| Effectiveness of adding Ankle stirrup to selected rehabilitation program in Chronic Ankle Instability: A Case Report. |
| Paper ID : 1100-ISCSR3 (R1) |
| Authors |
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Afaf Mohamed Tahoon1, Yasmin safwat abdalmageed2, Mariam Abdel-Nasser Ali Abdel-Hammed2, Noor Ezz-Eldin Abdel-Fatah2, Mariam Adel Abdel-Ghaffar2, Haidi Mohamed Bakry2, Mohamed Amgad Newir *2 1Lecturer at Faculty of Physical Therapy at Cairo University 2Physical therapy student at Cairo University. |
| Abstract |
| Background Chronic ankle instability (CAI) is a prevalent condition among young active individuals encompasses functional and mechanical instability and leads to negative consequences of kinematics alternations and neuromuscular adaptations ultimately increasing the risk of re-injury. Despite various rehabilitation approaches, the role of Ankle Orthosis in CAI management remains inconsistent with no adequate literature regarding its effects on ankle function and kinematics Objectives: This case report aims to provide preliminary evidence for a randomized controlled trial to evaluate the effect of integrating ankle stirrup (AS) into a structured rehabilitation program could offer clinical benefits on ankle stability, dynamic balance, and ankle joint complex kinematics in CAI Methods: A 22-year-old male was diagnosed with CAI based on the last ankle instability consort criteria. The patient received 6 sessions over 2 weeks. The rehabilitation program includes peroneal muscle myofascial release, active stretching of calf muscles, mobilization with movement to increase dorsiflexion, Y balance training, tip-toe strengthening exercises, and using AS during weight-bearing activities. Baseline and after the sixth sessions assessments of ankle instability using Cumberland Ankle Instability Tool (CAIT), dynamic balance (Y balance test), talocrural kinematics of hindfoot angle (HA), and subtalar kinematics of calcaneal stance position angle (CSPA) (Kinovea software) both measured in resting and maximum heel raise. Results: Regarding CAIT, the score after treatment was beyond the cutoff value of 24 which determines CAI diagnosis with 44 % percent improvement. HA resting (87%), and HA maximum (92.2%) showed the most improved kinematics. Subtalar kinematics revealed only 5.9 % - 3.3 % in CSPA resting and maximum respectively. Posterolateral direction ( 6.4%) was more improved than anterior (1.2 %) and posteromedial (1.6) directions Conclusion: Based on the findings, clinicians should consider using AS with a rehabilitation program targeting neuromuscular deficit and muscle imbalance. Clinical trials are necessary to validate these findings. |
| Keywords |
| chronic ankle instability (CAI), Ankle stirrup, ankle kinematics, dynamic balance, Y balance test, rehabilitation. |
| Status: Abstract Accepted |