Article Data

  • Views 1121
  • Dowloads 245

Original Research

Open Access

Effect of two different exercises on balance, pain and ankle motor function in male college students with chronic ankle instability

  • Young-Jun Park1
  • Yeong-Hyun Cho1
  • Tae-Beom Seo1,*,

1Department of Kinesiology, College of Natural Science, Jeju National University, 63243 Jeju, Republic of Korea

DOI: 10.22514/jomh.2023.009 Vol.19,Issue 2,February 2023 pp.51-57

Submitted: 16 September 2022 Accepted: 22 December 2022

Published: 28 February 2023

*Corresponding Author(s): Tae-Beom Seo E-mail: seotb@jejunu.ac.kr

Abstract

Strength and proprioceptive exercise are known to be representative exercise methods used in patients with chronic ankle instability (CAI) and they are effective in restoring ankle stability and body balance, which gets reduced by repetitive ankle sprains. But, there is a lack of data comparing the effects of strengthening or proprioceptive exercise rehabilitation program for CAI patients. The purpose of this study is to investigate the effect of a 4-week exercise program on ankle range of motion (ROM), static/dynamic balance, and drop landing in college students with CAI. The subjects of this study were 21 male college students who had the Cumberland ankle instability tool (CAIT) questionnaire scores of 24 or less, and they were divided into three groups; the non-treated group (NTG), the traditional strength exercise group (SEG) and the proprioceptive exercise group (PEG). The exercise rehabilitation program was applied 3 times a week for 4 weeks. To examine the difference between groups, CAIT, visual analogue scale (VAS), body composition, ankle ROM, one-leg standing with eyes closed and Y-balance test (YBT) as well as center of pressure (COP) 95% confidence ellipse area during drop landing were measured before and after the exercise intervention. CAIT scores and static balance were significantly increased in the PEG compared to the NTG and the SEG, and ankle dorsiflexion ROM and Y-balance were significantly increased in the SEG and the PEG compared to the NTG. In addition, pain, ankle inversion ROM, and COP 95% confidence ellipse area were significantly reduced in the SEG and the PEG compared to the NTG. The proprioceptive exercise program is thought to be effective therapeutic approach on improving the symptoms of CAI patients.


Keywords

Chronic ankle instability; Male students; Strengthening exercise; Proprioceptive exercise; Range of motion


Cite and Share

Young-Jun Park,Yeong-Hyun Cho,Tae-Beom Seo. Effect of two different exercises on balance, pain and ankle motor function in male college students with chronic ankle instability. Journal of Men's Health. 2023. 19(2);51-57.

References

[1] Kim DJ. The influence of participation motivation for lifetime sports on participation satisfaction and continuous exercise performance. The Korean Journal of Sport. 2019; 17: 245–253.

[2] Lee JY, Chang MJ, Choi HY, Lee SE. Actual situation of the participants involved physical living exercise sports injury research in accordance. Journal of Sport and Leisure Studies. 2012; 49: 701–728.

[3] Francis P, Whatman C, Sheerin K, Hume P, Johnson MI. The proportion of lower limb running injuries by gender, anatomical location and specific pathology: a systematic review. Journal of Sports Science & Medicine. 2019; 18: 21.

[4] Puffer JC. The sprained ankle. Clinical Cornerstone. 2001; 3: 38–49.

[5] Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. British Journal of Sports Medicine. 2005; 39: e14–e14.

[6] Powden CJ, Hoch JM, Hoch MC. Rehabilitation and improvement of health-related quality-of-life detriments in individuals with chronic ankle instability: a meta-analysis. Journal of Athletic Training. 2017; 52: 753–765.

[7] Delahunt E, Coughlan GF, Caulfield B, Nightingale EJ, Lin CW, Hiller CE. Inclusion criteria when investigating insufficiencies in chronic ankle instability. Medicine & Science in Sports & Exercise. 2010; 42: 2106–2121.

[8] Lin C, Houtenbos S, Lu Y, Mayer F, Wippert P. The epidemiology of chronic ankle instability with perceived ankle instability—a systematic review. Journal of Foot and Ankle Research. 2021; 14: 41.

[9] Karagiannakis DN, Iatridou KI, Mandalidis DG. Ankle muscles activation and postural stability with star excursion balance test in healthy individuals. Human Movement Science. 2020; 69: 102563.

[10] Kosik KB, McCann RS, Terada M, Gribble PA. Therapeutic interventions for improving self-reported function in patients with chronic ankle instability: a systematic review. British Journal of Sports Medicine. 2017; 51: 105–112.

[11] Ahn S, Hwang U, Gwak G, Yoo H, Kwon O. Comparison of the strength and electromyography of the evertor muscles with and without toe flexion in patients with chronic ankle instability. Foot & Ankle International. 2020; 41: 479–485.

[12] Ahern L, Nicholson O, O’Sullivan D, McVeigh JG. Effect of functional rehabilitation on performance of the star excursion balance test among recreational athletes with chronic ankle instability: a systematic review. Archives of Rehabilitation Research and Clinical Translation. 2021; 3: 100133.

[13] Cain MS, Ban RJ, Chen Y, Geil MD, Goerger BM, Linens SW. Four-week ankle-rehabilitation programs in adolescent athletes with chronic ankle instability. Journal of Athletic Training. 2020; 55: 801–810.

[14] Feger MA, Donovan L, Herb CC, Hart JM, Saliba SA, Abel MF, et al. Effects of 4-week impairment-based rehabilitation on jump-landing biomechanics in chronic ankle instability patients. Physical Therapy in Sport. 2021; 48: 201–208.

[15] Kim SJ. Comparison of recent studies on rehabilitation of chronic ankle instability: a systematic review. Journal of Musculoskeletal Science and Technology. 2020; 4: 41–50.

[16] Alghadir AH, Iqbal ZA, Iqbal A, Ahmed H, Ramteke SU. Effect of chronic ankle sprain on pain, range of motion, proprioception, and balance among athletes. International Journal of Environmental Research and Public Health. 2020; 17: 5318.

[17] Zhang R, Qi Q, Song W, Chen Y. Predicting the success of multimodal rehabilitation in chronic ankle instability based on patient-reported outcomes. BMC Musculoskeletal Disorders. 2022; 23: 706.

[18] Sierra-Guzmán R, Jiménez-Diaz F, Ramírez C, Esteban P, Abián-Vicén J. Whole-body-vibration training and balance in recreational athletes with chronic ankle instability. Journal of Athletic Training. 2018; 53: 355–363.

[19] Lazarou L, Kofotolis N, Pafis G, Kellis E. Effects of two proprioceptive training programs on ankle range of motion, pain, functional and balance performance in individuals with ankle sprain. Journal of Back and Musculoskeletal Rehabilitation. 2018; 31: 437–446.

[20] Kwon J. Influence of tubing and proprioceptive exercise on chronic ankle instability ballet dancer’s stability. Korean Journal of Sports Science. 2018; 27: 1367–1379.

[21] Surakhamhaeng A, Bovonsunthonchai S, Vachalathiti R. Effects of balance and plyometric training on balance control among individuals with functional ankle instability. Physiotherapy Quarterly. 2020; 28: 38–45.

[22] Alahmari KA, Kakaraparthi VN, Reddy RS, Silvian P, Tedla JS, Rengaramanujam K, et al. Combined effects of strengthening and proprioceptive training on stability, balance, and proprioception among subjects with chronic ankle instability in different age groups: evaluation of clinical outcome measures. Indian Journal of Orthopaedics. 2021; 55: 199–208.

[23] Linens SW, Ross SE, Arnold BL. Wobble board rehabilitation for improving balance in ankles with chronic instability. Clinical Journal of Sport Medicine. 2016; 26: 76–82.

[24] Gurav R, Ganu S, Panhale V. Reliability of the identification of functional ankle instability (Idfai) scale across different age groups in adults. North American Journal of Medical Sciences. 2014; 6: 516.

[25] Gribble PA, Delahunt E, Bleakley C, Caulfield B, Docherty C, Fourchet F, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the international ankle consortium. Journal of Orthopaedic & Sports Physical Therapy. 2013; 43: 585–591.

[26] Cole B, Finch E, Gowland C, Mayo N. Visual analogue scale. Physical Rehabilitation Outcome Measures. 1994; 80.

[27] Hiller CE, Nightingale EJ, Lin CC, Coughlan GF, Caulfield B, Delahunt E. Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis. British Journal of Sports Medicine. 2011; 45: 660–672.

[28] Basnett CR, Hanish MJ, Wheeler TJ, Miriovsky DJ, Danielson EL, Barr JB, et al. Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. International Journal of Sports Physical Therapy. 2013; 8: 121–128.

[29] Cho J, Koh Y, Lee D, Kim K. The study of strategy for energy dissipation during drop landing from different heights. Korean Journal of Sport Biomechanics. 2012; 22: 315–324.

[30] Niu W, Wang Y, He Y, Fan Y, Zhao Q. Kinematics, kinetics, and electromyogram of ankle during drop landing: a comparison between dominant and non-dominant limb. Human Movement Science. 2011; 30: 614–623.

[31] Hyun S, Ryew C. Influence on the ground reaction force parameters according to wearing positions of backpacks during stair ascending and descending. Korean Journal of Sport Biomechanics. 2015; 25: 85–94.

[32] Park S, Jeon K. Comparisons of the biomechanical characteristic during drop landing with chronic ankle instability. Korean Journal of Sports Science. 2018; 27: 1095–1102.

[33] Green WB, Heckman DJ. The effect of patellar taping in the onset of vastus medialis obliqus with patellofemoral pain. Physical Therapy. 1994; 78: 25–32.

[34] Hall EA, Docherty CL, Simon J, Kingma JJ, Klossner JC. Strength-training protocols to improve deficits in participants with chronic ankle instability: a randomized controlled trial. Journal of Athletic Training. 2015; 50: 36–44.

[35] Gilbreath JP, Gaven SL, Van Lunen BL, Hoch MC. The effects of mobilization with movement on dorsiflexion range of motion, dynamic balance, and self-reported function in individuals with chronic ankle instability. Manual Therapy. 2014; 19: 152–157.

[36] Postle K, Pak D, Smith TO. Effectiveness of proprioceptive exercises for ankle ligament injury in adults: a systematic literature and meta-analysis. Manual Therapy. 2012; 17: 285–291.

[37] Lee KY, Lee HJ, Kim SE, Choi PB, Song SH, Jee YS. Short term rehabilitation and ankle instability. International Journal of Sports Medicine. 2012; 33: 485–496.

[38] Cain MS, Garceau SW, Linens SW. Effects of a 4-week biomechanical ankle platform system protocol on balance in high school athletes with chronic ankle instability. Journal of Sport Rehabilitation. 2017; 26: 1–7.

[39] DeJong AF, Mangum LC, Hertel J. Ultrasound imaging of the gluteal muscles during the y-balance test in individuals with or without chronic ankle instability. Journal of Athletic Training. 2020; 55: 49–57.

[40] Ko J, Wikstrom E, Li Y, Weber M, Brown CN. Performance differences between the modified star excursion balance test and the Y-balance test in individuals with chronic ankle instability. Journal of Sport Rehabilitation. 2020; 29: 748–753.

[41] Hale SA, Hertel J, Olmsted-Kramer LC. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. Journal of Orthopaedic & Sports Physical Therapy. 2007; 37: 303–311.

[42] Theisen A, Day J. Chronic ankle instability leads to lower extremity kine-matic changes during landing tasks: a systematic review. International Journal of Exercise Science. 2019; 12: 24–33.

[43] Balasukumaran T, Gottlieb U, Springer S. Spatiotemporal gait character-istics and ankle kinematics of backward walking in people with chronic ankle instability. Scientific Reports. 2020; 10: 11515.

[44] Lee H, Han S, Page G, Bruening DA, Seeley MK, Hopkins JT. Effects of balance training with stroboscopic glasses on postural control in chronic ankle instability patients. Scandinavian Journal of Medicine & Science in Sports. 2022; 32: 576–587.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.

SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)

Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.

Scopus: CiteScore 0.7 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).

Submission Turnaround Time

Conferences

Top