Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

The Effect of a Balance Training Programme on the Risk of Ankle Sprains in High School Athletes


Affiliations
1 Shri K K Sheth Physiotherapy College, Rajkot, Gujarat, India
     

   Subscribe/Renew Journal


Background&Objective: Ankle sprains are common sporting injuries that often lead to chronic pain, swelling, and functional instability that leads to physical limitations in sports performance. The Star Excursion Balance Test (SEBT) and Cumberland Ankle Instability Tool (CAIT) are commonly used to quantify the severity of balance impairments associated with FAI. Fewer reviews revealed moderate or limited evidence in favour of balance training programs to reduce the severity of initial or subsequent ankle sprains in subjects with functional instability.

Method: The study was conducted on 60 subjects with lateral ankle sprain with a mean age of 15.6500 ±1.79288 (SD) years.Subjects participated in a 4 week balance training programme based on a compilation of the rehabilitation and balance validated and published in prior studies. SEBT and CAIT score were taken to measure severity of FAI during pre and post balance training programme.

Results: The significant difference were found in reach distance of SEBT test score in direction of anterior ( t = -18.440, p < 0.05), posterior (t = -12.282, p < 0.05), lateral (t = -25.556, p < 0.05), medial (t = -15.419, p < 0.05), AL (t = -0.826, p < 0.05), PM (t = -12.280, p < 0.05) PL (t = -14.587, p < 0.05) and CAIT score (t = -46.542, p<0.05) while reach distance in AM (t = -0.826, p < 0.416) direction showed insignificant difference after post balance training.

Conclusion: A balance training program will significantly reduce the risk of ankle sprains in high school athletes with lateral ankle sprain.


Keywords

Ankle Sprain, Balance Training, SEBT, CAIT
Subscription Login to verify subscription
User
Notifications
Font Size


  • Fong, D. T., Y. Hong, L. K. Chan, P. S. Yung, and K. M. Chan. A systematic review on ankle injury and ankle sprain in sports. Sports Med 2007 ; 37: 73-94.

  • Timothy A. McGuine and James S. Keen. The Effect of a Balance Training Program on the Risk of Ankle Sprains in High School Athletes. American Journal of Sports Medicine 2006 ; 34 (7).

  • LaBella, C. R. Common acute sports related lower extremity injuries in children and adolescents. Clinical Pediatric Emergency Medicine 2007; 12 .

  • Bernier PM, Chua R, Franks IM. Is proprioception caliberated during visually guided movement? Exp Brain Res 2005; 167(2): 292-6.

  • Klenerman L. The management of the sprained ankle. Journal of Bone and Joint Surgery 1998; 80:11–2.

  • Marcos de Noronha, Kathryn M Refshauge,Sharon L Kilbreath and Jack Crosbie. Loss of proprioception or motor control is not related to functional ankle instability: an observational study. Australian Journal of Physiotherapy. 53: 193-198.

  • Eils E, Rosenbaum D. A multi-station proprioceptive exercise program in patients with ankle instability. Med Sci Sports Exerc 2001 ; 33:1991–8.

  • Freeman, M. A., M. R. Dean .The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br 1965; 47(4): 678-85.

  • Santos MJ, Lui W. Possible factors related to functional ankle instability. Journal of Orthopaedic Sports Physiotherapy 2008; 38(3): 150-7.

  • Irrgang, J., S. Whitney and E. Cox. Balance and proprioceptive training for rehabilitation of the lower extremity. J of Sport Rehab 1994; 3:68

  • Holm I, Fosdahl MA, Friis A, Risberg MA, Myklebust G, Steen H. Effect of neuromuscular training on proprioception, balance, muscle strength, and lower limb function in female team handball players. Clin J Sport Med.2004 Mar;14(2):88-94.

  • Jens Ulrik Wester, Stig Mindedahl jespersen,Keld Daubjerg Nielsen, Lars Neumann. Wobble Board Training After Partial Sprains of the Lateral Ligaments of the Ankle: A Prospective Randomized Study. OSPT 1996; 23 (5)

  • Phillip A. Gribble and Jay Hertel . Considerations for normalizing measures of the star excursion balance test. Measurement in physical education and exercise science 2003;7(2): 89–100.

  • Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: A report of validity and reliability testing. Sep 2006 ;87(9):1235-41.

  • T H Trojian, D B McKeag. Single leg balance test to identify risk of ankle sprains. Br J Sports Med 2006;40:610-3.

  • Verhagen E, Van der Beek A, Twisk J, Bouter L, Bahr R, Van Mechelen W. The effect of a proprioceptive balance board training program for the prevention of ankle sprains. Am J Sports Med. 2004;32: 1385-93.

  • Ross SE, Guskiewicz KM, Yu B: Single-leg jumplanding stabilization times in subjects with functionally unstable ankles. Journal of Athletic Training 2005, 40(4):298-304.


Abstract Views: 416

PDF Views: 0




  • The Effect of a Balance Training Programme on the Risk of Ankle Sprains in High School Athletes

Abstract Views: 416  |  PDF Views: 0

Authors

Nandani Milin
Shri K K Sheth Physiotherapy College, Rajkot, Gujarat, India
Hardik Trivedi
Shri K K Sheth Physiotherapy College, Rajkot, Gujarat, India
Sarlaben Bhatt
Shri K K Sheth Physiotherapy College, Rajkot, Gujarat, India

Abstract


Background&Objective: Ankle sprains are common sporting injuries that often lead to chronic pain, swelling, and functional instability that leads to physical limitations in sports performance. The Star Excursion Balance Test (SEBT) and Cumberland Ankle Instability Tool (CAIT) are commonly used to quantify the severity of balance impairments associated with FAI. Fewer reviews revealed moderate or limited evidence in favour of balance training programs to reduce the severity of initial or subsequent ankle sprains in subjects with functional instability.

Method: The study was conducted on 60 subjects with lateral ankle sprain with a mean age of 15.6500 ±1.79288 (SD) years.Subjects participated in a 4 week balance training programme based on a compilation of the rehabilitation and balance validated and published in prior studies. SEBT and CAIT score were taken to measure severity of FAI during pre and post balance training programme.

Results: The significant difference were found in reach distance of SEBT test score in direction of anterior ( t = -18.440, p < 0.05), posterior (t = -12.282, p < 0.05), lateral (t = -25.556, p < 0.05), medial (t = -15.419, p < 0.05), AL (t = -0.826, p < 0.05), PM (t = -12.280, p < 0.05) PL (t = -14.587, p < 0.05) and CAIT score (t = -46.542, p<0.05) while reach distance in AM (t = -0.826, p < 0.416) direction showed insignificant difference after post balance training.

Conclusion: A balance training program will significantly reduce the risk of ankle sprains in high school athletes with lateral ankle sprain.


Keywords


Ankle Sprain, Balance Training, SEBT, CAIT

References