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Analysis of Sensory Motor Training in Chronic Ankle Instability

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ClinicalTrials.gov Identifier: NCT03768583
Recruitment Status : Completed
First Posted : December 7, 2018
Last Update Posted : August 20, 2019
Sponsor:
Information provided by (Responsible Party):
Universidade Estadual de Londrina

Brief Summary:
Introduction: Sensory motor training (STS) is part of rehabilitation and injury prevention in individuals with chronic ankle instability (ICS). The use of footwear during SST may interfere with neuromuscular responses, but little is known about the difference in motor control response when training is applied with the use of shoes or bare feet. Objectives: To establish the effect of sensory motor training with and without sports shoes on the dynamic postural control of athletes with chronic ankle instability. Materials and Methods: The study will be performed with athletes linked to the Athletics of the State University of Londrina, aged between 18 and 30 years, both sexes, with chronic ankle instability assessed using the Cumberland Ankle Instability Tool (CAIT) questionnaire. Dynamic postural control will be evaluated in Force Platform and muscle recruitment through the electromyography of the muscles: anterior tibial, lateral and medial gastrocnemius, long fibular, gluteus maximus and gluteus medius. After the evaluation the volunteers will be randomized into two groups: 1) barefoot sensory-motor training and 2) sensory motor training with sneakers. The two groups will develop the same protocol of sensory motor training consisting of exercises, for five weeks, twice a week. At the end of the training they will be re-evaluated and the data analyzed. Expected Results: It is expected to find better postural control in the group that will perform in barefoot sensory-motor training.

Condition or disease Intervention/treatment Phase
Recruitment Other: Group TSM ICT sneakers Other: Group TSM ICT barefoot Other: Group TSM health sneaker Other: Group TSM health barefoot Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 29 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Effect of Sensory Motor Training With and Without Sports Shoes on the Dynamic Postural Control of Athletes With Chronic Ankle Instability
Actual Study Start Date : August 20, 2018
Actual Primary Completion Date : July 20, 2019
Actual Study Completion Date : July 30, 2019

Arm Intervention/treatment
Experimental: Group TSM ICT sneakers
  • ICT with sneaker
  • five weeks
  • twice a week
  • half hour.
Other: Group TSM ICT sneakers
Sensory motor training with sneakers for volunteers with Chronic ankle instability, for five weeks, twice a week.

Experimental: Group TSM ICT barefoot
  • ICT barefoot
  • five weeks
  • twice a week
  • half hour.
Other: Group TSM ICT barefoot
Sensory motor training without sneakers for volunteers with Chronic ankle instability, for five weeks, twice a week.

Experimental: Group TSM health barefoot
  • Health with sneaker
  • five weeks
  • twice a week
  • half hour.
Other: Group TSM health barefoot
Sensory motor training without sneaker for volunteers with Chronic ankle instability, for five weeks, twice a week.

Experimental: Group TSM health sneakers
  • Health barefoot
  • five weeks
  • twice a week
  • half hour.
Other: Group TSM health sneaker
Sensory motor training with sneakers for volunteers with Chronic ankle instability, for five weeks, twice a week.




Primary Outcome Measures :
  1. Postural control response after intervention [ Time Frame: twenty weeks ]
    Response of sensorial motor training in improving motor control in volunteers with chronic ankle instability or not. Will use force platform.


Secondary Outcome Measures :
  1. Muscle recruitment response after intervention [ Time Frame: twenty weeks ]
    Response of sensorial motor training in the muscular recruitment of volunteers with chronic ankle instability or not, and the difference in response when performed with sneakers or barefoot. Will use electromyography.

  2. measurement ankle dorsiflexion [ Time Frame: twenty weeks ]
    The dorsiflexion will be mensure with the Lunge test in centimeter



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Ages Eligible for Study:   18 Years to 30 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion criteria:

  • athletes of both sexes
  • aged between 18 and 30 years,
  • with history of the first ankle sprain for at least 12 months,
  • feeling of instability or "flaccidity" of the ankle
  • score determined by the CAIT questionnaire of less than 24,
  • have not undergone sensory-motor or conventional physiotherapy training in the last six months.

Exclusion Criteria:

  • Withdrawal at the time of the evaluation,
  • Recurrence of sprain accompanied by signs of inflammation, acute and painful complaints in the lower group,
  • history of lower limb surgery, neurological, cardiovascular, rheumatologic, diabetes, altered plantar sensitivity.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03768583


Locations
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Brazil
university hospital of the State University of Londrina
Londrina, Paraná, Brazil, 86038-350
Sponsors and Collaborators
Universidade Estadual de Londrina
Investigators
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Principal Investigator: Christiane Macedo State University of Londrina

Publications:
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Responsible Party: Universidade Estadual de Londrina
ClinicalTrials.gov Identifier: NCT03768583     History of Changes
Other Study ID Numbers: Sensory motor training
First Posted: December 7, 2018    Key Record Dates
Last Update Posted: August 20, 2019
Last Verified: July 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Universidade Estadual de Londrina:
Postural Balace
Physioteraphy
Ankle Injuries
Electromyography