Effects of neuromuscular training on dynamic postural balance and proprioception in youth basketball players with functional ankle instability
DOI:
https://doi.org/10.47197/retos.v44i0.91257Keywords:
postural balance, proprioception, neuromuscular training, functional ankle instability, postural controlAbstract
Introduction: Injury prevention depends on several factors in the athlete, where an optimal postural balance and proprioception are key to achieving it. It is suggested that neuromuscular training could improve dynamic postural balance and proprioception in basketball players with functional ankle instability (FAI). Method: Randomized controlled clinical trial. The sample consisted of 27 female basketball players between the ages of 15 and 17, belonging to a Sports Club in the Maipú city (Santiago, Chile). 13 of them assigned to the control group and 14 to an experimental group. This last group received a neuromuscular intervention of 6 weeks, of 2 non-consecutive days. Both extremities were worked on stable, unstable surfaces, with and without visual inhibition. Postural balance was measured with the SEBTm test and proprioception through an active joint repositioning test. Results: both the control and experimental groups significantly improved postural balance, however, the experimental group showed greater percentage changes and larger effect sizes (ES). The greatest change in the control group was 7.8% in the posterolateral direction of the SEBTm (p=0.046; ES=0.74). In the experimental group, the greatest change was 21% in the anterior direction of the SEBTm (p=0.001; ES=2.2). In the active repositioning test, no significant changes were observed in the control group, while the experimental group improved up to 82.8% in the hip joint (p=0.001; ES=2.72). Conclusion: A six-week neuromuscular training improved dynamic postural balance and proprioception in female basketball players with IFT.
References
Asadi, A., Saez de Villarreal, E., & Arazi, H. (2015). The Effects of Plyometric Type Neuromuscular Training on Postural Control Performance of Male Team Basketball Players. Journal of strength and conditioning research, 29(7), 1870–1875. https://doi.org/10.1519/JSC.0000000000000832
Bruyneel, A. V. (2016). Evaluación de la propiocepción: pruebas de estatestesia y cinestesia. EMC-Kinesiterapia-Medicina Física, 37(4), 1-11. https://doi.org/10.1016/S1293-2965(16)78903-1
Danes Daetz, C., Rojas Toro, F., & Tapia Mendoza, V. (2020). Lesiones deportivas en deportistas universitarios chilenos (Sports injuries in Chilean university athletes). Retos, 38, 490-496. https://doi.org/10.47197/retos.v38i38.74745
De Oliveira Menacho, M., Pereira, H. M., Oliveira, B. I., Chagas, L. M., Toyohara, M. T., & Cardoso, J. R. (2010). The peroneus reaction time during sudden inversion test: systematic review. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 20(4), 559–565. https://doi.org/10.1016/j.jelekin.2009.11.007
Fatima, S., Bhati, P., Singla, D., Choudhary, S., & Hussain, M. E. (2020). Electromyographic Activity of Hip Musculature During Functional Exercises in Participants With and Without Chronic Ankle Instability. Journal of chiropractic medicine, 19(1), 82–90. https://doi.org/10.1016/j.jcm.2019.07.002
Fong, D. T., Hong, Y., Chan, L. K., Yung, P. S., & Chan, K. M. (2007). A systematic review on ankle injury and ankle sprain in sports. Sports medicine (Auckland, N.Z.), 37(1), 73–94. https://doi.org/10.2165/00007256-200737010-00006
Freeman, M. A., Dean, M. R., & Hanham, I. W. (1965). The etiology and prevention of functional instability of the foot. The Journal of bone and joint surgery. British volume, 47(4), 678–685.
Ghaderi, M., Letafatkar, A., Almonroeder, T. G., & Keyhani, S. (2020). Neuromuscular training improves knee proprioception in athletes with a history of anterior cruciate ligament reconstruction: A randomized controlled trial. Clinical biomechanics (Bristol, Avon), 80, 105157.
Gribble, P. A., Hertel, J., & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of athletic training, 47(3), 339–357. https://doi.org/10.4085/1062-6050-47.3.08
Gribble, P. A., Kelly, S. E., Refshauge, K. M., & Hiller, C. E. (2013). Interrater reliability of the star excursion balance test. Journal of athletic training, 48(5), 621–626. https://doi.org/10.4085/1062-6050-48.3.03
Guzmán-Muñoz, E., Daigre-Prieto, M., Soto-Santander, K., Concha-Cisternas, Y., Méndez-Rebolledo, G., Sazo-Rodríguez, S., & Valdés-Badilla, P. (2019). The effects of neuromuscular training on the postural control of university volleyball players with functional ankle instability: A pilot study. Archivos de medicina del deporte, 35(5),283-287.
Guzmán-Muñoz, E., Sazo-Rodriguez, S., Concha-Cisternas, Y., Valdés-Badilla, P., Lira-Cea, C., Silva-Moya, G., Henríquez, R., Farias, T. Y., Cigarroa, I., Castillo-Retamal, M., & Méndez-Rebolledo, G. (2020). Four Weeks of Neuromuscular Training Improve Static and Dynamic Postural Control in Overweight and Obese Children: A Randomized Controlled Trial. Journal of motor behavior, 52(6), 761–769. https://doi.org/10.1080/00222895.2019.1694486
Hertel J. (2008). Sensorimotor deficits with ankle sprains and chronic ankle instability. Clinics in sports medicine, 27(3), 353–vii. https://doi.org/10.1016/j.csm.2008.03.006
Hertel, J., Braham, R. A., Hale, S. A., & Olmsted-Kramer, L. C. (2006). Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. The Journal of orthopaedic and sports physical therapy, 36(3), 131–137. https://doi.org/10.2519/jospt.2006.36.3.131
Horak F. B. (2006). Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age and ageing, 35 Suppl 2, ii7–ii11. https://doi.org/10.1093/ageing/afl077
Iida, N., Kaneko, F., Aoki, N., & Shibata, E. (2014). The effect of fatigued internal rotator and external rotator muscles of the shoulder on the shoulder position sense. Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 24(1), 72–77. https://doi.org/10.1016/j.jelekin.2013.10.008
Jung, D. J., Kang, J. I., Park, S. K., Lee, M. K., & Jeong, Y. S. (2014). Effect of Neuromuscular Training on Postural Control and Jump Performance in Functional Ankle Instability Soccer Player. Korean Journal of Sport Biomechanics, 24(3), 295-300. https://doi.org/10.5103/kjsb.2014.24.3.295
Karagiannopoulos, C., Sitler, M., Michlovitz, S., Tucker, C., & Tierney, R. (2016). Responsiveness of the active wrist joint position sense test after distal radius fracture intervention. Journal of hand therapy : official journal of the American Society of Hand Therapists, 29(4), 474-482. https://doi.org/10.1016/j.jht.2016.06.009
Lin, C. W., Delahunt, E., & King, E. (2012). Neuromuscular training for chronic ankle instability. Physical therapy, 92(8), 987–991. https://doi.org/10.2522/ptj.20110345
Lubiatowski, P., Ogrodowicz, P., Wojtaszek, M., & Romanowski, L. (2019). Bilateral shoulder proprioception deficit in unilateral anterior shoulder instability. Journal of shoulder and elbow surgery, 28(3), 561–569. https://doi.org/10.1016/j.jse.2018.08.034
Matsouka, O., Nani, S., Papadimitriou, K., Astrapellos, K., Beneka, A., & Malliou, P. (2020). Time course changes in hand grip strength performance and hand position sense in climbing. Journal of Human Sport and Exercise, 15(1), 23-33. https://doi.org/10.14198/jhse.2020.151.03
Maurer, C., Mergner, T., & Peterka, R. J. (2006). Multisensory control of human upright stance. Experimental Brain Research, 171(2), 231-250. https://doi.org/10.1007/s00221-005-0256-y
McGuine, T. A., Greene, J. J., Best, T., & Leverson, G. (2000). Balance as a predictor of ankle injuries in high school basketball players. Clinical Journal of Sport Medicine, 10(4), 239-244. https://doi.org/10.1097/00042752-200010000-00003
Mendez-Rebolledo, G., Figueroa-Ureta, R., Moya-Mura, F., Guzmán-Muñoz, E., Ramirez-Campillo, R., & Lloyd, R. S. (2021). The Protective Effect of Neuromuscular Training on the Medial Tibial Stress Syndrome in Youth Female Track-and-Field Athletes: A Clinical Trial and Cohort Study. Journal of sport rehabilitation, 1–9. Advance online publication. https://doi.org/10.1123/jsr.2020-0376
Mendez-Rebolledo, G., Guzman-Munoz, E., Gatica-Rojas, V., & Zbinden-Foncea, H. (2015). Longer reaction time of the fibularis longus muscle and reduced postural control in basketball players with functional ankle instability: A pilot study. Physical Therapy in Sport, 16(3), 242-247. https://doi.org/10.1016/j.ptsp.2014.10.008
Peterka, R. J., & Loughlin, P. J. (2004). Dynamic regulation of sensorimotor integration in human postural control. Journal of Neurophysiology, 91(1), 410-423. https://doi.org/10.1152/jn.00516.2003
Rein, S., Hagert, E., & Sterling-Hauf, T. (2021). Alterated ligamento-muscular reflex pattern after stimulation of the anterior talofibular ligament in functional ankle instability. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 29(5), 1544–1553. https://doi.org/10.1007/s00167-020-06232-w
Riemann, B. L., Myers, J. B., Stone, D. A., & Lephart, S. M. (2004). Effect of lateral ankle ligament anesthesia on single-leg stance stability. Medicine and Science in Sports and Exercise, 36(3), 388-396. https://doi.org/10.1249/01.mss.0000117131.93989.9b
Rodriguez-Fernandez, A. L., Rebollo-Roldan, J., Jimenez-Rejano, J. J., & Gueita-Rodriguez, J. (2015). Psychometric properties of the Spanish version of the Cumberland Ankle Instability Tool. Disability and Rehabilitation, 37(20), 1888-1894. https://doi.org/10.3109/09638288.2014.984879
Sanchez-Monzó, C. S., Lanzuela, M. F., & Alfaro, J. J. B. (2015). Inestabilidad crónica de tobillo: Actualización. Revista de la Sociedad Andaluza de Traumatología y Ortopedia, 32(2), 19-29.
Sanudo, B., Sanchez-Hernandez, J., Bernardo, M., Abdi, E., Taiar, R., & Nunez, J. (2019). Integrative Neuromuscular Training in Young Athletes, Injury Prevention, and Performance Optimization: A Systematic Review. Applied Sciences-Basel, 9(18). https://doi.org/10.3390/app9183839
Silva-Moya, G., Méndez-Rebolledo, G., Valdes-Badilla, P., Gómez-Álvarez, N., & Guzmán-Muñoz, E. (2021). Effects of neuromuscular training on psychomotor development and active joint position sense in school children. Journal of motor behavior, 1–10. Advance online publication. https://doi.org/10.1080/00222895.2021.1887072
Steib, S., Rahlf, A. L., Pfeifer, K., & Zech, A. (2017). Dose-Response Relationship of Neuromuscular Training for Injury Prevention in Youth Athletes: A Meta-Analysis. Frontiers in physiology, 8, 920. https://doi.org/10.3389/fphys.2017.00920
Toro Román, V., Guerrero Ramos, D., Muñoz Marín, D., Siquier Coll, J., Bartolomé Sánchez, I., & Robles Gil, M. (2020). Análisis de la incidencia de lesiones y hábitos usados durante el calentamiento en el baloncesto femenino (Analysis of the incidence of injuries and routines used during warm-up in female basketball players). Retos, 38, 159-165. https://doi.org/10.47197/retos.v38i38.74310
Voight, M. L., & Wieder, D. L. (1991). Comparative reflex response times of vastus medialis obliquus and vastus lateralis in normal subjects and subjects with extensor mechanism dysfunction. An electromyographic study. The American journal of sports medicine, 19(2), 131–137. https://doi.org/10.1177/036354659101900207
Wenning, M., Gehring, D., Mauch, M., Schmal, H., Ritzmann, R., & Paul, J. (2020). Functional deficits in chronic mechanical ankle instability. Journal of orthopaedic surgery and research, 15(1), 304. https://doi.org/10.1186/s13018-020-01847-8
Yeung, M. S., Chan, K. M., So, C. H., & Yuan, W. Y. (1994). An epidemiological survey on ankle sprain. British journal of sports medicine, 28(2), 112–116. https://doi.org/10.1136/bjsm.28.2.112
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Karina Vásquez-Orellana, Matías López-Vásquez, Guillermo Méndez-Rebolledo, Eduardo Guzman Muñoz
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.