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Related Experiment Video

Updated: Jan 28, 2026

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
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Response Shift After a 4-Week Multimodal Intervention for Chronic Ankle Instability.

Cameron J Powden1, Matthew C Hoch2, Beth E Jamali3

  • 1Department of Applied Medicine and Rehabilitation, Indiana State University, Terre Haute.

Journal of Athletic Training
|March 9, 2019
PubMed
Summary

Response shifts (RS) did not impact group-level function assessment in chronic ankle instability (CAI) patients post-rehabilitation. Individual assessments showed minor variations, suggesting traditional methods accurately track short-term recovery in CAI.

Keywords:
health-related quality of lifeinjury-related fearpatient-reported outcomesrehabilitation

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Area of Science:

  • Orthopedics
  • Rehabilitation Science
  • Sports Medicine

Background:

  • Accurate evaluation of patient-reported functional changes is crucial for monitoring rehabilitation progress.
  • The impact of response shifts (RS) on self-reported functional assessments in chronic ankle instability (CAI) remains unclear.

Purpose of the Study:

  • To investigate the presence and magnitude of RS in individuals with CAI following a 4-week multimodal rehabilitation program.

Main Methods:

  • A controlled laboratory study involving 20 adults with CAI.
  • Participants underwent a 4-week multimodal rehabilitation program with daily home exercises.
  • Patient-reported outcomes (PROs) were assessed at baseline, pre-intervention, post-intervention, and 2-week follow-up, including then-test assessments to measure RS.

Main Results:

  • No statistically significant group-level RS was detected for any PRO, indicating consistency between pre-intervention and retrospective then-test assessments.
  • Individual-level RS was observed, most notably in the Foot and Ankle Ability Measure-Sport subscale (30%) and Fear-Avoidance Beliefs Questionnaire Physical Activity subscale (45%).

Conclusions:

  • A 4-week multimodal rehabilitation program did not induce a group-level RS in individuals with CAI.
  • Traditional self-reported functional assessments appear accurate for evaluating short-term rehabilitation outcomes in CAI.
  • Low levels of individual-level RS were identified, suggesting potential for personalized interpretation of functional changes.