Effect of therapeutic exercise on posture control and muscular function around ankle in patients with functional ankle instability: a meta-analysis
10.3969/j.issn.1006-9771.2022.11.007
- VernacularTitle:治疗性运动对功能性踝关节不稳姿势控制和踝周肌肉功能影响的Meta分析
- Author:
Liangwei CHAI
1
;
Hua LIU
1
;
Qiuyu HUANG
1
;
Ximei SUN
1
;
Kaiyang LI
1
;
Jing MA
1
Author Information
1. Capital University of Physical Education and Sports, Beijing 100191, China
- Publication Type:Journal Article
- Keywords:
functional ankle instability;
postural control;
muscular function;
exercise;
meta-analysis
- From:
Chinese Journal of Rehabilitation Theory and Practice
2022;28(11):1278-1287
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the effect of exercise on the postural control and muscular function around the ankle in patients with functional ankle instability (FAI) with meta-analysis. MethodsRandomized controlled trials about therapeutic exercise for FAI published before December, 2021 were searched from PubMed, EBSCO, SPORTdiscus, Medline, Science Direct, Springlink, Web of Science, Embase CNKI, VIP and Wanfang Data. The quality and evidence grades of the researches were evaluated by two researchers, and the outcomes were analyzed with RevMan 5.4. ResultsFourteen randomized controlled trials were finally included, involving 434 subjects. Compared with no exercise intervention, therapeutic exercise might significantly improve the movement of center of pressure whether with eye-open or eye-closed (eye-open, SMD = -0.28, 95%CI -0.46 to -0.09, P = 0.003; eye-closed, SMD = -0.24, 95%CI -0.40 to -0.09, P = 0.001); while therapeutic exercise might also enhance the activation of the peroneus longus before dynamic task (SMD = 0.38, 95%CI 0.05 to 0.71, P = 0.03), and activation of the peroneus longus (SMD = 0.53, 95%CI 0.16 to 0.90, P = 0.005) and tibialis anterior (SMD = 0.47, 95%CI 0.10 to 0.84, P = 0.01) after dynamic task. There was neither significant difference in the activation of the tibialis anterior (SMD = 0.48, 95%CI -0.14 to 1.11, P = 0.13), nor the peak torque ratio of eversion to inversion isokinetic strength (SMD = -0.15, 95%CI -0.46 to 0.16, P = 0.340) before dynamic task between the two groups. ConclusionTherapeutic exercise can decrease movement of center of pressure, enable anticipatory contraction of peroneus longus before dynamic tasks and compensatory contraction of peroneus longus and tibialis anterior after tasks, to make it easier to deal with external interference, maintain articular stability and prevent re-injury.
