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Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020
Functional rehabilitation interventions for chronic ankle instability: a systematic review
Kathryn A Webster1, Phillip A Gribble
1Department of Kinesiology, University of Toledo, Toledo, OH, USA.
Journal of Sport Rehabilitation
|March 17, 2010
Summary
Functional rehabilitation shows promise for chronic ankle instability (CAI), improving both postural control and self-reported function. More research is needed to confirm consistent effectiveness and confidence intervals.
Area of Science:
- Sports Medicine
- Rehabilitation Science
- Biomechanics
Background:
- Evidence supporting functional rehabilitation for chronic ankle instability (CAI) is limited.
- CAI often involves repeated lateral ankle sprains or episodes of giving way.
Purpose of the Study:
- To review studies on functional rehabilitation interventions and measurements for CAI.
- To establish the effectiveness of functional rehabilitation for postural control and self-reported outcomes in CAI patients.
Main Methods:
- Searched Medline, SPORTDiscus, and PubMed (1988-2008).
- Included clinical trials with functional rehabilitation, functional outcome measures, and CAI subjects.
- Defined 'functional' as dynamic, closed-kinetic-chain activity.
Main Results:
- Six articles met inclusion criteria, utilizing wobble boards and similar devices.
- All interventions improved dynamic postural control, though effect sizes varied.
- Significant improvements and strong effect sizes were observed for self-reported outcomes.
Conclusions:
- Functional rehabilitation and assessment tools are linked to better ankle stability.
- Improvements were noted in both postural control and self-reported function.
- Further research with consistent effect sizes is recommended for definitive conclusions.
