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Balance capabilities after lateral ankle trauma and intervention: a meta-analysis
Erik A Wikstrom1, Sagar Naik, Neha Lodha
1Biodynamics Research Laboratory, Kinesiology Department, University of North Carolina at Charlotte, Charlotte, NC 28223, USA. ewikstrom@uncc.edu
Medicine and Science in Sports and Exercise
|May 23, 2009
Summary
Postural control is impaired after lateral ankle injuries, affecting both acute and chronic cases. Balance training significantly improves postural control in individuals with a history of ankle trauma.
Area of Science:
- Sports Medicine
- Biomechanics
- Rehabilitation Science
Background:
- Lateral ankle sprains are common, yet the impact on postural control remains debated.
- The effectiveness of balance training for individuals with a history of ankle trauma is unclear.
Purpose of the Study:
- To perform a meta-analysis on the effects of lateral ankle trauma on postural control.
- To evaluate how balance training influences postural control in acute and chronic lateral ankle trauma.
Main Methods:
- A meta-analysis of 37 studies was conducted.
- Studies were categorized into those examining postural control independently and those administering balance training interventions.
- Hedges' g effect sizes were calculated, and moderator variables were explored.
Main Results:
- A significant impairment in postural stability was found in individuals with a history of ankle injury (ES = 0.492).
- Both acute (ES = 0.419) and chronic (ES = 0.570) lateral ankle trauma negatively affected balance.
- Balance training demonstrated a significant improvement in postural control (ES = -0.857).
Conclusions:
- Postural control deficits are evident following lateral ankle trauma.
- Balance training is an effective intervention for improving postural control after both acute and chronic ankle injuries.
- Further research is needed to optimize balance training protocols and investigate preventative effects.

