الفهرس 
Efficacy of Instrumrnt Assisted Soft Tissue Mobilization on chronic Ankle Instability
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Abstract
Chronic ankle instability (CAI) consists of characteristic sequelae including recurrent sprain, pain, instability and avoidance of activities. Instrument assisted soft tissue mobilization (IASTM) is a technique that involves the use of instrument to decrease pain and improve range of motion (ROM) and function. Purpose. To investigate the effect of IASTM on ankle pain, range of motion, balance, and ankle and foot function in patients with CAI. Methods: Randomized controlled trial. Overall, 50 patients of both genders with age ranged from 20-35 years with CAI were recruited and divided randomly into two equal groups; group (A) (experimental group) which included 25 patients (14 females and 11 males) received IASTM in addition to the conventional physical therapy treatment (dynamic balance training, stretching and strengthening exercises ) for 4 weeks, 3 sessions per weak, group (B) (control group) which included 25 patients (13 females and 12 males) received the conventional physical therapy treatment only for 4 weeks, 3 sessions per week. Pre- and post-treatment measurement using Visual analogue scale (VAS) for pain intensity level measurement, universal goniometer for ankle range of motion measurement, Biodex balance system for balance measurement and FAOS for foot and ankle functions assessment were done for all patients. Results: The comparison between both groups post-treatment revealed statistically significant reductions in VAS scores, as well as overall stability index in favour of experimental group (A) (p < 0.001) and a significant increase in FAAOS scores, dorsiflexion, planter flexion, inversion and eversion range of motion in favour of experimental group (A) (p < 0.001). Conclusion: instrument assisted soft tissue mobilization in addition to the traditional physical therapy treatment has a significant effect on reducing pain, increasing range of motion and improving balance and function (gait and ambulation activities) in patients with CAI.