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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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Therapeutic interventions for improving self-reported function in patients with chronic ankle instability: a
Kyle B Kosik1, Ryan S McCann1, Masafumi Terada2
1Department of Rehabilitation Sciences, University of Kentucky, Lexington, Kentucky, USA.
British Journal of Sports Medicine
|November 4, 2016
Summary
Balance training offers the most consistent improvements for self-reported function in chronic ankle instability (CAI) patients. This systematic review highlights its effectiveness over other interventions for enhancing daily activities and physical performance.
Area of Science:
- Orthopedics
- Sports Medicine
- Rehabilitation Science
Background:
- Chronic ankle instability (CAI) significantly impacts patients' quality of life and functional abilities.
- Identifying effective therapeutic interventions is crucial for managing CAI and restoring function.
Purpose of the Study:
- To systematically review and identify the most effective therapeutic intervention for improving self-reported function in patients diagnosed with chronic ankle instability (CAI).
Main Methods:
- A systematic literature review was conducted, appraising articles using the Downs and Black Checklist.
- Searches were performed in PubMed, CINAHL, MEDLINE, and SPORTDiscus up to August 2016.
- Included studies were in English, reported effect sizes, focused on CAI patients, utilized therapeutic interventions, and employed self-reported outcome measures.
Main Results:
- Balance training demonstrated moderate-to-strong effect sizes (Hedges g) for improving activities of daily living and physical activity, with confidence intervals not crossing zero.
- Multimodal rehabilitation also showed potential but with wider confidence intervals.
- Interventions included balance training, multimodal rehabilitation, joint mobilization, resistive training, soft-tissue mobilization, stretching, and orthotics.
Conclusions:
- Balance training emerged as the most consistent and effective therapeutic intervention for enhancing self-reported function in individuals with chronic ankle instability (CAI).
- Further research may explore optimal protocols for balance training in CAI management.
