The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trial

Abstract Background Chronic ankle instability (CAI) is a common condition following an ankle sprain. This study investigated the effects of whole body vibration (WBV) and shoe with an unstable surface training on balance, functional performance, strength, joint position sense in people with CAI. Met...

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Main Authors: Farideh Shamseddini Sofla, Mohammad Hadadi, Iman Rezaei, Negar Azhdari, Sobhan Sobhani
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Sports Science, Medicine and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s13102-021-00256-6
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author Farideh Shamseddini Sofla
Mohammad Hadadi
Iman Rezaei
Negar Azhdari
Sobhan Sobhani
author_facet Farideh Shamseddini Sofla
Mohammad Hadadi
Iman Rezaei
Negar Azhdari
Sobhan Sobhani
author_sort Farideh Shamseddini Sofla
collection DOAJ
description Abstract Background Chronic ankle instability (CAI) is a common condition following an ankle sprain. This study investigated the effects of whole body vibration (WBV) and shoe with an unstable surface training on balance, functional performance, strength, joint position sense in people with CAI. Method Thirty- four peoples with unilateral CAI were randomly assigned to three groups: WBV group, WBV with shoe with an unstable surface (WBV-S), and no treatment control group (CON). The WBV group received 4 weeks progressive WBV training and the WBV-S group received progressive WBV training with shoe with an unstable surface. Modified star excursion balance test (mSEBT)reach distance, Hop-Test, muscle strength, and joint position sense were measured at baseline and after the 4 weeks; Moreover, the mSEBT and Hop-Test were reassessed again 2 weeks post intervention. Results The result showed a significant group-by-time interaction for anterior and posterolateral directions of mSEBT. The reach distance of these directions at post-intervention and follow-up increased significantly compare to pre-intervention in the WBV and WBV-S groups but not significantly change in the CON group. The Hop test in the WBV-S group was significantly more at post-intervention and follow-up compared to pre-intervention. However, no significant changes were observed in WBV and CON groups. No significant changes were observed for mSEBT posteromedial direction, muscles strength, and joint position sense errors. Conclusion The 4 weeks WBV and WBV-S interventions could improve balance in peoples with CAI. Improvement in Hop test was only observed in the WBV-S group suggesting the added value of combining WBV and shoe with an unstable surface as an effective therapy compared to WBV training alone. The use of WBV and WBV-S were not associated with significant changes in strength and joint position sense variables over a four-week period. Trial registration This work registered in the Iranian Registry of Clinical Trials ( IRCT20151118025105N4 ).
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spelling doaj.art-5f1ea68fb147492790e51bb684b16ffa2022-12-21T21:33:29ZengBMCBMC Sports Science, Medicine and Rehabilitation2052-18472021-03-0113111110.1186/s13102-021-00256-6The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trialFarideh Shamseddini Sofla0Mohammad Hadadi1Iman Rezaei2Negar Azhdari3Sobhan Sobhani4Student Research Committee, School of Rehabilitation Sciences, Shiraz University of Medical SciencesOrthotics and Prosthetics Department, School of Rehabilitation Sciences, Shiraz University of Medical SciencesRehabilitation Sciences Research Center, Shiraz University of Medical SciencesStudent Research Committee, School of Rehabilitation Sciences, Shiraz University of Medical SciencesRehabilitation Sciences Research Center, Shiraz University of Medical SciencesAbstract Background Chronic ankle instability (CAI) is a common condition following an ankle sprain. This study investigated the effects of whole body vibration (WBV) and shoe with an unstable surface training on balance, functional performance, strength, joint position sense in people with CAI. Method Thirty- four peoples with unilateral CAI were randomly assigned to three groups: WBV group, WBV with shoe with an unstable surface (WBV-S), and no treatment control group (CON). The WBV group received 4 weeks progressive WBV training and the WBV-S group received progressive WBV training with shoe with an unstable surface. Modified star excursion balance test (mSEBT)reach distance, Hop-Test, muscle strength, and joint position sense were measured at baseline and after the 4 weeks; Moreover, the mSEBT and Hop-Test were reassessed again 2 weeks post intervention. Results The result showed a significant group-by-time interaction for anterior and posterolateral directions of mSEBT. The reach distance of these directions at post-intervention and follow-up increased significantly compare to pre-intervention in the WBV and WBV-S groups but not significantly change in the CON group. The Hop test in the WBV-S group was significantly more at post-intervention and follow-up compared to pre-intervention. However, no significant changes were observed in WBV and CON groups. No significant changes were observed for mSEBT posteromedial direction, muscles strength, and joint position sense errors. Conclusion The 4 weeks WBV and WBV-S interventions could improve balance in peoples with CAI. Improvement in Hop test was only observed in the WBV-S group suggesting the added value of combining WBV and shoe with an unstable surface as an effective therapy compared to WBV training alone. The use of WBV and WBV-S were not associated with significant changes in strength and joint position sense variables over a four-week period. Trial registration This work registered in the Iranian Registry of Clinical Trials ( IRCT20151118025105N4 ).https://doi.org/10.1186/s13102-021-00256-6Whole body vibrationUnstable shoeChronic ankle instabilityProprioception
spellingShingle Farideh Shamseddini Sofla
Mohammad Hadadi
Iman Rezaei
Negar Azhdari
Sobhan Sobhani
The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trial
BMC Sports Science, Medicine and Rehabilitation
Whole body vibration
Unstable shoe
Chronic ankle instability
Proprioception
title The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trial
title_full The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trial
title_fullStr The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trial
title_full_unstemmed The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trial
title_short The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trial
title_sort effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment a randomized clinical trial
topic Whole body vibration
Unstable shoe
Chronic ankle instability
Proprioception
url https://doi.org/10.1186/s13102-021-00256-6
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