Proprioceptive Training for the Prevention of Ankle Sprains: An Evidence-Based Review

Rivera, Matthew; Winkelmann, Zachary K.; Powden, Cameron J.; Games, Kenneth E.

doi:10.4085/1062-6050-52.11.16

Cited by 92 publications

(63 citation statements)

References 11 publications

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“…In general all authors gathered around the following statement that proprioceptive training is fundamental for kinesthesia (movement threshold) and balance control after ankle sprain (Houglum 2005, McHugh et al 2007, Norris 2004, Riva et al 2016 as well as it is effective in decreasing ankle sprain recurrences significantly, 30-50% (Cumps et al, 2007, McGuine and Keene, 2006, Rivera et al, 2017, Vergahen et al, 2004…”

Section: Resultsmentioning

confidence: 99%

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Proprioreceptive Approach for Unstable Ankle

Grueva-Pancheva¹,

Mednikarov²

2019

Proceeding Book

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Ankle sprains are the most common injury in physically active people who practice physical activities that requires jumping, changing direction, pivoting. Practically these activities are seen in almost every sport, no matter if it is with professional or recreational purposes. A lot of individuals are at increased risk of ankle sprain. Acute ankle sprain leads to weakening of the passive and dynamic restrains, leaving the joint unprotected, possibility of reinjury, chronic instability leading to long term disability. That is why a lot of authors stopped their attention on looking for proper treatment and prevention for ankle sprain. The purpose of the present report is to summarize the effectiveness of all treatment methods and to point out the best possible way to manage ankle sprain. It is a systematic review study, based on recent literature of the given topic. The data is sorted out from different sources of information: specific books concerning ankle functional anatomy and kinesiology, physiotherapy in ankle instability rehabilitation; published articles; internet sources-pubmed, medline etc. Some researchers showed the relationship between poor ankle proprioception and balance abilities. Others assessed joint position sense to plantar flexors and the peroneal muscles activity. They all agree that proprioception training plays important role in prevention of chronic ankle instability and it is of a great importance to improve it to reduce ankle sprain accidents.

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Section: Resultsmentioning

confidence: 99%

“…Ankle sprains are the most common injury in physically active people who practice physical acti vities that requires jumping, changing direction, pi voting (Rivera et al 2017). Practically these activities are seen in almost every sport, no matter if it is with professional or recreational purposes.…”

Section: Introductionmentioning

confidence: 99%

Proprioreceptive Approach for Unstable Ankle

Grueva-Pancheva¹,

Mednikarov²

2019

Proceeding Book

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“…Based on the known consequences of a LAS, primary prevention programs that focus on sensorimotor function (e.g. balance training) are effective [45][46][47] at preventing first time LAS.…”

Section: Discussionmentioning

confidence: 99%

Lateral ankle sprain increases subsequent ankle sprain risk: a systematic review

Wikstrom

Cain

Chandran

et al. 2020

Journal of Athletic Training

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Objective: To evaluate the evidence surrounding the association between lateral ankle sprain (LAS) history and subsequent LAS risk, as well as sex-differences in the observed associations. Data Sources: PubMed, CINAHL, and SPORTDiscus were searched through July 2020 for articles reporting LAS injury history and injury incidence during a study period. Study Selection: Studies were included if they were prospective in nature, reported the number of participants with and without a history of LAS at study initiation, and reported the number of participants from each group that sustained a LAS during the study period. Data Extraction: Data included study design parameters as well as the number of participants with and without a LAS history, and the number of subsequent LAS that occurred to both groups. Risk ratios (RR) with 95% confidence intervals (CI) compared the risk of LAS within the study period between those with and without a LAS history for each included investigation. Data Synthesis: Nineteen studies with a total of 6,567 patients were included. Follow-up periods ranged from 14 weeks to 2 years. Quality assessment scores indicate moderate to high quality studies were included. A significantly higher risk of LAS within the study period was observed among those with a history of LAS in 10 out of 15 studies (RR range=1.29–6.06). Similar associations were seen in four out of six studies that included an all-male sample (RR Range=1.38–8.65), and one out of four studies with an all-female sample (RR=4.28). Conclusion: There is strong evidence to support that a previous LAS increases the risk of a subsequent LAS injury. Males but not females with a history of a LAS appear to be at a higher risk of sustaining a subsequent LAS but further data are needed to draw definitive conclusions based on the limited number of sex specific studies.

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“…Rehabilitation programs such as muscle strengthening, proprioceptive training, balance training and neuromuscular training appear to be effective treatment modes for FAI (Rivera et al, 2017). The current rehabilitation program uses unstable surface such as BOSHU balance trainer, ankle disk, or wobble board, for individuals with ankle instability and show the positive training effects on proprioception or balance (de Brito Silva et al, 2018;Sierra-Guzmán et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Effect of Novel Remodeled Bicycle Pedal Training on Balance Performance in Athletes With Functional Ankle Instability

Chang

Arefin

You

et al. 2020

Front. Bioeng. Biotechnol.

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Context: Appropriate training without risk of injury is a critical concern for athletes. Remodeled bicycle pedal training with multi-directional challenges may be effective in improving the balance performance of athletes with functional ankle instability (FAI). Objective: To evaluate the effects of 6-week modified bicycle pedal training on the balance ability and proprioception of athletes with FAI. Design: Randomized controlled trial. Setting: University motion analysis laboratory. Participants: Fourteen healthy athletes (healthy group) and twenty-six athletes with FAI and an age of 18 to 30 years old. The participants with FAI were randomly distributed to two groups, designated as the training group (AI-T group) and non-training group (AI-NT group), respectively. The athletes in the AI-T group received 6-week remodeled bicycle pedal training, while those in the AI-NT group received no intervention at all. Intervention: A 6-week training using modified bicycle pedal capable of moving freely during loading cycle vs no intervention. Main Outcome Measures: The passive ankle joint position sense (JPS) in four angles and the center of pressure (COP) parameters were analyzed during single-leg standing with and without vision, respectively. Results: A 6-week remodeled pedal training: (1) significantly improved the passive JPS of ankle in all directions (P < 0.05); (2) reduced the excursion of the COP in the mediallateral (ML) direction (p < 0.05), the velocity of the COP in the ML direction (p < 0.05), and the RMS of the COP in the ML direction (P < 0.05) during single-leg standing both with and without vision. Conclusion: The remodeled bicycle pedal training improved the passive JPS and reduced the postural sway in single-leg standing both with and without vision. Therefore, remodeled bicycle pedal training can be considered for inclusion in rehabilitation programs for athletes with FAI to restore the proprioception and balance ability.

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Proprioceptive Training for the Prevention of Ankle Sprains: An Evidence-Based Review

Abstract: Proprioceptive training programs were effective in reducing the incidence rates of ankle sprains in the athletic population, including those with and those without a history of ankle sprains.

Cited by 92 publications

References 11 publications

Proprioreceptive Approach for Unstable Ankle

Proprioreceptive Approach for Unstable Ankle

Lateral ankle sprain increases subsequent ankle sprain risk: a systematic review

Effect of Novel Remodeled Bicycle Pedal Training on Balance Performance in Athletes With Functional Ankle Instability

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