Effectiveness of the SMART training intervention on ankle joint
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Background The lateral ankle sprain (LAS) is the most common injury in the field of everyday and sports-related activities. There is a high rate of patients with LAS who will develop chronic ankle instability (CAI). A possible explanation for this high rate is an insufficient rehabilitation and/or a premature return to intense exercise and workloads. Currently, there are general rehabilitation guidelines for LAS but there is a lack of standardized evidenced-based rehabilitation concepts for LAS, which effectively reduce the high CAI rate. The primary aim of the study is to investigate the effectiveness of a 6-week sensorimotor training intervention (SMART-Treatment, SMART) in contrast to standard therapy (Normal Treatment, NORMT) after an acute LAS on perceived ankle joint function. Methods This study will be a prospective, single-center, interventional randomized controlled trial with an active control group. Patients (14–41 years) with an acute LAS and a MRI confirmed lesion or rupture of at least one ankle ligament will be included. Exclusion criteria are acute concomitant injuries of the ankle, pre-injuries of the ankle, serious lower-extremity injuries of the last 6 months, lower-extremity surgery, and neurological diseases. The primary outcome measure will be the Cumberland Ankle Instability Tool (CAIT). Secondary outcomes include the Foot and Ankle Ability Measurement (FAAM), isokinetic and isometric strength diagnostics, joint repositioning sense, range of motion, measurements of postural control, gait and run analysis, and jump analysis. This protocol will follow the SPIRIT guidance. Discussion Current management of LAS rehabilitation lacks since there is a high rate of patients developing a CAI. It has been shown that exercise therapy improves ankle function in acute LAS as well as in patients with CAI. It is further recommended to address specific impairment domains in ankle rehabilitation. However, empirical data for such a holistic treatment algorithm is missing. Therefore, this study has the potential to improve the healthcare for LAS patients and might be used for a future standardized evidence-based rehabilitation concept. Trial registration “Prospectively registered” ISRCTN – ISRCTN13640422 17/11/2021; DRKS (German Clinical Trials Register) – DRKS00026049.
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PDF) Sensorimotor function as a predictor of chronic ankle instability
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Janina TENNLER, Master of Science, Clinical Research
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Peroneal tendon disorders in: EFORT Open Reviews Volume 2 Issue 6
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Subject demographics comparing orthopedic tests and activity
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Participant balancing on the wobble board with the smooth surface
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A pilot randomised control trial of the efficacy of stability
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PDF) Different kinesio taping tensions present similar benefits
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Results* of functional treatments for acute ankle injury 48
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PDF) Effectiveness of additional supervised exercises compared
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Effectiveness of the SMART training intervention on ankle joint
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Functional Effects of Ankle Sprain
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Effectiveness of the SMART training intervention on ankle joint
Christian Raeder (@ChrissRaeder) / X
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Forrest plot for strength outcomes. Studies are grouped (column 1
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A pilot randomised control trial of the efficacy of stability