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Uphill treadmill running and joint mobilization improve dynamic stability and ankle dorsiflexion range of motion in young adults with chronic ankle instability: A four-arm randomized controlled trial.
Lao, Yongjie; Zeng, Zimei; Yu, Zhenni; Gu, Yu; Jia, Yixiao; Liu, Jianxiu; Ruan, Bing.
Afiliación
  • Lao Y; School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China; Division of Sports Science and Physical Education, Tsinghua University, Beijing, China.
  • Zeng Z; School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
  • Yu Z; School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
  • Gu Y; School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
  • Jia Y; School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
  • Liu J; Division of Sports Science and Physical Education, Tsinghua University, Beijing, China. Electronic address: liujianxiu@mail.tsinghua.edu.cn.
  • Ruan B; School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China; Key Laboratory for Performance Training & Recovery of General Administration of Sport, Beijing Sport University, Beijing, China. Electronic address: ruanbing@bsu.edu.cn.
Arch Phys Med Rehabil ; 2024 Sep 18.
Article en En | MEDLINE | ID: mdl-39304079
ABSTRACT

OBJECTIVE:

To observe the effect of uphill running and the combined effect of uphill running plus joint mobilizations on dynamic stability and ankle dorsiflexion in young adults with chronic ankle instability (CAI).

DESIGN:

Four-arm randomized controlled trial

SETTING:

A college rehabilitation center

PARTICIPANTS:

Individuals with CAI (N=73).

INTERVENTIONS:

Participants were randomly assigned to four groups combined uphill running and joint mobilization (URJM), uphill running alone (UR), joint mobilization alone (JM), and control group. The URJM and UR groups received 20-minute running sessions, and the URJM and JM groups received ankle joint mobilizations, all three times a week for 4 weeks. MAIN OUTCOME

MEASURES:

Cumberland ankle instability tool (CAIT) and Y-balance test (YBT) in anterior, posteromedial (PM), and posterolateral (PL) directions for dynamic stability; Weight-bearing lunge test and non-weight-bearing ankle dorsiflexion degree using a goniometer (NWBG) for dorsiflexion.

RESULTS:

The UR group showed significant improvements in CAIT, YBT-PL, YBT-PM, and NWBG compared to the control group. The URJM group demonstrated large treatment effects in NWBG compared to both UR and JM groups. Responder analysis indicated that UR, JM, and URJM group had a higher likelihood of achieving clinically significant changes (exceeding minimal detectable change or minimal clinically important difference) in CAIT, YBT-PM, YBT-PL, and NWBG compared to the control group. Additionally, the combination of UR and JM was superior to either intervention alone for NWBG, with success rates 1.55 times greater than UR alone and 2.08 times greater than JM alone.

CONCLUSION:

A 4-week UR program improves the subjective feeling of instability, dynamic postural control, and ankle dorsiflexion in young adults with CAI. Compared to UR or JM alone, their combined application can better improve the non-weight-bearing ankle dorsiflexion range of motion.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arch Phys Med Rehabil Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arch Phys Med Rehabil Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos