Compare the Effect of Traditional and Virtual Reality Training on Subjective-sense of Instability and Balance in Basketball-players with Functional Ankle Instability: Matched Randomized Clinical Trial

Background: Functional ankle instability (FAI) is a common injury. Traditional training improved the reported balance impairment and subjective sense of instability in athletes with FAI. Objective: This study aims to compare the effects of traditional and virtual reality training on a subjective sen...

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Main Authors: Niloofar Mohammadi, Mohammad-Reza Hadian, Gholam-Reza Olyaei
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-06-01
Series:Journal of Biomedical Physics and Engineering
Subjects:
Online Access:https://jbpe.sums.ac.ir/article_48130_886133133dce03155a28f7803e17e0c2.pdf
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author Niloofar Mohammadi
Mohammad-Reza Hadian
Gholam-Reza Olyaei
author_facet Niloofar Mohammadi
Mohammad-Reza Hadian
Gholam-Reza Olyaei
author_sort Niloofar Mohammadi
collection DOAJ
description Background: Functional ankle instability (FAI) is a common injury. Traditional training improved the reported balance impairment and subjective sense of instability in athletes with FAI. Objective: This study aims to compare the effects of traditional and virtual reality training on a subjective sense of instability and balance in athlete with FAI. Material and Methods: In this single-blinded matched randomized clinical trial design, Fifty-four basketball players were randomly assigned in the virtual reality (n=27) or control (n=27) groups. All athletes performed 12 sessions Wii exercises or traditional training in the virtual reality and the control group, respectively, for three days a week. To assess the subjective-sense of instability and balance, we used Cumberland Ankle Instability Tool (CAIT) and Star Excursion Balance Test (SEBT), respectively. Measures were taken at pre- and post-test and one month after training as a follow-up. The between-group comparisons were done by the analysis of Covariance. Results: At the pre-test, the CAIT score was 22.37, 22.04 in the control and virtual reality groups, respectively and at the post-test, these scores increased to 26.63, 27.26. The involved limb showed significant differences in posteromedial and posterior directions of the SEBT and CAIT score in the post-test and in the posterior direction and CAIT score in the follow-up. The virtual reality group had better performance than the control group but the effect size is small (cohen’s d<0.2).  Conclusion: Based on our results, both training protocols were effective in reducing the subjective-sense of instability and improved balance in athletes with FAI. Moreover, virtual reality training was very attractive for the participants.
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spelling doaj.art-b53ddd17ad6c4727a2bf506628bdddc22023-06-10T10:41:57ZengShiraz University of Medical SciencesJournal of Biomedical Physics and Engineering2251-72002023-06-0113326928010.31661/jbpe.v0i0.2007-114648130Compare the Effect of Traditional and Virtual Reality Training on Subjective-sense of Instability and Balance in Basketball-players with Functional Ankle Instability: Matched Randomized Clinical TrialNiloofar Mohammadi0Mohammad-Reza Hadian1Gholam-Reza Olyaei2Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IranDepartment of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IranDepartment of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IranBackground: Functional ankle instability (FAI) is a common injury. Traditional training improved the reported balance impairment and subjective sense of instability in athletes with FAI. Objective: This study aims to compare the effects of traditional and virtual reality training on a subjective sense of instability and balance in athlete with FAI. Material and Methods: In this single-blinded matched randomized clinical trial design, Fifty-four basketball players were randomly assigned in the virtual reality (n=27) or control (n=27) groups. All athletes performed 12 sessions Wii exercises or traditional training in the virtual reality and the control group, respectively, for three days a week. To assess the subjective-sense of instability and balance, we used Cumberland Ankle Instability Tool (CAIT) and Star Excursion Balance Test (SEBT), respectively. Measures were taken at pre- and post-test and one month after training as a follow-up. The between-group comparisons were done by the analysis of Covariance. Results: At the pre-test, the CAIT score was 22.37, 22.04 in the control and virtual reality groups, respectively and at the post-test, these scores increased to 26.63, 27.26. The involved limb showed significant differences in posteromedial and posterior directions of the SEBT and CAIT score in the post-test and in the posterior direction and CAIT score in the follow-up. The virtual reality group had better performance than the control group but the effect size is small (cohen’s d<0.2).  Conclusion: Based on our results, both training protocols were effective in reducing the subjective-sense of instability and improved balance in athletes with FAI. Moreover, virtual reality training was very attractive for the participants.https://jbpe.sums.ac.ir/article_48130_886133133dce03155a28f7803e17e0c2.pdfankle injuriesvirtual realityjoint instabilitystar excursion balance testcumberland ankle instability tool
spellingShingle Niloofar Mohammadi
Mohammad-Reza Hadian
Gholam-Reza Olyaei
Compare the Effect of Traditional and Virtual Reality Training on Subjective-sense of Instability and Balance in Basketball-players with Functional Ankle Instability: Matched Randomized Clinical Trial
Journal of Biomedical Physics and Engineering
ankle injuries
virtual reality
joint instability
star excursion balance test
cumberland ankle instability tool
title Compare the Effect of Traditional and Virtual Reality Training on Subjective-sense of Instability and Balance in Basketball-players with Functional Ankle Instability: Matched Randomized Clinical Trial
title_full Compare the Effect of Traditional and Virtual Reality Training on Subjective-sense of Instability and Balance in Basketball-players with Functional Ankle Instability: Matched Randomized Clinical Trial
title_fullStr Compare the Effect of Traditional and Virtual Reality Training on Subjective-sense of Instability and Balance in Basketball-players with Functional Ankle Instability: Matched Randomized Clinical Trial
title_full_unstemmed Compare the Effect of Traditional and Virtual Reality Training on Subjective-sense of Instability and Balance in Basketball-players with Functional Ankle Instability: Matched Randomized Clinical Trial
title_short Compare the Effect of Traditional and Virtual Reality Training on Subjective-sense of Instability and Balance in Basketball-players with Functional Ankle Instability: Matched Randomized Clinical Trial
title_sort compare the effect of traditional and virtual reality training on subjective sense of instability and balance in basketball players with functional ankle instability matched randomized clinical trial
topic ankle injuries
virtual reality
joint instability
star excursion balance test
cumberland ankle instability tool
url https://jbpe.sums.ac.ir/article_48130_886133133dce03155a28f7803e17e0c2.pdf
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AT gholamrezaolyaei comparetheeffectoftraditionalandvirtualrealitytrainingonsubjectivesenseofinstabilityandbalanceinbasketballplayerswithfunctionalankleinstabilitymatchedrandomizedclinicaltrial