Tanvi Kelkar<\/strong><\/p>\n Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad\u00a0(Formerly known as\u00a0Krishna Institute of Medical Sciences \u201cDeemed to be\u201d University), Maharashtra, India. ORCiD:<\/strong> 0000-0002-7593-5295<\/p>\n \u00a0<\/strong><\/p>\n Corresponding Author: <\/strong>Tanvi Kelkar, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad (Formerly known as Krishna Institute of Medical Sciences \u201cDeemed to be\u201d University), Maharashtra, India.\u00a0E-Mail:<\/strong>\u00a0tanvikelkar29@gmail.com<\/p>\n ABSTRACT<\/strong><\/p>\n Background:<\/strong> Obesity has become a global epidemic and a major life-threatening issue that cannot be ignored. Overweight and obese individuals are at higher risk for lateral ankle sprains and instabilities.<\/p>\n Objective:<\/strong> To determine the efficacy of a structured training program on ankle ROM, pain, and balance in obese individuals having chronic ankle instability (CAI).<\/p>\n Study design:<\/strong> Experimental study, simple random sampling.<\/p>\n Participants:<\/strong> 60 participants (41 females, 19 males, age=21.5\u00b12.3 years, BMI=32.36\u00b12 kg\/m2<\/sup>) were included in the study.\u00a0 The participants were selected according to an inclusion and exclusion criteria. Cumberland ankle instability tool (CAIT) and a questionnaire was used to assess the severity of chronic ankle instability.<\/p>\n Procedure:<\/strong> The pre-test scores of visual analogue scale (VAS), star excursion balance test (SEBT), and ankle dorsiflexion range of motion were taken. The training program was given 3 times per week for 6 weeks, per session 40- 60 minutes and then the post-test assessment was taken.<\/p>\n Analysis:<\/strong> Data was calculated as mean, standard deviation, range for quantitative variables and frequency, and percentage for qualitative variables by using the software Instat. All variables were compared using the chi-square test.<\/p>\n Results:<\/strong> The pre-test VAS scores at rest and on activity were 3.43\u00b11.5 and 5.5\u00b11.4 respectively and the post-test scores at rest and on activity were 1.1\u00b10.8 and 1.5\u00b10.8 respectively. The pre-test ROM score was 31.37\u00b12.9 whereas the post-test score was 33.12\u00b12.9. A significant difference was found in VAS scores and ROM scores with a P value <0.0001 for each. Significant differences were found between the pre-test and post-test SEBT scores in an involved limb of subjects with CAI (p value <0.0001).\u00a0<\/p>\n Conclusion:<\/strong>\u00a0 This study has shown that there was a significant improvement in ROM, pain and SEBT scores of obese individuals having chronic ankle instability when the subjects underwent a structured training program.<\/p>\n Keywords:<\/strong> Obesity, Cumberland Ankle Instability Tool, Star Excursion Balance Test.<\/p>\n \u00a0REFERENCES<\/strong><\/p>\n [1]. Donovan L, Hertel J. A new paradigm for rehabilitation of patients with chronic ankle instability. The Physician and sportsmedicine. 2012 Nov 1;40(4):41-51. \n\t\t\t <\/p>\n","protected":false},"excerpt":{"rendered":" Type of Article: \u00a0Original Research Volume 13; Issue 1 (February 2024) Page No.: 4847-4853 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2025.108 Efficacy of a Structured Training Program on Ankle ROM, Pain, and Balance in Obese Individuals having Chronic Ankle Instability (CAI) Tanvi Kelkar Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad\u00a0(Formerly known as\u00a0Krishna Institute of Medical Sciences
https:\/\/doi.org\/10.3810\/psm.2012.11.1987
PMid:23306414
[2]. Vuurberg G, Altink N, Rajai M, Blankevoort L, Kerkhoffs GM. Weight, BMI and stability are risk factors associated with lateral ankle sprains and chronic ankle instability: a metaanalysis. Journal of ISAKOS. 2019 Nov 1;4(6):313-27.
https:\/\/doi.org\/10.1136\/jisakos-2019-000305
PMid:33835938
[3]. Hale SA, Hertel J, Olmsted-Kramer LC. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. Journal of orthopaedic & sports physical therapy. 2007 Jun;37(6):303-11.
https:\/\/doi.org\/10.2519\/jospt.2007.2322
PMid:17612356
[4]. Kopelman PG. Obesity as a medical problem. Nature. 2000 Apr;404(6778):635-43.
https:\/\/doi.org\/10.1038\/35007508
PMid:10766250
[5]. Bielska IA, Brison R, Brouwer B, Janssen I, Johnson AP, Day AG, Pickett W. Is recovery from ankle sprains negatively affected by obesity?. Annals of Physical and Rehabilitation Medicine. 2019 Jan 1;62(1):8-13.
https:\/\/doi.org\/10.1016\/j.rehab.2018.08.006
PMid:30290281
[6]. Teasdale N, Simoneau M, Corbeil P, Handrigan G, Tremblay A, Hue O. Obesity alters balance and movement control. Current Obesity Reports. 2013 Sep;2(3):235-40.
https:\/\/doi.org\/10.1007\/s13679-013-0057-8
[7]. Beazell JR, Grindstaff TL, Sauer LD, Magrum EM, Ingersoll CD, Hertel J. Effects of a proximal or distal tibiofibular joint manipulation on ankle range of motion and functional outcomes in individuals with chronic ankle instability. journal of orthopaedic & sports physical therapy. 2012 Feb;42(2):125-34.
https:\/\/doi.org\/10.2519\/jospt.2012.3729
PMid:22333567
[8]. Al Adal S, Pourkazemi F, Mackey M, Hiller CE. The prevalence of pain in people with chronic ankle instability: a systematic review. Journal of athletic training. 2019 Jun;54(6):662-70
https:\/\/doi.org\/10.4085\/1062-6050-531-17
PMid:31184959 PMCid:PMC6602397
[9]. Zhao X, Tsujimoto T, Kim B, Katayama Y, Ogiso K, Takenaka M, Tanaka K. Does weight reduction affect foot structure and the strength of the muscles that move the ankle in obese Japanese adults?. The Journal of Foot and Ankle Surgery. 2018 Mar 1;57(2):281-4.
https:\/\/doi.org\/10.1053\/j.jfas.2017.09.010
PMid:29284575
[10]. Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Archives of physical medicine and rehabilitation. 2006 Sep 1;87(9):1235-41.
https:\/\/doi.org\/10.1016\/j.apmr.2006.05.022
PMid:16935061
[11]. Vuurberg G, Kluit L, van Dijk CN. The Cumberland Ankle Instability Tool (CAIT) in the Dutch population with and without complaints of ankle instability. Knee Surgery, Sports Traumatology, Arthroscopy. 2018 Mar;26(3):882-91.
https:\/\/doi.org\/10.1007\/s00167-016-4350-4
PMid:27714439 PMCid:PMC5847203
[12]. Olmsted LC, Carcia CR, Hertel J, Shultz SJ. Efficacy of the star excursion balance tests in detecting reach deficits in subjects with chronic ankle instability. Journal of athletic training. 2002 Oct;37(4):501.
[13]. Delahunt E, Remus A. Risk factors for lateral ankle sprains and chronic ankle instability. Journal of athletic training. 2019 Jun;54(6):611-6.
https:\/\/doi.org\/10.4085\/1062-6050-44-18
PMid:31161942 PMCid:PMC6602396
[14]. Al Adal S, Mackey M, Pourkazemi F, Hiller CE. The relationship between pain and associated characteristics of chronic ankle instability: a retrospective study. Journal of Sport and Health Science. 2020 Jan 1;9(1):96-101.
https:\/\/doi.org\/10.1016\/j.jshs.2019.07.009
PMid:31921485 PMCid:PMC6943759
[15]. Hoch MC, Andreatta RD, Mullineaux DR, English RA, Medina McKeon JM, Mattacola CG, McKeon PO. Two\u2010week joint mobilization intervention improves self\u2010reported function, range of motion, and dynamic balance in those with chronic ankle instability. Journal of orthopaedic research. 2012 Nov;30(11):1798-804.
https:\/\/doi.org\/10.1002\/jor.22150
PMid:22610971<\/p>\n
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