Alahmari Khalid A, Kakaraparthi Venkata Nagaraj, Reddy Ravi Shankar, Silvian Paul, Tedla Jaya Shanker, Rengaramanujam Kanagaraj, Ahmad Irshad
C/3/139, Department of Medical Rehabilitation (Physical Therapy), College of Applied Medical Sciences, King Khalid University, Guraiger Campus, Abha, Kingdom of Saudi Arabia.
Indian J Orthop. 2020 Jul 15;55(Suppl 1):199-208. doi: 10.1007/s43465-020-00192-6. eCollection 2021 May.
BACKGROUND: Lateral ankle sprains are among the common injuries in the physically active population in different age groups and progress to chronic ankle instability (CAI). Accordingly, the current study assesses the effectiveness of strengthening and proprioceptive training programs on proprioception and balance in those suffering from CAI. DESIGN: Quasi-experimental design. METHODS: Thirty-six individuals with self-reported CAI were assigned into three groups based on age: group 1 (23 ± 1.84), group 2 (35.80 ± 1.68), group 3 (44.25 ± 4.86), then performed strength and balance exercises for 6 weeks. The study furthermore measured pre- and post-training of joint position sense (JPS), static balance, dynamic balance, chronic ankle instability tool (CAIT) and lower extremity functional scale (LEFS). RESULTS: Statistical analysis showed significant improvement ( < 0.01) on all outcome measures among all groups. In group 1, mainly the plantar flexion JPS improved to 3.7°, while in group 2 and group 3 the eversion JPS improved to 3.1° and 1.78° ( < 0.01). With reference to static balance with one's eyes closed and eyes open, the improvement in group 1 was 4.46, 11.05 s, group 2 was 2.23, 7.85 s and group 3 was 1.69, 4.68 s. In relation to dynamic balance, the development in group 1 was 5.85 cm, while group 2 was 4.71 cm and group 3 was 2.49 cm. Moreover, both CAIT and LEFS showed significant differences ( < 0.01) after training. CONCLUSION: This study found that combined strengthening and proprioceptive training effectively improves stability, proprioception, balance, and self-reported functional outcomes.
背景:外侧踝关节扭伤是不同年龄组身体活跃人群中的常见损伤,并会发展为慢性踝关节不稳(CAI)。因此,本研究评估了强化训练和本体感觉训练计划对CAI患者本体感觉和平衡的有效性。 设计:准实验设计。 方法:36名自我报告患有CAI的个体按年龄分为三组:第1组(23±1.84岁),第2组(35.80±1.68岁),第3组(44.25±4.86岁),然后进行为期6周的力量和平衡练习。该研究还测量了训练前后的关节位置觉(JPS)、静态平衡、动态平衡、慢性踝关节不稳工具(CAIT)和下肢功能量表(LEFS)。 结果:统计分析显示,所有组的所有结局指标均有显著改善(P<0.01)。在第1组中,主要是跖屈JPS改善至3.7°,而在第2组和第3组中,外翻JPS改善至3.1°和1.78°(P<0.01)。关于闭眼和睁眼时的静态平衡,第1组的改善分别为4.46、11.05秒,第2组为2.23、7.85秒,第3组为1.69、4.68秒。关于动态平衡,第1组的进展为5.85厘米,第2组为4.71厘米,第3组为2.49厘米。此外,训练后CAIT和LEFS均显示出显著差异(P<0.01)。 结论:本研究发现,强化训练和本体感觉训练相结合可有效改善稳定性、本体感觉、平衡以及自我报告的功能结局。
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