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Patient-Reported Efficacy 6 Months After a 4-Week Rehabilitation Intervention in Individuals With Chronic Ankle Instability.

作者信息

Wright Cynthia J, Linens Shelley W

出版信息

J Sport Rehabil. 2017 Jul;26(4):250-256. doi: 10.1123/jsr.2016-0044. Epub 2016 Nov 11.


DOI:10.1123/jsr.2016-0044
PMID:27834579
Abstract

OBJECTIVE: To track the patient-reported efficacy of a 4-wk intervention (wobble board [WB] or resistance tubing [RT]) in decreasing symptoms of chronic ankle instability (CAI) at 6 mo postintervention (6PI) as compared with immediately postintervention (IPI). DESIGN: Randomized controlled trial. PARTICIPANTS: Fourteen of 21 participants (66.7%) responded to an electronic 6-m follow-up questionnaire (age 19.6 ± 0.9 y, height 1.63 ± 0.18 m, weight 70.5 ± 16.3 kg; 2 male, 12 female; 5 WB, 9 RT). All participants met CAI criteria at enrollment, including a history of ankle sprain and recurrent episodes of giving way. INTERVENTIONS: Participants completed either RT or WB protocols, both 12 sessions over 4 wk of progressive exercise. WB sessions consisted of five 40-s sets of clockwise and counterclockwise rotations. RT sessions consisted of 30 contractions against resistance tubing in each of 4 ankle directions. MAIN OUTCOME MEASUREMENTS: Patient-reported symptoms of "giving way" preintervention and at 6PI, global rating of change (GRC) frequencies at IPI and 6PI, and resprains at 6PI were reported descriptively. Changes in global rating of function (GRF) and giving way were compared using Wilcoxon tests, while GRC was compared with Fisher exact test. RESULTS: All participants reported giving way preintervention, only 57.1% reported giving way at 6PI. Resprains occurred in 21.4% of participants. Giving-way frequency (P = .017), but not GRF or GRC (P > .05), was significantly different at IPI vs 6PI. CONCLUSIONS: Simple 4-wk interventions maintained some but not all improvements at 6PI. At least 42.9% of participants would no longer meet the current study's CAI inclusion criteria due to a reduction in giving way.

摘要

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引用本文的文献

[1]
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J Foot Ankle Res. 2025-6

[2]
Comparison of Subjective and Biomechanical Outcomes Between Proprioceptive Training and Modified Broström-Gould Surgery for Chronic Ankle Instability: A Randomized Controlled Trial.

Orthop J Sports Med. 2024-9-13

[3]
Balance Training With Stroboscopic Glasses and Neuromechanics in Patients With Chronic Ankle Instability During a Single-Legged Drop Landing.

J Athl Train. 2024-6-1

[4]
Comparison of effect of wobble board training with and without cognitive intervention on balance, ankle proprioception and jump landing kinetic parameters of men with chronic ankle instability: a randomized control trial.

BMC Musculoskelet Disord. 2022-9-30

[5]
Predicting the success of multimodal rehabilitation in chronic ankle instability based on patient-reported outcomes.

BMC Musculoskelet Disord. 2022-7-25

[6]
The effectiveness and sustainability of supervised balance training in chronic ankle instability with grade III ligament injury: a one-year prospective study.

J Foot Ankle Res. 2022-2-1

[7]
Effectiveness of balance training in patients with chronic ankle instability: protocol for a systematic review and meta-analysis.

BMJ Open. 2021-9-21

[8]
Wobble-Board Balance Intervention to Decrease Symptoms and Prevent Reinjury in Athletes With Chronic Ankle Instability: An Exploration Case Series.

J Athl Train. 2019-12-19

[9]
Does Multimodal Rehabilitation for Ankle Instability Improve Patients' Self-assessed Functional Outcomes? A Network Meta-analysis.

Clin Orthop Relat Res. 2018-6

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