Proprioceptive Training on Uneven Terrain Treadmill for Ankle Instability
(ROCKY REHAB Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether using a rocky, uneven treadmill during physical therapy can aid recovery and prevent future injuries in people with ankle instability. Participants will either use the uneven treadmill alongside regular physical therapy or continue with standard physical therapy, both over approximately six weeks. The trial seeks individuals who have experienced an ankle sprain in the last 2-12 weeks, feel ankle instability, and are beginning physical therapy. As an unphased trial, this study provides a unique opportunity to explore innovative rehabilitation methods that could enhance recovery.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that the uneven treadmill intervention is safe for patients with ankle instability?
Research has shown that using a treadmill with uneven surfaces in physical therapy is generally safe. In past studies, patients using these treadmills reported no serious side effects. This treatment imitates real-life walking conditions, which can help improve balance and strength for those with weak ankles. Although specific data on negative effects is lacking, the absence of reported problems suggests it is well-tolerated. Always consult your healthcare provider if you have any concerns during therapy.12345
Why are researchers excited about this trial?
Researchers are excited about the proprioceptive training on an uneven terrain treadmill for ankle instability because it introduces a unique challenge that could improve balance and stability more effectively than traditional methods. Unlike standard physical therapy, which often involves exercises on flat surfaces, this approach uses a treadmill with uneven terrain to mimic real-world conditions, potentially enhancing the body's ability to adapt and strengthen ankle support. This method aims to offer a more dynamic and functional rehabilitation experience, helping individuals regain confidence and reduce the risk of future injuries.
What evidence suggests that this trial's treatments could be effective for ankle instability?
Research shows that adding uneven treadmill training to regular ankle rehab can enhance recovery for those with ankle instability. In this trial, participants in the Uneven Treadmill Arm will receive the Uneven Treadmill Intervention alongside Standard of Care Physical Therapy. Studies have found that this method mimics walking on rocky, uneven surfaces, improving balance and strength. Early results suggest that patients using this type of treadmill may recover better and experience fewer re-injuries over time. The goal is to improve proprioception, the body's ability to sense its position and movement, leading to better stability. Overall, this approach appears promising for reducing ankle injuries and aiding recovery.12356
Who Is on the Research Team?
Pinata Sessoms, PhD
Principal Investigator
Naval Health Research Center
Are You a Good Fit for This Trial?
This trial is for people aged 18-49 who've had a significant ankle sprain in the last year, causing them to stop their activities for at least one day. They should have ongoing ankle instability, no prior surgeries on leg bones or joints, and be able to attend physical therapy sessions for about six weeks.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either standard of care physical therapy or the standard of care supplemented with the uneven treadmill intervention over approximately six weeks
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments at multiple intervals
What Are the Treatments Tested in This Trial?
Interventions
- Standard of Care Physical Therapy
- Uneven Treadmill Intervention
Trial Overview
The ROCKY REHAB trial tests if using an uneven terrain treadmill during physical therapy helps improve recovery and prevent future injuries in patients with unstable ankles compared to standard care physical therapy alone.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Uneven Treadmill Intervention with up to twelve sessions over approximately six weeks and Standard of Care Physical Therapy with an 18 month follow-up period
Standard of Care Physical Therapy over approximately six weeks with an 18 month follow-up period
Find a Clinic Near You
Who Is Running the Clinical Trial?
Henry M. Jackson Foundation for the Advancement of Military Medicine
Lead Sponsor
Fort Sam Houston
Collaborator
Naval Hospital Camp Pendleton
Collaborator
Madigan Army Medical Center
Collaborator
Naval Health Research Center
Collaborator
Veterans Affairs Puget Sound Health Care System
Collaborator
VA Puget Sound Health Care System
Collaborator
Naval Hospital Camp Pendleton
Collaborator
Extremity Trauma and Amputation Center of Excellence
Collaborator
United States Naval Medical Center, San Diego
Collaborator
Citations
A Proprioceptive Training Program Using an Uneven ...
Patient reported outcomes and reinjury rates will be tracked for 18 months. Official Title. A Proprioceptive Training Program Using an Uneven Terrain Treadmill ...
Uneven Treadmill Training for Rehabilitation of Lateral ...
The aim of this study is to evaluate whether the inclusion of uneven treadmill training in standard rehabilitation can improve clinical, ...
A Proprioceptive Training Program Using an Uneven Terrain ...
The proposed intervention uses a rocky uneven terrain treadmill that specifically targets aspects of the real-world environment to restore and improve short- ...
Uneven Treadmill Training for Rehabilitation of Lateral ...
Objective: The aim of this study is to evaluate whether the inclusion of uneven treadmill training in standard rehabilitation can improve clinical, functional, ...
A Proprioceptive Training Program Using an Uneven Terrain ...
The rocky treadmill replicates the rough, uneven terrain encountered by Service personnel and lends itself to incorporating a variety of ...
Patient-Reported Outcome Measures in Individuals With ...
Chronic ankle instability (CAI) is most likely associated with decreased health-related quality of life as measured by patient-reported outcomes. Patient- ...
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