Cognitive Behavioral Based Physical Therapy for Patients With Chronic Ankle Instability

Creighton University

Status: Completed

Conditions: Chronic Ankle Instability; Ankle Sprains

Treatments: Behavioral: HEP Only; Behavioral: CBPT/HEP

Study type: Interventional

Funder types: Other

Identifiers

NCT07237581

2003479

Details and patient eligibility

About

The purpose of this study is to investigate the feasibility of a psychologically informed physical therapy intervention in individuals with Chronic Ankle Instability.

Full description

This project will target the psychological impairments in addition to pathomechanical and motor behavior impairment in individuals with Chronic Ankle Instability, using a cognitive behavioral based physical therapy approach. All participants will first complete a baseline assessment, then will be randomly assigned to treatment groups (CBPT/home exercise program (HEP) or HEP only) using a random number generator by an investigator not involved in participant screening, outcome measures, or intervention administration. Individuals in the CBPT/HEP group will participate in six sessions of 45 minutes each for three weeks (two sessions a week). After three weeks, a post-assessment will be completed for both groups.

Enrollment: 36 patients

Sex: All

Ages: 19 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• History of at least one ankle sprain (initial sprain at least 1 year prior to participation)
• Reported foot and ankle ability measure-sports scale (FAAM-sport) <85, identification of functional ankle instability (IdFAI) >10

Exclusion criteria

• History of other lower extremity fracture or surgery
• Ankle sprain within the past 6-weeks
• Any conditions known to affect balance
• Pregnancy
• Any neurological or psychological problems
• Individuals already participating in rehabilitation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 2 patient groups

CBPT/HEP Group

Experimental group

Description:

Participants receive six sessions (45 minutes each) of a CBPT program, consisting of behavioral self-management, problem solving, cognitive restructuring, and relaxation training. Participants also receive 3 weeks of a home exercise physical therapy program, consisting of flexibility, foot and ankle strengthening, and balance exercises.

Treatment:

Behavioral: CBPT/HEP

HEP Only Group

Active Comparator group

Description:

Participants receive 3 weeks of a home exercise physical therapy program, consisting of flexibility, foot and ankle strengthening, and balance exercises.

Treatment:

Behavioral: HEP Only