EFFECT OF DIFFERENT BALANCE TRAINING PROGRAMS ON POSTURAL CONTROL IN CHRONIC ANKLE INSTABILITY: A RANDOMIZED CONTROLLED TRIAL

Youssef NM1, Abdelmohsen AM1, Ashour AA2, Elhafez NM3, Elhafez SM1
1Faculty of Physical Therapy, Cairo University, Biomechanics, Giza, Egypt, 2Faculty of Physical Therapy, October 6 University, Biomechanics, October City, Egypt, 3Faculty of Physical Therapy, Cairo University, Basic Sciences, Giza, Egypt

Background: Chronic ankle instability (CAI) is a common sequence of ankle sprain. Conservative treatment of CAI is currently accepted as a primary mean of managing the condition and preventing of recurrence.

Purpose: The purpose of the current study was to evaluate the effect of Weight-bearing Exercise for Better Balance (WEBB) program and unilateral balance training exercises on postural control in females with CAI.

Methods: Thirty-five females with CAI participated in this study. The participants´ mean values
of age, body mass, height, and body mass index were 21.76 ± 1.96 y, 64.82 ± 9.37 kg, 161.85 ± 7.24 cm, and 24.76 ± 3.76 kg/m², respectively. They were randomly assigned into three groups: experimental group A (n = 13) who received WEBB program, experimental group B (n = 12) who received unilateral balance training, and control group C (n = 10) using statistical random tables. Balance parameters were measured for all participants via Biodex Balance System (BBS) before and after four weeks of balance training. They included overall stability index (OASI), antero-posterior stability index (APSI), and medio-lateral stability index (MLSI).

Results: There was a significant improvement in the post testing mean values of OASI and APSI, compared with the pre testing values in both experimental groups (A and B). There was no significant difference between the pre and post testing mean values of MLSI in the experimental group (A).

Conclusion(s): Balance training has positive effects on postural control in females with CAI.

Implications: Physical therapists and clinicians could feel confident selecting whichever program (WEBB or unilateral balance training program) according to resources and patient needs in treating females with CAI.

Keywords: Balance training, Postural control, Chronic ankle instability

Funding acknowledgements: no fund

Topic: Human movement analysis; Musculoskeletal: lower limb

Ethics approval required: Yes
Institution: Faculty of Physical Therapy, Cairo University, Egypt
Ethics committee: Pan African Clinical Trial Registry (PACTR)
Ethics number: PACTR201711002727159


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