title: Functional balance training, with or without exercise sandals, for subjects with stable or unstable ankles.
abstract: BACKGROUND
  Improving postural stability through balance training may prevent ankle sprains. Exercise Sandals may increase the demands placed on ankle muscles during rehabilitation, which could improve postural stability.
  
  
  OBJECTIVE
  To examine the effects of functional balance training, with and without the use of Exercise Sandals, on postural stability in subjects with stable or unstable ankles.
  
  
  METHODS
  Prospective, nonrandomized clinical trial.
  
  
  METHODS
  Sports medicine research laboratory.
  
  
  METHODS
  Sixteen subjects with functional ankle instability and 16 subjects with no history of ankle sprains.
  
  
  METHODS
  Subjects were assigned to an Exercise Sandal functional balance training group or a shoe functional balance training group. Subjects trained 3 times per week for 8 weeks and then performed a single-limb stance posttest.
  
  
  METHODS
  Subjects were required to remain as motionless as possible during a single-limb stance pretest. Anterior-posterior and medial-lateral center-of-pressure excursions were measured.
  
  
  RESULTS
  Exercise Sandal balance training improved anterior-posterior postural stability in both ankle groups ( P < .05). Both training interventions improved medial-lateral postural stability in stable and unstable ankles ( P < .05).
  
  
  CONCLUSIONS
  Postural stability improved after subjects performed functional balance training programs, both with and without Exercise Sandals. Training with Exercise Sandals might not be any more effective in improving postural stability than performing functional balance training without Exercise Sandals. However, Exercise Sandals did not impair postural stability and, consequently, might serve as an alternative therapy to improve postural stability.
authors.affiliation: North Carolina School of Science and Math, Durham, NC, USA. seross@vcu.edu
authors.forename: Thomas B
authors.initials: TB
authors.lastname: Michell
authors.forename: Scott E
authors.initials: SE
authors.lastname: Ross
authors.forename: J Troy
authors.initials: JT
authors.lastname: Blackburn
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Hirth
authors.forename: Kevin M
authors.initials: KM
authors.lastname: Guskiewicz