*Fenerbahçe University, Atatürk Mah Metropol İstanbul, Ataşehir, İstanbul, Turkey.
†Yeditepe Üniversitesi, Kayışdağı,İnönü Mahallesi, Ataşehir, İstanbul Turkey.
J Am Podiatr Med Assoc. 2024 May-Jun;114(3). doi: 10.7547/23-008.
BACKGROUND: After an ankle sprain, the ligament and joint capsule are damaged, and as a result, proprioceptive sense is damaged, causing a feeling of giving away in the ankle and resulting in recurrent sprains. Given the relevant studies, it has been seen that people with chronic ankle instability (CAI) commonly have deficits in joint position sense and reinjury risks. Joint position sense plays an important role in ankle control, thereby reducing the risk of injury. Therefore, this study aims to compare the effects of balance and strength training on ankle proprioception in people with CAI. METHODS: This single-blind randomized controlled study included 29 volunteer participants (21 women and eight men) aged 18 to 30 years. Participants with a Cumberland ankle instability scale score less than or equal to 24 were randomly divided into two treatment groups: strength training (n = 14) and balance training (n = 15). Y balance test, joint position, and vibration sense were evaluated at the beginning and end of the treatment. "Hop to stabilization" exercises were applied to the balance group and resistive bands exercises to the strength group, which were performed for 6 weeks, 35 minutes per day, two times per week. RESULTS: There was no significant difference between the two groups in the anterior, posterolateral, and posteromedial directions of the Y balance test (P = .89, P = .50, and P = .34, respectively), but the strength training group showed significant improvement in ankle proprioception (140°) and vibration sense (fifth finger) (P < .001), and the post hoc Cohen's d effect size values were medium (.52) and small (.25), respectively. CONCLUSIONS: The findings of this study show that strengthening and balance exercises have similar effects on dynamic balance, but strengthening exercises are more effective in improving joint position and vibration sense. Given the positive effects of both exercise programs, it is recommended to implement the two interventions separately or together for CAI rehabilitation.
背景:踝关节扭伤后,韧带和关节囊受损,本体感觉受损,导致踝关节感觉不稳定,容易反复扭伤。相关研究表明,慢性踝关节不稳(CAI)患者常存在关节位置觉缺陷和再损伤风险。关节位置觉在踝关节控制中起着重要作用,从而降低受伤风险。因此,本研究旨在比较平衡和力量训练对 CAI 患者踝关节本体感觉的影响。
方法:这是一项单盲随机对照研究,纳入了 29 名 18 至 30 岁志愿者参与者(21 名女性和 8 名男性)。Cumberland 踝关节不稳定量表评分≤24 分的参与者被随机分为两组:力量训练组(n = 14)和平衡训练组(n = 15)。在治疗开始和结束时评估 Y 平衡测试、关节位置觉和振动觉。平衡组进行“Hop to Stabilization”练习,力量组进行阻力带练习,每周两次,每次 35 分钟,持续 6 周。
结果:Y 平衡测试的前向、后外侧和后内侧方向,两组间差异均无统计学意义(P =.89,P =.50 和 P =.34),但力量训练组踝关节本体感觉(140°)和振动觉(第五指)明显改善(P <.001),事后 Cohen's d 效应量值分别为中效(.52)和小效(.25)。
结论:本研究结果表明,强化和平衡训练对动态平衡有相似的影响,但强化训练在改善关节位置觉和振动觉方面更有效。鉴于两种运动方案均有积极效果,建议将这两种干预措施分别或联合用于 CAI 康复。
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