The ROCKY REHAB trial will provide a pragmatic approach to evaluate if incorporating a rocky, uneven terrain treadmill into the proprioceptive rehabilitation received during physical therapy can improve outcomes and reduce reinjury rates in patients with ankle instability.
Aged 18-49.
Score < 24 on the Cumberland Ankle Instability Tool.
Foot and Ankle Ability Measure Activities of Daily Living score ≤ 90 and Sports score ≤ 80 indicating substantial ankle-foot impairment and activity limitation.
Able to attend treatment sessions for approximately a 6-week period.
Unable to walk at the point of study enrollment.
Non-removable casting.
History of previous surgeries to the musculoskeletal structures (i.e., bones, joint structures, nerves).
History of fracture in either limb of the lower extremity requiring realignment.
Henry M. Jackson Foundation for the Advancement of Military Medicine
Lead sponsor
United States Naval Medical Center, San Diego
Collaborator
Fort Sam Houston
Collaborator
Naval Hospital Camp Pendleton
Collaborator
Naval Health Research Center
Collaborator
VA Puget Sound Health Care System
Collaborator