Volume 8, Issue 3 (12-2022)
J Sport Biomech 2022, 8(3): 248-264 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Piri M, Otadi K, Shadmehr A, Malmir K. Effects of Balance Training on Postural Control in Athletes with Chronic Ankle Instability: A Systematic Review. J Sport Biomech 2022; 8 (3) :248-264
URL: http://biomechanics.iauh.ac.ir/article-1-297-en.html
URL: http://biomechanics.iauh.ac.ir/article-1-297-en.html
1- Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Science, Tehran, Iran.
Abstract: (881 Views)
Objective The Objective Ankle sprains are among the most common injuries in athletes. One of the limitations of people with chronic ankle instability is the lack of postural control. Balance and coordination training are among the most common interventions for people with chronic ankle instability. Therefore, the aim of this study was to investigate the effect of balance training on postural control in athletes with chronic ankle instability.
Methods Randomized clinical trials (RCTs) that examined the effects of balance training on postural control in athletes with chronic ankle instability were searched through the Scopus, PubMed, Cochrane and PEDro databases using keywords and concepts of postural control, balance training, and ankle instability from inception until April 2022. The quality of studies was assessed using the PEDro scale.
Results Eight RCTs were included in this study, based on inclusion and exclusion criteria. Balance exercises reduced postural sway, decreased the distribution of center of mass, improved the overall body balance index and anterior-posterior balance index in the Biodex balance system, increased the duration of balance maintenance, and reduced the number of errors in the foot lift test when checking static postural control, and improved the reaching distance in the star balance test when checking dynamic postural control.
Conclusion Four to six weeks of balance training can improve postural control in both static and dynamic situations in athletes with chronic ankle instability.
Methods Randomized clinical trials (RCTs) that examined the effects of balance training on postural control in athletes with chronic ankle instability were searched through the Scopus, PubMed, Cochrane and PEDro databases using keywords and concepts of postural control, balance training, and ankle instability from inception until April 2022. The quality of studies was assessed using the PEDro scale.
Results Eight RCTs were included in this study, based on inclusion and exclusion criteria. Balance exercises reduced postural sway, decreased the distribution of center of mass, improved the overall body balance index and anterior-posterior balance index in the Biodex balance system, increased the duration of balance maintenance, and reduced the number of errors in the foot lift test when checking static postural control, and improved the reaching distance in the star balance test when checking dynamic postural control.
Conclusion Four to six weeks of balance training can improve postural control in both static and dynamic situations in athletes with chronic ankle instability.
Type of Study: Applicable |
Subject:
Special
Received: 2022/11/10 | Accepted: 2022/12/11 | Published: 2022/12/21
Received: 2022/11/10 | Accepted: 2022/12/11 | Published: 2022/12/21
References
1. Cruz-Diaz D, Lomas-Vega R, Osuna-Pérez MC, Contreras FH, Martínez-Amat A. Effects of 6 weeks of balance training on chronic ankle instability in athletes: a randomized controlled trial. International journal of sports medicine. 2015;36(09):754-60. [DOI:10.1055/s-0034-1398645] [PMID]
2. McKeon PO, Ingersoll CD, Kerrigan DC, Saliba ET, Bennett BC, Hertel JA. Balance training improves function and postural control in those with chronic ankle instability. Medicine & science in sports & exercise. 2008;40(10):1810-9. [DOI:10.1249/MSS.0b013e31817e0f92] [PMID]
3. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of athletic training. 2002;37(4):364.
4. Mettler A, Chinn L, Saliba SA, McKeon PO, Hertel J. Balance training and center-of-pressure location in participants with chronic ankle instability. Journal of athletic training. 2015;50(4):343-9. [DOI:10.4085/1062-6050-49.3.94] [PMID] [PMCID]
5. Riemann BL. Is there a link between chronic ankle instability and postural instability? Journal of athletic training. 2002;37(4):386.
6. Fereydounnia S, Shadmehr A, Moghadam BA, Moghadam ST, Mir SM, Salemi S, Pourkazemi F. Comparison of distal versus proximal-distal kinesio taping effects on gait initiation profile in athletes with functional ankle instability. Muscles, Ligaments & Tendons Journal (MLTJ). 2019;9(2). [DOI:10.32098/mltj.02.2019.14]
7. Wikstrom EA, Fournier KA, McKeon PO. Postural control differs between those with and without chronic ankle instability. Gait & posture. 2010;32(1):82-6. [DOI:10.1016/j.gaitpost.2010.03.015] [PMID]
8. Terada M, Beard M, Carey S, Pfile K, Pietrosimone B, Rullestad E, Whitaker H, Gribble P. Nonlinear dynamic measures for evaluating postural control in individuals with and without chronic ankle instability. Motor Control. 2019;23(2):243-61. [DOI:10.1123/mc.2017-0001] [PMID]
9. Fereydounnia S, Shadmehr A, Moghadam ST, Olyaei G, Jalaie S, Tahmasebi A. Muscle timing in injured and non-injured leg of athletes with chronic ankle instability in response to a visual stimulus during forward jumping. Journal of bodywork and movement therapies. 2016;20(1):3-9. [DOI:10.1016/j.jbmt.2015.01.006] [PMID]
10. Kędziorek J, Błażkiewicz M. Nonlinear measures to evaluate upright postural stability: A systematic review. Entropy. 2020;22(12):1357. [DOI:10.3390/e22121357] [PMID] [PMCID]
11. Lee AJ, Lin WH. Twelve-week biomechanical ankle platform system training on postural stability and ankle proprioception in subjects with unilateral functional ankle instability. Clinical biomechanics. 2008;23(8):1065-72. [DOI:10.1016/j.clinbiomech.2008.04.013] [PMID]
12. Wikstrom EA, Naik S, Lodha N, Cauraugh JH. Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Medicine and Science in Sports and Exercise. 2009;41(6):1287-95. [DOI:10.1249/MSS.0b013e318196cbc6] [PMID]
13. McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability, part II: is balance training clinically effective? Journal of athletic training. 2008;43(3):305-15. [DOI:10.4085/1062-6050-43.3.305] [PMID] [PMCID]
14. Freeman MA. Instability of the foot affer injuries to the lateral ligament of the ankle. The Journal of bone and joint surgery. British volume. 1965;47(4):669-77. [DOI:10.1302/0301-620X.47B4.669]
15. Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. The Journal of bone and joint surgery. British volume. 1965;47(4):678-85. [DOI:10.1302/0301-620X.47B4.678]
16. Wortmann MA, Docherty CL. Effect of balance training on postural stability in subjects with chronic ankle instability. Journal of sport rehabilitation. 2013;22(2):143-9. [DOI:10.1123/jsr.22.2.143] [PMID]
17. Mollà-Casanova S, Inglés M, Serra-Añó P. Effects of balance training on functionality, ankle instability, and dynamic balance outcomes in people with chronic ankle instability: systematic review and meta-analysis. Clinical Rehabilitation. 2021;35(12):1694-709. [DOI:10.1177/02692155211022009] [PMID]
18. Subirana M, Solá I, Garcia JM, Gich I, Urrútia G. A nursing qualitative systematic review required MEDLINE and CINAHL for study identification. Journal of clinical epidemiology. 2005;58(1):20-5. [DOI:10.1016/j.jclinepi.2004.06.001] [PMID]
19. Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty C, Fourchet F, Fong D, Hertel J, Hiller C, Kaminski T, McKeon P. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. journal of orthopaedic & sports physical therapy. 2013;43(8):585-91. [DOI:10.2519/jospt.2013.0303] [PMID]
20. De Morton NA. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy. 2009;55(2):129-33. [DOI:10.1016/S0004-9514(09)70043-1] [PMID]
21. Cashin AG, McAuley JH. Clinimetrics: Physiotherapy Evidence Database (PEDro) Scale. Journal of physiotherapy. 2019;66(1):59-59. [DOI:10.1016/j.jphys.2019.08.005] [PMID]
22. Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA, editors. Cochrane handbook for systematic reviews of interventions. John Wiley & Sons; 2019. [DOI:10.1002/9781119536604]
23. Kidgell DJ, Horvath DM, Jackson BM, Seymour PJ. Effect of six weeks of dura disc and mini-trampoline balance training on postural sway in athletes with functional ankle instability. Journal of strength and conditioning research. 2007;21(2):466.
https://doi.org/10.1519/00124278-200705000-00031 [DOI:10.1519/R-18945.1] [PMID]
24. Cloak R, Nevill A, Day S, Wyon M. Six-week combined vibration and wobble board training on balance and stability in footballers with functional ankle instability. Clinical journal of sport medicine. 2013;23(5):384-91. [DOI:10.1097/JSM.0b013e318291d22d] [PMID]
25. Chang WD, Chen S, Tsou YA. Effects of whole-body vibration and balance training on female athletes with chronic ankle instability. Journal of Clinical Medicine. 2021;10(11):2380. [DOI:10.3390/jcm10112380] [PMID] [PMCID]
26. Cain MS, Garceau SW, Linens SW. Effects of a 4-week biomechanical ankle platform system protocol on balance in high school athletes with chronic ankle instability. Journal of sport rehabilitation. 2017;26(1):1-7. [DOI:10.1123/jsr.2015-0045] [PMID]
27. Khalili SM, Barati AH, Oliveira R, Nobari H. Effect of Combined Balance Exercises and Kinesio Taping on Balance, Postural Stability, and Severity of Ankle Instability in Female Athletes with Functional Ankle Instability. Life. 2022;12(2):178. [DOI:10.3390/life12020178] [PMID] [PMCID]
28. Cain MS, Ban RJ, Chen YP, Geil MD, Goerger BM, Linens SW. Four-week ankle-rehabilitation programs in adolescent athletes with chronic ankle instability. Journal of athletic training. 2020;55(8):801-10. [DOI:10.4085/1062-6050-41-19] [PMID] [PMCID]
29. Sierra-Guzmán R, Jiménez-Diaz F, Ramírez C, Esteban P, Abián-Vicén J. Whole-body-vibration training and balance in recreational athletes with chronic ankle instability. Journal of athletic training. 2018;53(4):355-63. [DOI:10.4085/1062-6050-547-16] [PMID] [PMCID]
30. Olmsted LC, Carcia CR, Hertel J, Shultz SJ. Efficacy of the star excursion balance tests in detecting reach deficits in subjects with chronic ankle instability. Journal of athletic training. 2002;37(4):501.
31. Lee HM, Oh S, Kwon JW. Effect of plyometric versus ankle stability exercises on lower limb biomechanics in taekwondo demonstration athletes with functional ankle instability. International Journal of Environmental Research and Public Health. 2020;17(10):3665. [DOI:10.3390/ijerph17103665] [PMID] [PMCID]
32. Winter DA. Human balance and posture control during standing and walking. Gait & posture. 1995;3(4):193-214. [DOI:10.1016/0966-6362(96)82849-9]
33. Egger M, Juni P, Bartlett C, Holenstein F, Sterne J. How important are comprehensive literature searches and the assessment of trial quality in systematic reviews? Empirical study. Health technol assess. 2003;7(1):1-76. [DOI:10.3310/hta7010] [PMID]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Journal of Sport Biomechanics
Department of Sport Biomechanics, Faculty of Humanities, Islamic Azad University, Hamedan Branch, Prof. Mousivand Blvd, Imam Khomeini Blvd, Hamedan, Iran.
Journal Tel: +98 81 34494042
Website: http://biomechanics.iauh.ac.ir
Email: sportbiomechanics@iauh.ac.ir
