Effect of soft and semirigid ankle orthoses on Star Excursion Balance Test performance in patients with functional ankle instability

Hadadi, Mohammad; Mousavi, Mohammad; Fardipour, Shima; Vameghi, Roshanak; Mazaheri, Masood

doi:10.1016/j.jsams.2013.05.017

Cited by 20 publications

(27 citation statements)

References 21 publications

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“…Of the 7 studies in this grouping, six found that braces, tapes and compression sleeves improved postural regulation especially in participants with lower-limb injuries [22,23,25,30,71]. There was only one study by Gribble et al [65] reporting that an ankle brace did not affect the balance performance in a population with a lower-limb injury.…”

Section: Resultsmentioning

confidence: 99%

“…In contrast, eight studies did not find it beneficial by applying the tapes or braces on the limbs of young and healthy adults [19,20,23,24,26,52,67,71]. …”

Section: Resultsmentioning

confidence: 99%

“…The quantitative outcomes of the review showed positive effects of wearable garments on postural control under static task constraints, revealing that enhanced performance was more prominent in people with lower-limb injuries [14,22,23,25,30,71] compared to a young, healthy people [19,20,23,24,26,52,71], and older adults [26,27]. These observations suggest that the disruptive effects of injury or illness on mechanoreceptors in an injured limb can be ameliorated by increasing stimulation of the cutaneous receptors through taping, braces and wearing compression garments.…”

Section: Discussionmentioning

confidence: 99%

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Effects of different lower-limb sensory stimulation strategies on postural regulation—A systematic review and meta-analysis

et al. 2017

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Systematic reviews of balance control have tended to only focus on the effects of single lower-limb stimulation strategies, and a current limitation is the lack of comparison between different relevant stimulation strategies. The aim of this systematic review and meta-analysis was to examine evidence of effects of different lower-limb sensory stimulation strategies on postural regulation and stability. Moderate- to high- pooled effect sizes (Unbiased (Hedges’ g) standardized mean differences (SMD) = 0.31–0.66) were observed with the addition of noise in a Stochastic Resonance Stimulation Strategy (SRSS), in three populations (i.e., healthy young adults, older adults, and individuals with lower-limb injuries), and under different task constraints (i.e., unipedal, bipedal, and eyes open). A Textured Material Stimulation Strategy (TMSS) enhanced postural control in the most challenging condition—eyes-closed on a stable surface (SMD = 0.61), and in older adults (SMD = 0.30). The Wearable Garments Stimulation Strategy (WGSS) showed no or adverse effects (SMD = -0.68–0.05) under all task constraints and in all populations, except in individuals with lower-limb injuries (SMD = 0.20). Results of our systematic review and meta-analysis revealed that future research could consider combining two or more stimulation strategies in intervention treatments for postural regulation and balance problems, depending on individual needs.

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Section: Resultsmentioning

confidence: 99%

“…In contrast, eight studies did not find it beneficial by applying the tapes or braces on the limbs of young and healthy adults [19,20,23,24,26,52,67,71]. …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effects of different lower-limb sensory stimulation strategies on postural regulation—A systematic review and meta-analysis

et al. 2017

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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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“…The SEBT is a reliable assessment of dynamic stability [ 28 , 29 ] which has been used in previous studies to explore the effects of foot orthoses on balance performance [ 30 ]. Participants stood with either their right ( N = 14) or left ( N = 16) heel (randomly presented) in the centre of an 8-point star marked on the floor with tape (with each point set at a 45° angle), with their arms folded across their chest as described by Kinzey et al [ 28 ].…”

Section: Methodsmentioning

confidence: 99%

A study of the immediate effects of glycerine‐filled insoles, contoured prefabricated orthoses and flat insoles on single‐leg balance, gait patterns and perceived comfort in healthy adults

Hatton

Hug

Brown

et al. 2015

Journal of Foot and Ankle Research

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BackgroundFootwear interventions are often prescribed to assist with the management of lower limb pain, injury and disease. Commercially available shoe insoles and orthoses are increasingly incorporating novel design features to alleviate foot and lower limb symptoms, but this may be at a cost to optimal functional performance. This study compared the immediate effects of wearing glycerine-filled insoles, contoured prefabricated orthoses, and flat insoles, on balance and gait measures.MethodsThirty healthy adults (17 men, 13 women; mean [SD] age: 24.3 [2.5] years) performed tests of single-leg standing with eyes open (Kistler force platform), star excursion balance test, and level-ground walking (GAITRite® walkway system), under three randomised conditions: wearing glycerine-filled insoles, prefabricated orthoses, and flat (control) insoles, within their own footwear. Centre of pressure movement (anterior-posterior and mediolateral range and standard deviation, total path velocity), star excursion balance test reach distance, and temporospatial gait variables were collected. Perceived comfort of the inserts was scored immediately after use on a 100 mm visual analogue rating scale. After trialling all inserts each participant ranked their level of comfort from least to most.ResultsCentre of pressure measures, star excursion balance test reach distance, or temporospatial gait variables did not differ between the three inserts (all P values >0.088). Significant between-condition differences were reported for comfort ranking (P = 0.031), but not rating scores (P = 0.638). Weak to moderate negative correlations (r values ranged between −0.368 and −0.406) were observed between visual analogue scale comfort rating for the flat insoles and prefabricated orthoses, star excursion balance test and gait measures.ConclusionsSingle-leg standing balance, star excursion balance test performance, and level-ground walking patterns in asymptomatic adults do not appear to differ when wearing glycerine-filled insoles, contoured prefabricated orthoses, or flat insoles. Perceived comfort may be related to the biomechanical or clinical effectiveness of novel footwear interventions, and requires further investigation. Importantly, these findings are specific to a healthy population and further research is needed to determine the long-term effects of glycerine-filled insoles in patients with known balance impairments.

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Effect of soft and semirigid ankle orthoses on Star Excursion Balance Test performance in patients with functional ankle instability

Cited by 20 publications

References 21 publications

Effects of different lower-limb sensory stimulation strategies on postural regulation—A systematic review and meta-analysis

Effects of different lower-limb sensory stimulation strategies on postural regulation—A systematic review and meta-analysis

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

A study of the immediate effects of glycerine‐filled insoles, contoured prefabricated orthoses and flat insoles on single‐leg balance, gait patterns and perceived comfort in healthy adults

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