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IRCT20230205057336N3 IRCT 2024-01-07 Shiraz University of Medical Sciences Comparison of the effect of ankle joint mobilization and exercise therapy along with dry needling with ankle joint mobilization and exercise therapy on balance, range of motion, pain and function in patients with chronic ankle instability In Hamedan city: Randomized clinical trial Comparison of the effect of ankle joint mobilization and exercise therapy along with dry needling with ankle joint mobilization and exercise therapy on balance, range of motion, pain and function in patients with chronic ankle instability In Hamedan city: Randomized clinical trial 2024-02-20 anticipated 40 Complete https://irct.ir/trial/74498 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Using the randomizer software, 40 numbers are considered for each case and the software creates 10 blocks of 4 using permutation randomization, of which 2 people enter the first group and 2 people enter the second group. and it will be done in this way until number 40, Blinding description: In this study, the person who performs the evaluation is different from the person who performs the treatments. Also, data analysis is done by another person who is unaware of the evaluation and treatment. N/A Chronic Ankle Instability. Intervention 1: Intervention group: Ankle mobilization group and dry needling exercise therapy: patients in this group, in addition to ankle mobilization treatment exactly the same as the first group, dry needling for four sessions and once a week, for at least one of the peroneus longus, peroneus muscles Brevis, gastrocnemius and tibialis anterior will receive. Intervention 2: Control group: Ankle mobilization group and therapeutic exercise: joint mobilization will be done when the patient is lying in an open arch and the ankle is out of the edge of the bed. Then the ankle is placed in 20 degrees of plantar flexion so that the talocrural joint is in a loose-packed position. The stabilizer hand is placed above the ankles (to stabilize the leg), while the mobilizer hand grabs the talus with the first web, then the talus is given a 4-grade glide with downward force. Mobilization for the relevant groups will be held for three sessions. 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 After preparing and completing the data file it will be available to readers or other scientific people if needed
public Narges Meftahi
Sadra Shahr Road - Behind Amirul Mominin (AS) Burn Accident Hospital - Shahid Doran Campus - Faculty of Rehabilitation Sciences
Shiraz Iran (Islamic Republic of) 7134814336 +98 71 3212 2600 meftahin@sums.ac.ir Shiraz University of Medical Sciences scientific Narges Meftahi
Sadra Shahr Road - Behind Amirul Mominin (AS) Burn Accident Hospital - Shahid Doran Campus - Faculty of Rehabilitation Sciences
Shiraz Iran (Islamic Republic of) 7134814336 +98 71 3212 2600 meftahin@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) patients with unilateral chronic ankle instability aged between 18-50 years A history of at least one ankle sprain in the past 12 months with symptoms of inflammation that prevented activity for at least one day At least three months have passed since the last ankle sprain. People who have a feeling of instability or recurrent ankle sprains (two or more cases in one ankle) or ankle sprains (at least two cases in six months). Trigger points in at least one of the muscles: Peroneus Longus, peroneus brevis, gastrocnemius and anterior tibialis ankle instability scores 25 and less in Cumberland ankle instability tool Foot and Ankle Ability Measurement questionnaire (FAAM) (Home scale<90%, sport scale<80%) 18 years 50 years Both History of any musculoskeletal surgery in any of the lower limbs History of fractures in any of the lower limbs Having diseases related to imbalance (people with peripheral neuropathy, MS, Parkinson's, migraine, radiculopathy and diseases related to the middle ear) Individuals who received physical therapy and dry needling for pain from their CAI in the past 6 months history of skeletal-muscular injuries in other joints of the lower limbs in the last three months M25.373 Other instability, unspecified ankle Treatment - Other Treatment - Other Intervention group: Ankle mobilization group and dry needling exercise therapy: patients in this group, in addition to ankle mobilization treatment exactly the same as the first group, dry needling for four sessions and once a week, for at least one of the peroneus longus, peroneus muscles Brevis, gastrocnemius and tibialis anterior will receive. Control group: Ankle mobilization group and therapeutic exercise: joint mobilization will be done when the patient is lying in an open arch and the ankle is out of the edge of the bed. Then the ankle is placed in 20 degrees of plantar flexion so that the talocrural joint is in a loose-packed position. The stabilizer hand is placed above the ankles (to stabilize the leg), while the mobilizer hand grabs the talus with the first web, then the talus is given a 4-grade glide with downward force. Mobilization for the relevant groups will be held for three sessions. Dynamic balance. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: Modified star excursion balance test. Ankle dorsiflexion range of motion. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: weight bearing lung test. Pain. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: Visual analogue scale. Function. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: Foot and Ability Measure questionnaire. Severity of functional ankle instability. Timepoint: Before, immediately after and four weeks after the end of the intervention. Method of measurement: Cumberland Ankle Instability Tool (CAIT). Shiraz University of Medical Sciences Approved 2023-11-01 Ethics committee in shiraz faculty of rehabilitation sciences research Sadra Shahr Road - Behind Amirul Mominin (AS) Burn Accident Hospital - Shahid Doran Campus - Faculty of Rehabilitation Sciences Shiraz Fars Iran (Islamic Republic of)