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Changes in Postural Control After a Ball-Kicking Balance Exercise in Individuals With Chronic Ankle Instability.

作者信息

Conceição Josilene Souza, Schaefer de Araújo Felipe Gustavo, Santos Gilmar Moraes, Keighley John, Dos Santos Marcio Jose

机构信息

Department of Physical Therapy, Santa Catarina State University, Florianópolis, Brazil.

Department of Biostatistics, University of Kansas Medical Center, Kansas City.

出版信息

J Athl Train. 2016 Jun 2;51(6):480-90. doi: 10.4085/1062-6050-51.8.02. Epub 2016 Jun 13.


DOI:10.4085/1062-6050-51.8.02
PMID:27295488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5076281/
Abstract

CONTEXT: Rehabilitation programs for patients with chronic ankle instability (CAI) generally involve balance-perturbation training (BPT). Anticipatory postural adjustments (APAs) and compensatory postural adjustments (CPAs) are the primary strategies used to maintain equilibrium during body perturbations. Little is known, however, about how APAs and CPAs are modified to promote better postural control for individuals with CAI after BPT. OBJECTIVE: To investigate the effect of BPT that involves kicking a ball on postural-control strategies in individuals with CAI. DESIGN: Randomized controlled clinical trial. SETTING: Laboratory. PATIENTS OR OTHER PARTICIPANTS: We randomly assigned 44 volunteers with CAI to either a training group (TG; 11 women, 11 men; age = 24 ± 4 years, height = 173.0 ± 9.8 cm, mass = 72.64 ± 11.98 kg) or control group (CG; 11 women, 11 men; age = 22 ± 3 years, height = 171.0 ± 9.7 cm, mass = 70.00 ± 11.03 kg). INTERVENTION(S): The TG performed a single 30-minute training session that involved kicking a ball while standing on 1 foot. The CG received no intervention. MAIN OUTCOME MEASURE(S): The primary outcome was the sum of the integrated electromyographic activity (∑∫EMG) of the lower extremity muscles in the supporting limb that were calculated during typical intervals for APAs and CPAs. A secondary outcome was center-of-pressure displacement during similar intervals. RESULTS: In the TG after training, the ∑∫EMG decreased in both dorsal and ventral muscles during compensatory adjustment (ie, the time interval that followed lower limb movement). During this interval, muscle activity (∑∫EMG) was less in the TG than in the CG. Consequently, center-of-pressure displacement increased during the task after training. CONCLUSIONS: A single session of ball-kicking BPT promoted changes in postural-control strategies in individuals with CAI. These results should stimulate new and more comprehensive studies to investigate the effect of this and other BPT techniques on postural control in patients with CAI.

摘要

相似文献

[1]
Changes in Postural Control After a Ball-Kicking Balance Exercise in Individuals With Chronic Ankle Instability.

J Athl Train. 2016-6-2

[2]
Individuals with chronic ankle instability compensate for their ankle deficits using proximal musculature to maintain reduced postural sway while kicking a ball.

Hum Mov Sci. 2015-10

[3]
Bilateral improvements in lower extremity function after unilateral balance training in individuals with chronic ankle instability.

J Athl Train. 2014

[4]
Individuals with chronic ankle instability exhibit decreased postural sway while kicking in a single-leg stance.

Gait Posture. 2014

[5]
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[6]
Rehabilitation for Chronic Ankle Instability With or Without Destabilization Devices: A Randomized Controlled Trial.

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[7]
Balance training and center-of-pressure location in participants with chronic ankle instability.

J Athl Train. 2015-4

[8]
The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability.

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[9]
Balance- and Strength-Training Protocols to Improve Chronic Ankle Instability Deficits, Part I: Assessing Clinical Outcome Measures.

J Athl Train. 2018-7-5

[10]
Balance- and Strength-Training Protocols to Improve Chronic Ankle Instability Deficits, Part II: Assessing Patient-Reported Outcome Measures.

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引用本文的文献

[1]
No additive effect of transcranial direct current stimulation on balance exercises for brain activity and clinical outcomes in patients with chronic ankle instability: a randomised controlled trial.

BMJ Open Sport Exerc Med. 2025-4-10

[2]
Comparing virtual reality and balance training effects on postural strategies during ball kicking in soccer players with chronic ankle instability.

Sci Rep. 2024-12-28

[3]
Comparison of the effects of exergaming and balance training on dynamic postural stability during jump-landing in recreational athletes with chronic ankle instability.

PLoS One. 2024-12-16

[4]
Biomechanical and Physiological Variables in Dynamic and Functional Balance Control during Single-Leg Loading in Individuals with Chronic Ankle Instability: A Scoping Review.

Sports (Basel). 2024-8-16

[5]
Effects of Combining Transcranial Direct Current Stimulation With Balance Training on Anticipatory Postural Adjustments in Persons With Chronic Ankle Instability.

Sports Health. 2025-3

[6]
Effects of dual-task training on chronic ankle instability: a systematic review and meta-analysis.

BMC Musculoskelet Disord. 2023-10-13

[7]
Influence of dual-task constraints on the interaction between posture and movement during a lower limb pointing task.

Exp Brain Res. 2018-4

本文引用的文献

[1]
Effect of a Home-based Balance Training Protocol on Dynamic Postural Control in Subjects with Chronic Ankle Instability.

Int J Sports Med. 2015-6

[2]
Enhancement of anticipatory postural adjustments in older adults as a result of a single session of ball throwing exercise.

Exp Brain Res. 2015-2

[3]
Comparison of the immediate effect of different types of trunk exercise on the star excursion balance test in male adolescent soccer players.

Int J Sports Phys Ther. 2014-8

[4]
Individuals with chronic ankle instability exhibit decreased postural sway while kicking in a single-leg stance.

Gait Posture. 2014

[5]
Bilateral improvements in lower extremity function after unilateral balance training in individuals with chronic ankle instability.

J Athl Train. 2014

[6]
Lower extremity biomechanics in athletes with ankle instability after a 6-week integrated training program.

J Athl Train. 2014

[7]
Short-term Effects of a Proprioceptive Training Session with Unstable Platforms on the Monopodal Stabilometry of Athletes.

J Phys Ther Sci. 2014-1

[8]
Compensatory but not anticipatory adjustments are altered in older adults during lateral postural perturbations.

Clin Neurophysiol. 2013-4-16

[9]
Patterns of inter-joint coordination during a single-limb standing.

Gait Posture. 2012-7-11

[10]
Effects of balance training on muscle coactivation during postural control in older adults: a randomized controlled trial.

J Gerontol A Biol Sci Med Sci. 2012-3-1

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