Indian Journal of Health Sciences and Biomedical Research KLEU (Jan 2017)
Influence of strength and proprioception training on functional ankle stability among young skaters
Abstract
Background: Stability of the ankle joint during functional activities depends on the presence of intact neural input from proprioceptors in the joint capsules, ligaments, muscles, tendons, and skin. Roller skaters are prone for more ankle injuries due to the nature of the sport. Repetitive falls and sprains lead to deficits that account for decreased performance and increased risk of falls. Purpose: The purpose of this study is to determine the effect of strength and proprioceptive training on functional ankle stability among young skaters. Design: This was a single arm pre- and post-experimental study. Settings: The study was conducted at two skating academies of Belagavi, Karnataka, India. Materials and Methods: Forty-five skaters in the age group of 10–18 years were recruited in the study. Intervention: The strength and proprioception training protocol was given for 3 sessions per week for 6 weeks with each session lasting for 45 min. Measurements: The participants were assessed for three-time points that are week 1, week 3, and week 6. The functional ankle stability was measured using Cumberland Ankle Instability Tool (CAIT), strength of the dorsiflexors, plantar flexors, invertors, and evertors were checked using Push-Pull Dynamometer, and balance was assessed using Star Excursion Balance Test (SEBT). Results: The mean age of participants was 12.91 ± 2.26 years with more male participants than females. There was a significant finding in CAIT at all three-time points with maximum changes at the end of week 6. Both sides showed significant changes with more pronounced readings on the left side. There was statistically significant increase in the strength of all four groups of muscles, but the dorsiflexors strength remained more than the other muscle groups with more percentage change on the left side. The subjects significantly improved on SEBT scores in all the components which were statistically significant. Five components of SEBT showed more percentage of change on the left as compared to the right side. Conclusion: The study concluded that the strength and proprioceptive training protocol has shown statistically significant improvement in the functional stability scores, strength, and balance.
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