The Influence of Proprioceptive Training in Foot and Ankle Disability with Chronic Ankle Sprain
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Abstract
Introduction: Chronic ankle sprain is an injury to the lateral complex ligament long lasting with complaints of pain. The chronic inflammation and instability in carrying out activities are caused by ligamentous weakness and decreased function including sensorimotor deficits. It can cause a decrease in proprioception and disability. Meanwhile, foot and ankle disability are characterized by inability to carry out movements and functional activities. Objective: This study is aimed at comparing the effect of proprioception exercise with wobble board that has the same effect with elastic resistance band and to strengthen the ankle muscle in decreasing foot and ankle disability caused by chronic ankle sprain condition. Methods: The study design is true experimental with randomized pre and post test group design for 20 patients (12 men, 8 women, age 21.70±4.90, weight 56.20±5.43, height 158.90±5.15, BMI 20.761±1.86), the training group was done 18 times over 6 weeks using Foot And Ankle Disability Index (FADI) for its measurement. Results: This study reported parametric between statistical analysis and paired sample-test. Hypothesis test showed that the two groups had significant results in decreasing foot and ankle disability, the pre-A group result is 25.90±15.56 and the post group 6.60±5.03. Meanwhile, pre B group averaged 44.90±18.80 and the post group 13.10±10.304 with p-value=0.001 and p-value<0.05. Different test with independent sample t-test produced significant differences from the two groups which are in A group 19.30±12.59, B group 31.10±12.19 and p-value=0.047 in p-value<0.05. Conclusion: In order to provide appropriate treatment, clinicians can use any of the two significant measures with their associated Foot And Ankle Disability Index scores to identify those who could benefit from rehabilitation of chronic ankle sprain according to needs with regards to age, network conditions, workload, and position at work.
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References
1938640013509670.
[2] De Ridder R, Willems TM, Vanrenterghem J, Roosen P. Effect of tape on dynamic postural stability in subjects with chronic ankle instability. Int J Sports Med 2015. doi:10.1055/s-0034-1385884.
[3] Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train 2002. doi:10.1017/
CBO9781107415324.004.
[4] Han K, Ricard MD. Effects of 4 Weeks of Elastic-Resistance Training on Ankle-Evertor Strength and Latency. J Sport Rehabil 2011. doi: 10.1123/jsr.
20.2.157.
[5] O’Driscoll J, Delahunt E. Neuromuscular training to enhance sensorimotor and functional deficits in subjects with chronic ankle instability: A systematic review and best evidence synthesis. Sport Med Arthrosc Rehabil Ther Technol 2011. doi:10.1186/1758-2555-3-19.
[6] Linens SW, Ross SE, Arnold BL, Gayle R, Pidcoe P. Postural-stability tests that identify individuals with chronic ankle instability. J Athl Train 2014. doi:10.4085/1062-6050-48.6.09.
[7] Hertel J. Sensorimotor Deficits with Ankle Sprains and Chronic Ankle Instability. Clin Sports Med 2008. doi:10.1016/j.csm.2008.03.006.
[8] Martin RL, Davenport TE, Paulseth S, Wukich DK, Godges JJ. Ankle Stability and Movement Coordination Impairments: Ankle Ligament Sprains. J Orthop Sport Phys Ther 2013. doi:10.2519/jospt.2013.0305.
[9] Hale SA, Hertel J. Reliability and sensitivity of the foot and ankle disability index in subjects with chronic ankle instability. J Athl Train 2005. doi:10.
1016/j.rvsc.2010.10.016.
[10] Barr KP, Harrast MA. Evidence-based treatment of foot and ankle injuries in runners. Phys Med Rehabil Clin N Am 2005. doi:10.1016/
j.pmr.2005.02.001.
[11] Kisner C, Colby LA. Therapeutic Exercise - Foundations and Techniques. 2013. doi:10.1017/
CBO9781107415324.004.
[12] van der Wees PJ, Lenssen AF, Hendriks EJM, Stomp DJ, Dekker J, de Bie RA. Effectiveness of exercise therapy and manual mobilisation in acute ankle sprain and functional instability: A systematic review. Aust J Physiother 2006. doi:10.1016/S0004-9514(06)70059-9.
[13] Tajima A. The relationship between chronic ankle instability and functional movement impairment in Division I female athletes. 2012.
[14] Clark VM, Burden AM. 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. doi:10.1016/j.ptsp.2005.08.003.
[15] Clark NC, Röijezon U, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Man Ther 2015. doi:10.1016/j.math.2015.01.009.
[16] Hubbard TJ, Kramer LC, Denegar CR, Hertel J. Contributing Factors to Chronic Ankle Instability. Foot Ankle Int 2007. doi:10.3113/fai.2007.0343.
[17] Hupperets MDW, Verhagen EALM, Van Mechelen W. Effect of unsupervised home based proprioceptive training on recurrences of ankle sprain: Randomised controlled trial. BMJ 2009. doi:10.1136/bmj.b2684.
[18] Kim H, Chung E, Lee B-H. A Comparison of the Foot and Ankle Condition between Elite Athletes and Non-athletes. J Phys Ther Sci 2013. doi:10.1589/jpts.25.1269.