A pilot randomised control trial of the efficacy of stability-based training with visualisation for people with chronic ankle instability

L. Forsyth, J. Bonacci, C. Childs

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
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Abstract

Background: Chronic ankle instability (CAI) is associated with recurring symptoms that inhibit daily activity. Stability-based rehabilitative training is recommended for CAI. Visualisation (VIS) produces real-time feedback using motion capture and virtual reality. This pilot study aimed to determine the feasibility, adherence, safety, and efficacy of incorporating VIS into stability training for people with CAI. Efficacy was examined through effect of VIS training on dynamic stability, perception of stability, and rehabilitative experience. Methods: Individuals with CAI completed a 4-week stability-based training programme with VIS, or without visualisation (NO-VIS). Participants completed the Star Excursion Balance Test (SEBT) and Cumberland Ankle Instability Tool (CAIT) prior to, and after training. Enjoyment of training was recorded using the Physical Activity Enjoyment Scale (PACES-8). Results: Of 17 participants (VIS=10,NO-VIS=7), there were 2 drop outs (VIS=1,NO-VIS=1). No adverse events were reported and participant drop-out was due to injury unrelated to the study. The VIS group showed a significantly greater increase in average SEBT reach distance (d=1.7,p=0.02). No significant differences were reported for the CAIT or PACES-8. Conclusion: This study supports the feasibility and safety of stability-based training with VIS in those with CAI. The enhanced performance outcome on the SEBT suggests VIS may enhance stability-based training.
Original languageEnglish
Pages (from-to)1199-1209
Number of pages11
JournalMedical and Biological Engineering and Computing
Volume60
Issue number4
Early online date5 Mar 2022
DOIs
Publication statusPublished - 30 Apr 2022

Keywords

  • stability
  • virtual reality (VR)
  • feedback
  • chronic ankle instability
  • rehabilitation

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