Cognitive Behavioral Based Physical Therapy for Patients With Chronic Ankle Instability

Cognitive Behavioral Based Physical Therapy to Improve Functional Outcomes in Patients With Chronic Ankle Instability: a Pilot Randomized Control Trial

The purpose of this study is to investigate the feasibility of a psychologically informed physical therapy intervention in individuals with Chronic Ankle Instability.

This project will target the psychological impairments in addition to pathomechanical and motor behavior impairment in individuals with Chronic Ankle Instability, using a cognitive behavioral based physical therapy approach. All participants will first complete a baseline assessment, then will be randomly assigned to treatment groups (CBPT/home exercise program (HEP) or HEP only) using a random number generator by an investigator not involved in participant screening, outcome measures, or intervention administration. Individuals in the CBPT/HEP group will participate in six sessions of 45 minutes each for three weeks (two sessions a week). After three weeks, a post-assessment will be completed for both groups.

Inclusion Criteria:

• History of at least one ankle sprain (initial sprain at least 1 year prior to participation)
• Reported foot and ankle ability measure-sports scale (FAAM-sport) <85, identification of functional ankle instability (IdFAI) >10

Exclusion Criteria:

• History of other lower extremity fracture or surgery
• Ankle sprain within the past 6-weeks
• Any conditions known to affect balance
• Pregnancy
• Any neurological or psychological problems
• Individuals already participating in rehabilitation