Effects of a 4-Week Exercise Program on Balance Using Elastic Tubing as a Perturbation Force for Individuals With a History of Ankle Sprains

KyungMo Han, Mark D. Ricard, Gilbert W. Fellingham

DOI: 10.2519/jospt.2009.2958

STUDY DESIGN: Randomized controlled trial with pretraining, posttraining, and follow-up repeated measures. OBJECTIVE: To determine the effectiveness of a 4-week elastic resistance exercise program on balance in subjects with and without a history of sprained ankles. BACKGROUND: Several researchers have suggested that improving balance may help alleviate the symptoms of functional ankle instability and reduce the rate of recurrent ankle sprains. METHODS AND MEASURES: Forty subjects (20 males, 20 females; 20 subjects with chronic ankle instability [CAI], 20 healthy) participated in the study. Ten subjects (5 males, 5 females) from each CAI and healthy group were randomly assigned to either the exercise or control group, resulting in a total of 4 groups. Total travel distance of the center of pressure, monitored using a force platform, was measured before training, after 4 weeks of training, and at a 4-week follow-up. RESULTS: There were no interactions between gender, ankle sprain history, or training groups. Balance significantly improved in subjects with and without a history of ankle sprains following 4 weeks of elastic resistance exercises. Mean improvement in balance for the exercise group following training, reflected through a decrease in total travel distance, was −11.1 cm (95% confidence interval: −14.0 to −8.2 cm). These improvements in balance were retained 4 weeks after training. CONCLUSIONS: Balance was improved after 4 weeks of elastic resistance exercise in subjects with and without a history of lateral ankle sprains. Balance improvements persisted 4 weeks following the treatment cessation. LEVEL OF EVIDENCE: Therapy, level 2b.

J Orthop Sports Phys Ther 2009;39(4):246-255, Epub 17 December 2008. doi:10.2519/jospt.2009.2958

KEY WORDS: ankle, chronic ankle instability, sprain, stabilometry

The authors determine the effectiveness of a 4-week elastic resistance exercise program on balance in subjects with and without a history of sprained ankles.

Related Slides

(Right click the link below and select Save Target As...)

April2009-RR-Han.ppt

View Full Article