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IRCT20220408054452N1 IRCT 2022-05-23 Shahid Beheshti University of Medical Sciences The effect of dry needling on chronic ankle instability Evaluation of the effect of progressive neuromuscular training alone and combined with trigger point dry needling of peroneal muscles on functional status, postural control, and muscular activity of the lower extremity during jump-landing task in athletes with chronic ankle Instability 2022-06-22 anticipated 60 Complete https://irct.ir/trial/62932 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: The subjects will be randomly allocated to three experimental groups using blocked randomization. N/A Chronic Ankle Instability. Intervention 1: Intervention group: (1st intervention) subjects will complete progressive neuromuscular exercise, 2 sessions per week for 6 sequential weeks. Each session will last about 30 minutes. The subjects will also receive dry needling of peroneus longus and peroneus brevis trigger points, 1 session per week for 6 weeks. Intervention 2: Intervention group: (2nd intervention) subjects will complete progressive neuromuscular exercise, 2 sessions per week for 6 sequential weeks. Each session will last about 30 minutes. The subjects will also receive placebo dry needling of peroneus longus and peroneus brevis trigger points, 1 session per week for 6 weeks, while all stages of intervention is similar to real dry needling sessions. Intervention 3: Control group: Subjects will complete progressive neuromuscular exercise, 2 sessions per week for 6 sequential weeks. Each session will last about 30 minutes. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information.
public Majid Hoseini
Rehabilitation faculty of Shahid Beheshti university of medical sciences, Damavand St
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7754 8496 majid_hoseini@sbmu.ac.ir Shahid Beheshti University of Medical Sciences scientific Majid Hoseini
Rehabilitation faculty of Shahid Beheshti university of medical sciences, Damavand St
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7754 8496 majid_hoseini@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Regular sport activity in soccer, volleyball or basketball, at least 3 sessions per week, each lasting at least 2 hours A history of repeated ankle sprains along with inflammatory symptoms Existing ankle instability according to Cumberland Ankle Instability Tools (CAIT) Clinical presentation of trigger points in peroneal muscles 18 years 40 years Both A history of musculoskeletal injury in other lower extremity joints within last 3 months leading to at least on day loss of regular activity. A history of the immune system or blood coagulation disorders, vestibular dysfunction, neurological or neurovascular conditions, or convulsion Acute inflammatory symptoms in ankle region S93.4 Sprain of ankle Rehabilitation Rehabilitation Rehabilitation Intervention group: (1st intervention) subjects will complete progressive neuromuscular exercise, 2 sessions per week for 6 sequential weeks. Each session will last about 30 minutes. The subjects will also receive dry needling of peroneus longus and peroneus brevis trigger points, 1 session per week for 6 weeks. Intervention group: (2nd intervention) subjects will complete progressive neuromuscular exercise, 2 sessions per week for 6 sequential weeks. Each session will last about 30 minutes. The subjects will also receive placebo dry needling of peroneus longus and peroneus brevis trigger points, 1 session per week for 6 weeks, while all stages of intervention is similar to real dry needling sessions. Control group: Subjects will complete progressive neuromuscular exercise, 2 sessions per week for 6 sequential weeks. Each session will last about 30 minutes. Onset time of peroneus longus, peroneus brevis, soleus, vastus medialis, gluteus medius, tibialis anterior. Timepoint: 1- Before intervention 2- Immediately after the 1st session of intervention 3- After the last session of intervention 4- Three months after the end of the last session of intervention. Method of measurement: Surface electromyography device (time difference between initial foot-ground contact and onset of electromyographic activity of each muscle). Amplitude of electromyographic activity of peroneus longus, peroneus brevis, soleus, vastus medialis, gluteus medius, tibialis anterior. Timepoint: 1- Before intervention 2- Immediately after the 1st session of intervention 3- After the last session of intervention 4- Three months after the end of the last session of intervention. Method of measurement: Surface electromyography device (average amplitude of muscular activity 200 milliseconds before - 200 milliseconds after initial foot-ground contact). Functional status scores. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: 1- Foot and Ankle Ability Measure (FAAM), 2- Cumberland's Ankle instability index. Dynamic postural stability. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: Scores of the Star Excursion Balance Test (SEBT). Time of figure of 8 hop test. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: Measurement of time for completing figure of 8 hop test. Distance in triple hop test. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: Measuring distance in triple hop test. Static postural control. Timepoint: 1- Before intervention, 2- After the last intervention session, 3- Three months after the last intervention session. Method of measurement: Measuring stability indices in Biodex balance test. Shahid Beheshti University of Medical Sciences Approved 2022-02-21 Ethics committee of Shahid Beheshti University of Medical Sciences Shahid A'rabi St, Yaman St, Shahid Chamran highway Tehran Tehran Iran (Islamic Republic of)