVN, Menezes MS, Netto EM, Brites C. Validity and reliability of the 36-Item Short Form Health Survey questionnaire version 2 among people living with HIV in Brazil. Braz J Infect Dis. 2019 Sep-Oct;23(5):313-321. doi: 10.1016/j.bjid.2019.08.001. Epub 2019 Sep 3.
PubMed 31491370
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Resistance Training With and Without Plyometric Exercises on Pain, Range of Motion, Dynamic Balance and Strength Among Athletes With Chronic Ankle Instability.
- ClinicalTrials.gov ID
- NCT06552533
- Acronym / sponsor ID
- REC/RCR&AHS/23/0473
- Conditions
- Chronic Ankle Instability
- Keywords
- goniometry, plyometric exercises, resistance training
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 24 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 14 Jun 2024 (actual)
- Primary completion
- 14 Sep 2024 (estimated)
- Study completion
- 14 Sep 2024 (estimated)
- First posted
- 14 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Chronic ankle instability is characterized by a patient's being more than 12 months removed from the initial LAS and exhibiting a propensity for recurrent ankle sprains, frequent episodes or perceptions of the ankle giving way, and persistent symptoms such as pain, swelling, limited motion, weakness, and diminished self-reported function. This study will Compare Resistance Training with and without Plyometric exercises on Athletes with Chronic Ankle instability and changes will be recorded using different methods and tools. Patients will be randomly allocated into two different groups. Group A will be treated with resistance training and Group B will be treated with resistance training along with plyometric exercises . Participants will complete clinician-oriented tests. Participants of both groups will be evaluated before and after the application of respective interventions at the end of 8th week. Data will be analysed.
Detailed description
Resistance training applies effort to overcome resistance, which results in increased muscle fibre recruitment and stronger synchronization, ultimately enhancing neuromuscular control and leading to muscular growth. Elastic resistance training is not only the cheaper intervention but is also able to promote similar strength gains to conventional resistance training. Both isokinetic muscle strength training and Thera-Band strength training have been used extensively to increase muscle strength after sports injuries and improve muscle performance in athletes, thereby accelerating injury recovery. Plyometric training provided benefits in both static and dynamic balances for individuals with Functional ankle instability. Plyometric are more effective than resistive exercises in improving functional performance of athletes after lateral ankle sprain. Convenient sampling technique will be used to collect the data. The sample size of 24 patients will be recruited. Patients will be randomly allocated into two different groups through sealed envelope method.12 patients will be allocated in each group A will be treated with resistance training and Group B will be treated with resistance training along with plyometric exercises so resistance training exercises are help full in athletic performance .Group B will be treated with resistance training along with plyometric exercises . Participants will complete patient-oriented questionnaires (CAIT for measuring the severity of functional ankle instability Foot and Ankle Ability Measure [FAAM] to assess physical function for individuals with foot and ankle related impairments, Numeric pain rating scale for pain, Short-Form 36 [SF-36] to indicate the health status of particular populations, to help with service planning and to measure the impact of clinical and social interventions. Culture-specific data are required to calculate SF-36 norm-based. Goniometer to measure available ranges will also be used Participants of both groups will be evaluated before the application of interventional techniques and re-evaluated after the application of respective interventions at the end of 8th week. Data will be analysed on SPSS 21 .The combination of both resistance and plyometric exercises could give more significant result.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
- Model description
- randomized clinical trial
| Arm | Type | Receives |
|---|---|---|
| Resistance Exercises with Plyometric exercises | Experimental | Other: Resistance Exercises with Plyometric exercisesWe will apply protocol for 8 weeks 24 Sessions (3 sessions in a week). Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane). While controlling the time that a maximal contraction will maintained, the therapist will assure that the targeted musculature will being maximally loaded. Resistance will be applied to the dorsum of the foot just above the toes to resist dorsiflexion and to the plantar surface of the foot at the metatarsals to resist plantar flexion. After resistance training the athletes will go for plyometric exercises and will follow the following guidelines.Tubing Exercises and Plyometric Ankle Jumps Ankle Circles. Move just your foot and ankle, not your leg. Vary the stretch by tracing out the letters of the alphabet with your big toe. |
| Resistance Exercises without Plyometric exercises | Active comparator | Other: Resistance Exercises without Plyometric exercisesWe will apply protocol for 8 weeks 24 Sessions (3 sessions in a week).We will apply protocol for 8 weeks 24 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane). Active weight bearing exercises in the form of heel rise and toe rise will performed for ten repetitions each. Towel curl and marble pick up was performed at the end of the session for ten repetitions. |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- A history of at least 1 substantial ankle sprain with associated inflammatory symptoms and at least 1 interrupted day of desired physical activity, multiple episodes of the ankle "giving way," recurrent sprain, and "feelings of instability" in the 6 months before the study. Patients scoring the FAAM, there should be two scores, less than the ADL subscale and the Sports subscale, 20/21 items and 7/8 items must be completed, respectively
- If both ankles qualified, the ankle with the highest score (i.e. the most severely affected ankle) was considered the involved limb.
Key exclusion criteria (4 listed)
- Volunteers were excluded if they had sustained an acute lower extremity injury in the 3 months before the study
- Having participated in formal rehabilitation in the 3 months before the study
- Having a history of lower extremity surgery or fracture that required alignment in the involved limb
- Having any diagnosed neurologic dysfunction, such as multiple sclerosis, Parkinson disease, or head injury.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Resistance Exercises with Plyometric exercisesWe will apply protocol for 8 weeks 24 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane).After resistance training the athletes will go for plyometric exercises and will follow the following guidelines.Tubing Exercises,Plyometric Ankle Jumps Ankle Circles | Other | Resistance Exercises with Plyometric exercises |
| Resistance Exercises without Plyometric exercisesWe will apply protocol for 8 weeks 24 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Resistive training will start in the form of manual resistive exercise for dorsiflexion, plantar flexion, eversion and inversion (manual resistance was applied for 3 to 5 seconds for ten repetitions in each cardinal plane). While controlling the time that a maximal contraction will be maintained, the therapist will assure that the targeted musculature will being maximally loaded | Other | Resistance Exercises without Plyometric exercises |
Primary outcome
Numeric pain rating scale
Time frame: 8 Weeks
NPRS consists of a scale with 0-10 readings. The zero denotes no pain while 1, 2, 3 denotes to mild pain, 4, 5, 6 denotes to moderate pain while 7-10 denotes to severe pain.
Goniometer
Time frame: 8 Weeks
Active Range of Motion of the patient will be assessed using universal standard goniometer for ankle plantar flexion, dorsiflexion, inversion and eversion. All ranges will be assessed in sitting position.The data will be collected at baseline ankle goniometry. Goniometry will be performed using a universal goniometer with a measuring scale marked out at two-degree interval
The Star Excursion Balance Test (SEBT)
Time frame: 8 Weeks
The Star Excursion Balance Test (SEBT) is a widely accepted method of assessing dynamic postural stability. The Y Balance Test (YBT) is a commercially available device for measuring balance that uses 3 (anterior, posteromedial, and posterolateral) of the 8 SEBT directions and has been advocated as a method for assessing dynamic balance.
1 RM Leg Press test
Time frame: 8 Weeks
A training load that corresponds to 60-80% of one repetition maximum to increase muscle strength in leg and ankle of subjects with a loading range of 10-12 repetitions. It will measure the strength in pre treatment and post treatment evaluation
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2024.
- Background: PubMed 24287210Tanen L, Docherty CL, Van Der Pol B, Simon J, Schrader J. Prevalence of chronic ankle instability in high school and division I athletes. Foot Ankle Spec. 2014 Feb;7(1):37-44. doi: 10.1177/1938640013509670. Epub 2013 Nov 27.
- Background: PubMed 18059992Brown CN, Mynark R. Balance deficits in recreational athletes with chronic ankle instability. J Athl Train. 2007 Jul-Sep;42(3):367-73.
- Background: PubMed 21332435Chan KW, Ding BC, Mroczek KJ. Acute and chronic lateral ankle instability in the athlete. Bull NYU Hosp Jt Dis. 2011;69(1):17-26.
- Background: PubMed 34412557Yu P, Mei Q, Xiang L, Fernandez J, Gu Y. Differences in the locomotion biomechanics and dynamic postural control between individuals with chronic ankle instability and copers: a systematic review. Sports Biomech. 2022 Apr;21(4):531-549. doi: 10.1080/14763141.2021.1954237. Epub 2021 Aug 19.
- Background: PubMed 25365134Hall EA, Docherty CL, Simon J, Kingma JJ, Klossner JC. Strength-training protocols to improve deficits in participants with chronic ankle instability: a randomized controlled trial. J Athl Train. 2015 Jan;50(1):36-44. doi: 10.4085/1062-6050-49.3.71. Epub 2014 Nov 3.
- Background: PubMed 15651912Anderson K, Behm DG. The impact of instability resistance training on balance and stability. Sports Med. 2005;35(1):43-53. doi: 10.2165/00007256-200535010-00004.
- Background: PubMed 37801793Fakontis C, Iakovidis P, Kasimis K, Lytras D, Koutras G, Fetlis A, Algiounidis I. Efficacy of resistance training with elastic bands compared to proprioceptive training on balance and self-report measures in patients with chronic ankle instability: A systematic review and meta-analysis. Phys Ther Sport. 2023 Nov;64:74-84. doi: 10.1016/j.ptsp.2023.09.009. Epub 2023 Sep 30.
- Background: PubMed 36454876Wang B, Zhang X, Zhu F, Zhu W, Wang X, Jia F, Chen W, Zhang M. A randomized controlled trial comparing rehabilitation with isokinetic exercises and Thera-Band strength training in patients with functional ankle instability. PLoS One. 2022 Dec 1;17(12):e0278284. doi: 10.1371/journal.pone.0278284. eCollection 2022.
- Background: PubMed 32456048Lee HM, Oh S, Kwon JW. Effect of Plyometric versus Ankle Stability Exercises on Lower Limb Biomechanics in Taekwondo Demonstration Athletes with Functional Ankle Instability. Int J Environ Res Public Health. 2020 May 22;17(10):3665. doi: 10.3390/ijerph17103665.
- Background: PubMed 20557819Ismail MM, Ibrahim MM, Youssef EF, El Shorbagy KM. Plyometric training versus resistive exercises after acute lateral ankle sprain. Foot Ankle Int. 2010 Jun;31(6):523-30. doi: 10.3113/FAI.2010.0523.
- Background: PubMed 33517464Luan L, Adams R, Witchalls J, Ganderton C, Han J. Does Strength Training for Chronic Ankle Instability Improve Balance and Patient-Reported Outcomes and by Clinically Detectable Amounts? A Systematic Review and Meta-Analysis. Phys Ther. 2021 Jul 1;101(7):pzab046. doi: 10.1093/ptj/pzab046.
- Background: PubMed 34058832Molla-Casanova S, Ingles M, Serra-Ano P. Effects of balance training on functionality, ankle instability, and dynamic balance outcomes in people with chronic ankle instability: Systematic review and meta-analysis. Clin Rehabil. 2021 Dec;35(12):1694-1709. doi: 10.1177/02692155211022009. Epub 2021 May 31.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Muhammad Atif Javed, PP-DPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Resistance Exercises with Plyometric exercises and Resistance Exercises without Plyometric exercises in people with Chronic Ankle Instability, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 14 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Muhammad Atif Javed, PP-DPT (+92 3317491071, atif.javed@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numeric pain rating scale (time frame: 8 Weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06552533, which also lists 14 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2024.