Volume 8, Issue 1 (Spring 2018 -- 2018)                   PTJ 2018, 8(1): 0-0 | Back to browse issues page

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Minoonejad H, Bazrafshan H, Akoochakian M, Aslani M. The Effect of Attention Instructions in 4 Weeks of Balance Training on Health-Related Quality of Life in Athletes With Functional Ankle Instability. PTJ. 2018; 8 (1)
URL: http://ptj.uswr.ac.ir/article-1-310-en.html
1- Department of Health and Sports Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran.
Abstract:   (77 Views)
Purpose: Due to the decreased rate of quality of life caused by functional limitations and increased need of attention to functional ankle instability, this study  investigated the attentional focus within 4 weeks of exercise therapy on performance improvement and the kinesiophobia in athletes with functional ankle instability.
Methods: This was a quasi-experimental study with pretest posttest and control group design. In total, 37 female and male college student athletes of Basketball, Volleyball and Futsal teams who had functional ankle instability, were selected purposefully. After initial screening, the subjects were identified based on the inclusion and exclusion criteria and were randomly divided into 3 groups of “internal focus”, “external focus”, and “without instruction”.  Then, they performed the same training protocol but with different directions, for 4 weeks. Health-related quality of life was investigated and compared between all 3 groups before and after exercises, using the Cumberland Ankle Instability Tool (CAIT) and Tampa Scale of Kinesiophobia (TSK-17) scores. SPSS was used to analyze the data. The Kolmogorov-Smirnov test was used to assess the normal distribution of the study variables.  Paired t-test was also used to compare within-group pretest and posttest scores. Analysis of Covariance (ANCOVA) and Bonferroni post hoc test were used to compare between-group results, at the significance level of P≤0.05.
Results: Results of Paired t-test revealed that after 4 weeks of exercise with wobble board, CAIT scores in all 3 training groups increased significantly regardless of the focal attention and TKS-17 scores were significantly decreased in all 3 groups (P≥0.05). The ANCOVA results demonstrated that after controlling the effect of pretest (covariate), there is a significant difference between the 3 groups in posttest CAIT scores (P≥0.05). There is also a significant difference in posttest scores of TKS-17 between the 3 groups (P≥0.05). Therefore, Bonferroni post hoc test was used to investigate the differences between the groups. The results of Bonferroni post-hoc test indicated that posttest CAIT scores in all 3 training groups increased significantly (P≥0.05) and TKS-17 scores in all 3 groups decreased significantly (P≥0.05).
Conclusion: Applying the “internal focus” instructions within 4 weeks of exercise therapy to improve the quality of life associated with health in athletes with functional ankle instability is more effective than other guidelines or exercises without instructions.
Type of Study: Applicable | Subject: General
Received: 2017/04/13 | Accepted: 2018/10/13

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