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Effect of a home-based balance training protocol on dynamic postural control in subjects with chronic ankle instability

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Abstract
The aim of this study was to establish the presence of postural deficits in subjects with chronic ankle instability (CAI) and to assess the effect of an 8-week balance training program on dynamic postural control. A total of 43 subjects with CAI and 31 controls participated in this case-control study. Participants with CAI performed a 8-week home-based balance training, including 3 sessions a week. As main outcome measure, postural control was quantified after a vertical drop by means of the dynamic postural stability index (DPSI). Perceptual outcomes were documented using the FADI, FADI-Sport and VAS scales. At baseline, subjects with CAI displayed higher anterior/posterior and vertical postural instability, a poorer DPSI, and lower subjective stability scores compared to the control group. After balance training, all subjective stability scores improved significantly, although no changes were noted for the stability indices. In conclusion, subjects with CAI have an impaired postural control. As a treatment modality, balance training exhibits the capability of improving the subjective feeling of instability in subjects with CAI. However, there was no effect on dynamic postural control. Further research on the explanatory mechanisms of balance training is warranted and other training modalities should be considered.
Keywords
chronic ankle instability, kinetics, postural balance, rehabilitation, ankle joint, FUNCTIONALLY UNSTABLE ANKLES, STABILITY DEFICITS, EXERCISE PROGRAM, INVERSION TRAUMA, CONTROLLED-TRIAL, FOLLOW-UP, INDIVIDUALS, SPRAINS, REHABILITATION, FORCE

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Citation

Please use this url to cite or link to this publication:

Chicago
De Ridder, Roel, Tine Willems, Jos Vanrenterghem, and Philip Roosen. 2015. “Effect of a Home-based Balance Training Protocol on Dynamic Postural Control in Subjects with Chronic Ankle Instability.” International Journal of Sports Medicine 36 (7): 596–602.
APA
De Ridder, Roel, Willems, T., Vanrenterghem, J., & Roosen, P. (2015). Effect of a home-based balance training protocol on dynamic postural control in subjects with chronic ankle instability. INTERNATIONAL JOURNAL OF SPORTS MEDICINE, 36(7), 596–602.
Vancouver
1.
De Ridder R, Willems T, Vanrenterghem J, Roosen P. Effect of a home-based balance training protocol on dynamic postural control in subjects with chronic ankle instability. INTERNATIONAL JOURNAL OF SPORTS MEDICINE. 2015;36(7):596–602.
MLA
De Ridder, Roel, Tine Willems, Jos Vanrenterghem, et al. “Effect of a Home-based Balance Training Protocol on Dynamic Postural Control in Subjects with Chronic Ankle Instability.” INTERNATIONAL JOURNAL OF SPORTS MEDICINE 36.7 (2015): 596–602. Print.
@article{5835418,
  abstract     = {The aim of this study was to establish the presence of postural deficits in subjects with chronic ankle instability (CAI) and to assess the effect of an 8-week balance training program on dynamic postural control. A total of 43 subjects with CAI and 31 controls participated in this case-control study. Participants with CAI performed a 8-week home-based balance training, including 3 sessions a week. As main outcome measure, postural control was quantified after a vertical drop by means of the dynamic postural stability index (DPSI). Perceptual outcomes were documented using the FADI, FADI-Sport and VAS scales. At baseline, subjects with CAI displayed higher anterior/posterior and vertical postural instability, a poorer DPSI, and lower subjective stability scores compared to the control group. After balance training, all subjective stability scores improved significantly, although no changes were noted for the stability indices. In conclusion, subjects with CAI have an impaired postural control. As a treatment modality, balance training exhibits the capability of improving the subjective feeling of instability in subjects with CAI.  However, there was no effect on dynamic postural control. Further research on the explanatory mechanisms of balance training is warranted and other training modalities should be considered.},
  author       = {De Ridder, Roel and Willems, Tine and Vanrenterghem, Jos and Roosen, Philip},
  issn         = {0172-4622},
  journal      = {INTERNATIONAL JOURNAL OF SPORTS MEDICINE},
  keyword      = {chronic ankle instability,kinetics,postural balance,rehabilitation,ankle joint,FUNCTIONALLY UNSTABLE ANKLES,STABILITY DEFICITS,EXERCISE PROGRAM,INVERSION TRAUMA,CONTROLLED-TRIAL,FOLLOW-UP,INDIVIDUALS,SPRAINS,REHABILITATION,FORCE},
  language     = {eng},
  number       = {7},
  pages        = {596--602},
  title        = {Effect of a home-based balance training protocol on dynamic postural control in subjects with chronic ankle instability},
  url          = {http://dx.doi.org/10.1055/s-0034-1396823},
  volume       = {36},
  year         = {2015},
}

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