title: The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability.
abstract: METHODS
  Prospective, randomized controlled trial.
  
  
  OBJECTIVE
  To examine the effects of a 4-week rehabilitation program for chronic ankle instability (CAI) on postural control and lower extremity function.
  
  
  BACKGROUND
  CAI is associated with residual symptoms, performance deficits, and reinjury. Managing CAI is challenging and more evidence is needed to guide effective treatment.
  
  
  METHODS
  Subjects with unilateral CAI were randomly assigned to the rehabilitation (CAI-rehab, n=16) or control (CAI-control, n=13) group. Subjects without CAI were assigned to a healthy group (n=19). Baseline testing included the (1) center of pressure velocity (COPV), (2) star excursion balance test (SEBT), and (3) Foot and Ankle Disability index (FADI) and FADI-Sports Subscale (FADI-Sport). The CAI-rehab group completed 4 weeks of rehabilitation that addressed range of motion, strength, neuromuscular control, and functional tasks. After 4 weeks, all subjects were retested. Nonparametric analyses for group differences and between-group comparisons were performed.
  
  
  RESULTS
  Subjects with CAI demonstrated deficits in postural control and SEBT reach tasks of the involved limb compared to the uninvolved limb and reported functional deficits of the involved limb compared to healthy subjects. Following rehabilitation, the CAI-rehab group had greater SEBT reach improvements on the involved limb than the other groups and greater improvements in FADi and FADI-Sport scores.
  
  
  CONCLUSIONS
  These results demonstrate postural control and functional limitations exist in individuals with CAl. In addition, rehabilitation appears to improve these functional limitations. Finally, there is evidence to suggest the SEBT may be a good functional measure to monitor change after rehabilitation for CAI.
authors.affiliation: Shenandoah University, Division of Physical Therapy, Winchester, VA 22601, USA. shale2@su.edu
authors.forename: Sheri A
authors.initials: SA
authors.lastname: Hale
authors.forename: Jay
authors.initials: J
authors.lastname: Hertel
authors.forename: Lauren C
authors.initials: LC
authors.lastname: Olmsted-Kramer
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000503:physiopathology / Q000534:rehabilitation; D000843:Ankle Joint / Q000503:physiopathology*; D002908:Chronic Disease; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology / Q000534:rehabilitation*; D035002:Lower Extremity / Q000503:physiopathology*; D008297:Male; D026741:Physical Therapy Modalities; D004856:Postural Balance / Q000502:physiology; D011187:Posture / Q000502:physiology*; D011446:Prospective Studies; D013180:Sprains and Strains / Q000503:physiopathology