NCT06303141

Comparative Effects of Neuromuscular Training and Mobilization With Movement in Professional Athletes With Ankle Sprain

Comparative Effects of Neuromuscular Training and Mobilization With Movement on Pain, Range of Motion, Function and Disability in Professional Athletes With Ankle Sprain

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Riphah International University · Academic / Other
• Sex: All
• Age: 18 Years – 30 Years
• Healthy volunteers: Not accepted

Summary

The study aims to compare the effects of neuromuscular training and mobilization with movement on pain, range of motion, function, and disability in professional athletes with ankle sprain. Neuromuscular training focuses on improving neuromuscular control and stability, while mobilization with movement aims to restore joint mobility and function. By investigating the outcomes of these two interventions, the study seeks to provide insights into their effectiveness for managing ankle sprains in professional athletes.

Detailed description

The comparative study on the effects of neuromuscular training and mobilization with movement on pain, range of motion, function, and disability in professional athletes with ankle sprain is designed to address the efficacy of these two interventions in managing ankle injuries among athletes. An ankle sprain is a common injury in sports, often resulting in pain, limited range of motion, functional impairment, and disability. Therefore, identifying the most effective treatment approaches is essential for promoting athletes' recovery and minimizing the impact of ankle sprains on their performance. Neuromuscular training is a structured exercise program aimed at improving neuromuscular control, proprioception, balance, and strength around the ankle joint. It typically involves exercises targeting the muscles and ligaments involved in ankle stability, such as balance training, proprioceptive exercises, strength training, and functional rehabilitation exercises. The goal of neuromuscular training is to enhance joint stability, reduce the risk of re-injury, and improve functional outcomes in athletes with ankle sprains. On the other hand, mobilization with movement is a manual therapy technique used to restore joint mobility and function through specific movements or mobilizations. This approach involves applying controlled and graded movements to the affected ankle joint while simultaneously mobilizing the surrounding soft tissues. Mobilization with movement aims to reduce pain, improve joint mobility, and restore normal movement patterns by addressing restrictions in joint mobility, muscle tightness, and soft tissue adhesions. The comparative study will involve professional athletes who have sustained ankle sprains during sports participation. Participants will be randomly assigned to either the neuromuscular training group or the mobilization with movement group. Both groups will undergo a structured intervention program tailored to their respective treatment approach. The neuromuscular training program will consist of a series of progressive exercises targeting ankle stability, balance, strength, and proprioception. These exercises may include single-leg balance exercises, resistance training using bands or weights, agility drills, plyometric exercises, and functional activities relevant to the athlete's sport. Meanwhile, the mobilization with movement intervention will involve manual therapy techniques administered by a qualified physiotherapist or sports therapist. These techniques may include joint mobilizations, soft tissue mobilizations, and specific movement patterns designed to restore normal joint mechanics and improve ankle function. Outcome measures will include pain levels, range of motion (assessed using goniometry), functional status (evaluated using standardized outcome measures such as the Foot and Ankle Ability Measure), and disability scores (measured using validated scales such as the Disability Rating Index). These measures will be assessed at baseline, post-intervention, and follow-up time points to evaluate the effectiveness of each intervention in improving ankle sprain outcomes. The study's findings will provide valuable insights into the comparative effectiveness of neuromuscular training and mobilization with movement in professional athletes with ankle sprains. By identifying the most beneficial treatment approach, the study aims to optimize rehabilitation strategies for ankle injuries in athletes, ultimately supporting their return to sport and minimizing the risk of re-injury.

Conditions

• Ankle Injuries
• Musculoskeletal Manipulations

Interventions

Type	Name	Description
OTHER	Closed Chain exercises	Open eyes and closed eyes across arm" (3 sets x 60 sec) Lateral step down (3 sets x 6-12 reps) Semi-Squat Exercise (3sets x 6-12 reps) Thera-band isometric (3 sets x 10 -15sec each)
OTHER	Neuromuscular Training	Neuromuscular Training Exercise: * Single Leg Raise (3 sec x 30sec each) * Ankle eversion/inversion (3 sets x 25 reps) * Double Hopping in place then out of place (3 sets 30 sec) * Reach with feet (3 sets x 30-60 sec each) * Reach with hands (3 sets x 30-60 sec each) * Wobble board Exercise (3sets x 30-60sec each
OTHER	Mobilization with Movement	Joint mobilization with movement (by Mulligan) refers to manual therapy techniques that are used to modulate pain and treat joint dysfunctions that limit the range of motion (ROM). (3 sets x 6 oscillation/glide each)

Timeline

• Start date: 2023-04-05
• Primary completion: 2023-09-05
• Completion: 2023-09-10
• First posted: 2024-03-12
• Last updated: 2024-03-12

Locations

1 site across 1 country: Pakistan