Shousha Tamer M, Abo-Zaid Nehad A, Hamada Hamada Ahmed, Abdelsamee Mohamed Y Abdelhamid, Behiry Mohamed A
Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Department of Physical Therapy for Musculoskeletal Disordered and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Arch Med Sci. 2021 Mar 18;19(4):1059-1068. doi: 10.5114/aoms/134635. eCollection 2023.
Ankle instability is a common injury in athletes, affecting the quality of life, functional limitation, as well as static and dynamic balance. The aim of the study was to compare the efficacy of virtual reality and Biodex balance training in the treatment of ankle instability in adolescent athletes.
Ninety football players were enrolled in this study after the assessment of their eligibility. Their age ranged from 12 to 16 years. They were randomly allocated to three groups of equal numbers. Group 1 received a guideline protocol, group 2 received the same guideline protocol in addition to Wii Sport Training, and group 3 received the same guideline protocol in addition to Biodex balance training. All groups received treatment protocols three times a week for 3 months. Outcome measures included the stability indices (overall stability, anteroposterior stability, and mediolateral) measured by the Biodex Balance System as well as ankle instability measured by the Cumberland Ankle Instability Tool. Measurements were collected at the baseline and after 3 months of treatment.
Post-treatment findings revealed a statistically significant decrease in the overall, anteroposterior, and mediolateral stability indices, as well as significant increase in Cumberland Ankle Instability outcomes of all groups ( < 0.05). On the other hand, there were no statistically significant differences between the virtual reality and Biodex balance training groups.
Virtual reality training has a significant effect which appears to be similar to the Biodex balance training in adolescent athletes with chronic ankle instability.
踝关节不稳是运动员常见的损伤，会影响生活质量、功能限制以及静态和动态平衡。本研究的目的是比较虚拟现实训练和Biodex平衡训练对青少年运动员踝关节不稳的治疗效果。
90名足球运动员在评估合格后纳入本研究。他们的年龄在12至16岁之间。他们被随机分为人数相等的三组。第1组接受指导性方案，第2组除接受相同的指导性方案外还接受Wii运动训练，第3组除接受相同的指导性方案外还接受Biodex平衡训练。所有组每周接受3次治疗方案，持续3个月。结果测量包括通过Biodex平衡系统测量的稳定性指标（整体稳定性、前后稳定性和内外侧稳定性）以及通过坎伯兰踝关节不稳工具测量的踝关节不稳情况。在基线和治疗3个月后收集测量数据。
治疗后的结果显示，所有组的整体、前后和内外侧稳定性指标均有统计学意义上的显著下降，以及坎伯兰踝关节不稳结果有显著增加（<0.05）。另一方面，虚拟现实训练组和Biodex平衡训练组之间没有统计学意义上的显著差异。
虚拟现实训练对患有慢性踝关节不稳的青少年运动员有显著效果，其效果似乎与Biodex平衡训练相似。
