Combined Effects of Strengthening and Proprioceptive Training onStability, Balance, and Proprioception Among Subjects with Chronic Ankle Instability in Different Age Groups: Evaluation of Clinical Outcome Measures.

Abstract

Lateral ankle sprains are among the common injuries in the physically active population in different age groups and progress to chronic ankle instability (CAI). Accordingly, the current study assesses the effectiveness of strengthening and proprioceptive training programs on proprioception and balance in those suffering from CAI. Quasi-experimental design. Thirty-six individuals with self-reported CAI were assigned into three groups based on age: group 1 (23 ± 1.84), group 2 (35.80 ± 1.68), group 3 (44.25 ± 4.86), then performed strength and balance exercises for 6weeks. The study furthermore measured pre- and post-training of joint position sense (JPS), static balance, dynamic balance, chronic ankle instability tool (CAIT) and lower extremity functional scale (LEFS). Statistical analysis showed significant improvement (P < 0.01) on all outcome measures among all groups. In group 1, mainly the plantar flexion JPS improved to 3.7°, while in group 2 and group 3 the eversion JPS improved to 3.1° and 1.78° (P < 0.01). With reference to static balance with one's eyes closed and eyes open, the improvement in group 1 was 4.46, 11.05s, group 2 was 2.23, 7.85s and group 3 was 1.69, 4.68s. In relation to dynamic balance, the development in group 1 was 5.85cm, while group 2 was 4.71cm and group 3 was 2.49cm. Moreover, both CAIT and LEFS showed significant differences (P < 0.01) after training. This study found that combined strengtheningand proprioceptive training effectively improves stability,proprioception, balance, and self-reported functional outcomes.