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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Updated: Jun 9, 2025

A Mouse Model of Ankle-Subtalar Complex Joint Instability
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Rebuilding Stability: Exploring the Best Rehabilitation Methods for Chronic Ankle Instability.

Roberto Tedeschi1, Vincenzo Ricci2, Domiziano Tarantino3

  • 1Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Via Zamboni 33, 40126 Bologna, Italy.

Sports (Basel, Switzerland)
|October 25, 2024
PubMed
Summary
This summary is machine-generated.

Rehabilitation for chronic ankle instability (CAI) effectively improves balance and function. Combining balance and strength training offers optimal recovery, though no single method is universally superior for CAI management.

Keywords:
balance trainingchronic ankle instabilityfunctional recoveryproprioceptionrehabilitation

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Chronic Ankle Instability (CAI) presents as recurrent ankle "giving way" episodes and impaired balance, causing functional limitations.
  • Common rehabilitation strategies include balance training, proprioceptive exercises, whole-body vibration (WBV), and stroboscopic vision training.

Purpose of the Study:

  • To evaluate the effectiveness of various rehabilitation interventions for managing Chronic Ankle Instability (CAI).
  • To compare the efficacy of different approaches in improving balance, stability, and functional outcomes in CAI patients.

Main Methods:

  • A systematic review of 11 randomized controlled trials (RCTs) focusing on balance and proprioceptive training for CAI.
  • Primary outcome measures included the Star Excursion Balance Test (SEBT), Cumberland Ankle Instability Tool (CAIT), and Foot and Ankle Ability Measure (FAAM).
  • Methodological quality and risk of bias were assessed using the PEDro scale and ROB 2 tool, respectively.

Main Results:

  • All investigated rehabilitation interventions led to significant improvements in SEBT, CAIT, and FAAM scores.
  • No single intervention demonstrated consistent superiority; traditional balance training, strength exercises, BAPS, and WBV yielded meaningful functional gains.
  • Stroboscopic vision training showed comparable effectiveness to conventional methods, supporting a combination approach for optimal recovery.

Conclusions:

  • Balance and proprioceptive exercises are effective for managing CAI, enhancing dynamic stability and subjective outcomes.
  • While no single intervention is definitively best, personalized programs integrating diverse methods are recommended for CAI rehabilitation.
  • Future research should focus on long-term effects and synergistic benefits of combined rehabilitation interventions for CAI.