Development of an efficient rehabilitation exercise program for functional recovery in chronic ankle instability

Kewwan Kim, Kyoungkyu Jeon, Kewwan Kim, Kyoungkyu Jeon

Abstract

[Purpose] The aim of the present study was to construct an integrated rehabilitation exercise program to prevent chronic pain and improve motor ability in cases of ankle injury and re-injury. [Subjects and Methods] Twenty-six male soccer players who required functional strength exercises due to repeated ankle injury were the subjects. A 12-week rehabilitation exercise program was constructed with the aim of improving muscle strength in the ankle and dynamic coordination of the lower limb. Muscle strength and dynamic coordination were evaluated using the Y Balance Test, and isokinetic muscle strength of ankle dorsiflexion, plantarflexion, inversion, and eversion were measured before and after the 12-week program. [Results] Following 12 weeks of rehabilitation exercise, there were statistically significant improvements in the ratios of dorsiflexor strength to plantarflexor strength, eversion strength, and inversion strength on the left side. The other variables showed no significant changes. [Conclusion] The rehabilitation exercise program for chronic ankle instability helped to reduce pain, and to restore normal joint range of motion, muscle strength and endurance, and functional ability. Active protocols to improve complex functions need to be developed to complement these results.

Keywords: Chronic ankle joint; Isokinetic; Y Balance Test.

References

    1. Hootman JM, Dick R, Agel J: Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train, 2007, 42: 311–319.
    1. Beynnon BD, Renström PA, Alosa DM, et al. : Ankle ligament injury risk factors: a prospective study of college athletes. J Orthop Res, 2001, 19: 213–220.
    1. Fernandez WG, Yard EE, Comstock RD: Epidemiology of lower extremity injuries among U.S. high school athletes. Acad Emerg Med, 2007, 14: 641–645.
    1. Fong DT, Hong Y, Chan LK, et al. : A systematic review on ankle injury and ankle sprain in sports. Sports Med, 2007, 37: 73–94.
    1. Hertel J: Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train, 2002, 37: 364–375.
    1. McKeon PO, Ingersoll CD, Kerrigan DC, et al. : Balance training improves function and postural control in those with chronic ankle instability. Med Sci Sports Exerc, 2008, 40: 1810–1819.
    1. Ross SE, Guskiewicz KM, Gross MT, et al. : Assessment tools for identifying functional limitations associated with functional ankle instability. J Athl Train, 2008, 43: 44–50.
    1. Hoch MC, McKeon PO: Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J Orthop Res, 2011, 29: 326–332.
    1. McKeon PO, Hertel J: Spatiotemporal postural control deficits are present in those with chronic ankle instability. BMC Musculoskelet Disord, 2008, 9: 76.
    1. Wikstrom EA, Naik S, Lodha N, et al. : Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Med Sci Sports Exerc, 2009, 41: 1287–1295.
    1. Lephart SM, Pincivero DM, Giraldo JL, et al. : The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med, 1997, 25: 130–137.
    1. Ross SE, Guskiewicz KM, Yu B: Single-leg jump-landing stabilization times in subjects with functionally unstable ankles. J Athl Train, 2005, 40: 298–304.
    1. Rozzi SL, Lephart SM, Sterner R, et al. : Balance training for persons with functionally unstable ankles. J Orthop Sports Phys Ther, 1999, 29: 478–486.
    1. Lee JP, Kim JY, Lee KT: Effects of ballet participation on foot joint angles, isokinetic strength and proprioception in female. Korean J Sports Med, 2008, 26: 146–153.
    1. Hertel J, Braham RA, Hale SA, et al. : Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. J Orthop Sports Phys Ther, 2006, 36: 131–137.
    1. Gribble PA, Hertel J, Denegar CR: Chronic ankle instability and fatigue create proximal joint alterations during performance of the Star Excursion Balance Test. Int J Sports Med, 2007, 28: 236–242.
    1. Anandacoomarasamy A, Barnsley L: Long term outcomes of inversion ankle injuries. Br J Sports Med, 2005, 39: e14, discussion e14.
    1. Willems T, Witvrouw 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. Kim BJ, Lee JH, Kim CT, et al. : Effects of ankle balance taping with kinesiology tape for a patient with chronic ankle instability. J Phys Ther Sci, 2015, 27: 2405–2406.
    1. Sim YJ, Byun YH, Yoo J: Comparison of isokinetic muscle strength and muscle power by types of warm-up. J Phys Ther Sci, 2015, 27: 1491–1494.
    1. Jeon KK, Kim TY, Lee SH: The effects of a strategic strength resistance exercise program on the isokinetic muscular function of the ankle. J Phys Ther Sci, 2015, 27: 3295–3297.
    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. Eamonn D: Neuromuscular contributions to functional instability of the ankle joint. J Bodyw Mov Ther, 2007, 11: 203–213.
    1. Arnold BL, De La Motte S, Linens S, et al. : Ankle instability is associated with balance impairments: a meta-analysis. Med Sci Sports Exerc, 2009, 41: 1048–1062.
    1. Chun SY: Comparative of angle of calcaneus, balance, circumference of calf and isokinetic strength of ankle on athletic performances in soccer players. Korean J Sports Sci, 2015, 24: 1101–1110.
    1. Cha YJ: Isokinetic training effect of ankle positions on knee extensor strength. J Phys Ther Sci, 2014, 26: 1465–1467.
    1. Armour T, Forwell L, Litchfield R, et al. : Isokinetic evaluation of internal/external tibial rotation strength after the use of hamstring tendons for anterior cruciate ligament reconstruction. Am J Sports Med, 2004, 32: 1639–1643.
    1. Son SM, Kang KW, Lee NK, et al. : Influence of isokinetic strength training of unilateral ankle on ipsilateral one-legged standing balance of adults. J Phys Ther Sci, 2013, 25: 1313–1315.
    1. Plisky PJ, Gorman PP, Butler RJ, et al. : The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther, 2009, 4: 92–99.

Source: PubMed

Спонсоры и соавторы

Заболевания

Медикаментозные вмешательства

Подписаться