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Volume 15, Issue 4 (Autumn-In Press 2025)
PTJ 2025, 15(4): 0-0 |
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Azizian M, Yalfani A, Gholami-Borujeni B. Comparing the Effect of Combined and Conventional Rehabilitation Protocols on Psychological Indicators in People with Chronic Ankle Instability: A Systematic Review. PTJ 2025; 15 (4)
URL: http://ptj.uswr.ac.ir/article-1-675-en.html
URL: http://ptj.uswr.ac.ir/article-1-675-en.html
1- Department of Sport Rehabilitation, Faculty of Sport Sciences, Bu Ali Sina University, Hamedan, Iran
2- Department of Sport Biomechanics and Motor Behavior, Faculty of Sport Sciences, University of Mazandaran, Mazandaran, Babolsar, Iran
2- Department of Sport Biomechanics and Motor Behavior, Faculty of Sport Sciences, University of Mazandaran, Mazandaran, Babolsar, Iran
Abstract: (23 Views)
Purpose: Lateral ankle sprains (LAS) have been documented to be one of the most common types of musculoskeletal injuries. Approximately 40% of individuals affected with LAS are susceptible to reinjuries, which causes chronic ankle instability (CAI). CAI causes a decrease in physical activity levels and psychological indicators, which are an important aspect of rehabilitation programs. Some rehabilitation protocols have been approved to improve this factor, but the effectiveness of these protocols in improving psychological indicators needs further investigation. The present study aimed to systematically review the impact of different rehabilitation protocols on psychological indicators in CAI sufferers.
Methods: The present systematic review was conducted according to the guidelines provided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The PICOS framework (participant, intervention, comparator, outcome, and study design) was applied to include or exclude the studies. The 11-item Pedro scale was utilized to measure the quality of the selected studies. Seven studies were selected for review purposes.
Results: Seven studies were included out of the initial 388 manuscripts retrieved: four studies combined and three studies of the conventional protocol. The result of the present study showed that multimodal, or combined, rehabilitation is more effective than conventional rehabilitation protocols for improving the physical and psychological indicators of CAI patients.
Conclusion: Such conventional programs (e.g., balance, strength, and proprioceptive training) could not solely improve both physical and psychological indicators. Rehabilitation specialists are advised to add psychological exercises to the conventional protocol to simultaneously involve the CNS and musculoskeletal system in the rehabilitation program of CAI sufferers.
Methods: The present systematic review was conducted according to the guidelines provided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The PICOS framework (participant, intervention, comparator, outcome, and study design) was applied to include or exclude the studies. The 11-item Pedro scale was utilized to measure the quality of the selected studies. Seven studies were selected for review purposes.
Results: Seven studies were included out of the initial 388 manuscripts retrieved: four studies combined and three studies of the conventional protocol. The result of the present study showed that multimodal, or combined, rehabilitation is more effective than conventional rehabilitation protocols for improving the physical and psychological indicators of CAI patients.
Conclusion: Such conventional programs (e.g., balance, strength, and proprioceptive training) could not solely improve both physical and psychological indicators. Rehabilitation specialists are advised to add psychological exercises to the conventional protocol to simultaneously involve the CNS and musculoskeletal system in the rehabilitation program of CAI sufferers.
Type of Study: Research |
Subject:
Special
Received: 2024/09/3 | Accepted: 2025/01/7 | Published: 2025/10/18
Received: 2024/09/3 | Accepted: 2025/01/7 | Published: 2025/10/18
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