Effectiveness of a home-based balance-training program in reducing sports-related injuries among healthy adolescents: a cluster randomized controlled trial

Emery, Carolyn A.

doi:10.1503/cmaj.1040805

Cited by 228 publications

(159 citation statements)

References 27 publications

Supporting

Mentioning

149

Contrasting

Unclassified

Order By: Relevance

“…These results confirm our initial hypothesis that balance skills acquired from SLT can be transferred to other postural tasks. The present results appear to be broadly in accordance with the literature, regarding the effects of classical balance and coordination training on postural stability (Emery, Cassidy, Klassen, Rosychuk, & Rowe, 2005;Paterno, Myer, Ford, & Hewett, 2004;Rasool & George, 2007). Although Granacher et al (Granacher, Iten, Roth, & Gollhofer, 2010) were not able to show improvements in balance, this result is not self-evident as other studies have demonstrated a strong task specificity for trainingrelated balance adaptations Taube et al, 2008).…”

Section: Discussionsupporting

confidence: 92%

Supervised slackline training improves postural stability

Pfusterschmied

Buchecker

Keller

et al. 2011

European Journal of Sport Science

View full text Add to dashboard Cite

The present study investigated whether or not four weeks of supervised slackline training (SLT) performed on nylon webbing improves postural stability. Twenty-four healthy adults participated in the study and were assigned to either SLT (n 012) or a control (CON) group (n012). The SLT group completed a four week training program, while the CON group received no training. Centre of gravity (COG) and joint angles (ankle, knee and hip) were calculated using whole body three-dimensional (3D) kinematic measurements during single leg standing on a stable surface (SS) and on a perturbed surface (PS) before and after training. After SLT, a significant interaction was found for the SS condition in anteriorposterior COG mean velocity, whereas no changes were observed in the medio-lateral direction or in joint kinematics. In the PS condition, the medio-lateral COG mean velocity, frontal angular range of motion in the knee and hip joint, sagittal angular mean velocity in the knee joint, as well as frontal angular mean velocity in the hip joint were reduced in the SLT group only (all P B0.05). No significant training effects were detected in the ankle joint kinematics in either group from pre to post test. Our findings demonstrate that four weeks of supervised SLT improves postural stability in single leg stance on a stable surface and/or during compensation of perturbations.

show abstract

Section: Discussionsupporting

confidence: 92%

Supervised slackline training improves postural stability

Pfusterschmied

Buchecker

Keller

et al. 2011

European Journal of Sport Science

View full text Add to dashboard Cite

show abstract

“…Several authors [1][2][3] have shown the effectiveness of these interventions in reducing sport-related injury risk as well as in enhancing functional performance after sport injury. 4 It has been suggested 5 that changes in proprioception and neuromuscular control are predominantly responsible for these effects.…”

mentioning

confidence: 99%

Balance Training for Neuromuscular Control and Performance Enhancement: A Systematic Review

Zech

Hübscher

Vogt

et al. 2010

Journal of Athletic Training

266

184

View full text Add to dashboard Cite

Objective: As a result of inconsistencies in reported findings, controversy exists regarding the effectiveness of balance training for improving functional performance and neuromuscular control. Thus, its practical benefit in athletic training remains inconclusive. Our objective was to evaluate the effectiveness of training interventions in enhancing neuromuscular control and functional performance.Data Sources: Two independent reviewers performed a literature search in Cochrane Bone, Joint and Muscle Trauma Group Register and Cochrane Controlled Trials Register, MEDLINE, EMBASE, PEDro (Physiotherapy Evidence Database), and SCOPUS.Study Selection: Randomized controlled trials and controlled trials without randomization with healthy and physically active participants aged up to 40 years old were considered for inclusion. Outcomes of interest were postural control, muscle strength, agility, jump performance, sprint performance, muscle reflex activity, rate of force development, reaction time, and electromyography.Data Extraction: Data of interest were methodologic assessment, training intervention, outcome, timing of the outcome assessment, and results. Standardized mean differences and 95% confidence intervals were calculated when data were sufficient.Data Synthesis: In total, 20 randomized clinical trials met the inclusion criteria. Balance training was effective in improving postural sway and functional balance when compared with untrained control participants. Larger effect sizes were shown for training programs of longer duration. Although controversial findings were reported for jumping performance, agility, and neuromuscular control, there are indications for the effectiveness of balance training in these outcomes. When compared with plyometric or strength training, conflicting results or no effects of balance training were reported for strength improvements and changes in sprint performance.Conclusions: We conclude that balance training can be effective for postural and neuromuscular control improvements. However, as a result of the low methodologic quality and training differences, further research is strongly recommended.Key Words: methodologic quality assessment, postural control, motor control Key Points N Clinically, balance training is an effective intervention to improve static postural sway and dynamic balance in both athletes and nonathletes.N For optimal improvement in sprint, jumping, and strength performance, strength or plyometric training appears to be more effective.N Because of methodologic limitations and variability in the training regimens studied to date, high-quality research is needed.

show abstract

“…Cirque du Soleil opted for a dynamic balance test with eyes closed 14 because it requires minimal equipment (a specialized foam pad) and approximately 5 seconds to complete, and it has been used in injury-prevention research. 16 The performer stood on a highdensity balance pad (Balance Pad Elite; Airex Specialty Foams, Aargau, Switzerland) with the hands on the waist and wearing no shoes. The test began when the performer lifted 1 leg, ensuring that it did not touch the opposite leg, and closed his or her eyes.…”

Section: Testsmentioning

confidence: 99%

Reliability of Fitness Tests Using Methods and Time Periods Common in Sport and Occupational Management

Burnstein¹,

Steele²,

Shrier

2011

Journal of Athletic Training

View full text Add to dashboard Cite

Context:Fitness testing is used frequently in many areas of physical activity, but the reliability of these measurements under real-world, practical conditions is unknown.Objective: To evaluate the reliability of specific fitness tests using the methods and time periods used in the context of realworld sport and occupational management.Design: Cohort study. Conclusions: Five of the 6 tests in this battery had acceptable reliability over an 18-month time frame, but the values for certain individuals may vary considerably from time to time for some tests. Specific tests may require a learning period for administrators.Key Words: fitness assessment, dynamic balance, Harvard step test, handgrip, vertical jump, pull-ups, 60-second jump test Key Points• For fitness testing under real-world sport and occupational settings and over time, the modified Harvard step, handgrip, vertical jump, pull-up, and 60-second jump tests were reliable; the dynamic balance test was not. However, the Harvard step and 60-second jump tests demonstrated learning effects.• Although these tests may be useful in identifying differences among individuals, limits-of-agreement analysis indicated that the tests are restricted in their ability to detect conditioning changes in individuals over time.

show abstract

Effectiveness of a home-based balance-training program in reducing sports-related injuries among healthy adolescents: a cluster randomized controlled trial

Cited by 228 publications

References 27 publications

Supervised slackline training improves postural stability

Supervised slackline training improves postural stability

Balance Training for Neuromuscular Control and Performance Enhancement: A Systematic Review

Reliability of Fitness Tests Using Methods and Time Periods Common in Sport and Occupational Management

Contact Info

Product

Resources

About