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Updated: Mar 15, 2026

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Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020
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A Randomized Controlled Trial Comparing Rehabilitation Efficacy in Chronic Ankle Instability
Journal of Sport Rehabilitation
|September 17, 2016
Summary
Wobble-board (WB) balance training improved ankle function more than resistance tubing (RT) exercises in patients with chronic ankle instability (CAI). A 4-week intervention using either method enhanced patient and clinician outcomes.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Limited patient-oriented evidence exists for chronic ankle instability (CAI) interventions.
- Clinicians lack comparative efficacy data for prioritizing rehabilitation components.
Purpose of the Study:
- To compare the efficacy of wobble-board (WB) balance training versus resistance tubing (RT) ankle strengthening.
- To evaluate outcomes using patient-centered measures for CAI.
Main Methods:
- A randomized controlled trial was conducted with 40 CAI patients.
- Participants underwent 4 weeks of either WB or RT exercises.
- Outcomes were assessed using clinician-oriented tests and patient-oriented questionnaires.
Main Results:
- The WB group showed significant improvement in the Foot and Ankle Ability Measure for Activities of Daily Living (FAAM-ADL) post-intervention (P=.04).
- No other significant differences were found between groups.
- Both groups demonstrated significant improvements in CAI scores, FAAM-Sport, Global Rating of Function, SF-36, and clinician-assessed tests.
Conclusions:
- A 4-week, single-exercise intervention effectively improves outcomes for individuals with CAI.
- Wobble-board training demonstrated a potential advantage over resistance tubing for specific functional measures.

