Effect of weight-bearing overload using elastic tubing on balance and functional performance in athletes with chronic ankle instability

Melam, Ganeswara Rao; Alhusaini, Adel A; Perumal, Vaithiamanithi; Buragadda, Syamala; Albarrati, Ali; Lochab, R.

doi:10.1016/j.scispo.2018.02.016

Cited by 9 publications

(14 citation statements)

References 28 publications

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“…Units of measurement were not reported; parameters of calculation were not reported. Melam et al 46 30 M:30 Exp: 21.0±2.2 Control: 21.3±2.3 1) Elastic tubing (front pull, back pull, crossover, reverse cross over) and 2) Physiotherapy conventional exercise program: - Range of motion and stretching exercises - Balance board activities - Heel and toe walking - Tandem walking. Unaffected limb Affected limb was weight-bearing foot during exercises.…”

Section: Resultsmentioning

confidence: 99%

“…All studies provided demographic details and included 177 male and 191 female participants (mean weighted age, 23y) (see table 4 ). Four studies involved unilateral chronic ankle instability, 39 , 40 , 45 , 46 and 6 investigated unilateral and bilateral chronic ankle instability. 35 , 36 , 37 , 38 , 44 , 47 Comprehensive baseline and follow-up data were presented in most cases ( table 5 ).…”

Section: Resultsmentioning

confidence: 99%

“…Control groups included normal activity, 38 , 45 , 47 general activity with strength training, 40 bicycle workout, 37 conventional physiotherapy, 46 no intervention, 39 , 44 or an active comparator. 35 , 36 Two studies included a follow-up period, both short-term.…”

Section: Resultsmentioning

confidence: 99%

“…The mean score of the van Tulder scale was 5.1 of 11. Five studies had a high risk of bias, 37 , 38 , 44 , 45 , 46 potentially caused by inadequate participant blinding, which is difficult to achieve with exercise interventions. This should be considered when interpreting these results.…”

Section: Resultsmentioning

confidence: 99%

“…Rehabilitation programs including balance, 35 , 36 , 37 , 41 , 42 , 43 , 44 strength, 37 , 38 , 39 vibration, 45 and mixed training 40 , 46 , 47 have been investigated. However, evidence is conflicting regarding which intervention type is the most efficacious.…”

mentioning

confidence: 99%

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Effect of Functional Rehabilitation on Performance of the Star Excursion Balance Test Among Recreational Athletes With Chronic Ankle Instability: A Systematic Review

Ahern

Nicholson

O’Sullivan

et al. 2021

Archives of Rehabilitation Research and Clinical Translation

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Objective To determine (1) the effectiveness of rehabilitation for chronic ankle instability as measured by the Star Excursion Balance Test (SEBT) and (2) the relative efficacy and the long-term effects of these rehabilitation interventions. Data Sources Ten electronic databases were searched (2009-2019). Study Selection Included articles were randomized controlled trials in English investigating recreational athletes aged ≥18 years with chronic ankle instability. At least 1 functional rehabilitation intervention had to be included and the SEBT test (or the modified version) used as an outcome measure. Data Extraction Two researchers (L.A., O.N.) extracted data regarding participant demographics; intervention characteristics; trial size; and results at baseline, postintervention, and at follow-up, where appropriate. Data Synthesis A systematic review and narrative synthesis was conducted. Methodological quality of included studies was assessed using the Cochrane Risk of Bias Tool and the van Tulder scale. The review was registered with PROSPERO (ID: 164468). Ten studies (n=368), 2 high-quality, 1 moderate-quality, and 7 low-quality, were included in the review. Interventions included balance training, strength training, vibration training, and mixed training. Results suggest that rehabilitation of chronic ankle instability that includes wobble board exercises (average percentage change: 14.3%) and hip strengthening exercises (average percentage change: 12.8%) are most effective. Few studies compared different types of rehabilitation for chronic ankle instability. However, improvements on the SEBT suggest that a rehabilitation program focusing on wobble board training and hip strengthening performed 3 times weekly for 4-6 weeks is the optimal rehabilitation program to improve dynamic postural control in recreational athletes with chronic ankle instability. Conclusions Few studies directly compared different rehabilitation interventions, and there was limited long-term follow-up; therefore, the relative efficacy of different rehabilitation programs remains unclear. However, it seems that rehabilitation of chronic ankle instability should include proprioceptive and strengthening exercises of relatively short duration.

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