Effects of Hop Stabilization versus Balance Training on Disability and Balance in Chronic Ankle Instability among Basketball Players

Authors

  • Rafia Mukhtar Punjab Rangers Teaching Hospital Lahore
  • Ahsan Ahmad Riphah International University Lahore
  • Faria Iftikhar Riphah International University Lahore
  • Yasha Sajjad CMH Lahore Medical College & Institute of Dentistry (NUMS)
  • Muhammad Tauseef Asad University of Sargodha.
  • Zunaira Zukhruf University Of Sargodha.

DOI:

https://doi.org/10.61919/jhrr.v3i2.307

Keywords:

Chronic Ankle Instability, Multiple Single Leg Hop Stabilization Test, Functional Ankle Ability Measure, Balance Training, Hop Stabilization

Abstract

Background: Ankle sprains, which often lead to chronic ankle instability (CAI), are common within the young, athletic population, particularly among basketball players. Rehabilitation programs frequently employ hop stabilization and balance training to mitigate the complications associated with CAI. This research was undertaken to compare the effectiveness of these two training approaches in improving disability and balance in affected individuals.

Objective: The study aimed to evaluate and contrast the impact of hop stabilization versus balance training on disability and balance in basketball players with CAI.

Methods: The randomized clinical trial was conducted at Ranger’s Teaching Hospital in Lahore, targeting young basketball players aged between 25 to 35 years with a history of recurrent ankle sprains and at least 8 months of playing experience. Through a non-probability convenient sampling technique, the participants were randomized into two groups: Group A underwent 6 weeks of hop stabilization training in addition to general training, while Group B participated in 6 weeks of balance training coupled with their general training regimen. The efficacy of these interventions was quantified using the Star Excursion Balance Test, Functional Ankle Disability Index, Functional Ankle Ability Measure questionnaire, and Multiple Single Leg Hop Stabilization Test (MSLHST).

Results: Post-training assessments within groups indicated significant enhancements in disability and balance scores, with p-values below 0.05, suggesting notable improvements. However, when comparing the two groups, the Functional Ankle Ability Measure, Ankle Disability Index, and Star Excursion Balance Test showed no significant differences, with p-values exceeding 0.05. Notably, the MSLHST exhibited a significant contrast, with Group B showing a mean score decrease from 10.7857 to 5.7857, reflecting a 46% improvement, whereas Group A displayed a reduction in mean score from 13.625 to 11.7, a 14% enhancement, resulting in a significant p-value of 0.0289.

Conclusion: The study concluded that balance training surpasses hop stabilization training in terms of efficacy, significantly improving balance and reducing disability in basketball players with chronic ankle instability.

Downloads

Download data is not yet available.

Author Biographies

Rafia Mukhtar, Punjab Rangers Teaching Hospital Lahore

Physiotherapist

Ahsan Ahmad, Riphah International University Lahore

Physiotherapist

Faria Iftikhar, Riphah International University Lahore

Physiotherapist

Yasha Sajjad, CMH Lahore Medical College & Institute of Dentistry (NUMS)

Lecturer, School of Allied Health Sciences CMH Lahore

Muhammad Tauseef Asad, University of Sargodha.

Department of Allied Health Sciences

Zunaira Zukhruf, University Of Sargodha.

Department of Allied Health Sciences.

References

Aguilaniu A, Delvaux F, Schwartz C, Martens G, Forthomme B, Kaux JF, et al. Survey of physicians' and physiotherapists' ankle muscle strength assessment practices for safe return to sports after lateral ankle sprain: A short report. Physiotherapy research international. 2023:e2008.

Al-Janabi MM, Apostolides M, Southgate C, Dhinsa BS. Early mobilization following elective ankle lateral collateral ligament reconstruction in adults. The Foot. 2023:101988.

Dejong AF, Koldenhoven RM, Hertel J. Proximal Adaptations in Chronic Ankle Instability: Systematic Review and Meta-analysis. Medicine and science in sports and exercise. 2020;52(7):1563-75.

Dhillon MS, Patel S, Baburaj V. Ankle Sprain and Chronic Lateral Ankle Instability: Optimizing Conservative Treatment. Foot and Ankle Clinics. 2023;28(2):297-307.

Dominguez-Navarro F, Casaña J, Perez-Dominguez B, Ricart-Luna B, Cotolí-Suárez P, Calatayud J. Dynamic balance and explosive strength appears to better explain single leg hop test results among young elite female basketball athletes. Scientific Reports. 2023;13(1):5476.

Han S, Lee H, Son SJ, Hopkins JT. Effect of varied dorsiflexion range of motion on landing biomechanics in chronic ankle instability. Scandinavian journal of medicine & science in sports. 2023.

Hsiao HY, Gray VL, Borrelli J, Rogers MW. Biomechanical control of paretic lower limb during imposed weight transfer in individuals post-stroke. J Neuroeng Rehabil. 2020;17(1):140.

Jiang Q, Kim YH, Han JK. The effect of center-based versus home-based training for rehabilitation of chronic ankle instability in recreational athletes. Journal of Men's Health. 2022;18(1):18.

Hoch MC, Hertel J, Gribble PA, Heebner NR, Hoch JM, Kosik KB, et al. Effects of foot intensive rehabilitation (FIRE) on clinical outcomes for patients with chronic ankle instability: a randomized controlled trial protocol. BMC sports science, medicine & rehabilitation. 2023;15(1):54.

Jing Z. Influences of balance training on shooting quality in basketball players. Revista Brasileira de Medicina do Esporte. 2023;29:e2023_0010.

Jones M. Comparing Balance Training and Strength Training Protocols on Individuals with Sub-Acute Ankle Sprains or Chronic Ankle Instability: a Critically Appraised Topic. 2023.

Kamani NC, Poojari S, Prabu RG. The influence of fascial manipulation on function, ankle dorsiflexion range of motion and postural sway in individuals with chronic ankle instability. J Bodyw Mov Ther. 2021;27:216-21.

Lalevée M, Anderson DD, Wilken JM. Current Challenges in Chronic Ankle Instability: Review and Perspective. Foot and ankle clinics. 2023.

Needle AR, Tinsley JE, Cash JJ, Koeval BK, Barton JA, Howard JS. The effects of neuromuscular electrical stimulation to the ankle pronators on neural excitability & functional status in patients with chronic ankle instability. Physical Therapy in Sport. 2023;60:1-8.

Ono K, Yoshida T, Ota K, Tanigawa S. Compensatory strategies during the side hop test in individuals with chronic ankle instability. Journal of Athletic Training. 2023.

Rosen AB, Choi JY, Anderson K, Remski LE, Knarr BA. Development, validity, and test-retest reliability of a new neurocognitive functional performance test: The choice-reaction hop test. Physical Therapy in Sport. 2023;59:80-4.

Roshni SK, Sajjan Pal, Sonia Pawaria, Joginder Yadav. Comparison Study of Wobble Board and Bosu Ball along with Strength Training on Lower Limb Strength, Dynamic Balance, Agility and Functional Performance of Runners with Lateral Ankle Instability. Journal of Clinical and Diagnostic Research. 2021;15(5):YC01-YC6.

Saki F, Mohammadi H, Shakiba E, Ziya M. The Effect of 6 weeks SportsMetrics™ Training on Core stability, Tuck jump scores and‎ Single Leg Hop in Soccer Players: A Randomized Controlled Trial. Journal of Paramedical Sciences & Rehabilitation. 2023;11(4):7-21.

Singh AK, Singh MS, Makhija M. Role of interventions targeting plantar cutaneous receptors in improving postural control in Chronic Ankle Instability: A Systematic Review with Meta-Analysis. The Foot. 2023:102034.

Taghavi Asl A, Shojaedin SS, Hadadnezhad M. Comparison of effect of wobble board training with and without cognitive intervention on balance, ankle proprioception and jump landing kinetic parameters of men with chronic ankle instability: a randomized control trial. BMC Musculoskelet Disord. 2022;23(1):888.

Werasirirat P, Yimlamai T. Effect of supervised rehabilitation combined with blood flow restriction training in athletes with chronic ankle instability: a randomized placebo-controlled trial. Journal of exercise rehabilitation. 2022;18(2):123-32.

Yalfani A, Raeisi Z. Bilateral symmetry of vertical time to stabilization in postural sway after double-leg landing in elite athletes with unilateral chronic ankle sprain. Journal of foot and ankle research. 2022;15(1):43.

Yoshida K, Kuramochi R, Shinohara J. Effect of a Balance Adjustment System on Postural Control in Patients with Chronic Ankle Instability. International Journal of Sports Physical Therapy. 2023;18(3):636-44.

Zhang P, Liu F, He X, Brooke-Wavell K, Song Q, Fong DT. Effect of biophysical interventions on balance and postural control in patients with ankle instability: A systematic review. Medicine in Novel Technology and Devices. 2023:100241.

Downloads

Published

2023-12-31

How to Cite

Mukhtar, R., Ahmad, A., Iftikhar, F., Sajjad, Y., Asad, M. T., & Zukhruf, Z. (2023). Effects of Hop Stabilization versus Balance Training on Disability and Balance in Chronic Ankle Instability among Basketball Players. Journal of Health and Rehabilitation Research, 3(2), 1145–1149. https://doi.org/10.61919/jhrr.v3i2.307