Pelvic Parameters in Males With and Without Ankle Instability

Официальное название

Pelvic Parameters in Male Athletes With and Without Chronic Ankle Instability: A Cross Sectional Study

Обзор

This study aims to investigate the relationship between pelvic alignment and ankle stability in male athletes with and without a history of ankle sprain. Chronic ankle instability is a common condition that may affect not only the ankle joint but also the alignment and function of other body segments, including the pelvis. Understanding this relationship may help improve injury prevention and rehabilitation strategies. Participants will undergo clinical assessments, functional tests, and radiographic evaluation of pelvic parameters to compare findings between injured and non-injured groups. The objective of this study is to determine whether differences in pelvic sagittal parameters are associated with ankle instability in male athletes.

Подробное описание

This cross-sectional case-control study aims to investigate the relationship between chronic ankle instability and pelvic sagittal alignment in male athletes. Chronic ankle instability may lead to alterations in lower limb biomechanics, postural control, and proximal body alignment, including pelvic positioning.

Participants will be divided into two groups: athletes with chronic ankle instability and healthy athletes without a history of ankle instability. All participants will undergo clinical evaluation, functional assessment, and radiographic measurement of pelvic sagittal parameters.

Clinical assessment will include evaluation of ankle instability severity, pain intensity, and dynamic balance performance using validated assessment tools. Pelvic alignment parameters will be assessed radiographically to identify potential biomechanical differences between groups.

The findings of this study may contribute to a better understanding of the relationship between chronic ankle instability and proximal biomechanical adaptations, which may improve rehabilitation and injury prevention strategies in athletes.

Первичные конечные точки

• Ankle instability [Срок оценки: Baseline assessment]
• Chronic ankle instability [Срок оценки: Baseline assessment]
• Dynamic balance [Срок оценки: Baseline assessment]
• Pelvic incidence [Срок оценки: Baseline assessment]
• Pelvic tilt [Срок оценки: Baseline assessment]
• Sacral slope [Срок оценки: Baseline assessment]

Критерии участия

Критерии включения

• Male football players aged between 18 and 35 years (Herzog et al., 2019; Jiang et al., 2022).
• A documented history of lateral ankle sprain (LAS) for at least 12 months before the study, with the initial injury resulting in a minimum of one day of weight-bearing restriction.
• Self-reported episodes of ankle "giving way" occurring at least twice within the 6-12 months preceding enrollment.
• The most recent injury must have occurred more than 3 months before study enrollment.
• A perceived sense of the injured ankle being chronically weaker and/or less functional than the contralateral side before the first LAS episode.
• A Cumberland Ankle Instability Tool (CAIT) score of less than 24 indicates chronic ankle instability.
• For group B: participants with no previous history of ankle sprain.

Критерии исключения

• Bilateral LAS (Tahoon et al., 2022).
• Previous injury, fracture, or surgical intervention involving the spine, pelvis, or lower extremity.
• History of low back pain requiring medical or surgical intervention.
• Engagement in supervised or unsupervised ankle rehabilitation within one month before the study.
• Any LAS occurring within three months before participation.
• Leg length discrepancy exceeding 0.5 cm.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения

Случай-контроль

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Публикации

• Shakeri M, Mahdavi SM, Rikhtehgar M, Soleimani M, Ghandhari H, Jafari B, Daneshmand S. EOS(R) is reliable to evaluate spinopelvic parameters: a validation study. BMC Med Imaging. 2024 Feb 6;24(1):35. doi: 10.1186/s12880-023-01178-0. PMID 38321400
• Pierobon A, Raguzzi I, Solino S, Salzberg S, Vuoto T, Gilgado D, Perez Calvo E. Minimal detectable change and reliability of the star excursion balance test in patients with lateral ankle sprain. Physiother Res Int. 2020 Oct;25(4):e1850. doi: 10.1002/pri.1850. Epub 2020 May 26. PMID 32458531
• Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006 Dec;36(12):911-9. doi: 10.2519/jospt.2006.2244. PMID 17193868
• Powden CJ, Dodds TK, Gabriel EH. THE RELIABILITY OF THE STAR EXCURSION BALANCE TEST AND LOWER QUARTER Y-BALANCE TEST IN HEALTHY ADULTS: A SYSTEMATIC REVIEW. Int J Sports Phys Ther. 2019 Sep;14(5):683-694. PMID 31598406
• Fusco A, Giancotti GF, Fuchs PX, Wagner H, da Silva RA, Cortis C. Y balance test: Are we doing it right? J Sci Med Sport. 2020 Feb;23(2):194-199. doi: 10.1016/j.jsams.2019.09.016. Epub 2019 Sep 26. PMID 31601458
• Shdefat SA, Arshad Z, Khan R, Haq II, Bhatia M. Patient reported outcome measures in the foot and ankle literature: A systematic review. Foot (Edinb). 2025 Dec;65:102209. doi: 10.1016/j.foot.2025.102209. Epub 2025 Sep 29. PMID 41033023

Идентификаторы

NCT: NCT07594210 · Chronic ankle instability

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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