Balance Training Does Not Alter Reliance on Visual Information during Static Stance in Those with Chronic Ankle Instability: A Systematic Review with Meta-Analysis

2017 ◽  
Vol 48 (4) ◽  
pp. 893-905 ◽  
Author(s):  
Kyeongtak Song ◽  
Evan Rhodes ◽  
Erik A. Wikstrom
Keyword(s):  
Systematic Review ◽  
Visual Information ◽  
Ankle Instability ◽  
Meta Analysis ◽  
Balance Training ◽  
Chronic Ankle Instability

scholarly journals Effectiveness of balance training in patients with chronic ankle instability: protocol for a systematic review and meta-analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e053755
Author(s):  
Ju Wang ◽  
Di Zhang ◽  
Tianyu Zhao ◽  
Jiang Ma ◽  
Song Jin
Keyword(s):  
Systematic Review ◽  
Ankle Instability ◽  
Meta Analysis ◽  
Balance Training ◽  
Chronic Ankle Instability ◽  
Sensitivity Analyses ◽  
Cochrane Library ◽  
Ankle Sprains ◽  
China National Knowledge Infrastructure ◽  
Lateral Ankle

IntroductionLateral ankle sprains are one of the most common musculoskeletal injuries. Up to 70% of individuals who sustain lateral ankle sprains develop chronic ankle instability (CAI). Balance training has been used in patients with CAI, but the evidence for its efficacy is inconsistent. This systematic review and meta-analysis aims to determine the short-term (end of the treatment period) and long-term (6 months after treatment) effectiveness of balance training for patients with CAI.Methods and analysisWe will search PubMed, EMBASE, the Cochrane Library, Ovid, EBSCO-host, Pedro, ClinicalKey, ScienceDirect, Springer, China National Knowledge Infrastructure, Technology Periodical Database (VIP), WanFang Data and China Biology Medicine for reports of randomised trials of balance training in patients with CAI, from inception to 1 October 2021. The language will be restricted to English and Chinese, and articles will be screened and collected by two reviewers independently. Dynamic balance and functional ankle instability are the primary outcomes of this study. Secondary outcomes include pain, ankle range of motion, ankle strength and health-related quality of life. Review Manager V.5.3 software will be used for meta-analysis, and stratification analysis will be conducted for study quality according to the Jadad score. Subgroup and sensitivity analyses will be conducted. Grading of Recommendations, Assessment, Development and Evaluation will be used to assess confidence in the cumulative evidence. The protocol follows the Cochrane Handbook for Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols guidelines.Ethics and disseminationEthical approval is not required for literature-based studies. The results will be disseminated through peer-reviewed publications.

Is chronic ankle instability associated with impaired muscle strength? Ankle, knee and hip muscle strength in individuals with chronic ankle instability: a systematic review with meta-analysis

2020 ◽  
Vol 54 (14) ◽  
pp. 839-847 ◽  
Author(s):  
Nafiseh Khalaj ◽  
Bill Vicenzino ◽  
Luke James Heales ◽  
Michelle D Smith
Keyword(s):  
Systematic Review ◽  
Muscle Strength ◽  
Lower Limb ◽  
Ankle Instability ◽  
Meta Analysis ◽  
Sample Size Calculation ◽  
Chronic Ankle Instability ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Kinetic Chain

ObjectiveDetermine whether impairments in lower limb muscle strength exist in individuals with chronic ankle instability (CAI) compared with uninjured controls.DesignSystematic review with meta-analysis.Data sourceA comprehensive search of PubMed, Cochrane, CINAHL, Web of Science and EMBASE electronic databases from inception to 10 February 2019.Eligibility criteria for selecting studiesCross-sectional and case–control studies were included if they objectively measured lower limb muscle strength in individuals with CAI compared with controls. Risk of bias and quality of included studies were assessed. Data of included studies were extracted, and meta-analysis was conducted where appropriate.Results12 397 unique studies were identified, of which 20 were included and 16 were eligible for meta-analysis. Reviewed studies clearly described the aim/hypothesis and main outcome measure, but most lacked sample size calculation and assessor blinding. Meta-analyses showed individuals with CAI had lower eccentric and concentric evertor strength (30 and 120°/s; Nm; standardised mean difference (SMD) between −0.73 and −0.95), eccentric invertor strength (60 and 120°/s; both Nm and Nm/kg; SMD between −0.61 and −1.37), concentric invertor strength (60 and 120°/s; Nm; SMD=−0.7) and concentric knee extensor strength (SMD=−0.64) compared with control participants. Ankle eccentric dorsiflexor strength was not different between groups. Although pooling was not possible, data from three separate studies indicated that hip flexor, abductor and external rotator strength, but not hip adductor and extensor strength, was lower in individuals with CAI than in control participants.ConclusionIndividuals with CAI have ankle inversion and eversion strength deficits. Our data also point to differences between individuals with CAI and controls in hip and knee strength. These elements of the kinetic chain should be evaluated by clinicians who rehabilitate individuals with CAI.PROSPERO registration numberCRD42016037759.

scholarly journals Factors Contributing to Chronic Ankle Instability: A Systematic Review and Meta-Analysis of Systematic Reviews

2017 ◽  
Vol 48 (1) ◽  
pp. 189-205 ◽  
Author(s):  
Cassandra Thompson ◽  
Siobhan Schabrun ◽  
Rick Romero ◽  
Andrea Bialocerkowski ◽  
Jaap van Dieen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Ankle Instability ◽  
Meta Analysis ◽  
Chronic Ankle Instability
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