Which Treatment is More Effective for Functional Ankle Instability: Strengthening or Combined Muscle Strengthening and Proprioceptive Exercises?

Ki-Jong Kim, Young-Eok Kim, Hyun-Ju Jun, Jin-Su Lee, Sung-Ha Ji, Sang-Goo Ji, Tae-Hwa Seo, Young-Ok Kim, Ki-Jong Kim, Young-Eok Kim, Hyun-Ju Jun, Jin-Su Lee, Sung-Ha Ji, Sang-Goo Ji, Tae-Hwa Seo, Young-Ok Kim

Abstract

[Purpose] The purpose of this study was to implement combined muscle strengthening and proprioceptive exercises to examine the effects of combined exercises on functional ankle instability. [Subjects and Methods] Experiments were conducted with 30 adult males and females. The study subjects were randomly assigned to either a control group (Group A), a muscle strengthening exercise group (Group B), or a combined muscle strengthening and proprioceptive exercise group (Group C) consisting of 10 subjects each. In Group A, measurements were only conducted before and after the experiment without any intervention, whereas the exercise programs for Group B and Group C were implemented three days per week for four weeks. [Results] Muscle strength showed significant increases in Groups B and C compared with the control group during plantar flexion, dorsiflexion, inversion, and eversion. The Cumberland ankle instability tool showed significant increases in Group B and Group C compared with Group A and significant increases in Group C compared with Group B. [Conclusion] Applying combined muscle strengthening and proprioceptive exercises to those who have functional ankle instability is more effective than applying only muscle strengthening exercises.

Keywords: Cumberland ankle instability tool; Functional ankle instability; Strength.

References

    1. Lambers K, Ootes D, Ring D: Incidence of patients with lower extremity injuries presenting to US emergency departments by anatomic region, disease category, and age. Clin Orthop Relat Res, 2012, 470: 284–290
    1. Ji SW, Kim HS, Kwon KW, et al. : The ankle strength, balance and functional ability of the adolescent volleyball players with functional ankle instability. Korean J Phys Educ, 2004, 43: 567–577
    1. Urgüden M, Kızılay F, Sekban H, et al. : Evaluation of the lateral instability of the ankle by inversion simulation device and assessment of the rehabilitation program. Acta Orthop Traumatol Turc, 2010, 44: 365–377
    1. Willems T, Witwrouw E, Verstuyft J, et al. : Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J Athl Train, 2002, 37: 487–493
    1. Hartsell HD, Spaulding SJ: Eccentric/concentric ratios at selected velocities for the invertor and evertor muscles of the chronically unstable ankle. Br J Sports Med, 1999, 33: 255–258
    1. Freeman M: Instability of the foot after injuries to the lateral ligaments of the ankle. J Bone Joint Surg, 1965, 47: 669–677
    1. Kim MC: Isokinetic muscular strength of the lower limbs and balance in soccer players with functional ankle instability. Master’s thesis, Sports Medicine Graduate School of Sports Science Dankook University, 2008, pp 6–8.
    1. Sawkins K, Refshauge K, Kilbreath S, et al. : The placebo effect of ankle taping in ankle instability. Med Sci Sports Exerc, 2007, 39: 781–787
    1. Olivier N, Rogez J, Masquelier B: Benefit of isokinetic evaluation of knee before and after anterior cruciate ligament reconstruction in soccer players. Ann Readapt Med Phys, 2007, 50: 564–569
    1. Sole G, Hamréen J, Milosavljevic S, et al. : Test-retest reliability of isokinetic knee extension and flexion. Arch Phys Med Rehabil, 2007, 88: 626–631
    1. Eils E, Rosenbaum D: A multi-station proprioceptive exercise program in patients with ankle instability. Med Sci Sports Exerc, 2001, 33: 1991–1998
    1. Brech GC, Ciolac EG, Secchi LL, et al. : The effects of motor learning on clinical isokinetic performance of postmenopausal women. Maturitas, 2011, 70: 379–382
    1. Wennerberg D: Reliability of an isokinetic dorsi flexion and plantar flexion apparatus. Am J Sports Med, 1991, 19: 519–522
    1. Refshauge KM, Kilbreath SL, Raymond J: The effect of recurrent ankle inversion sprain and taping on proprioception at the ankle. Med Sci Sports Exerc, 2000, 32: 10–15
    1. Ross SE, Guskiewicz KM: Effect of coordination training with and without stochastic resonance stimulation on dynamic postural stability of subjects with stable ankle. Clin J Sport Med, 2006, 16: 323–328
    1. Hertel J: Functional instability following lateral ankle sprain. Sports Med, 2000, 29: 361–371
    1. Camargo PR, A’vila MA, Asso NA, et al. : Muscle performance during isokinetic concentric and eccentric abduction in subjects with subacromial impingement syndrome. Eur J Appl Physiol, 2010, 109: 389–395
    1. Kim HH: The effect of isokinetic training program in according to the muscle contraction type on the thigh muscles strength. Master’s thesis, Sport Industry Graduate School Namseoul University, 2008, pp 42–46.
    1. Hagen M, Lescher S, Hennig E, et al. : High resistance shank muscle strength training changes foot behavior during a sudden ankle supination. Br J Sports Med, 2013, 47: e3
    1. Smith BI, Docherty CL, Simon J, et al. : Ankle strength and force sense after a progressive, 6-week strength-training program in people with functional ankle instability. J Athl Train, 2012, 47: 282–288
    1. Hiller CE, Refshauge KM, Bundy AC, et al. : The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil, 2006, 87: 1235–1241
    1. O’Driscoll J, Kerin F, Delahunt E: Effect of a 6-week dynamic neuromuscular training programme on ankle joint function: a case report. Sports Med Arthrosc Rehabil Ther Technol, 2011, 3.
    1. Kynsburg A, Pánics G, Halasi T: Long-term neuromuscular training and ankle joint position sense. Acta Physiol Hung, 2010, 97: 183–191

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