The Effects of Balance Training on Postural Sensory Organization against External Disturbances in People with Chronic Ankle Instability
Authors
-
Hadi Miri
Department of Physical Education and Sport Sciences, Amirkabir University of Technology, Tehran, Iran.
https://orcid.org/0000-0002-2628-422X
-
Seyed Sadrodin Shojaedin
Department of Biomechanics and Sports Injury, School of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran.
https://orcid.org/0000-0002-9428-685X
-
Amirhossein Barati
Department of Sports Injury, School of Physical Education and Sport Sciences Shahid Beheshti University, Tehran, Iran.
https://orcid.org/0000-0002-9952-5557
-
Malihe Hadadnezhad
Department of Biomechanics and Sports Injury, School of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran.
https://orcid.org/0000-0002-5826-1524
-
Shahram Ahajan
Department of Physical Education and Sport Sciences, Amirkabir University of Technology, Tehran, Iran.
https://orcid.org/0000-0003-3047-3266
DOI:
https://doi.org/10.22100/ijhs.v9i1.945Keywords:
Balance training, Sensory organization, External disturbances, Chronic ankle instabilityAbstract
Background: Injury to the ankle sensorimotor control system and impairment in the integration of sensory information and awareness of the sense of motion is an important factor in reducing balance and consequently re-injury. This study aimed to investigate the effects of balance training on postural sensory organization against external disturbances in people with chronic ankle instability.
Methods: In this quasi-experimental study, 30 male athletes with chronic ankle instability purposefully selected and randomly divided into experimental and control groups. Both groups were pre-tested and the experimental group had six weeks of balance training. Against the perturbation, post-test performed again on both groups, using a dynamic computerized post-chromography device to measure postural organization. Data were analyzed using analysis of covariance. Statistical operations performed by SPSS software version 22 at a significant level of 0.05.
Results: The score of postural sensory organization in the experimental group in the first condition is higher than other conditions and in the sixth condition is lower than other conditions. The mean score of postural sensory organization in the exercise group was significant compared to the control group (Pvalue≤0.05).
Conclusion: The results showed that the subjects in the exercise group had better sensory organization against external disturbances than the control group. Motion control and faster sending of sensory information, which ultimately leads to improved postural sensory organization.
Keywords: Balance training, Sensory organization, External disturbances, Chronic ankle instability
References
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11. Zech A., Hübscher M., Vogt L., Banzer W., Hänsel F., Pfeifer K (2010). “Balance training for neuromuscular control and performance enhancement: a systematic review”, Journal of athletic training, 45(4): 392.
12. Moradi k., Minoonejad H., Rajabi R (2015). “The immediate effect of core stability exercises on postural sway in athletes with functional ankle instability”, J Rehab Med; 4(3): 101-110. (In Persian)
13. Munn J BD, Refshauge KM, Lee RW. . Do functional performance tests detect impairment in subjects with ankle instability? . J Sport Rehabil. 2002;11(1):10.
14. Demeritt KM SS, Docherty CL, Gansneder BM, Perrin DH. Chronic ankle instability does not affect lower extremity functional performance. J Athl Train. 2002;37(4):5.
15. Gribble P, Hertel J, Denegar C, Buckley W. The effects of fatigue and chronic ankle instability on dynamic postural control. J Athl Train. 2004;39:8.
16. Della Volpe R PT, Ginanneschi F, et al. Changes in coordination of postural control during dynamic stance in chronic low back pain patients. Gaitposture. 2006;24(3):6.
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18. Chong RK, A. Ambrose, J. Carzoli, L. Hardison, and B. Jacobson,. Source of improvement in balance control after a training program for ankle proprioception. Percept Mot Skills. 2001;92(1):7.
19. Suda EY, C. F. Amorim, and C. Sacco Ide. Influence of ankle functional instability on the ankle electromyography during landing after volleyball blocking. J Electromyogr Kinesiol,. 2009;19(2):9.
20. Akhbari B, Ismail Ebrahimi Takamjani, Mahyar Salavati, and Mohammad Ali Sanjari. A 4-week biodex stability exercise program improved ankle musculature onset, peak latency and balance measures in functionally unstable ankles. Physical Therapy in Sport. 2007;8(3):12.
21. Rnaldi NM1 PP, Barela JA. . Age-related changes in postural control sensory reweighting. Neurosci Lett. 2009;46(3):4.
22. Ferber-Viart C, Ionescu E, Morlet T, Froehlich P, Dubreuil C. Balance in healthy individuals assessed with Equitest: Maturation and normative data for chil-dren and young adults. Int J Pediatr Otorhi 2007;71(6):1041.
23. Cruz-Diaz D L-VR, Osuna-Pérez MC, Contreras FH, Martínez-Amat A. Effects of 6 Weeks of Balance Training on Chronic Ankle Instability in Athletes: A Randomized Controlled Trial. Int J Sports Med. 2015Aug;36(9):6.
24. Sethy D KE, Sau K. Effect of balance exercise on balance control in unilateral lower limb amputees. Indian J Physiother Occup Ther. 2009;7(3):5.
25. MH. W. Systems contributing to balance disorders in older adults. J Gerontol A Biol Sci Med Sci. 2000;55(8):6.
26. Benjuya N MI, Kaplanski J. Aging-induced shift from a reliance on sensory input to muscle cocontraction during balanced standing. J Gerontol A Biol Sci Med Sci. 2004;59(2):5.
27. Bolger D TL, Sawers A. Individuals with transtibial limb loss use interlimb force asymmetries to maintain multi-directional reactive balance control. . Clin Biomech. 2014;29(9):8.
28. Asadi, M. The effect of eight weeks of ICH training on balance, profundity and performance of elite female athletes with functional ankle instability. Journal of Rehabilitation Medicine: 2021.
29. Hosseinzadeh, F, Norsteh, AA. Comparison of two types of hopping and strength training - balance on selected muscle strength and static and dynamic balance of athletes with chronic ankle instability. Journal of Rehabilitation Medicine: 2020.
30. Day B., Steiger M., Thompson P., Marsden C (2013). “Effect of vision and stance width on human body motion when standing: implications for afferent control of lateral sway”, The Journal of physiology, 469 (1): 479-499.
31. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006;35.
32. Windhorst U. Muscle proprioceptive feedback and spinal networks. Brain Res Bull. 2007;73(4-6).
33. Vuillerme N, Nougier, V., and Prieur, J.M. Can vision compensate for a lower limbs muscular fatigue for controlling posture in humans? Neurosci Lett. 2001;308(2).
34. Nardone A, Tarantola, J., Giordano, A., and Schieppati, M. Fatigue effects on body balance, Electroencephalogr. Clin Neurophysiol. 1997;105(4).
35. Paillard T, . Rev. Effects of general and local fatigue on postural control: a review,. Neurosci Biobehav. 2012;36(1).
36. Oliva Domı´nguez M BMJ, Dan˜ino Gonza´ lez JL, Danوino Gonza´ lez G, Roquette Gaona J, Bartual Pastor J. Control postural segu n la edad en p,cientes con vertigo posicional paroxı´stico benigno. Acta Otorrinolaringol Esp. 2005;56:6.
36. Hirabayashi S, Iwasaki Y. Developmental perspective of sensory organization on postural control. Brain Dev. 1995;17(2):8.
37. Kunugi S, Masunari A, Yoshida N, Miyakawa S. Postural stability and lower leg muscle activity during a diagonal single-leg landing differs in male collegiate soccer players with and without functional ankle instability. The Journal of Physical Fitness and Sports Medicine 2017; 6(4): 257-265.
38. Ihara H NA. Dynamic joint control training for knee ligament injuries. Am J Sports Med. 1986;14(4):6.
39. Behm D AK, Curnew R. Muscle force and activation under stable and unstable conditions. J Strength Cond Res. 2002;16(3):6.
40. Rankin BL, Buffo SK, Dean JC. A neuromechanical strategy for mediolateral foot placement in walking humans. Journal of neurophysiology 2014; 112(2):374-383.
41. Wu X, Song W, Zheng C, Zhou S, Bai S. Morphological study of mechanoreceptors in collateral ligaments of the ankle joint. Journal of orthopaedic surgery and research 2015; 10(1): 92.
42. Terada M, Bowker S, Hiller C, Thomas A. et al. Quantifying levels of function between different subgroups of chronic ankle instability. Scandinavian journal of medicine & science in sports 2017; 27(6):650-660.
2. Waterman BR, Owens BD, Davey S, Zacchilli MA, Belmont Jr PJ. The epidemiology of ankle sprains in the United States. JBJS 2010; 92(13): 2279-2284.
3. Ghorbani M. Neuromuscular responses of patients with acute ankle instability in balance recovery. Mashhad Journal of Paramedical Sciences and Rehabilitation. 2014 3 (2).
4. Springer S, Giladi N, Peretz C, Yogev G, Simon ES, Hausdorff JM. Dual-tasking effects on gait variability: The role of aging, falls, and executive function. Movement Disorders. 2006; 21(7):950–7. doi: 10.1002/mds.20848
5.James CR, Joseph A Herman, Janet S Dufek, and Barry T Bates,. Number of trials necessary to achieve performance stability of selected ground reaction force variables during landing. J Spor Sci & Med. 2007;6(1):8.
6. Fu SNaCWH-C, Modulation of prelanding lower-limb muscle responses in athletes with multiple ankle sprains. Med Sci Sports Exerc. 2007;39(10):9.
7. Trojian T, McKeag D. Single leg balance test to identify risk of ankle sprains. Br J Sports Med. 2006;40(7).
8. Fong D, Hong Y, Chan L, Yung P, Chan K. A systematic review on ankle injury and ankle sprain in sports. J Sports Med. 2007;37(1):21.
9. Sahli S, Ghroubi S, Rebai H, Chaâbane M, Yahia A, Pérennou D. The effect of circus activity training on postural control of 5-6-year-old children. SCI Sports. 2013;28(1):5.
10. Faraldo-Garcı´a A, Santos-Pe´rez S, Crujeiras-Casais R, Labella-Caballero T, Varela AS-. Influence of age and gender in the sensory analysis of balance control. Eur Arch Otorhinolaryngol. 2012;269(4):673.
11. Zech A., Hübscher M., Vogt L., Banzer W., Hänsel F., Pfeifer K (2010). “Balance training for neuromuscular control and performance enhancement: a systematic review”, Journal of athletic training, 45(4): 392.
12. Moradi k., Minoonejad H., Rajabi R (2015). “The immediate effect of core stability exercises on postural sway in athletes with functional ankle instability”, J Rehab Med; 4(3): 101-110. (In Persian)
13. Munn J BD, Refshauge KM, Lee RW. . Do functional performance tests detect impairment in subjects with ankle instability? . J Sport Rehabil. 2002;11(1):10.
14. Demeritt KM SS, Docherty CL, Gansneder BM, Perrin DH. Chronic ankle instability does not affect lower extremity functional performance. J Athl Train. 2002;37(4):5.
15. Gribble P, Hertel J, Denegar C, Buckley W. The effects of fatigue and chronic ankle instability on dynamic postural control. J Athl Train. 2004;39:8.
16. Della Volpe R PT, Ginanneschi F, et al. Changes in coordination of postural control during dynamic stance in chronic low back pain patients. Gaitposture. 2006;24(3):6.
17. J. H. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clin Sports Med. 2008;27(3):17.
18. Chong RK, A. Ambrose, J. Carzoli, L. Hardison, and B. Jacobson,. Source of improvement in balance control after a training program for ankle proprioception. Percept Mot Skills. 2001;92(1):7.
19. Suda EY, C. F. Amorim, and C. Sacco Ide. Influence of ankle functional instability on the ankle electromyography during landing after volleyball blocking. J Electromyogr Kinesiol,. 2009;19(2):9.
20. Akhbari B, Ismail Ebrahimi Takamjani, Mahyar Salavati, and Mohammad Ali Sanjari. A 4-week biodex stability exercise program improved ankle musculature onset, peak latency and balance measures in functionally unstable ankles. Physical Therapy in Sport. 2007;8(3):12.
21. Rnaldi NM1 PP, Barela JA. . Age-related changes in postural control sensory reweighting. Neurosci Lett. 2009;46(3):4.
22. Ferber-Viart C, Ionescu E, Morlet T, Froehlich P, Dubreuil C. Balance in healthy individuals assessed with Equitest: Maturation and normative data for chil-dren and young adults. Int J Pediatr Otorhi 2007;71(6):1041.
23. Cruz-Diaz D L-VR, Osuna-Pérez MC, Contreras FH, Martínez-Amat A. Effects of 6 Weeks of Balance Training on Chronic Ankle Instability in Athletes: A Randomized Controlled Trial. Int J Sports Med. 2015Aug;36(9):6.
24. Sethy D KE, Sau K. Effect of balance exercise on balance control in unilateral lower limb amputees. Indian J Physiother Occup Ther. 2009;7(3):5.
25. MH. W. Systems contributing to balance disorders in older adults. J Gerontol A Biol Sci Med Sci. 2000;55(8):6.
26. Benjuya N MI, Kaplanski J. Aging-induced shift from a reliance on sensory input to muscle cocontraction during balanced standing. J Gerontol A Biol Sci Med Sci. 2004;59(2):5.
27. Bolger D TL, Sawers A. Individuals with transtibial limb loss use interlimb force asymmetries to maintain multi-directional reactive balance control. . Clin Biomech. 2014;29(9):8.
28. Asadi, M. The effect of eight weeks of ICH training on balance, profundity and performance of elite female athletes with functional ankle instability. Journal of Rehabilitation Medicine: 2021.
29. Hosseinzadeh, F, Norsteh, AA. Comparison of two types of hopping and strength training - balance on selected muscle strength and static and dynamic balance of athletes with chronic ankle instability. Journal of Rehabilitation Medicine: 2020.
30. Day B., Steiger M., Thompson P., Marsden C (2013). “Effect of vision and stance width on human body motion when standing: implications for afferent control of lateral sway”, The Journal of physiology, 469 (1): 479-499.
31. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006;35.
32. Windhorst U. Muscle proprioceptive feedback and spinal networks. Brain Res Bull. 2007;73(4-6).
33. Vuillerme N, Nougier, V., and Prieur, J.M. Can vision compensate for a lower limbs muscular fatigue for controlling posture in humans? Neurosci Lett. 2001;308(2).
34. Nardone A, Tarantola, J., Giordano, A., and Schieppati, M. Fatigue effects on body balance, Electroencephalogr. Clin Neurophysiol. 1997;105(4).
35. Paillard T, . Rev. Effects of general and local fatigue on postural control: a review,. Neurosci Biobehav. 2012;36(1).
36. Oliva Domı´nguez M BMJ, Dan˜ino Gonza´ lez JL, Danوino Gonza´ lez G, Roquette Gaona J, Bartual Pastor J. Control postural segu n la edad en p,cientes con vertigo posicional paroxı´stico benigno. Acta Otorrinolaringol Esp. 2005;56:6.
36. Hirabayashi S, Iwasaki Y. Developmental perspective of sensory organization on postural control. Brain Dev. 1995;17(2):8.
37. Kunugi S, Masunari A, Yoshida N, Miyakawa S. Postural stability and lower leg muscle activity during a diagonal single-leg landing differs in male collegiate soccer players with and without functional ankle instability. The Journal of Physical Fitness and Sports Medicine 2017; 6(4): 257-265.
38. Ihara H NA. Dynamic joint control training for knee ligament injuries. Am J Sports Med. 1986;14(4):6.
39. Behm D AK, Curnew R. Muscle force and activation under stable and unstable conditions. J Strength Cond Res. 2002;16(3):6.
40. Rankin BL, Buffo SK, Dean JC. A neuromechanical strategy for mediolateral foot placement in walking humans. Journal of neurophysiology 2014; 112(2):374-383.
41. Wu X, Song W, Zheng C, Zhou S, Bai S. Morphological study of mechanoreceptors in collateral ligaments of the ankle joint. Journal of orthopaedic surgery and research 2015; 10(1): 92.
42. Terada M, Bowker S, Hiller C, Thomas A. et al. Quantifying levels of function between different subgroups of chronic ankle instability. Scandinavian journal of medicine & science in sports 2017; 27(6):650-660.
Published
2022-02-28
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How to Cite
The Effects of Balance Training on Postural Sensory Organization against External Disturbances in People with Chronic Ankle Instability. (2022). International Journal of Health Studies (Undergoing Change to Shahroud Journal of Medical Sciences), 9(1), 17-21. https://doi.org/10.22100/ijhs.v9i1.945
