Blood Flow Restriction and Proprioception Training on Ankle Joint Sensations

Effect of Adding Blood Flow Restriction and Proprioception Training to Traditional Rehabilitation on Ankle Joint Sensations

Thirty-four participants with grade I and II recurrent ankle sprain, were referred from orthopaedic physician. Their ages ranged from 20 to 30 years old. All participants will be divided randomly into two groups A, B. Seventeen participants per group. Participant selected from both sexes, with body mass index between 18 and 24.9 Kg/m², with self-reported history of at least one significant lateral ankle sprain (LAS) greater than 12 months prior to testing and recurring ankle sprains, ankle "giving way" and/or "feelings of instability". Participants with previous surgery or fracture and with any adverse effects to blood occlusion will be excluded.

Inclusion Criteria:

• Participants will be selected from both sexes.
• Participants BMI will be between 18 and 24.9 (Kg/m²).
• Dominant or non-dominant lower limb .
• Grade I, and II recurrent ankle sprain patients .
• Participants self-reported a history of at least one significant lateral ankle sprain (LAS) greater than 12 months prior to testing, and recurring ankle sprains, ankle "giving way," and/or "feelings of instability."
• Participant will have unilateral recurrent ankle sprain

Exclusion Criteria:

• A history of previous surgeries to the musculoskeletal structures (ie, bones, joint structures, nerves) in either limb of the lower extremity.
• A history of a fracture in either limb of the lower extremity requiring realignment .
• Acute injury to musculoskeletal structures of other joints of the lower extremity in the previous 3 months, which impacted joint integrity and function (ie, sprains, fractures) resulting in interruption of desired physical activity .
• Hip joint or, Knee joint replacement .
• Patients possibly at risk of adverse reactions of blood flow restriction are those with poor circulatory system, obesity, diabetes, arterial calcification, sickle cell trait, severe hypertension, or renal compromise
• Any neurological conditions which affect proprioception such as polyneuropathy, multiple sclerosis, and sensory ataxia .
• Vestibular deficits, and vision problems .
• Pregnancy.