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Related Experiment Video

Updated: Jun 17, 2025

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
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Gait-Training Interventions for Individuals With Chronic Ankle Instability: A Systematic Review and Meta-Analysis.

Christine Ortega1, Jeffrey D Simpson2, Luke Donovan3

  • 1Department of Health and Human Performance, Texas State University, San Marcos.

Journal of Athletic Training
|August 13, 2024
PubMed
Summary

Gait-training interventions show promise for improving lower extremity biomechanics in individuals with chronic ankle instability (CAI). These programs can positively influence plantar pressure and muscle activity, potentially reducing injury risk.

Keywords:
ankle sprainbiofeedbackbiomechanicsgait-training devicerehabilitation

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Area of Science:

  • Biomechanics
  • Sports Medicine
  • Rehabilitation

Background:

  • Chronic ankle instability (CAI) negatively impacts lower extremity gait biomechanics.
  • Gait-training interventions are explored to correct faulty movement patterns in CAI.

Purpose of the Study:

  • To determine the influence of gait-training interventions on lower extremity biomechanics during walking in individuals with CAI.

Main Methods:

  • Systematic review and meta-analysis of published studies.
  • Searched PubMed, CINAHL, SPORTDiscus, and MEDLINE up to September 2022.
  • Included RCTs, repeated-measures, and descriptive lab studies measuring biomechanical outcomes (kinematics, kinetics, EMG) during gait training.

Main Results:

  • Meta-analyses of single-session interventions revealed significant changes in plantar pressure distribution and timing.
  • Key findings include medial shift of center of pressure, decreased forefoot contact time, and altered pressure integrals.
  • Increased fibularis longus muscle activity post-intervention was also observed.

Conclusions:

  • Gait-training protocols can improve specific lower extremity biomechanical outcomes in individuals with CAI.
  • Plantar pressure measures and fibularis longus activity show notable improvements.
  • Further research on multisession gait training is needed; targeted interventions are recommended for CAI management.