دوره 8، شماره 1 - ( Spring 2018 -- 1397 )                   جلد 8 شماره 1 صفحات 45-54 | برگشت به فهرست نسخه ها


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Minoonejad H, Bazrafshan H, Akoochakian M, Aslani M. Effect of Attention Instructions of Balance Training in Athletes With Ankle Instability. PTJ. 2018; 8 (1) :45-54
URL: http://ptj.uswr.ac.ir/article-1-310-fa.html
مینونژاد هومن، بذرافشان هنگامه، آکوچکیان مهدیه، اصلانی مهدی. Effect of Attention Instructions of Balance Training in Athletes With Ankle Instability. فصلنامه فیزیک درمانی. 1397; 8 (1) :45-54

URL: http://ptj.uswr.ac.ir/article-1-310-fa.html


چکیده:   (194 مشاهده)
Purpose: Because of the decrease in the quality of life caused by functional limitations and increase 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 pre-test post-test 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 recruited based on the inclusion and exclusion criteria and then 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. The obtained data were analyzed by SPSS. 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 pre-test and post-test 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: Paired t test results revealed that after 4 weeks of exercise with wobble board, CAIT scores in all 3 training groups significantly increased regardless of the focal attention but TKS-17 scores significantly decreased in all 3 groups (P≥0.05). The ANCOVA results demonstrated that after controlling the effect of pre-test (covariate), there were significant differences among 3 groups in post-test CAIT scores (P≥0.05). There were also significant differences among the 3 groups in post-test scores of TKS-17 (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 post-test 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 in athletes with functional ankle instability is more effective than other guidelines or exercises without instructions.
متن کامل [PDF 665 kb]   (72 دریافت)    
نوع مطالعه: كاربردي | موضوع مقاله: عمومى
دریافت: ۱۳۹۶/۱/۲۴ | پذیرش: ۱۳۹۷/۷/۲۱ | انتشار: ۱۳۹۷/۱۱/۳۰

فهرست منابع
1. de Noronha M, Refshauge KM, Herbert RD, Kilbreath SL. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain. British Journal of Sports Medicine. 2006; 40(10):824-28. [DOI:10.1136/bjsm.2006.029645] [PMID] [PMCID] [DOI:10.1136/bjsm.2006.029645]
2. Wikstrom EA, Fournier KA, McKeon PO. Postural control differs between those with and without chronic ankle instability. Gait & Posture. 2010; 32(1):82-6. [DOI:10.1016/j.gaitpost.2010.03.015] [PMID] [DOI:10.1016/j.gaitpost.2010.03.015]
3. Witchalls J, Blanch P, Waddington G, Adams R. Intrinsic functional deficits associated with increased risk of ankle injuries: A systematic review with meta-analysis. British Journal of Sports Medicine. 2012; 46(7):515-23. [DOI:10.1136/bjsports-2011-090137] [PMID] [DOI:10.1136/bjsports-2011-090137]
4. Freeman MA, Dean MR, Hanham IW. The etiology and prevention of f unctional instability of the foot. The Journal of Bone and Joint Surgery British. 1965; 47(4):678-85. [DOI:10.1302/0301-620X.47B4.678] [PMID] [DOI:10.1302/0301-620X.47B4.678]
5. Rotem-Lehrer N, Laufer Y. Effect of focus of attention on transfer of a postural control task following an ankle sprain. Journal of Orthopaedic & Sports Physical Therapy. 2007; 37(9):564-9. [DOI:10.2519/jospt.2007.2519] [PMID]
6. Rahnama L, Salavati M, Akhbari B, Mazaheri M. Attentional demands and postural control in athletes with and without functional ankle instability. Journal of Orthopedic & Sports Physical Therapy. 2010; 40(3):180-7. [DOI:10.2519/jospt.2010.3188]. [DOI:10.2519/jospt.2010.3188]
7. Beynnon BD, Murphy DF, Alosa DM. Predictive factors for lateral ankle sprains: A literature review. Journal of Athletic Training. 2002; 37(4):376-80. [PMID] [PMCID] [PMID] [PMCID]
8. Kobayashi T, Gamada K. Lateral ankle sprain and chronic ankle instability: A critical review. Foot & Ankle Specialist. 2014; 7(4):298-326. [DOI:10.1177/1938640014539813] [PMID] [DOI:10.1177/1938640014539813]
9. De Noronha M, Refshauge KM, Crosbie J, Kilbreath SL. Relationship between functional ankle instability and postural control. Journal of Orthopaedic & Sports Physical Therapy. 2008; 38(12):782-9. [DOI:10.2519/jospt.2008.2766] [PMID]
10. Houston MN, Van Lunen BL, Hoch MC. Health-related quality of life in individuals with chronic ankle instability. Journal of Athletic Training. 2014; 49(6):758-63. [DOI:10.4085/1062-6050-49.3.54] [PMID] [PMCID] [DOI:10.4085/1062-6050-49.3.54]
11. Parsons JT, Snyder AR. Health-related quality of life as a primary clinical outcome in sport rehabilitation. Journal of Sport Rehabilitation. 2011; 20(1):17-36. [DOI:10.1123/jsr.20.1.17] [PMID] [DOI:10.1123/jsr.20.1.17]
12. Madras D, Barr JB. Rehabilitation for functional ankle instability. Journal of Sport Rehabilitation. 2003; 12(2):133-42. [DOI:10.1123/jsr.12.2.133] [DOI:10.1123/jsr.12.2.133]
13. Brownstein B, Bronner S. Functional movement in orthopaedic and sports physical therapy: Evaluation, treatment, and outcomes. London: Churchill Livingstone; 1997.
14. Donahue M, Simon J, Docherty CL. Critical review of self-reported functional ankle instability measures. Foot & Ankle International. 2011; 32(12):1140-6. [DOI:10.3113/FAI.2011.1140] [PMID] [DOI:10.3113/FAI.2011.1140]
15. Haji Maghsoudi M, Naseri N, Nouri Zadeh S, Jalali S. [Evidence of reliability for persian version of the Cumberland Ankle Instability Tool (CAIT) in Iranian athletes with lateral ankle sprain (Persian)]. Archives of Rehabilitation. 2016; 16(4):304-11.
16. Rahmati N, Asghari MMA, Shaeiri MR, Paknejad M, Rahmati Z, Ghassami M, et al. [Psychometric properties of the tampa scale for kinesiophobia amongst iranian patients with chronic persistent pain (Persian)]. Payesh. 2014; 13(2):197-210.
17. Houston MN, Hoch JM, Hoch MC. Patient-reported outcome measures in individuals with chronic ankle instability: A systematic review. Journal of Athletic Training. 2015; 50(10):1019-33. [DOI:10.4085/1062-6050-50.9.01] [PMID] [PMCID] [DOI:10.4085/1062-6050-50.9.01]
18. Hale SA, Hertel J, Olmsted-Kramer LC. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. Journal of Orthopaedic & Sports Physical Therapy. 2007; 37(6):303-11. [DOI:10.2519/jospt.2007.2322] [DOI:10.2519/jospt.2007.2322]
19. van der Wees PJ, Lenssen AF, Hendriks EJ, Stomp DJ, Dekker J, de Bie RA. Effectiveness of exercise therapy and manual mobilisation in acute ankle sprain and functional instability: A systematic review. Australian Journal of Physiotherapy. 2006; 52(1):27-37. [DOI:10.1016/S0004-9514(06)70059-9] [DOI:10.1016/S0004-9514(06)70059-9]
20. Malmgren-Olsson EB, Armelius BA, Armelius K. A comparative outcome study of body awareness therapy, Feldenkrais, and conventional physiotherapy for patients with nonspecific musculoskeletal disorders: Changes in psychological symptoms, pain, and self-image. Physiotherapy Theory and Practice. 2001; 17(2):77-95. [DOI:10.1080/095939801750334167] [DOI:10.1080/095939801750334167]
21. Hansson EE, Beckman A, Håkansson A. Effect of vision, proprioception, and the position of the vestibular organ on postural sway. Acta Oto-Laryngologica. 2010; 130(12):1358-63. [DOI:10.3109/00016489.2010.498024] [PMID] [DOI:10.3109/00016489.2010.498024]
22. Kynsburg A, Pánics G, Halasi T. Long-term neuromuscular training and ankle joint position sense. Acta Physiologica Hungarica. 2010; 97(2):183-91. [DOI:10.1556/APhysiol.97.2010.2.4] [PMID] [DOI:10.1556/APhysiol.97.2010.2.4]
23. Moradi K, Minoonejad H, Rajabi R. [The immediate effect of core stability exercises on postural sway in athletes with functional ankle instability (Persian)]. Scientific Journal of Rehabilitation Medicine. 2015; 4(3):103-12.
24. Robbins S, Waked E, Rappel R. Ankle taping improves proprioception before and after exercise in young men. British Journal of Sports Medicine. 1995; 29(4):242-7. [DOI:10.1136/bjsm.29.4.242] [PMID] [PMCID] [DOI:10.1136/bjsm.29.4.242]
25. Freeman M. Instability of the foot affer injuries to the lateral ligament of the ankle. Journal of Bone & Joint Surgery British. 1965; 47(4):669-77. [DOI:10.1302/0301-620X.47B4.669] [PMID] [DOI:10.1302/0301-620X.47B4.669]
26. Women KK, Sonepat H. Effect of wobble board balance training program on static balance, dynamic balance & triple hop distance in male collegiate basketball athlete. International Journal of Physiotherapy and Research. 2014; 2(4):657-2.
27. Wester JU, Jespersen SM, Nielsen KD, Neumann L. Wobble board training after partial sprains of the lateral ligaments of the ankle: A prospective randomized study. Journal of Orthopaedic & Sports Physical Therapy. 1996; 23(5):332-6. [DOI:10.2519/jospt.1996.23.5.332] [PMID] [DOI:10.2519/jospt.1996.23.5.332]
28. Clark VM, Burden AM. A 4-week wobble board exercise program improved muscle onset latency and perceived stability in individuals with a functionally unstable ankle. Physical Therapy in Sport. 2005; 6(4):181-7. [DOI:10.1016/j.ptsp.2005.08.003] [DOI:10.1016/j.ptsp.2005.08.003]
29. Samadi H, Rajabi R, Karimizade Ardakani M. [The effect of six weeks of neuromuscular training on joint position sense and lower extremity function in male athletes with functional ankle instability (Persian)]. Journal of Sport Medicine. 2017; 9(1):15-33. [DOI:10.22059/JSMED.2017.62869]
30. Balogun J, Adesinasi C, Marzouk D. The effects of a wobble board exercise training program on static balance performance and strength of lower extremity muscles. Physiotherapy Canada. 1992; 44(4):23-30.
31. Linens SW, Ross SE, Arnold BL. Wobble board rehabilitation for improving balance in ankles with chronic instability. Clinical Journal of Sport Medicine. 2016; 26(1):76-82. [DOI:10.1097/JSM.0000000000000191] [PMID] [DOI:10.1097/JSM.0000000000000191]
32. Pashaabadi A, Farokhi A, Jamshidi A, Shahbazi M. Effect of attentional focus on postural sways and muscular activity in semi skilled gymnasts. Journal of Modern Rehabilitation. 2014; 8(1):28-34.
33. Matsusaka N, Yokoyama S, Tsurusaki T, Inokuchi S, Okita M. Effect of ankle disk training combined with tactile stimulation to the leg and foot on functional instability of the ankle. The American Journal of Sports Medicine. 2001; 29(1):25-30. [DOI:10.1177/03635465010290010901] [PMID] [DOI:10.1177/03635465010290010901]
34. Kaminski TW, Hartsell HD. Factors contributing to chronic ankle instability: A strength perspective. Journal of Athletic Training. 2002; 37(4):394-405. [PMID] [PMCID] [PMID] [PMCID]
35. Ali Zamani S, Ghasemi GA, Karimi A, Salehi H. [Pilates exercise effect on pain and general health of female patients with chronic low back pain (Persian)]. Journal of Research in Rehabilitation Sciences. 2011; 7(1):117-25.
36. Connors KA, Galea MP, Said CM, Remedios LJ. Feldenkrais Method balance classes are based on principles of motor learning and postural control retraining: A qualitative research study. Physiotherapy. 2010; 96(4):324-36. [DOI:10.1016/j.physio.2010.01.004] [PMID] [DOI:10.1016/j.physio.2010.01.004]
37. Panics G, Tallay A, Pavlik A, Berkes I. Effect of proprioception training on knee joint position sense in female team handball players. British Journal of Sports Medicine. 2008; 42(6):472-6. [DOI:10.1136/bjsm.2008.046516] [PMID] [DOI:10.1136/bjsm.2008.046516]

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