The effect of neuromuscular training with and without cognitive intervention on proprioception‚ balance‚ strength and center of pressure displacement in active females at risk of ankle sprain

Determining the effect of neuromuscular training with and without cognitive intervention on balance, strength, proprioception and center of pressure displacement in active females at risk of ankle sprain

The clinical trial has two groups of neuromuscular training with cognitive intervention and neuromuscular without cognitive intervention, with parallel groups, double-blinded, randomized, phase 2 on 44 participants. Randomization is done based on the Random Number Generator software, and they will be assigned to double groups based on the allocation concealment using the SNOSE method.

This study will be performed in a double-blinded manner. The tests will be taken in the sport rehabilitation laboratory of Bu Ali Sina University in Hamedan by specialists, then intervention and exersices will take place in the university gym.

Inclusion criteria include: active females at risk of ankle sprain with a normal body mass index of 20-25, age range of 16-30 years, dynamic balance score and a score of 13-15 from the Beck questionnaire and exclusion criteria: a history of ankle sprain injury, fracture, injury or surgery of the lower limb, abnormalities of the lower limb such as: foot flat, genu varum, genu valgum, genu recurvatom, history of vestibular system disorders, the presence of diseases such as diabetes

Group of neuromuscular training with cognitive intervention: balance, strength, plyometric and agility exercises with cognitive exercises to examine the amount of attention needs of pastural control for 8 weeks and three 1-hour sessions every week. Group of neuromuscular training without cognitive intervention: balance, strength, plyometric and agility exercises for 8 weeks and three 1-hour sessions every week.

Balance, Strength, Proprioception, Center of pressure displacement

Editing the original English name of the device that will be used in the laboratory to measure the primary outcome variable of displacement of the center of pressure, adding items related to how to measure the secondary outcome variable of chronic ankle instability, editing the English related to the intervention groups in the protocol abstract.

Randomization is done based on the Random Number Generator software, and they will be assigned to double groups based on the allocation concealment using the SNOSE method. The randomization of subjects is done in two steps. First, each subject chooses a number between 1-30 using a lottery, then fifteen random numbers are selected between 1-30 numbers using the Random Number Generator software and according to the generated numbers and the selected numbers, subjects are divided into two groups.

In this study, outcome assessors (laboratory technicians) are asked to take the desired tests from the clients. These people will be unaware of the purpose of the research, the allocation of study groups and the reason for their presence in the laboratory, and they will only evaluate the variables and record their observations.