advertising
-
1.
Hiller CE, Kilbreath SL, Refshauge KM: Chronic ankle instability: evolution of the model. J Athl Train 46: 133, 2011.
-
2.
Baumhauer JF, Alosa DM, Renström PAFH, et al: A prospective study of ankle injury risk factors. Am J Sports Med 23: 564, 1995.
-
3.
Hertel J: Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train 37: 364, 2002.
-
4.
Bonnel F, Toullec E, Mabit C, et al: Chronic ankle instability: biomechanics and pathomechanics of ligaments injury and associated lesions. Orthop Traumatol Surg Res 96: 424, 2010.
-
5.
Green T, Refshauge K, Crosbie J, et al: A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains. Phys Ther 81: 984, 2021.
-
6.
Lephart SM, Pincivero DM, Rozzi SL: Proprioception of the ankle and knee. Sport Med 25: 149, 1998.
-
7.
Smith BI, Docherty CL, Simon J, et al: Ankle strength and force sense after a progressive, 6-week strength-training program in people with functional ankle instability. J Athl Train 47: 282, 2012.
-
8.
Hagen M, Lemke M, Lahner M: Deficits in subtalar pronation and supination proprioception in subjects with chronic ankle instability. Hum Mov Sci 57: 324, 2018.
-
9.
Willems T, Witvrouw E, Verstuyft J, et al: Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J Athl Train 37: 487, 2002.
-
10.
Mollà-Casanova S, Inglés M, Serra-Añó P: Effects of balance training on functionality, ankle instability, and dynamic balance outcomes in people with chronic ankle instability: systematic review and meta-analysis. Clin Rehabil 35: 1694, 2021.
-
11.
Postle K, Pak D, Smith TO: Effectiveness of proprioceptive exercises for ankle ligament injury in adults: a systematic literature and meta-analysis. Man Ther 17: 285, 2012.
-
12.
Docherty CL, Moore JH, Arnold BL: Effects of strength training on strength development and joint position sense in functionally unstable ankles. J Athl Train 33: 310, 1998.
-
13.
Hall EA, Chomistek AK, Kingma JJ, et al: Balance- and strength-training protocols to improve chronic ankle instability deficits, part I: assessing clinical outcome measures. J Athl Train 53: 568, 2018.
-
14.
Eils E, Rosenbaum D: A multi-station proprioceptive exercise program in patients with ankle instability. Med Sci Sports Exerc 33: 1991, 2001.
-
15.
Hale SA, Hertel J, Olmsted-Kramer LC: The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. J Orthop Sports Phys Ther 37: 303, 2007.
-
16.
Anguish B, Sandrey MA: Two 4-week balance-training programs for chronic ankle instability. J Athl Train 53: 662, 2018.
-
17.
Shaffer SW, Teyhen DS, Litchfield C, et al: Y-balance test: a reliability study ınvolving multiple raters. Mil Med 178: 1264, 2013.
-
18.
Gribble PA, Kelly SE, Refshauge KM, et al: Interrater reliability of the star excursion balance test. J Athl Train 48: 621, 2013.
-
19.
Freund JE, Stetts DM, Oostindie A, et al: Lower Quarter Y-Balance Test in healthy women 50-79 years old. J Women Aging 31: 475, 2019.
-
20.
Taşçılar LN, Utlu DK, Sayaca Ç, et al: Is plantar foot sensation affected in patients with gonarthrosis. Acta Orthop Traumatol Turc 55: 518, 2021.
-
21.
Mckeon PO, Ingersoll CD, Kerrigan DC, et al: Balance training improves function and postural control in those with chronic ankle instability. Med Sci Sports Exerc 40: 1810, 2008.
-
22.
Cohen J: Statistical Power Analysis for the Behavioral Sciences, MountainView, CA, Google Books, 2020.
-
23.
Holmes A, Delehunt E: Treatment of common deficits associated with chronic ankle instability: systematic review. Sports Med 39: 207, 2009.
-
24.
Hossain M, Thomas R: Ankle instability: presentation and management. Orthop Trauma 29: 145, 2015.
-
25.
Wang TY, Lin SI: Sensitivity of plantar cutaneous sensation and postural stability. Clin Biomech 23: 493, 2008.
-
26.
Brockett CL, Chapman GJ: Biomechanics of the ankle. Orthop Trauma 30: 232, 2016.
-
27.
Hall EA, Docherty CL, Simon J, et al: Strength-training protocols to improve deficits in participants with chronic ankle instability: a randomized controlled trial. J Athl Train 50: 36, 2015.
Effects of Balance and Strength Training for Ankle Proprioception in People with Chronic Ankle Instability: A Randomized Controlled Study
Search for other papers by Asena Yekdaneh in
Current site
Google Scholar
PubMed
Search for other papers by Çiğdem Yazıcı Mutlu in
Current site
Google Scholar
PubMed
Background: After an ankle sprain, the ligament and joint capsule are damaged, and as a result, proprioceptive sense is damaged, causing a feeling of giving away in the ankle and resulting in recurrent sprains. Given the relevant studies, it has been seen that people with chronic ankle instability (CAI) commonly have deficits in joint position sense and reinjury risks. Joint position sense plays an important role in ankle control, thereby reducing the risk of injury. Therefore, this study aims to compare the effects of balance and strength training on ankle proprioception in people with CAI.
Methods: This single-blind randomized controlled study included 29 volunteer participants (21 women and eight men) aged 18 to 30 years. Participants with a Cumberland ankle instability scale score less than or equal to 24 were randomly divided into two treatment groups: strength training (n = 14) and balance training (n = 15). Y balance test, joint position, and vibration sense were evaluated at the beginning and end of the treatment. “Hop to stabilization” exercises were applied to the balance group and resistive bands exercises to the strength group, which were performed for 6 weeks, 35 minutes per day, two times per week.
Results: There was no significant difference between the two groups in the anterior, posterolateral, and posteromedial directions of the Y balance test (P = .89, P = .50, and P = .34, respectively), but the strength training group showed significant improvement in ankle proprioception (140°) and vibration sense (fifth finger) (P < .001), and the post hoc Cohen’s d effect size values were medium (.52) and small (.25), respectively.
Conclusions: The findings of this study show that strengthening and balance exercises have similar effects on dynamic balance, but strengthening exercises are more effective in improving joint position and vibration sense. Given the positive effects of both exercise programs, it is recommended to implement the two interventions separately or together for CAI rehabilitation.
advertising
