Effect of Four Weeks of Home-Based Balance Training on the Performance in Individuals with Functional Ankle Instability: A Remote Online Study

Mohammadreza Seyedi, Hadi Nobari, Hamed Abbasi, Davood Khezri, Rafael Oliveira, Jorge Pérez-Gómez, Georgian Badicu, José Afonso, Mohammadreza Seyedi, Hadi Nobari, Hamed Abbasi, Davood Khezri, Rafael Oliveira, Jorge Pérez-Gómez, Georgian Badicu, José Afonso

Abstract

The purpose of the current study is to evaluate the effect of 4 weeks of home-based balance training (HBBT) on the performance of individuals with functional ankle instability (FAI) in daily activities and sports. Thirty college students diagnosed with FAI and with a mean weight of 79.8 ± 3.4 kg, height of 182.5 ± 5.1 cm, age of 23.5 ± 1.2 years, and instability score of 20 ± 2.3 were selected to participate in this study and were randomly divided by computer-generated methods into two groups: the HBBT group and the control group (CG), each consisting of 15 subjects. The HBBT group performed the program at home for 4 weeks, while the CG was non-exercise. Before and after the 4 weeks of exercise program, a form containing the foot and ankle ability measure for daily activities and sports was completed by the individuals. For data analysis, intra- and inter-group comparisons were performed using paired and independent sample t-tests, respectively, at a significance level of p ≤ 0.05. The results showed that 4 weeks of progressive HBBT were sufficient to significantly improve the measurement of the ability of ankle and foot function in individuals with FAI, even with a total volume of only 60 min per week. Accordingly, it is suggested that individuals with FAI can benefit from short-term HBBT programs, which are simple yet powerful enough to promote improvements in daily activities.

Keywords: functional skills; home-based exercises; injuries; prevention; sport.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
CONSORT flow chart of participants for recruitment, application, follow-up and analysis.
Figure 2
Figure 2
How to perform the move of the single leg squat airex, eyes closed, hands on the hips (A); single leg stance, airex, eyes closed, arms crossed (B) and single leg stance, airex, eyes closed, arms free (C).

References

    1. Gribble P.A., Robinson R.H. Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. J. Athl. Train. 2009;44:350–355. doi: 10.4085/1062-6050-44.4.350.
    1. Al Adal S., Mackey M., Pourkazemi F., Hiller C.E. The relationship between pain and associated characteristics of chronic ankle instability: A retrospective study. J. Sport Health Sci. 2020;9:96–101. doi: 10.1016/j.jshs.2019.07.009.
    1. Fu S.N., Hui-Chan C. Modulation of prelanding lower-limb muscle responses in athletes with multiple ankle sprains. Med. Sci. Sports Exerc. 2007;39:1774–1783. doi: 10.1249/mss.0b013e3181343629.
    1. Delahunt E. Neuromuscular contributions to functional instability of the ankle joint. J. Bodyw. Mov. Ther. 2007;11:203–213. doi: 10.1016/j.jbmt.2007.03.002.
    1. Marsh D.W., Richard L.A., Williams L.A., Lynch K.J. The relationship between balance and pitching error in college baseball pitchers. J. Strength Cond. Res. 2004;18:441–446.
    1. Gerber J.P., Williams G.N., Scoville C.R., Arciero R.A., Taylor D.C. Persistent disability associated with ankle sprains: A prospective examination of an athletic population. Foot Ankle Int. 1998;19:653–660. doi: 10.1177/107110079801901002.
    1. Anandacoomarasamy A., Barnsley L. Long term outcomes of inversion ankle injuries. Br. J. Sports Med. 2005;39:e14. doi: 10.1136/bjsm.2004.011676.
    1. Hubbard T.J., Wikstrom E.A. Ankle sprain: Pathophysiology, predisposing factors, and management strategies. Open Access J. Sports Med. 2010;1:115. doi: 10.2147/OAJSM.S9060.
    1. Cruz A., Oliveira R., Silva A. Functional ankle instability prevalence and associated risk factors in male football players. Open J. Orthop. 2020;10:77. doi: 10.4236/ojo.2020.104010.
    1. Lee A.J., Lin W.-H. Twelve-week biomechanical ankle platform system training on postural stability and ankle proprioception in subjects with unilateral functional ankle instability. Clin. Biomech. 2008;23:1065–1072. doi: 10.1016/j.clinbiomech.2008.04.013.
    1. Freeman M., Dean M., Hanham I. The etiology and prevention of functional instability of the foot. J Bone Jt. Surg. Br. 1965;47:678–685. doi: 10.1302/0301-620X.47B4.678.
    1. Giza E., Fuller C., Junge A., Dvorak J. Mechanisms of foot and ankle injuries in soccer. Am. J. Sports Med. 2003;31:550–554. doi: 10.1177/03635465030310041201.
    1. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J. Athl. Train. 2002;37:364.
    1. Santos M.J., Liu H., Liu W. Unloading reactions in functional ankle instability. Gait Posture. 2008;27:589–594. doi: 10.1016/j.gaitpost.2007.08.001.
    1. Geerinck A., Beaudart C., Salvan Q., Van Beveren J., D’Hooghe P., Bruyère O., Kaux J.-F. French translation and validation of the Cumberland Ankle Instability Tool, an instrument for measuring functional ankle instability. Foot Ankle Surg. 2020;26:391–397. doi: 10.1016/j.fas.2019.05.002.
    1. Martin R.L., Irrgang J.J., Burdett R.G., Conti S.F., Van Swearingen J.M. Evidence of validity for the Foot and Ankle Ability Measure (FAAM) Foot Ankle Int. 2005;26:968–983. doi: 10.1177/107110070502601113.
    1. Clark V.M., Burden A.M. A 4-week wobble board exercise programme improved muscle onset latency and perceived stability in individuals with a functionally unstable ankle. Phys. Ther. Sport. 2005;6:181–187. doi: 10.1016/j.ptsp.2005.08.003.
    1. Mckeon P., Ingersoll C., Kerrigan D.C., Saliba E., Bennett B., Hertel J. Balance training improves function and postural control in those with chronic ankle instability. Med. Sci. Sports Exerc. 2008;40:1810. doi: 10.1249/MSS.0b013e31817e0f92.
    1. Hale S.A., Hertel J. Reliability and Sensitivity of the Foot and Ankle Disability Index in Subjects With Chronic Ankle Instability. J. Athl. Train. 2005;40:35–40.
    1. Ghram A., Briki W., Mansoor H., Al-Mohannadi A.S., Lavie C.J., Chamari K. Home-based exercise can be beneficial for counteracting sedentary behavior and physical inactivity during the COVID-19 pandemic in older adults. Postgrad. Med. 2020;133:469–480. doi: 10.1080/00325481.2020.1860394.
    1. Vahedian-Azimi A., Miller A.C., Hajiesmaieli M., Kangasniemi M., Alhani F., Jelvehmoghaddam H., Fathi M., Farzanegan B., Ardehali S.H., Hatamian S. Cardiac rehabilitation using the Family-Centered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: A randomised controlled trial. Open Heart. 2016;3:e000349. doi: 10.1136/openhrt-2015-000349.
    1. Chindhy S., Taub P.R., Lavie C.J., Shen J. Current challenges in cardiac rehabilitation: Strategies to overcome social factors and attendance barriers. Expert Rev. Cardiovasc. Ther. 2020;18:777–789. doi: 10.1080/14779072.2020.1816464.
    1. De Ridder R., Willems T., Vanrenterghem J., Roosen P. Effect of a home-based balance training protocol on dynamic postural control in subjects with chronic ankle instability. Int. J. Sports Med. 2015;36:596–602. doi: 10.1055/s-0034-1396823.
    1. Cumpston M., Li T., Page M.J., Chandler J., Welch V.A., Higgins J.P., Thomas J. Updated guidance for trusted systematic reviews: A new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Database Syst. Rev. 2019;10:Ed000142. doi: 10.1002/14651858.ED000142.
    1. Gribble P.A., Delahunt E., Bleakley C.M., Caulfield B., Docherty C.L., Fong D.T.-P., Fourchet F., Hertel J., Hiller C.E., Kaminski T.W., et al. Selection Criteria for Patients With Chronic Ankle Instability in Controlled Research: A Position Statement of the International Ankle Consortium. J. Athl. Train. 2014;49:121. doi: 10.4085/1062-6050-49.1.14.
    1. Hiller C.E., Refshauge K.M., Bundy A.C., Herbert R.D., Kilbreath S.L. The Cumberland ankle instability tool: A report of validity and reliability testing. Arch. Phys. Med. Rehabil. 2006;87:1235–1241. doi: 10.1016/j.apmr.2006.05.022.
    1. Hiller C.E., Kilbreath S.L., Refshauge K.M. Chronic ankle instability: Evolution of the model. J. Athl. Train. 2011;46:133–141. doi: 10.4085/1062-6050-46.2.133.
    1. Faul F., Erdfelder E., Lang A.G., Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav. Res. Methods. 2007;39:175–191. doi: 10.3758/BF03193146.
    1. Rahmat A.J., Arsalan D., Bahman M., Hadi N. Anthropometrical profile and bio-motor abilities of young elite wrestlers. Phys. Educ. Stud. 2016;20:63–69. doi: 10.15561/20755279.2016.0608.
    1. Arazi H., Mirzaei B., Nobari H. Anthropometric profile, body composition and somatotyping of national Iranian cross-country runners. Turk. J. Sport Exerc. 2015;17:35–41. doi: 10.15314/tjse.49873.
    1. Mazaheri M., Salavati M., Negahban H., Sohani S., Taghizadeh F., Feizi A., Karimi A., Parnianpour M. Reliability and validity of the Persian version of Foot and Ankle Ability Measure (FAAM) to measure functional limitations in patients with foot and ankle disorders. Osteoarthr. Cartil. 2010;18:755–759. doi: 10.1016/j.joca.2010.03.006.
    1. Mattacola C.G., Dwyer M.K. Rehabilitation of the ankle after acute sprain or chronic instability. J. Athl. Train. 2002;37:413.
    1. Hale S.A., Hertel J., Olmsted-Kramer L.C. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. J. Orthop. Sports Phys. Ther. 2007;37:303–311. doi: 10.2519/jospt.2007.2322.
    1. Hupperets M.D., Verhagen E.A., Van Mechelen W. Effect of unsupervised home based proprioceptive training on recurrences of ankle sprain: Randomised controlled trial. BMJ. 2009;339:b2684. doi: 10.1136/bmj.b2684.
    1. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Lawrence Erlbaum Associates; Hillsdale, NJ, USA: 1998.
    1. DeSoto K.A., Schweinsberg M. Replication data collection highlights value in diversity of replication attempts. Sci. Data. 2017;4:170028. doi: 10.1038/sdata.2017.28.
    1. Hunter P. The reproducibility “crisis”: Reaction to replication crisis should not stifle innovation. EMBO Rep. 2017;18:1493–1496. doi: 10.15252/embr.201744876.
    1. Coiera E., Ammenwerth E., Georgiou A., Magrabi F. Does health informatics have a replication crisis? J. Am. Med. Inform. Assoc. JAMIA. 2018;25:963–968. doi: 10.1093/jamia/ocy028.
    1. Lederman E. Neuromuscular Rehabilitation in Manual and Physical Therapies: Principles to Practice. Elsevier Health Sciences; Amsterdam, The Netherlands: 2010.

Source: PubMed

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