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Recruiting NCT07190599

NMES With PNF for Ankle Sprain Rehabilitation

No phase Interventional Ankle Sprain

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Proprioceptive neuromuscular facilitation (PNF) with neuromuscular electrical stimulation (NMES), Proprioceptive neuromuscular facilitation (PNF) only.
Who it may be relevant to
Registry conditions: Ankle Sprain. Basic parameters: 18 years — 30 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Taiwan
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Official title

Effects of Neuromuscular Electrical Stimulation Combined With Proprioceptive Neuromuscular Facilitation in Adults With a History of Ankle Sprain

Overview

Ankle sprains are one of the most common sports injuries. In some people, they can lead to chronic ankle problems that affect daily life and sports performance. In this study, we want to see if combining neuromuscular electrical stimulation (NMES) with proprioceptive neuromuscular facilitation (PNF) can help improve these problems. We plan to recruit 60 participants, with 30 in the experimental group and 30 in the control group. The experimental group will receive PNF stretching with NMES, while the control group will only do PNF stretching. Both groups will have training three times a week for four weeks (12 sessions in total). We will test participants before and after the program, looking at pain, balance, range of motion, proprioception, strength, joint mobility, and functional limitations. We expect that 12 sessions will help improve chronic ankle problems, and that NMES combined with PNF will be more effective than PNF alone.

Interventions

  • Behavioral Proprioceptive neuromuscular facilitation (PNF) with neuromuscular electrical stimulation (NMES)
    The NMES was applied during the plantarflexor contraction phase of the PNF stretching (described as below). Two electrodes (4 × 8 cm) were used for stimulation, placed on the triceps surae of the affected side: one positioned 5 cm below the popliteal fossa, and the other placed 5 cm below the first electrode, directly over the triceps surae. The hold-relax technique of proprioceptive neuromuscular facilitation (PNF) will be applied to stretch the triceps surae muscle. It will be performed ten ti
  • Behavioral Proprioceptive neuromuscular facilitation (PNF) only
    The hold-relax technique will be applied to stretch the triceps surae muscle. It will be performed ten times on the affected limb during each treatment session, lasting approximately 10 minutes in total. Participants will receive interventions three times per week for four weeks, for a total of twelve sessions.

Primary outcome measures

  • Star Excursion Balance Test, SEBT [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
  • Proprioception - ankle dorsiflexion (degrees) [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
  • Proprioception - ankle plantarflexion (degrees) [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
  • Muscle strength - ankle dorsiflexors (kg) [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
  • Muscle strength - ankle plantarflexors (kg) [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
  • Range of motion - Ankle dorsiflexion (degrees) [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
  • Range of motion - Ankle plantarflexion (degrees) [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
Secondary outcome measures (3)
  • The Foot and Ankle Disability Index (FADI) [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
  • Knee to wall test [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]
  • Visual analog scale (VAS) [Time frame: 1. Baseline (Day 1, prior to intervention) 2. Post-intervention (after 12 sessions, Week 4)]

Eligibility criteria

Inclusion criteria

  • Aged 18-30 years
  • Adults with a history of ankle sprain

Exclusion criteria

  • Participants with ankle fractures, dislocations, grade III ankle sprains, bony restrictions, swelling, neuropathy, or any other neuromuscular disorders are excluded.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Double blind
Primary purpose
Treatment

Study locations

Taiwan · 1 center
  • Fooyin University — Kaohsiung City

Identifiers

NCT: NCT07190599 · NCKU HREC-E-114-0093-2

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗