A Proprioceptive Training Program Using an Uneven Terrain Treadmill for Patients With Ankle Instability
Henry M. Jackson Foundation for the Advancement of Military Medicine
Summary
The ROCKY REHAB trial will provide a pragmatic approach to evaluate if incorporating a rocky, uneven terrain treadmill into the proprioceptive rehabilitation received during physical therapy can improve outcomes and reduce reinjury rates in patients with ankle instability.
Description
Lower limb sprains and strains are three-times more prevalent than any other acute injury in the Armed Forces, with lateral ankle sprains being the most common injury sustained during active-duty. Many individuals who experience an ankle sprain will go on to develop chronic ankle instability. Training and rehabilitation programs that incorporate proprioceptive training are particularly effective at improving outcomes and reducing re-injury rate. However, current programs do not help individuals "train to the tasks" that will be encountered once those individuals leave physical therapy. The pro…
Eligibility
- Age range
- 18–49 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria 1. Aged 18-49. 2. Score \< 24 on the Cumberland Ankle Instability Tool. 3. Foot and Ankle Ability Measure Activities of Daily Living score ≤ 90 and Sports score ≤ 80 indicating substantial ankle-foot impairment and activity limitation. 4. Able to attend treatment sessions for approximately a 6-week period. 5. Passed most recent physical fitness test (Active duty only). 6. Acute lateral ankle sprain specific inclusion criteria: 1. history of a first-time ankle sprain that resulted in activity limitation that lasted at least one day. 2. chronicity of 2-6 weeks prior to…
Interventions
- OtherUneven Treadmill Intervention
Progressive proprioceptive training on the uneven treadmill with up to twelve training sessions. Subjects will be advanced through activities with progression pragmatically assessed by the physical therapists for the benefit and tolerance of the individual subject. Activities may include: slow walking, fast walking, inclined/declined walking, head turning, vision obstruction, dual task walking, fatigued walking, load carriage. Standard of care physical therapy is still provided.
- OtherStandard of Care Physical Therapy
Standard of Care Physical Therapy
Locations (2)
- Naval Hospital Camp PendeltonOceanside, California
- Naval Medical Center San DiegoSan Diego, California