Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability
| Autor: | Benjamin M. Goerger, Shelley W. Linens, M. Spencer Cain, Mark D. Geil, Yu-Ping Chen, Rebecca J. Ban |
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| Rok vydání: | 2020 |
| Předmět: |
Joint Instability
Male medicine.medical_specialty Adolescent Adolescent athletes medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Context (language use) 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Humans Orthopedics and Sports Medicine Ankle Injuries Patient Reported Outcome Measures Dynamic balance Postural Balance Rehabilitation business.industry 030229 sport sciences General Medicine Physical Functional Performance Athletic Tape Exercise Therapy Ankle rehabilitation Chronic ankle instability Female Ankle business Ankle Joint 030217 neurology & neurosurgery |
| Zdroj: | J Athl Train |
| ISSN: | 1062-6050 |
| DOI: | 10.4085/1062-6050-41-19 |
| Popis: | Context Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI). However, whether combining the 2 exercises increases improvement is unknown. Objective To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI. Design Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652). Setting High school athletic training facilities. Patients or Other Participants Forty-three patients with CAI (age = 16.37 ± 1.00 years, height = 171.75 ± 12.05 cm, mass = 69.38 ± 18.36 kg) were block randomized into 4 rehabilitation groups. Intervention(s) Protocols were completed 3 times per week for 4 weeks. The resistance-band group performed 3 sets of 10 repetitions of ankle plantar flexion, dorsiflexion, inversion, and eversion with a resistance band. The Biomechanical Ankle Platform System group performed 5 trials of clockwise and counterclockwise rotations, changing direction every 10 seconds during each 40-second trial. The combination group completed resistance-band and Biomechanical Ankle Platform System programs during each session. The control group did not perform any exercises. Main Outcome Measure(s) Variables were assessed before and after the intervention: time-in-balance test, foot-lift test, Star Excursion Balance Test, side-hop test, figure-8 hop test, Foot and Ankle Ability Measure, and Cumberland Ankle Instability Tool. We conducted 4 separate multivariate repeated-measures analyses of variance, followed by univariate analyses for any findings that were different. Results Using the time-in-balance test, foot-lift test, Star Excursion Balance Test (medial, posteromedial, and posterolateral directions), and figure-8 hop test, we detected improvement for each rehabilitation group compared with the control group (P < .05). However, no intervention group was superior. Conclusions All 3 rehabilitation groups demonstrated improvement compared with the control group, yet the evidence was too limited to support a superior intervention. Over a 4-week period, either of the single-task interventions or the combination intervention can be used to combat the residual deficits associated with CAI in an adolescent patient population. |
| Databáze: | OpenAIRE |
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