The purpose of this project is to compare a novel sensorimotor ankle rehabilitation training (SMART) protocol for Lateral ankle sprains (LASs) against a standard of care (SOC) protocol to determine if it is more successful at producing successful one-year outcomes and lower rates of re-injury and improved health. This will address the identified needs for evidence-support and reintegration strategies to improve understanding of the management of patient rehabilitation strategies throughout the rehabilitation process following neuromusculoskeletal injury. The project will validate an innovative rehabilitation approach while providing metrics of success using a variety of clinical and innovative markers.
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Ankle re-injury rate
Timeframe: 12 months
Change in mental quality of life
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in physical quality of life
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in physical activity
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in self-reported Functional Ankle Instability
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in self-reported Ankle Instability
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in self-reported Ankle Disability
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in dynamic balance
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in ankle dorsiflexion Range of Motion
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in corticomotor Excitability - Active Motor Threshold
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in corticomotor Excitability - Cortical Silent Period
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in Spinal Excitability
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in White Mater Structural Integrity
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in Ankle cartilage relaxation
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge
Change in Ankle Articular Cartilage Turnover
Timeframe: rehabilitation discharge visit, 6 and 12 months post-discharge