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Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability
Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI). However, whether combining the 2 exercises increa...
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| Published in: | Journal of athletic training 2020-08, Vol.55 (8), p.801-810 |
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| cites | cdi_FETCH-LOGICAL-c463t-de5c2594fc6cfe9662f5c411a3180cd36be4375a22df456a15093f924e2387ee3 |
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| container_title | Journal of athletic training |
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| creator | Cain, M Spencer Ban, Rebecca J Chen, Yu-Ping Geil, Mark D Goerger, Benjamin M Linens, Shelley W |
| description | Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI). However, whether combining the 2 exercises increases improvement is unknown.
To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI.
Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652).
High school athletic training facilities.
Forty-three patients with CAI (age = 16.37 ± 1.00 years, height = 171.75 ± 12.05 cm, mass = 69.38 ± 18.36 kg) were block randomized into 4 rehabilitation groups.
Protocols were completed 3 times per week for 4 weeks. The resistance-band group performed 3 sets of 10 repetitions of ankle plantar flexion, dorsiflexion, inversion, and eversion with a resistance band. The Biomechanical Ankle Platform System group performed 5 trials of clockwise and counterclockwise rotations, changing direction every 10 seconds during each 40-second trial. The combination group completed resistance-band and Biomechanical Ankle Platform System programs during each session. The control group did not perform any exercises.
Variables were assessed before and after the intervention: time-in-balance test, foot-lift test, Star Excursion Balance Test, side-hop test, figure-8 hop test, Foot and Ankle Ability Measure, and Cumberland Ankle Instability Tool. We conducted 4 separate multivariate repeated-measures analyses of variance, followed by univariate analyses for any findings that were different.
Using the time-in-balance test, foot-lift test, Star Excursion Balance Test (medial, posteromedial, and posterolateral directions), and figure-8 hop test, we detected improvement for each rehabilitation group compared with the control group (P < .05). However, no intervention group was superior.
All 3 rehabilitation groups demonstrated improvement compared with the control group, yet the evidence was too limited to support a superior intervention. Over a 4-week period, either of the single-task interventions or the combination intervention can be used to combat the residual deficits associated with CAI in an adolescent patient population. |
| doi_str_mv | 10.4085/1062-6050-41-19 |
| format | article |
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To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI.
Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652).
High school athletic training facilities.
Forty-three patients with CAI (age = 16.37 ± 1.00 years, height = 171.75 ± 12.05 cm, mass = 69.38 ± 18.36 kg) were block randomized into 4 rehabilitation groups.
Protocols were completed 3 times per week for 4 weeks. The resistance-band group performed 3 sets of 10 repetitions of ankle plantar flexion, dorsiflexion, inversion, and eversion with a resistance band. The Biomechanical Ankle Platform System group performed 5 trials of clockwise and counterclockwise rotations, changing direction every 10 seconds during each 40-second trial. The combination group completed resistance-band and Biomechanical Ankle Platform System programs during each session. The control group did not perform any exercises.
Variables were assessed before and after the intervention: time-in-balance test, foot-lift test, Star Excursion Balance Test, side-hop test, figure-8 hop test, Foot and Ankle Ability Measure, and Cumberland Ankle Instability Tool. We conducted 4 separate multivariate repeated-measures analyses of variance, followed by univariate analyses for any findings that were different.
Using the time-in-balance test, foot-lift test, Star Excursion Balance Test (medial, posteromedial, and posterolateral directions), and figure-8 hop test, we detected improvement for each rehabilitation group compared with the control group (P < .05). However, no intervention group was superior.
All 3 rehabilitation groups demonstrated improvement compared with the control group, yet the evidence was too limited to support a superior intervention. Over a 4-week period, either of the single-task interventions or the combination intervention can be used to combat the residual deficits associated with CAI in an adolescent patient population.</description><identifier>ISSN: 1062-6050</identifier><identifier>EISSN: 1938-162X</identifier><identifier>DOI: 10.4085/1062-6050-41-19</identifier><identifier>PMID: 32577737</identifier><language>eng</language><publisher>United States: National Athletic Trainers Association</publisher><subject>Adolescent ; Ankle ; Ankle - physiopathology ; Ankle Injuries - complications ; Ankle Injuries - physiopathology ; Ankle Joint - physiopathology ; Athletic Tape ; Exercise Therapy - methods ; Female ; Humans ; Joint Instability - etiology ; Joint Instability - rehabilitation ; Male ; Patient Reported Outcome Measures ; Physical Functional Performance ; Postural Balance</subject><ispartof>Journal of athletic training, 2020-08, Vol.55 (8), p.801-810</ispartof><rights>by the National Athletic Trainers' Association, Inc.</rights><rights>by the National Athletic Trainers' Association, Inc 2020 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-de5c2594fc6cfe9662f5c411a3180cd36be4375a22df456a15093f924e2387ee3</citedby><cites>FETCH-LOGICAL-c463t-de5c2594fc6cfe9662f5c411a3180cd36be4375a22df456a15093f924e2387ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462179/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462179/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,33647,33913,53827,53829</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32577737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cain, M Spencer</creatorcontrib><creatorcontrib>Ban, Rebecca J</creatorcontrib><creatorcontrib>Chen, Yu-Ping</creatorcontrib><creatorcontrib>Geil, Mark D</creatorcontrib><creatorcontrib>Goerger, Benjamin M</creatorcontrib><creatorcontrib>Linens, Shelley W</creatorcontrib><title>Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability</title><title>Journal of athletic training</title><addtitle>J Athl Train</addtitle><description>Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI). However, whether combining the 2 exercises increases improvement is unknown.
To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI.
Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652).
High school athletic training facilities.
Forty-three patients with CAI (age = 16.37 ± 1.00 years, height = 171.75 ± 12.05 cm, mass = 69.38 ± 18.36 kg) were block randomized into 4 rehabilitation groups.
Protocols were completed 3 times per week for 4 weeks. The resistance-band group performed 3 sets of 10 repetitions of ankle plantar flexion, dorsiflexion, inversion, and eversion with a resistance band. The Biomechanical Ankle Platform System group performed 5 trials of clockwise and counterclockwise rotations, changing direction every 10 seconds during each 40-second trial. The combination group completed resistance-band and Biomechanical Ankle Platform System programs during each session. The control group did not perform any exercises.
Variables were assessed before and after the intervention: time-in-balance test, foot-lift test, Star Excursion Balance Test, side-hop test, figure-8 hop test, Foot and Ankle Ability Measure, and Cumberland Ankle Instability Tool. We conducted 4 separate multivariate repeated-measures analyses of variance, followed by univariate analyses for any findings that were different.
Using the time-in-balance test, foot-lift test, Star Excursion Balance Test (medial, posteromedial, and posterolateral directions), and figure-8 hop test, we detected improvement for each rehabilitation group compared with the control group (P < .05). However, no intervention group was superior.
All 3 rehabilitation groups demonstrated improvement compared with the control group, yet the evidence was too limited to support a superior intervention. Over a 4-week period, either of the single-task interventions or the combination intervention can be used to combat the residual deficits associated with CAI in an adolescent patient population.</description><subject>Adolescent</subject><subject>Ankle</subject><subject>Ankle - physiopathology</subject><subject>Ankle Injuries - complications</subject><subject>Ankle Injuries - physiopathology</subject><subject>Ankle Joint - physiopathology</subject><subject>Athletic Tape</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Instability - etiology</subject><subject>Joint Instability - rehabilitation</subject><subject>Male</subject><subject>Patient Reported Outcome Measures</subject><subject>Physical Functional Performance</subject><subject>Postural Balance</subject><issn>1062-6050</issn><issn>1938-162X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVkU1LAzEQhoMo1q-zN9mjl2i-t7kIpVgVBEUUvUhIs7Pd6HajSVbw39ulKnqagXnnmXdmEDqk5ESQsTylRDGsiCRYUEz1Btqhmo8xVexpc5X_VEdoN6UXQiiTWm2jEWeyLEte7qDnWegjfgR4LSbdawv4Dho7963PNvvQFbcxLKJdpsJ3xaQKLSQHXS4muWkhQyoefW6KaRND592aUFx1Ka8Rn_toq7ZtgoPvuIceZuf300t8fXNxNZ1cYycUz7gC6VbORO2Uq0ErxWrpBKWW0zFxFVdzELyUlrGqFlJZKonmtWYCGB-XAHwPna25b_18CdVgMdrWvEW_tPHTBOvN_0rnG7MIH6YUitFSrwDH34AY3ntI2Sz9atO2tR2EPhkmqNJCajZIT9dSF0NKEerfMZSY4SlmOLsZzm4ENXToOPrr7lf_8wX-BWeWiNI</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Cain, M Spencer</creator><creator>Ban, Rebecca J</creator><creator>Chen, Yu-Ping</creator><creator>Geil, Mark D</creator><creator>Goerger, Benjamin M</creator><creator>Linens, Shelley W</creator><general>National Athletic Trainers Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200801</creationdate><title>Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability</title><author>Cain, M Spencer ; Ban, Rebecca J ; Chen, Yu-Ping ; Geil, Mark D ; Goerger, Benjamin M ; Linens, Shelley W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-de5c2594fc6cfe9662f5c411a3180cd36be4375a22df456a15093f924e2387ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Ankle</topic><topic>Ankle - physiopathology</topic><topic>Ankle Injuries - complications</topic><topic>Ankle Injuries - physiopathology</topic><topic>Ankle Joint - physiopathology</topic><topic>Athletic Tape</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Instability - etiology</topic><topic>Joint Instability - rehabilitation</topic><topic>Male</topic><topic>Patient Reported Outcome Measures</topic><topic>Physical Functional Performance</topic><topic>Postural Balance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cain, M Spencer</creatorcontrib><creatorcontrib>Ban, Rebecca J</creatorcontrib><creatorcontrib>Chen, Yu-Ping</creatorcontrib><creatorcontrib>Geil, Mark D</creatorcontrib><creatorcontrib>Goerger, Benjamin M</creatorcontrib><creatorcontrib>Linens, Shelley W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of athletic training</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cain, M Spencer</au><au>Ban, Rebecca J</au><au>Chen, Yu-Ping</au><au>Geil, Mark D</au><au>Goerger, Benjamin M</au><au>Linens, Shelley W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability</atitle><jtitle>Journal of athletic training</jtitle><addtitle>J Athl Train</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>55</volume><issue>8</issue><spage>801</spage><epage>810</epage><pages>801-810</pages><issn>1062-6050</issn><eissn>1938-162X</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-News-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI). However, whether combining the 2 exercises increases improvement is unknown.
To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI.
Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652).
High school athletic training facilities.
Forty-three patients with CAI (age = 16.37 ± 1.00 years, height = 171.75 ± 12.05 cm, mass = 69.38 ± 18.36 kg) were block randomized into 4 rehabilitation groups.
Protocols were completed 3 times per week for 4 weeks. The resistance-band group performed 3 sets of 10 repetitions of ankle plantar flexion, dorsiflexion, inversion, and eversion with a resistance band. The Biomechanical Ankle Platform System group performed 5 trials of clockwise and counterclockwise rotations, changing direction every 10 seconds during each 40-second trial. The combination group completed resistance-band and Biomechanical Ankle Platform System programs during each session. The control group did not perform any exercises.
Variables were assessed before and after the intervention: time-in-balance test, foot-lift test, Star Excursion Balance Test, side-hop test, figure-8 hop test, Foot and Ankle Ability Measure, and Cumberland Ankle Instability Tool. We conducted 4 separate multivariate repeated-measures analyses of variance, followed by univariate analyses for any findings that were different.
Using the time-in-balance test, foot-lift test, Star Excursion Balance Test (medial, posteromedial, and posterolateral directions), and figure-8 hop test, we detected improvement for each rehabilitation group compared with the control group (P < .05). However, no intervention group was superior.
All 3 rehabilitation groups demonstrated improvement compared with the control group, yet the evidence was too limited to support a superior intervention. Over a 4-week period, either of the single-task interventions or the combination intervention can be used to combat the residual deficits associated with CAI in an adolescent patient population.</abstract><cop>United States</cop><pub>National Athletic Trainers Association</pub><pmid>32577737</pmid><doi>10.4085/1062-6050-41-19</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of athletic training, 2020-08, Vol.55 (8), p.801-810 |
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| source | Social Science Premium Collection; PubMed Central; SPORTDiscus with Full Text (EBSCO); Education Collection |
| subjects | Adolescent Ankle Ankle - physiopathology Ankle Injuries - complications Ankle Injuries - physiopathology Ankle Joint - physiopathology Athletic Tape Exercise Therapy - methods Female Humans Joint Instability - etiology Joint Instability - rehabilitation Male Patient Reported Outcome Measures Physical Functional Performance Postural Balance |
| title | Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability |
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