The Effect of a Balance Training Program on the Risk of Ankle Sprains in High School Athletes

University of Wisconsin, Hospital and Clinics, Sports Medicine Center, Madison, Wisconsin, USA.
The American Journal of Sports Medicine (Impact Factor: 4.36). 08/2006; 34(7):1103-11. DOI: 10.1177/0363546505284191
Source: PubMed


Ankle sprains are the most common musculoskeletal injuries that occur in athletes, and they have a profound impact on health care costs and resources.
A balance training program can reduce the risk of ankle sprains in high school athletes.
Randomized controlled clinical trial; Level of evidence, 1.
Seven hundred and sixty-five high school soccer and basketball players (523 girls and 242 boys) were randomly assigned to either an intervention group (27 teams, 373 subjects) that participated in a balance training program or to a control group (28 teams, 392 subjects) that performed only standard conditioning exercises. On-site athletic trainers recorded athlete exposures and sprains.
The rate of ankle sprains was significantly lower for subjects in the intervention group (6.1%, 1.13 of 1000 exposures vs 9.9%, 1.87 of 1000 exposures; P = .04). Athletes with a history of an ankle sprain had a 2-fold increased risk of sustaining a sprain (risk ratio, 2.14), whereas athletes who performed the intervention program decreased their risk of a sprain by one half (risk ratio, 0.56). The ankle sprain rate for athletes without previous sprains was 4.3% in the intervention group and 7.7% in the control group, but this difference was not significant (P = .059).
A balance training program will significantly reduce the risk of ankle sprains in high school soccer and basketball players.

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Available from: Timothy A. McGuine, Sep 28, 2015
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    • "Moreover, ankle injuries not only lead to a loss of participation in sport, but they also have a major impact on the health care system with nearly 1 million people in the United States estimated to attend emergency rooms and clinics due to ankle injuries every year (McGuine & Keene, 2006; Papadopoulos et al., 2005). Sports involving running, jumping and cutting movements have been reported to have the highest percentage of ankle injuries (McGuine & Keene, 2006; Papadopoulos et al., 2005). "
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    ABSTRACT: Muscle weakness is considered a risk factor for ankle injury. Balance training and barefoot running have been used in an attempt to strengthen the muscles crossing the ankle. It is expected that training tasks that successfully strengthen the ankle would elicit increased muscular activity. However, it is unknown how an individual's ankle strength will influence the muscle activity used during a given task. Twenty-six participants performed dynamic (shod, barefoot running) and static tasks (squat on ground, squat on ®Bosu Ball) believed to strengthen the muscles surrounding the ankle. Electromyographic signals of the tibialis anterior, peroneus longus, gastrocnemius lateralis (GL) and gastrocnemius medialis (GM) were recorded and analysed using a non-linearly scaled wavelet analysis. Participants were divided into a strong group and a weak group according to their isometric plantar-flexion torque. The weak group required more relative GL and GM muscle activity during each training task compared to the strong group. No difference was observed between shod and barefoot running. There was a significant effect of training task on muscle activation level for the weak group. Differences in ankle strength had a significant impact on muscle activation.
    Journal of Sports Sciences 07/2015; DOI:10.1080/02640414.2015.1072640 · 2.25 Impact Factor
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    • "Previously, investigators have demonstrated that decreased balance performance is associated with increased risks for sports injuries (Hrysomallis, 2007; McGuine, Greene, Best, & Leverson, 2000; Paterno et al., 2010; Plisky, Rauh, Kaminski, & Underwood, 2006; Tropp, Ekstrand, & Gillquist, 1984). In addition, balance training has been shown to decrease the risk factors and rates of sports injuries (Hrysomallis, 2007; McGuine & Keene, 2006; Verhagen et al., 2004), and help to enhance sports performance (Hrysomallis, 2011). Understanding the contributing factors to balance performance in recreational athletes can provide implications on injury prevention and performance training. "
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    ABSTRACT: The purpose of this study was to investigate the effect of time-of-day (morning vs. afternoon) on static and dynamic balance in recreational athletes. A total of 34 recreational athletes completed the single-leg stance test with or without eyes open, lower quarter Y-balance test, upper quarter Y-balance test, and single-leg landing balance test in a random order in the morning (7:00–10:00 am) and afternoon (3:00–6:00 pm) for two consecutive days. Compared with the morning, participants demonstrated decreased centre of pressure (COP) sway areas (p = 0.002; Cohen’s d (d) = 0.28) and sway speeds (p = 0.002; d = 0.17) during the eyes-open single-leg stance test, increased stance time (p = 0.031; d = 0.16) and decreased COP sway areas (p = 0.029; d = 0.22) during the eyes-closed single-leg stance test, and increased reaching distances (p = 0.024; d = 0.10) during the upper quarter Y-balance test in the afternoon. The between-day effect (day 1 vs. day 2) was observed for several parameters. Time-of-day had a minimal effect on dynamic balance and a noticeable effect on static balance. Time-of-day may be considered as a factor in designing balance training programmes and intervention studies for recreational athletes.
    Sports Biomechanics 07/2015; 14(3):361-373. DOI:10.1080/14763141.2015.1084036 · 1.15 Impact Factor
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    • "En este sentido, los resultados de este estudio sugieren que hay mejoras que afectan a la prevención de lesiones articulares, ya que una mayor distancia recorrida en las variables valoradas indica un mayor rango de movimiento, y por tanto una mayor distancia recorrida en cada movimiento permite mayor estabilidad articular, consecuentemente menor riesgo de lesión (Demura & Yamada, 2010; Filipa, Byrnes, Paterno, Myer, & Hewett, 2010; Kinzey & Armstrong, 1998; Plisky et al., 2006). Por el contrario, registros más bajos respecto de la estabilidad postural indican mayores riesgos de lesiones articulares (McGuine & Keene, 2006; Plisky et al., 2006). "
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    ABSTRACT: El objetivo de este estudio fue comparar dos programas de entrenamiento propioceptivo sobre base estable (G1) y base inestable (G2). Durante 5 semanas, 18 jugadores de fútbol profesional se sometieron a un programa de entrenamiento propioceptivo, 9 formaron el G1 y 9 G2. Se aplicó el Standard Excursion Balance Test (Test de Estrella) antes y después de la intervención. Los resultados intragrupo mostraron diferencias significativas en las variables ANT.IZDO; ANTLAT.IZDO; POST.D y ANTMED.D (p<0,005) para el G1 y ANT.D; ANT.IZDO; POSTMED.D; POSTMED.IZDO Y MED.D (p <0,005) para el G2. No se hallaron evidencias significativas entre el entrenamiento en base estable y base inestable para la mejora del equilibrio y la estabilidad.
    Revista Internacional de Medicina y Ciencias de la Actividad Fisica y del Deporte 01/2015; · 0.15 Impact Factor
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