Therapeutic interventions for improving self-reported function in patients with chronic ankle instability: a systematic review

Kosik, Kyle B.; McCann, Ryan S.; Terada, Masafumi; Gribble, Phillip A.

doi:10.1136/bjsports-2016-096534

Cited by 57 publications

(57 citation statements)

References 90 publications

(171 reference statements)

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“…The influence of ankle-joint mobilization and strength training in improving dynamic postural control has been explored previously. 4,6 According to Kosik et al, 4 both interventions (self-mobilization plus CrossFit and CrossFit Abbreviations: NA, not applicable; NNT, number needed to treat; NNTB, number needed to treat to benefit; NNTTH, number needed to treat to harm.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Balance training has been widely described in the scientific literature as an effective intervention for patients with CAI. 4 In conjunction with the evolution of the CAI model in recent years, researchers [5][6][7] have also evaluated strength training, joint mobility, and manual therapy in managing this condition; the results indicate a multifactorial approach is appropriate. Limited ankle DFROM has been associated with deficits in postural control and dynamic balance in those with CAI.…”

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confidence: 99%

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Ankle-Joint Self-Mobilization and CrossFit Training in Patients With Chronic Ankle Instability: A Randomized Controlled Trial

Cruz‐Díaz

Hita‐Contreras

Martínez‐Amat

et al. 2020

Journal of Athletic Training

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Context Ankle-joint mobilization and neuromuscular and strength training have been deemed beneficial in the management of patients with chronic ankle instability (CAI). CrossFit training is a sport modality that involves these techniques. Objective To determine and compare the influence of adding self-mobilization of the ankle joint to CrossFit training versus CrossFit alone or no intervention in patients with CAI. Design Randomized controlled clinical trial. Setting Research laboratory. Patients or Other Participants Seventy recreational athletes with CAI were randomly allocated to either self-mobilization plus CrossFit training, CrossFit training alone, or a control group. Intervention(s) Participants in the self-mobilization plus CrossFit group and the CrossFit training-alone group pursued a CrossFit training program twice a week for 12 weeks. The self-mobilization plus CrossFit group performed an ankle self-mobilization protocol before their CrossFit training, and the control group received no intervention. Main Outcome Measure(s) Ankle-dorsiflexion range of motion (DFROM), subjective feeling of instability, and dynamic postural control were assessed via the weight-bearing lunge test, Cumberland Ankle Instability Tool, and Star Excursion Balance Test (SEBT), respectively. Results After 12 weeks of the intervention, both the self-mobilization plus CrossFit and CrossFit training-alone groups improved compared with the control group (P < .001). The self-mobilization plus CrossFit intervention was superior to the CrossFit training-alone intervention regarding ankle DFROM as well as the posterolateral- and posteromedial-reach distances of the SEBT but not for the anterior-reach distance of the SEBT or the Cumberland Ankle Instability Tool. Conclusions Ankle-joint self-mobilization and CrossFit training were effective in improving ankle DFROM, dynamic postural control and self-reported instability in patients with CAI.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Ankle-Joint Self-Mobilization and CrossFit Training in Patients With Chronic Ankle Instability: A Randomized Controlled Trial

Cruz‐Díaz

Hita‐Contreras

Martínez‐Amat

et al. 2020

Journal of Athletic Training

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“…To generate improvement in dynamic tasks, such as the triple-crossover hop and the Y-Balance tests, rehabilitation strategies may require greater emphasis on knee and hip neuromuscular control. Therefore, we suggest that a strengthening program focusing on the entire lower extremity, not just the ankle, may improve performance on these dynamic balance and functional tasks (1)(2)(3)(4)9,10,17,18).…”

Section: Discussionmentioning

confidence: 99%

“…Nam suggested a future study with increased level of medio-lateral perturbation during outcome measurements and exercises with addition of supervision in the exercise training and home program (12). Because a high percentage of ankle sprain cases are associated with residual functional deficiencies, there is a need to identify effective clinical interventions that address the long-term deficits associated with CAI (4,10). Despite the effectiveness of balance training in improving these outcomes, the exact parameters needed to maximize the benefits of balance-training programs remain unknown.…”

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confidence: 99%

Effects of balance training on movement control, balance and performance in females with chronic ankle instability

Namin

Letafatkar

Vida

2017

hmj

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Introduction: Although chronic ankle instability (CAI) is a condition characterized by numerous ankle sprains and the recurring sensation of ankle instability, which result in activity limitations and participation restrictions. Repetition based balance training protocols on type of the balance exercises may improve the deficits often associated with CAI. The objective of this study was to determine the effect of 6 weeks repetition based balance training on movement control, balance and performance in females with CAI. Methods: A total of 30 active female with CAI were selected for this study and randomly divided into control and experimental groups. Before and after the 6 weeks repetition based balance training intervention, participants were tested by completing the Mischiati test for movement control, Y balance test for balance and the Figure-8 hop and triple-crossover hop for performance. For statistical analysis, we conducted paired and sample t tests the data were analyzed using software SPSS 16 P≤0.05 was considered significant. Results: The repetition-based balance protocol group improved the movement control (P=0.004), balance (P=0.006), figure-8 hop (P=0.001) and triple-crossover hop (P=0.003) performance. Conclusion: Despite some limitations, the findings clearly support the use of repetitionbased balance training exercises to improve movement control, balance and performance in females with CAI. Thus, future researchers should consider not only larger sample sizes but also longer-duration training programs to ensure the presence of notable adaptations in sensorimotor control that can.

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“…Strong evidence has associated balance and coordination training with improving self-reported function and reducing the recurrence of ankle sprains after an acute injury. 7,50 Since Freeman et al 12 introduced the concept, numerous exercise protocols have been developed to challenge patients in single-limb stance, ranging from the use of wobble boards to more complex hopping and landing tasks. 7 Most of these programs incorporate a time-based progression in which patients move from less difficult to more difficult exercises over 4 to 12 weeks.…”

Section: Coordination Training: Restoring Global Body-self Perceptionmentioning

confidence: 99%

A Perceptual Framework for Conservative Treatment and Rehabilitation of Ankle Sprains: An Evidence-Based Paradigm Shift

McKeon

Donovan

2019

Journal of Athletic Training

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Lateral ankle sprains are the most common injuries sustained during physical activity. The epidemiologic trends associated with chronic ankle instability (CAI) suggest that current rehabilitation approaches may be inadequate. We sought to synthesize best-practices evidence for the rehabilitation of patients with acute ankle sprains and CAI through the integration of emerging paradigms in perception, the dynamics of skill acquisition, and the biopsychosocial model of function, disability, and health. From the best available evidence, 4 key factors emerged for effective treatment and rehabilitation strategies: pain reduction, external ankle support for up to 1 year, progressive return to motion, and coordination training. We combined these factors into a meta-theoretical framework that centers on the perceptual interdependence of the cellular, local, and global functioning levels by linking insights from the bodyself neuromatrix, the dynamics of skill acquisition, and the biopsychosocial model. Based on the best-practice recommendations from systematic reviews, ankle-sprain rehabilitation represents a multidimensional phenomenon governed by perception. The impairments, activity limitations, and participation restrictions associated with CAI may be linked to perceptualinterdependence alterations. Pain and edema reduction, the use of external ankle support for up to 1 year, progressive return to motion, and coordination training foster enhanced perceptual interdependence from cells to society. Using the perceptualinterdependence framework for ankle-sprain rehabilitation, we offer new insights for charting the course of effective strategies for enhancing function, reducing disability, and preventing the long-term sequelae associated with CAI.

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Therapeutic interventions for improving self-reported function in patients with chronic ankle instability: a systematic review

Abstract: The main findings from this systematic review were balance training provided the most consistent improvements in self-reported function for patients with CAI.

Cited by 57 publications

References 90 publications

Ankle-Joint Self-Mobilization and CrossFit Training in Patients With Chronic Ankle Instability: A Randomized Controlled Trial

Ankle-Joint Self-Mobilization and CrossFit Training in Patients With Chronic Ankle Instability: A Randomized Controlled Trial

Effects of balance training on movement control, balance and performance in females with chronic ankle instability

A Perceptual Framework for Conservative Treatment and Rehabilitation of Ankle Sprains: An Evidence-Based Paradigm Shift

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