Analyzing the Effect of Bandage and Bracing on Stability Indices of Single Leg Stance in Patients with Ankle Sprain

Document Type : Original Article

Authors

1 PT, PhD Student.Department of Physical Therapy, Faculty of PT, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Assistant Professor of Physical Therapy.Department of Physical Therapy, Faculty of PT, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background and Objective: In spite of the prevalence of ankle sprain , little objective data exist regarding the effect of sensory and motion restriction properties of external ankle supports on ankle sensory motor processes of ankle sprained patients.
Subjects and Methods: In the present study, the effects of elastic bandage and rigid brace which had no sensory influence were evaluated for 28 patients. Ankle complex motor performance was measured using the Biodex Balance System.
Results: Results showed that rigid brace had no effects on stability indices but  the use of elastic bandage improved motor performance of ankle complex as evidenced by the decrease in overall (P= 0.004) and AP(P=0.010) stability indices.
Conclusion: In patients with functional ankle instability external supports used improved ankle sensorymotor functions possibly because of elevated sensory inputs.
 
 

Keywords

References

1-Shumway-Cook A, Woollacott MH. Motor control: theory and practical applications. 2nd ed. Philadelphia:   
    Lippincott Williams & Wilkins; 2001. p. 163-92.
2-Lederman E. The science and practice of manual therapy. 2nd ed. Edinburgh; New York: Elsevier Churchill & Livingstone; 2005. P.89-224.                                          
3-Morasso PG, Schieppati M. Can muscle stiffness alone stabilize upright standing? J Neurophysiol 1999;82: 1622-6.
4-Konradsen L. Sensori-motor control of the uninjured and injured human ankle. J Electromyogr Kinesiol 2002;12:199-203. 
5-Stefanini L, Marks R. Proprioception and  recurrent ankle inversion injuries: A narrative review. N Z J Physiother 2003;31:25-39.
6-Cordova ML, Ingersoll CD, Palmieri RM. Efficacy of Prophylactic Ankle Support: An experimental perspective. J Athl Train 2002;37:446-57.
7-Guskiewicz KM, Perrin DH. Effect of orthotics on postural sway following inversion ankle sprain. J Orthop Sports Phys Ther 1996;23:326-31.
8-Lamb SE, Marsh JL, Hutton JL, Nakash R, Cook MW. Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. Lancet 2009;373:573-81.
9-Sheth P, Yu B, Laskowski ER, An KN. Ankle disk training influences reaction times of selected muscles in a simulated ankle sprain. Am J Sports Med 1997;25:538-43.
10-Brotzman SB. Clinical orthopaedic rehabilitation. St. Louis: Mosby; 1996. p. 245-58.
11-Kemler E, van de port I, Backx F, van Dijk CN. A systematic review on the treatment of acute ankle sprain: brace versus other functional treatment types. Sports Med 2011;41:185-97.
12-Riemann BL, Lephart SM. The sensorimotor system, part I: the physiologic basis of functional joint stability. J Athl Train 2002;37:71-9.
13-Thacker SB, Stroup DF, Branche CM, Gilchrist J, Goodman RA, Weitman EA. The prevention of ankle sprains in sports. A systematic review of the literature. Am J Sports Med 1999;27:753-60.
14-Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br 1965;47:678-85.
15-Ochsendorf DT, Mattacola CG, Arnold BL. Effect of orthotics on postural sway after fatigue of the plantar flexors and dorsiflexors. J Athl Train 2000;35:26-30.  
16-Feuerbach JW, Grabiner MD. Effect of the aircast on unilateral postural control: amplitude and frequency variables. J Orthop Sports Phys Ther 1993;17:149-54.
17-Bernier JN, Perrin DH. Effect of coordination training on proprioception of the functionally unstable ankle. J Orthop Sports Phys Ther 1998;27:264-75.
18-Verhagen EA, Bay K. Optimising ankle sprain prevention: a critical review and practical appraisal of the literature. Br J Sports Med 2010;44:1082-8..
19-Bennell KL, Goldie PA. The differential effects of external ankle support on postural control. J Orthop Sports Phys Ther 1994;20:287-95.
20-Cachupe WJC, Shifflett B, Kahanov L, Wughalter EH. Reliability of biodex balance system measures. Meas Phys Educ Exerc Sci. 2001;5:97-108.
21-Latash ML, Scholz JP, Schoner G. Motor control strategies revealed in the structure of motor variability. Exerc Sport Sci Rev 2002;30:26-31.                                                                          
Jundishapur Scientific Medical Journal
Volume 11, Issue 2 - Serial Number 77
July and August 2017
Pages 123-133

Files

History

  • Receive Date: 21 August 2011
  • Revise Date: 05 November 2011
  • Accept Date: 03 January 2012

Share

How to cite

Statistics