Comparison of the effect of foot orthoses on Star Excursion Balance Test performance in patients with chronic ankle instability

Abbasi, Faezeh; Bahramizadeh, Mahmood; Hadadi, Mohammad

doi:10.1177/0309364618792718

Cited by 18 publications

(23 citation statements)

References 28 publications

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“…Previously, mainly the effects of passive anklefoot orthoses or prophylactic ankle braces on functional reach in the star excursion balance test have been examined. Those studies showed that dynamic balance did not differ among different orthotic conditions in healthy people (Hadadi et al, 2014;Willeford et al, 2018), however that in ankle instability patients functional reach distance can be significantly increased when compared to no-orthosis condition (Hadadi et al, 2014;Crockett and Sandrey, 2015;Abbasi et al, 2019). Contradictory results are reported for dynamic proactive balance.…”

Section: Tendency Of An Impaired Dynamic Reactive Balancementioning

confidence: 97%

Does a Passive Unilateral Lower Limb Exoskeleton Affect Human Static and Dynamic Balance Control?

Ringhof

Patzer

Beil

et al. 2019

Front. Sports Act. Living

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Exoskeletons are wearable devices closely coupled to the human, which can interact with the musculoskeletal system, e. g., to augment physical and functional capabilities. A main prerequisite for the development and application of exoskeletons is to investigate the human-exoskeleton interaction, particularly in terms of potential inferences with human motor control. Therefore, the purpose of the present study was to investigate whether a passive unilateral lower limb exoskeleton has an impact on static and dynamic reactive balance control. Eleven healthy subjects (22.9 ± 2.5 years, five females) volunteered for this study and performed three different balance tasks: bipedal standing, single-leg standing, and platform perturbations in single-leg standing. All the balance tasks were conducted with and without a passive unilateral lower limb exoskeleton, while force plates and a motion capture system were used to capture the center of pressure mean sway velocity and the time to stabilization, respectively. Dependent t-tests were separately run for both static balance tests, and a repeated-measure analysis of variance with factors exoskeleton and direction of perturbation was calculated for the dynamic reactive balance task. The exoskeleton did not significantly influence postural sway in bipedal stance. However, in single-leg stance, the mediolateral mean sway velocity of the center of pressure was significantly shorter for the exoskeleton condition. For the dynamic reactive balance task, the participants tended to regain stability less quickly with the exoskeleton, as indicated by a large effect size and longer time to stabilization for all directions of perturbation. In summary, the study showed that the exoskeleton provided some assistive support under static conditions, which however may disappear when sufficient stability is available (bipedal stance). Besides, the exoskeleton tended to impair dynamic reactive balance, potentially by impeding adequate compensatory adjustments. These are important findings with strong implications for the future design and application of exoskeletons, emphasizing the significance of taking into account the mechanisms of human motor control.

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Section: Tendency Of An Impaired Dynamic Reactive Balancementioning

confidence: 97%

Does a Passive Unilateral Lower Limb Exoskeleton Affect Human Static and Dynamic Balance Control?

Ringhof

Patzer

Beil

et al. 2019

Front. Sports Act. Living

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“…Five studies also included healthy controls, with a total of 79 participants. Both male and female subjects were included in 13 studies [ 10 , 28 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ], and 5 studies did not report the gender of the subjects [ 11 , 45 , 46 , 47 , 48 ]. The subjects were all young adults aged between 18 and 30 years.…”

Section: Resultsmentioning

confidence: 99%

“…The subjects were all young adults aged between 18 and 30 years. The time from the first sprain to the test was at least 12 months in 9 studies [ 10 , 11 , 35 , 36 , 39 , 40 , 42 , 47 ], the first sprain occurred within 12 months in one study [ 34 ], and the first sprain occurred within 6 months in one study [ 45 ]. However, seven studies did not report the time from the first sprain to the test for the participants [ 28 , 37 , 38 , 41 , 43 , 44 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

Effects of Ankle Orthoses, Taping, and Insoles on Postural Stability of Individuals with Chronic Ankle Instability: A Systematic Review

Tang,

Liang,

Pan

et al. 2023

Healthcare

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Chronic ankle instability (CAI) is a prevalent condition characterized by recurring instances of the ankle giving way and persistent symptoms, including pain and diminished function. Foot and ankle external supports are commonly used in clinical practice and research for treating CAI. This systematic review aimed to assess the effects of foot and ankle external supports on the postural stability of individuals with CAI to guide clinical practice and inform future research. A comprehensive search was conducted in PubMed, Web of Science, Scopus, and Google Scholar databases from 1 January 2012 to 1 November 2022. Eighteen studies involving individuals with CAI were chosen in this systematic review. The quality of the included studies and risk of bias were assessed using Cochrane Collaboration’s tool for randomized controlled trials, the Newcastle–Ottawa Scale for case–control studies, and the DELPHl-list for crossover trial studies. The external supports included in this review were ankle orthoses (elastic, semi-rigid, and active orthoses), taping (kinesiotaping and fibular reposition taping), and insoles (textured and supportive insoles). The outcome measures included static and dynamic postural stability tests, such as the single-leg stance test, star excursion balance test, Y-balance test, single-leg landing test, lateral jump test, walking test, and running test. The results showed that elastic orthoses, Kinesiotaping, and textured insoles demonstrated potential benefits in improving postural stability in individuals with CAI. Elastic orthoses decreased ankle joint motion variability, kinesiotaping facilitated cutaneous receptors and proprioceptive feedback, while textured insoles increased tactile stimulation and foot position awareness. However, the effects of semi-rigid orthoses, fibular reposition taping, and arch support insoles were inconsistent across studies. Future research should explore the long-term effects of these external supports, analyze the effects of different characteristics and combinations of supports, and employ standardized outcome measures and testing protocols for assessing postural stability.

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“…Although these orthoses do not directly rectify the issue, they do prevent the negative consequences of ankle laxity by providing the external support needed to correct ankle motion as shown by some studies, especially when custom-molded orthoses are used. 28,29 In fact, when evaluating inversion angles and velocity at the ankle, there was a significant reduction in both parameters with the use of bracing treatment. 30 Physical therapy traditionally focuses on strengthening of the peroneal muscles prevent inversion injuries and closed chain activity to help optimize foot strike and mechanics.…”

Section: Management Nonsurgicalmentioning

confidence: 98%

Advances in Diagnosis and Management of Lateral Ankle Instability: A Review of Current Literature

Aiyer,

Murali,

Kadakia

2023

JAAOS Glob Res Rev

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Lateral ankle sprains and instability are an increasingly identified pain point for patients, accounting for 20 to 25% of musculoskeletal injuries. Lateral ankle injuries are especially concerning given the propensity for patients to develop chronic lateral ankle instability and for the high risk of reinjury on an unstable ankle. With the complex articulation of the tibiofibular syndesmosis, subtalar, and talocrural joints, pinpointing ankle dysfunction remains difficult. Multiple reviews have evaluated management and diagnosis of lateral ankle instability, but with newer treatment options available, a more comprehensive assessment of the current literature was conducted. Although multiple surgical options exist, many nonsurgical functional options have also been developed for patients that may help patients prevent the development of chronic lateral ankle instability. In recent times, many new options have come up, including in-office needle arthroscopy and continual advancements in diagnosis and our understanding of this difficult topic. Multiple reviews have evaluated the management and diagnosis of lateral ankle instability, but with newer treatment options available, a more comprehensive assessment of the current literature was conducted. Given this, this review will help to highlight new diagnostic and nonsurgical therapeutic options for the management of lateral ankle instability.

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Comparison of the effect of foot orthoses on Star Excursion Balance Test performance in patients with chronic ankle instability

Cited by 18 publications

References 28 publications

Does a Passive Unilateral Lower Limb Exoskeleton Affect Human Static and Dynamic Balance Control?

Does a Passive Unilateral Lower Limb Exoskeleton Affect Human Static and Dynamic Balance Control?

Effects of Ankle Orthoses, Taping, and Insoles on Postural Stability of Individuals with Chronic Ankle Instability: A Systematic Review

Advances in Diagnosis and Management of Lateral Ankle Instability: A Review of Current Literature

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