The Dynamic Postural Control Is Impaired in Patients with Chronic Ankle Instability: Reliability and Validity of the Multiple Hop Test

Eechaute, Christophe; Vaes, Peter; Duquet, William

doi:10.1097/jsm.0b013e3181948ae8

Cited by 37 publications

(35 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Balance training is an integral part of current clinical rehabilitation protocols for CAI. As we strive to improve our evidence-based approach to treatment and rehabilitation, it is essential that we determine the effects of our rehabilitation methods on sensorimotor deficits shown to be indicative of CAI, 10,13,16,40 including postural control, 15,38 dynamic balance, 4,14 joint position sense, 2 and segmental spinal reflexes. 27,39 Thus the purpose of this study was to assess the effect of 6 weeks in this study was approved by The Institutional Review Board at University of North Carolina at Charlotte.…”

Section: Six Weeks Of Balance Training Improves Sensorimotor Functionmentioning

confidence: 99%

Six Weeks of Balance Training Improves Sensorimotor Function in Individuals With Chronic Ankle Instability

Sefton¹,

Yarar²,

Hicks-Little³

et al. 2011

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

T he tendency toward repeated ankle sprains and recurring symptoms (eg, pain, weakness, giving way) has been termed "chronic ankle instability" (CAI) 35 and reported to occur in as high as 40% to 70% of individuals who have sustained a lateral ankle sprain. 7,23,45 Changes in sensorimotor system function are thought to be involved in the decreased postural control and joint position awareness and increased instability found in individuals with CAI. 13,24,46 T T STUDY DESIGN: Prospective cohort study. T T OBJECTIVE:To assess the effect of 6 weeks of balance training on sensorimotor measures previously found to be deficient in participants with chronic ankle instability (CAI). T T BACKGROUND:CAI is the tendency toward repeated ankle sprains and recurring symptoms, occurring in 40% to 70% of individuals who have previously sustained a lateral ankle sprain. Recent studies have found deficits in sensorimotor measures in individuals with CAI. As balance training is a common component of ankle rehabilitation, understanding its effect on the sensorimotor system in individuals with CAI may enable us to optimize protocols to better utilize this rehabilitation method. T T METHODS:Twelve participants with CAI and 9 healthy volunteers participated. Independent variables were group (CAI, control) and time (pretraining, posttraining). Participants with CAI who completed a 6-week balance training program and healthy controls who did not get any training were pretested and posttested at the beginning and at the end of 6 weeks. T T RESULTS:The individuals in the CAI group who performed balance training demonstrated better performance than control participants on baselineadjusted posttraining measures of dynamic balance in the anterior medial (P = .021), medial (P = .048), and posterior medial directions (P = .030); motoneuron pool excitability Hmax/Mmax ratio (P = .044) and single-limb presynaptic inhibition (P = .012); and joint position sense inversion variable error (P = .017). It may be of note that no systematic differences were detected for static balance or plantar flexion joint position sense tasks. T T CONCLUSIONS:After 6 weeks of balance training, individuals with CAI demonstrated enhanced dynamic balance, inversion joint position sense, and changes in motoneuron pool excitability compared to healthy controls who did not train. T T LEVEL OF EVIDENCE:Therapy, level 2b.

show abstract

Section: Six Weeks Of Balance Training Improves Sensorimotor Functionmentioning

confidence: 99%

Six Weeks of Balance Training Improves Sensorimotor Function in Individuals With Chronic Ankle Instability

Sefton¹,

Yarar²,

Hicks-Little³

et al. 2011

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

show abstract

“…capsular structure and ligaments, results in objective (anterior drawer, talar tilt) and subjective instability (giving-way) [3]. Neurological impairments include muscle fatigue [7-9], reduced dynamic balance [10-12] and impaired postural control [13-15]. Although not all patients with functional (FAI) or chronic ankle instability (CAI) present with objective instability, they are all thought to have neuromuscular impairments [2,16,17].…”

Section: Introductionmentioning

confidence: 99%

Study protocol: the effect of whole body vibration on acute unilateral unstable lateral ankle sprain- a biphasic randomized controlled trial

Baumbach

Fasser

Polzer

et al. 2013

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: Ankle sprains often result in ankle instability, which is most likely caused by damage to passive structures and neuromuscular impairment. Whole body vibration (WBV) is a neuromuscular training method improving those impaired neurologic parameters. The aim of this study is to compare the current gold standard functional treatment to functional treatment plus WBV in patients with acute unilateral unstable inversion ankle sprains. Methods/Design: 60 patients, aged 18-40 years, presenting with an isolated, unilateral, acute unstable inversion ankle sprain will be included in this bicentric, biphasic, randomized controlled trial. Samples will be randomized by envelope drawing. All patients will be allowed early mobilization and pain-dependent weight bearing, limited functional immobilization by orthosis, PRICE, NSARDs as well as home and supervised physiotherapy. Supervised physical therapy will take place twice a week, for 30 minutes for a period of 6 weeks, following a standardized intervention protocol. During supervised physical therapy, the intervention group will perform exercises similar to those of the control group, on a side-alternating sinusoidal vibration platform. Two time-dependent primary outcome parameters will be assessed: short-term outcome after six weeks will be postural control quantified by the sway index; mid-term outcome after one year will be assessed by subjective instability, defined by the presence of giving-way attacks. Secondary outcome parameters include: return to pre-injury level of activities, residual pain, recurrence, objective instability, energy/ coordination, Foot and Ankle Disability Index and EQ 5D.

show abstract

“…Those with ankle instability had more balance errors and needed more time to complete the test when compared to their unaffected limb and normal individuals. 71 The number of balance errors correlated with the time needed to perform the test and the perceived difficulty. 71,72 In contrast, times to complete the hop test were not different when comparing those with ankle instability to healthy controls.…”

Section: Activity Limitation and Participation Restriction Measuresmentioning

confidence: 99%

“…71 The number of balance errors correlated with the time needed to perform the test and the perceived difficulty. 71,72 In contrast, times to complete the hop test were not different when comparing those with ankle instability to healthy controls. 54 When evaluating a patient in the postacute period following a recent or recurring lateral ankle sprain, assessment of activity limitation, participation restriction, and symptom reproduction should include objective and reproducible measures, such as single-limb hop tests that assess performance with lateral movements, diagonal movements, and directional changes.…”

Section: Activity Limitation and Participation Restriction Measuresmentioning

confidence: 99%

Ankle Stability and Movement Coordination Impairments: Ankle Ligament Sprains

Martin

Davenport²,

Paulseth

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

184

144

View full text Add to dashboard Cite

The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purpose of these clinical practice guidelines is to describe the peer-reviewed literature and make recommendations related to ankle ligament sprain. J Orthop Sports Phys Ther 2013;43(9):A1–A40. doi:10.2519/jospt.2013.0305

show abstract

The Dynamic Postural Control Is Impaired in Patients with Chronic Ankle Instability: Reliability and Validity of the Multiple Hop Test

Abstract: The multiple hop test is a reliable and valid test for detecting an impaired dynamic postural control in patients with CAI.

Cited by 37 publications

References 13 publications

Six Weeks of Balance Training Improves Sensorimotor Function in Individuals With Chronic Ankle Instability

Six Weeks of Balance Training Improves Sensorimotor Function in Individuals With Chronic Ankle Instability

Study protocol: the effect of whole body vibration on acute unilateral unstable lateral ankle sprain- a biphasic randomized controlled trial

Ankle Stability and Movement Coordination Impairments: Ankle Ligament Sprains

Contact Info

Product

Resources

About