Effects of Balance and Strength Training for Ankle Proprioception in People with Chronic Ankle Instability: A Randomized Controlled Study.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-05-01 DOI:10.7547/23-008
Asena Yekdaneh, Çiğdem Yazıcı Mutlu
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Abstract

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.

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平衡和力量训练对慢性踝关节不稳患者踝关节知觉的影响:随机对照研究
背景:踝关节扭伤后,韧带和关节囊受损,本体感觉受损,导致踝关节有错位感,从而导致反复扭伤。根据相关研究,慢性踝关节不稳定(CAI)患者普遍存在关节位置感缺陷和再损伤风险。关节位置感在踝关节控制中发挥着重要作用,从而降低了受伤风险。因此,本研究旨在比较平衡训练和力量训练对 CAI 患者踝关节本体感觉的影响:这项单盲随机对照研究包括 29 名志愿者(21 名女性和 8 名男性),年龄在 18 至 30 岁之间。坎伯兰踝关节不稳定性量表评分小于或等于 24 分的参与者被随机分为两个治疗组:力量训练组(14 人)和平衡训练组(15 人)。在治疗开始和结束时对 Y 平衡测试、关节位置和振动感进行评估。平衡训练组进行 "跳到稳定 "练习,力量训练组进行阻力带练习,为期6周,每天35分钟,每周2次:两组在 Y 平衡测试的前方、后外侧和后内侧方向上无明显差异(分别为 P = .89、P = .50 和 P = .34),但力量训练组在踝关节本体感觉(140°)和振动觉(五指)上有明显改善(P < .001),且事后 Cohen's d效应大小值分别为中等(.52)和较小(.25):本研究结果表明,加强型锻炼和平衡型锻炼对动态平衡的影响相似,但加强型锻炼在改善关节位置和振动感方面更为有效。鉴于两种运动项目的积极效果,建议在 CAI 康复中分别或同时实施这两种干预措施。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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