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Debolt L, Hamon J, Hu J, Vickers T, Hung YJ. Effects of Ankle Compression Garments on Fatigue and Single-Leg Balance in Collegiate Basketball Players. INTERNATIONAL JOURNAL OF EXERCISE SCIENCE 2024; 17:611-622. [PMID: 38863788 PMCID: PMC11166133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2024]
Abstract
Basketball players are prone to ankle injuries. It is unclear if wearing ankle compression garments (CGs) can enhance balance control and time to fatigue in those athletes. The purpose of this study was to examine the impact of ankle CGs on both time to fatigue and single-leg balance. Sixteen Division II (D2) collegiate basketball players participated in the study. The Cumberland Ankle Instability Tool (CAIT) was used to assess ankle stability. Fatigue was induced through deficit heel raises, and single-leg balance was assessed with the Athletic Single Leg Stability Test (ASLST) of the Biodex Balance System. Ten out of 16 (62.5%) basketball players were classified as having chronic ankle instability (CAI). Wearing CGs did not significantly prolong the time to fatigue (P = .774), and participants with CAI and without CAI had a similar time to fatigue (P = .958). In addition, wearing CGs significantly worsened single-leg balance before fatigue (P = .021), but enhanced balance control after fatigue (P = .027). Results indicate a strong prevalence of CAI in collegiate basketball players, and wearing CGs may not be able to enhance single-leg balance before fatigue. Although participants who wore CGs did not significantly increase their time to fatigue, their single-leg balance significantly improved after fatigue. This finding suggests wearing ankle CGs may have the potential to remediate the impact of fatigue on balance control. Future studies with a larger sample size are needed to further examine the impact of wearing ankle CGs on fatigue and single-leg balance.
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Affiliation(s)
- Lauren Debolt
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
| | - Jeff Hamon
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
| | - Justin Hu
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
| | - Tyler Vickers
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
| | - You-Jou Hung
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
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Abbasi L, Panahi F, Zarei-Kurdshooli Z, Yazdi Yahya-Abadi F. The effect of perturbation training with and without applying the dry needling on leg muscles in patients with chronic ankle sprain. J Bodyw Mov Ther 2023; 35:233-237. [PMID: 37330775 DOI: 10.1016/j.jbmt.2023.04.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 01/30/2023] [Accepted: 04/12/2023] [Indexed: 06/19/2023]
Abstract
INTRODUCTION Ankle sprain is a common musculoskeletal injury that leads to recurrent instability. Repeated ankle sprain can be a mechanism for creating trigger point. Proper treatment of trigger points, in addition to preventing recurrence of sprains, may reduce pain and improve muscle function. This improvement can be the result of preserving the surrounding tissues from excessive pressure. OBJECTIVE Investigate the added value of dry needling into perturbation training protocol for chronic ankle sprain. DESIGN Randomized clinical trial; assessor-blind; before and after comparison. SETTING Treatment of patients referred to the institutional rehabilitation clinics. MAIN OUTCOME MEASURE(S) Functional assessment with FAAM questionnaire score, Pain with NPRS scale, ankle instability severity with Cumberland tool. METHODS Twenty-four patients with chronic ankle instability participated in this clinical trial and were randomly divided into two groups. Intervention was 12 sessions in which one group received only perturbation training and the other group received perturbation training along with dry needling. Repeated measures ANOVA was used to investigate the effect of treatment. RESULTS Data Analysis showed significant difference in NPRS and FAAM and Cumberland score before and after treatment in each group (P < 0.001). Comparison of the results between the groups did not show any significant difference (P > 0.05). CONCLUSION The findings showed that adding dry needling technique to the perturbation training does not have greater effects on the pain and function of patients with chronic ankle instability.
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Affiliation(s)
- Leila Abbasi
- Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran; Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fatemeh Panahi
- Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran; Student research committee, Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Zahra Zarei-Kurdshooli
- Student research committee, Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Farzaneh Yazdi Yahya-Abadi
- Student research committee, Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
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Concha-Cisternas Y, Castro-Piñero J, Leiva-Ordóñez AM, Valdés-Badilla P, Celis-Morales C, Guzmán-Muñoz E. Effects of Neuromuscular Training on Physical Performance in Older People: A Systematic Review. Life (Basel) 2023; 13:life13040869. [PMID: 37109398 PMCID: PMC10147025 DOI: 10.3390/life13040869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/04/2023] [Accepted: 03/18/2023] [Indexed: 04/29/2023] Open
Abstract
This systematic review aimed to assess the available evidence on the effects of neuromuscular training on physical performance in older adults. A literature search was conducted across four databases (Psychology and Behavioral (EBSCO), Scopus, Web of Science and PubMed). The PRISMA guidelines were followed. The PEDro scale and Cochrane risk of bias tool were used to assess the quality of and risk of bias in the studies, respectively. The protocol was registered in PROSPERO (code: CRD42022319239). The outcomes were muscle strength, cardiorespiratory fitness, postural balance and gait speed. From 610 records initially found, 10 were finally included in the systematic review, involving 354 older people with a mean age of 67.3 years. Nine of them reported significant changes in at least one variable related to physical performance in the intervention compared to the control groups. The neuromuscular training caused significant improvements in postural balance, flexibility, cardiorespiratory fitness, strength power of the upper and lower limbs and autonomy. The available evidence indicates that neuromuscular training has a positive effect on some variables of physical performance, especially in postural balance; however, the methodological quality and certainty of the evidence in the available literature are limited. Therefore, a greater number of high-quality studies are required to draw definitive conclusions.
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Affiliation(s)
- Yeny Concha-Cisternas
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca 3460000, Chile
| | - José Castro-Piñero
- GALENO Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11519 Puerto Real, Spain
- Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), University of Cádiz, 11009 Cádiz, Spain
| | - Ana María Leiva-Ordóñez
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia 5090000, Chile
| | - Pablo Valdés-Badilla
- Department of Physical Activity Sciences, Faculty of Education Sciences, Universidad Católica del Maule, Talca 3460000, Chile
- Carrera de Entrenador Deportivo, Escuela de Educación, Universidad Viña del Mar, Viña del Mar 2520000, Chile
| | - Carlos Celis-Morales
- School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow G12 8TA, UK
- Human Performance Lab, Education, Physical Activity and Health Research Unit, University Católica del Maule, Talca 3460000, Chile
| | - Eduardo Guzmán-Muñoz
- Escuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca 3460000, Chile
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Peroneal muscle activity during stable and unstable load exercises. A cross-sectional study. Phys Ther Sport 2023; 60:84-90. [PMID: 36738669 DOI: 10.1016/j.ptsp.2023.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/23/2023] [Accepted: 01/26/2023] [Indexed: 01/30/2023]
Abstract
OBJECTIVE To evaluate the muscle activity of the peroneus longus during the execution of different unstable load exercises compared to stable load exercises. DESIGN Cross-sectional study. SETTING Functional Anatomy Laboratory. PARTICIPANTS 28 healthy athletes. MAIN OUTCOME MEASURES Surface electromyography (sEMG), unstable load (water tank), Stable Load (Sandbag), type of exercise (Isometric single leg stance, single-leg Romanian deadlift, front rack forward lunge and lateral lunge). RESULTS The repeated measures ANOVA revealed significant Group ∗ Time interaction in Root Mean Square (RMS) (F = 51.307, P < 0.001, ŋ2 = 0.70). In the between-group analysis there were statistically significant differences in RMS isometric single leg stance in favor to unstable load (P < 0.001, ŋ2 = 0.07). In the within-group analysis of RMS statistically significant differences were found in the stable load group between isometric single leg stance and single-leg Romanian deadlift (P < 0.001, ŋ2 = 0.05). CONCLUSIONS Single leg stance exercise with unstable load showed higher peroneus muscle activity than stable load. However, no peroneus muscle activity differences were found between unstable and stable loads for single-leg Romanian deadlift, frontal rack forward lunge and lateral lunge. Single-leg Romanian deadlift with stable load showed higher peroneus muscle activity than isometric single leg stance with stable load.
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Elaraby AER, Shahien M, Jahan AM, Etoom M, Bekhet AH. The Efficacy of Virtual Reality Training in the Rehabilitation of Orthopedic Ankle Injuries: A Systematic Review and Meta-analysis. ADVANCES IN REHABILITATION SCIENCE AND PRACTICE 2023; 12:11795727231151636. [PMID: 36891135 PMCID: PMC9933927 DOI: 10.1177/11795727231151636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 01/02/2023] [Indexed: 02/11/2023]
Abstract
Introduction Orthopedic ankle injuries are considered among the most common musculoskeletal injuries. A wide variety of modalities and techniques have been used for the management of these injuries, and virtual reality (VR) is one modality that has been examined in ankle injuries rehabilitation. Purpose This study aims to systemically review previous studies evaluating the effect of virtual reality in rehabilitating orthopedic ankle injuries. Methods We searched six online databases: PubMed, Web of Science (WOS), Scopus, the Physiotherapy Evidence Database (PEDro), Virtual Health Library (VHL), and Cochrane Central Register of Controlled Trials (CENTRAL). Results Ten randomized clinical trials met the inclusion criteria. Our results showed that VR had a significant effect on overall balance compared to conventional physiotherapy (SMD = 0.359, 0.009-0.710 P = 0.04), [I 2= 17%, P = 0.30]. Compared with conventional physiotherapy, VR programs significantly improved gait parameters such as speed and cadence, muscle power, and perceived ankle instability; however, no significant difference was detected in the foot and ankle ability measure (FAAM). Additionally, significant improvements in static balance and perceived ankle instability were reported after the use of VR balance and strengthening programs. Finally, only two articles were deemed to have good quality, and the other studies' quality ranged from poor to fair. Conclusion VR rehabilitation programs can be used to rehabilitate ankle injuries, as they are regarded as safe interventions and have promising effects. However, there is a need for studies with high quality since most included studies' quality varied from poor to fair.
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Affiliation(s)
- Abd El Rahman Elaraby
- Faculty of Physical Therapy, Cairo University, Giza, Egypt.,Impact Research Group, Cairo, Egypt
| | - Mostafa Shahien
- Faculty of Physical Therapy, Cairo University, Giza, Egypt.,Impact Research Group, Cairo, Egypt
| | - Alhadi M Jahan
- Impact Research Group, Cairo, Egypt.,School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, Canada.,Department of Physiotherapy, College of Medical Technology, Misrata, Libya
| | - Mohammad Etoom
- Division of physical therapy, allied medical sciences department, Aqaba University of Technology, Aqaba, Jordan
| | - Amira Hassan Bekhet
- Faculty of Physical Therapy, Cairo University, Giza, Egypt.,Impact Research Group, Cairo, Egypt.,Medical Research Group of Egypt (MRGE), Cairo, Egypt
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Gianakos AL, Williamson ERC, Mercer N, Kerkhoffs GM, Kennedy JG. Gender Differences May Exist in the Presentation, Mechanism of Injury and Outcomes Following Bone Marrow Stimulation for Osteochondral Lesions of the Talus. J Foot Ankle Surg 2022; 62:75-79. [PMID: 35659478 DOI: 10.1053/j.jfas.2022.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 04/08/2022] [Accepted: 04/24/2022] [Indexed: 02/03/2023]
Abstract
Bone marrow stimulation (BMS) is indicated for patients who have symptomatic osteochondral lesions of the talus (OLT). Despite differences in ankle biomechanics and cartilage morphology between men and women, there is scant evidence examining whether these differences affect surgical outcomes. The purpose of this study was to compare the outcomes in men and women following BMS for OLTs. A retrospective analysis comparing female and male patients treated with BMS for OLT between 2007 and 2015 was performed. Clinical outcomes were evaluated using the Foot and Ankle Outcome Scores (FAOS) and Short-Form 12 (SF-12). Magnetic resonance imaging at final follow-up was evaluated with the modified magnetic resonance observation of cartilage repair tissue score. Thirty-one females and 38 males were included. In female patients, the mean FAOS pain score improved from 60 ± 16 preoperatively to 84 ± 8.9 at 1- to 2-year follow-up (p < .01), and then decreased to 80±13 at final follow-up at 3-4 years. In male patients, the mean FAOS pain score improved from 65±17 preoperatively to 83±9.2 at 1-2 year follow-up (p < .01), and then decreased to 76±14.6 at final follow-up at 3-4 years. Lateral lesions were more common in male patients. Medial lesions were more common in female patients. The outcomes following BMS in both female and male patients were good with no significant differences at short-term follow-up. FAOS scores in male patients were more likely to decrease after 1 to 2 years postsurgery, implying a possibly faster decline than in female patients.
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Affiliation(s)
- Arianna L Gianakos
- Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, MA; Department of Orthopedic Surgery, Amsterdam Movement Sciences, Amsterdam University Medical Centers, Amsterdam, The Netherlands; Academic Center of Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), IOC Research Center, Amsterdam, The Netherlands.
| | | | - Nathaniel Mercer
- Department of Orthopedic Surgery, New York University Langone Health, New York, NY
| | - Gino M Kerkhoffs
- Department of Orthopedic Surgery, Amsterdam Movement Sciences, Amsterdam University Medical Centers, Amsterdam, The Netherlands; Academic Center of Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), IOC Research Center, Amsterdam, The Netherlands
| | - John G Kennedy
- Department of Orthopedic Surgery, New York University Langone Health, New York, NY
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Abalos E, Hung YJ. Immediate Effect of Warm-Up on Single-Leg Balance in Individuals with and without Functional Ankle Instability. INTERNATIONAL JOURNAL OF EXERCISE SCIENCE 2022; 15:1019-1027. [PMID: 36158227 PMCID: PMC9458285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Ankle sprains account for about 20% of all sports injuries in the United States. About 5-10 minutes of general warm-up is recommended to enhance performance and reduce injuries. However, its immediate impact on single-leg balance is unclear. The purpose of the study was to examine if different warm-up protocols could impact single-leg balance in individuals with and without functional ankle instability. Thirty volunteers (aged 19-29 years) participated in the study. The Cumberland Ankle Instability Tool was used to examine functional ankle stability and the Athletic Single-leg Stability Test of the Biodex Balance System was used to examine single-leg balance. Subjects were examined in three separate sessions (no warm-up, 5-minute warm-up, or 10-minute warm-up) with one week apart. Results show warm-up conditions had a significant impact on single-leg balance (p = .021). Pairwise comparisons showed the balance after the 5-minute warm-up was significantly worse than the no warm-up condition (p = .000). It is possible that warm-up makes the tissues surrounding lower extremity joints more flexible, therefore making single-leg balance control more challenging. In addition, subjects with functional ankle instability exhibited significantly worse single-leg balance than those without functional ankle instability (p = .003). However, the immediate effect of warm-up on balance control was similar between individuals with and without functional ankle instability. Clinicians should consider implementing single-leg balance testing and training for those who are identified as having functional ankle instability. Despite its known benefits of enhancing performance and reducing injuries, general warm-up activities may have an immediately negative effect on single-leg balance control.
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Affiliation(s)
- Emily Abalos
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
| | - You-Jou Hung
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
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Wang H, Yu H, Kim YH, Kan W. Comparison of the Effect of Resistance and Balance Training on Isokinetic Eversion Strength, Dynamic Balance, Hop Test, and Ankle Score in Ankle Sprain. Life (Basel) 2021; 11:life11040307. [PMID: 33916136 PMCID: PMC8065734 DOI: 10.3390/life11040307] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 03/27/2021] [Accepted: 03/31/2021] [Indexed: 12/26/2022] Open
Abstract
Ankle sprain is a commonly recurring sports injury. This study aimed to compare the rehabilitation effects of resistance and balance training programs in patients with recurrent ankle sprain. Patients with recurrent lateral ankle sprain completed a home-based rehabilitation program comprising resistance training (RT; n = 27) or balance training (BT; n = 27). RT consisted of exercises using elastic tube bands, and BT consisted mainly of exercises performed using a variety of balance tools. Exercises were performed for 6 weeks, twice a day for 20 min, 5 days per week. Isokinetic eversion strength, Y-Balance test and hop tests, and foot and ankle outcome score (FAOS) were evaluated. Both RT and BT significantly improved strength and dynamic balance (p < 0.05). Compared to RT, BT also significantly improved the outcome of the crossover hop test (p = 0.008). The changes reflected group and time in pain (p = 0.022), sports (p = 0.027), and quality of life (p = 0.033) of FAOS were significantly greater in BT than RT.
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Affiliation(s)
- Haifang Wang
- School of Physical Education, Luoyang Normal College, Yibin District, Luoyang City 471934, China;
| | - Hailong Yu
- Department of Athletic Sports, Beijing Sport University, Beijing 100084, China;
| | - Yong Hwan Kim
- Department of Physical Education, Gangneung–Wonju National University, Gangwon 25457, Korea
- Correspondence: (Y.H.K.); (W.K.); Tel.: +82-33-640-2557 (Y.H.K.); +86-13-9301-00387 (W.K.); Fax: +82-33-641-3659 (Y.H.K.); +86-931-891-2129 (W.K.)
| | - Wencong Kan
- Sports Teaching and Research Department, Lanzhou University, Lanzhou 730000, China
- Correspondence: (Y.H.K.); (W.K.); Tel.: +82-33-640-2557 (Y.H.K.); +86-13-9301-00387 (W.K.); Fax: +82-33-641-3659 (Y.H.K.); +86-931-891-2129 (W.K.)
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Silva-Moya G, Méndez-Rebolledo G, Valdes-Badilla P, Gómez-Álvarez N, Guzmán-Muñoz E. Effects of neuromuscular training on psychomotor development and active joint position sense in school children. J Mot Behav 2021; 54:57-66. [PMID: 33616000 DOI: 10.1080/00222895.2021.1887072] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
As psychomotor development occurs in a specific social context, the environment in which a child is reared is important. The randomized study involved forty-five school children between 8 and 10 years. They were assigned to a control group (n = 23) and a neuromuscular training group (n = 22). A neuromuscular intervention for six weeks, on two nonconsecutive days, and in a circuit with 30-second stations was performed. The psychomotor development was evaluated through a psychomotor battery and the active joint position sense through the positional error. In the control group, the positional error decreased significantly in the shoulder (p < 0.001) and hip (p < 0.001), while the scores of motor function increased significantly which included balance (p < 0.001), spatio-temporal structuring (p = 0.022), global praxia (p = 0.002), and fine praxia (p = 0.003). In the neuromuscular training group, the positional error decreased significantly in the shoulder (p = 0.015), elbow (p = 0.015), wrist (p < 0.001), hip (p < 0.001), knee (p < 0.001), and ankle (p < 0.001), while the motor function scores increased significantly which included tonicity (p < 0.001), balance (p < 0.001), notion of the body (p < 0.001), spatio-temporal structuring (p < 0.001), global praxia (p < 0.001), and fine praxia (p < 0.001). A six-week neuromuscular training improved active joint position sense and psychomotor development in children.
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Affiliation(s)
- Geraldine Silva-Moya
- Programa de Magíster en Ciencias de la Actividad Física y del Deporte Aplicadas al Entrenamiento, Rehabilitación y Reintegro Deportivo, Universidad Santo Tomás, Santiago, Chile
| | | | - Pablo Valdes-Badilla
- Departamento en ciencias de la actividad física, Facultad de Ciencias de la Educación, Universidad Católica del Maule, Talca, Chile
| | - Nicolás Gómez-Álvarez
- Grupo de Investigación AFSYE, Pedagogía en Educación Física, Universidad Adventista de Chile, Chillán, Chile
| | - Eduardo Guzmán-Muñoz
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
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Effect of Plyometric versus Ankle Stability Exercises on Lower Limb Biomechanics in Taekwondo Demonstration Athletes with Functional Ankle Instability. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103665. [PMID: 32456048 PMCID: PMC7277727 DOI: 10.3390/ijerph17103665] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 05/20/2020] [Accepted: 05/21/2020] [Indexed: 12/18/2022]
Abstract
Background: This study aimed to compare the effects of plyometric and ankle stability exercises on the dynamic balance and lower limb kinematic and kinetic parameters of Taekwondo demonstration athletes with functional ankle instability. Methods: Fourteen subjects participated in this study and were randomly divided into two groups: a plyometric exercise group (n = 7) and an ankle stability exercise group (n = 7). Exercises were performed twice a week for 8 weeks. A Y-balance test was used to measure dynamic balance, and a motion analysis system and force plate were used to collect kinematic and kinetic parameters during single-leg drop landing. A paired t-test was used for intragroup comparisons, and an independent t-test was used for intergroup comparisons. Results: In both groups, exercise increased dynamic balance and shock absorption and reduced postural sway on the anteroposterior displacement (p < 0.05). The plyometric exercise group decreased their ankle dorsiflexion and increased their knee and hip joint flexion at maximum knee flexion (p < 0.05). In contrast, the stability exercise increased their ankle plantar flexion at initial contact (p < 0.05). Conclusions: The plyometric exercise group altered their landing strategies using their knee and hip joints to control ankle instability at landing. This study suggests that the application of plyometric exercises in ankle rehabilitation would improve stability and shock absorption and help prevent injuries during Taekwondo demonstrations.
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Forsyth A, Blamey G, Lobet S, McLaughlin P. Practical Guidance for Non-Specialist Physical Therapists Managing People with Hemophilia and Musculoskeletal Complications. Health (London) 2020. [DOI: 10.4236/health.2020.122014] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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12
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Guzmán-Muñoz E, Sazo-Rodriguez S, Concha-Cisternas Y, Valdés-Badilla P, Lira-Cea C, Silva-Moya G, Henríquez R, Farias TY, Cigarroa I, Castillo-Retamal M, Méndez-Rebolledo G. Four Weeks of Neuromuscular Training Improve Static and Dynamic Postural Control in Overweight and Obese Children: A Randomized Controlled Trial. J Mot Behav 2019; 52:761-769. [DOI: 10.1080/00222895.2019.1694486] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Eduardo Guzmán-Muñoz
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
| | - Sergio Sazo-Rodriguez
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
| | - Yeny Concha-Cisternas
- Pedagogía en Educación Física, Facultad de Educación, Universidad Autónoma de Chile, Temuco, Chile
- Universidad Tecnológica de Chile INACAP, Santiago, Chile
| | - Pablo Valdés-Badilla
- Pedagogía en Educación Física, Facultad de Educación, Universidad Autónoma de Chile, Temuco, Chile
| | - Carlos Lira-Cea
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
| | - Geraldine Silva-Moya
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
| | - Ricardo Henríquez
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
| | - Tuillang Yuing Farias
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
| | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
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Huynh B, Tacker R, Hung YJ. Active ankle position sense and single-leg balance in runners versus non-runners. Physiother Theory Pract 2019; 37:1429-1437. [PMID: 31793354 DOI: 10.1080/09593985.2019.1698084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Introduction: Ankle sprain is one of the most common injuries in collegiate athletes, including runners. The purpose of the study was to examine whether runners exhibited compromised ankle stability, ankle position sense, and single-leg balance.Methods: Thirty-seven individuals (21 non-runners and 16 runners) participated in the study. To be included in the runner group, subjects were required to run greater than 150 minutes per week for the past three months. We used the Cumberland Ankle Instability Tool (CAIT) to categorize ankle stability, and we used a dual-axis electronic goniometer to examine active ankle position sense. We examined single-leg balance with the Athletic Single Leg Stability Test of the Biodex Balance System using three different protocols: 1) default setting, 2) no extrinsic visual feedback, and 3) no extrinsic feedback with a cognitive demand.Results: Runners and non-runners had similar ankle stability (CAIT = 26.88 and 26.45 respectively; p = .666). Although runners had significantly larger ankle position errors than non-runners overall (2.56° vs. 1.68°; p = .004), they had better single-leg balance than non-runners without extrinsic visual feedback (Stability Index 1.67 vs. 4.39; p < .001), even with an added cognitive loading (Stability Index 2.18 vs. 4.32; p < .001).Conclusions: For runners, having worse ankle position sense did not compromise ankle stability, nor contribute to single-leg balance deficits. Runners may have established better motor control to maintain their single-leg balance and ankle stability.
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Affiliation(s)
- Brian Huynh
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
| | - Ryan Tacker
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
| | - You-Jou Hung
- Department of Physical Therapy, Angelo State University, San Angelo, TX, USA
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Nichols DT, Robinson TL, Oranchuk DJ. Kinesiology Taping of the Ankle Does Not Improve Dynamic Balance in NCAA Athletes. ACTA ACUST UNITED AC 2019. [DOI: 10.3928/19425864-20180509-01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Rivera MJ, Winkelmann ZK, Powden CJ, Games KE. Proprioceptive Training for the Prevention of Ankle Sprains: An Evidence-Based Review. J Athl Train 2017; 52:1065-1067. [PMID: 29140127 PMCID: PMC5737043 DOI: 10.4085/1062-6050-52.11.16] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Reference: Schiftan GS, Ross LA, Hahne AJ. The effectiveness of proprioceptive training in preventing ankle sprains in sporting populations: a systematic review and meta-analysis. J Sci Med Sport. 2015;18(3):238-244. CLINICAL QUESTION Does the use of proprioceptive training as a sole intervention decrease the incidence of initial or recurrent ankle sprains in the athletic population? DATA SOURCES The authors completed a comprehensive literature search of MEDLINE, CINAHL, SPORTDiscus, and Physiotherapy Evidence Database (PEDro) from inception to October 2013. The reference lists of all identified articles were manually screened to obtain additional studies. The following key words were used. Phase 1 population terms were sport*, athlet*, and a combination of the two. Phase 2 intervention terms were propriocept*, balance, neuromusc* adj5 train*, and combinations thereof. Phase 3 condition terms were ankle adj5 sprain*, sprain* adj5 ankle, and combinations thereof. STUDY SELECTION Studies were included according to the following criteria: (1) the design was a moderate- to high-level randomized controlled trial (>4/10 on the PEDro scale), (2) the participants were physically active (regardless of previous ankle injury), (3) the intervention group received proprioceptive training only, compared with a control group that received no proprioceptive training, and (4) the rate of ankle sprains was reported as a main outcome. Search results were limited to the English language. No restrictions were placed on publication dates. DATA EXTRACTION Two authors independently reviewed the studies for eligibility. The quality of the pertinent articles was assessed using the PEDro scale, and data were extracted to calculate the relative risk. Data extracted were number of participants, intervention, frequency, duration, follow-up period, and injury rate. MAIN RESULTS Of the initial 345 studies screened, 7 were included in this review for a total of 3726 participants. Three analyses were conducted for proprioceptive training used (1) to prevent ankle sprains regardless of history (n = 3654), (2) to prevent recurrent ankle sprains (n = 1542), or (3) as the primary preventive measure for those without a history of ankle sprain (n = 946). Regardless of a history of ankle sprain, participants had a reduction in ankle-sprain rates (relative risk [RR] = 0.65, 95% confidence interval [CI] = 0.55, 0.77; numbers needed to treat [NNT] = 17, 95% CI = 11, 33). For individuals with a history of ankle sprains, proprioceptive training demonstrated a reduction in repeat ankle sprains (RR = 0.64, 95% CI = 0.51, 0.81; NNT = 13, 95% CI = 7, 100). Proprioceptive training as a primary preventive measure demonstrated significant results (RR = 0.57, 95% CI = 0.34, 0.97; NNT = 33, 95% CI = 16, 1000). CONCLUSIONS Proprioceptive training programs were effective in reducing the incidence rates of ankle sprains in the athletic population, including those with and those without a history of ankle sprains.
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Affiliation(s)
- Matthew J. Rivera
- Neuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute
| | - Zachary K. Winkelmann
- Neuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute
| | - Cameron J. Powden
- Neuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute
| | - Kenneth E. Games
- Neuromechanics, Interventions, and Continuing Education Research (NICER) Laboratory, Indiana State University, Terre Haute
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Silva GD, Gomes HS, Neves M, Karvat J, Nakayama GK, Bertolini GRF. Proprioceptive evaluation in healthy women undergoing Infrared Low Level Laser Therapy. MOTRIZ: REVISTA DE EDUCACAO FISICA 2017. [DOI: 10.1590/s1980-6574201700020001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
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