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Int J Sports Med 2015; 36(07): 596-602
DOI: 10.1055/s-0034-1396823
Orthopedics & Biomechanics
© Georg Thieme Verlag KG Stuttgart · New York

Effect of a Home-based Balance Training Protocol on Dynamic Postural Control in Subjects with Chronic Ankle Instability

R. De Ridder
1   Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
,
T. M. Willems
1   Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
,
J. Vanrenterghem
2   Research Institute for Sport and Exercise, Liverpool John Moores University, Liverpool, United Kingdom
,
P. Roosen
1   Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
› Author Affiliations
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Publication History



accepted after revision 02 October 2014

Publication Date:
22 April 2015 (online)

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Abstract

The aim of this study was to establish the presence of postural deficits in subjects with chronic ankle instability (CAI) and to assess the effect of an 8-week balance training program on dynamic postural control. A total of 43 subjects with CAI and 31 controls participated in this case-control study. Participants with CAI performed an 8-week home-based balance training, including 3 sessions a week. As main outcome measure, postural control was quantified after a vertical drop by means of the dynamic postural stability index (DPSI). Perceptual outcomes were documented using the FADI, FADI-Sport and VAS scales. At baseline, subjects with CAI displayed higher anterior/posterior and vertical postural instability, a poorer DPSI, and lower subjective stability scores compared to the control group. After balance training, all subjective stability scores improved significantly, although no changes were noted for the stability indices. In conclusion, subjects with CAI have an impaired postural control. As a treatment modality, balance training exhibits the capability of improving the subjective feeling of instability in subjects with CAI. However, there was no effect on dynamic postural control. Further research on the explanatory mechanisms of balance training is warranted, and other training modalities should be considered.

Key words

chronic ankle instability - ankle joint - postural balance - kinetics - rehabilitation

Supplementary Material

 

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