IJPR.2025.108
Type of Article: Original Research
Volume 13; Issue 1 (February 2024)
Page No.: 4847-4853
DOI: https://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 (Formerly known as Krishna Institute of Medical Sciences “Deemed to be” University), Maharashtra, India. ORCiD: 0000-0002-7593-5295
Corresponding Author: Tanvi Kelkar, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad (Formerly known as Krishna Institute of Medical Sciences “Deemed to be” University), Maharashtra, India. E-Mail: tanvikelkar29@gmail.com
ABSTRACT
Background: 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.
Objective: To determine the efficacy of a structured training program on ankle ROM, pain, and balance in obese individuals having chronic ankle instability (CAI).
Study design: Experimental study, simple random sampling.
Participants: 60 participants (41 females, 19 males, age=21.5±2.3 years, BMI=32.36±2 kg/m2) were included in the study. 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.
Procedure: 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.
Analysis: 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.
Results: The pre-test VAS scores at rest and on activity were 3.43±1.5 and 5.5±1.4 respectively and the post-test scores at rest and on activity were 1.1±0.8 and 1.5±0.8 respectively. The pre-test ROM score was 31.37±2.9 whereas the post-test score was 33.12±2.9. 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).
Conclusion: 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.
Keywords: Obesity, Cumberland Ankle Instability Tool, Star Excursion Balance Test.
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