{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:20:15Z","timestamp":1791465615310,"version":"4.3.4"},"reference-count":0,"publisher":"Human Kinetics","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec sec-type=\"context\"><jats:title>Context:<\/jats:title><jats:p>There is minimal patient-oriented evidence regarding the effectiveness of interventions targeted to reduce symptoms associated with chronic ankle instability (CAI). In addition, clinicians aiming to prioritize care by implementing only the most effective components of a rehabilitative program have very little evidence on comparative efficacy.<\/jats:p><\/jats:sec><jats:sec sec-type=\"objective\"><jats:title>Objective:<\/jats:title><jats:p>To assess the comparative efficacy of 2 common ankle rehabilitation techniques (wobble-board [WB] balance training and ankle strengthening using resistance tubing [RT]) using patient-oriented outcomes.<\/jats:p><\/jats:sec><jats:sec sec-type=\"design\"><jats:title>Design:<\/jats:title><jats:p>Randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec sec-type=\"setting\"><jats:title>Setting:<\/jats:title><jats:p>Laboratory.<\/jats:p><\/jats:sec><jats:sec sec-type=\"patients\"><jats:title>Patients:<\/jats:title><jats:p>40 patients with CAI randomized into 2 treatment groups: RT and WB. CAI inclusion criteria included a history of an ankle sprain, recurrent \u201cgiving way,\u201d and a Cumberland Ankle Instability Tool (CAIT) score \u226425.<\/jats:p><\/jats:sec><jats:sec sec-type=\"interventions\"><jats:title>Interventions:<\/jats:title><jats:p>Participants completed 5 clinician-oriented tests (foot-lift test, time-in-balance, Star Excursion Balance Test, figure-of-8 hop, and side-hop) and 5 patient-oriented questionnaires (CAIT, Foot and Ankle Ability Measure [FAAM], Activities of Daily Living [ADL] and FAAM Sport scale, Short-Form 36 [SF-36], and Global Rating of Function [GRF]). After baseline testing, participants completed 12 sessions over 4 wk of graduated WB or RT exercise, then repeated baseline tests.<\/jats:p><\/jats:sec><jats:sec sec-type=\"main outcome measures\"><jats:title>Main Outcome Measures:<\/jats:title><jats:p>For each patient- and clinician-oriented test, separate 2 \u00d7 2 RMANOVAs analyzed differences between groups over time (alpha set at <jats:italic>P<\/jats:italic> = .05).<\/jats:p><\/jats:sec><jats:sec sec-type=\"results\"><jats:title>Results:<\/jats:title><jats:p>There was a significant interaction between group and time for the FAAM-ADL (<jats:italic>P<\/jats:italic> = .04). Specifically, the WB group improved postintervention (<jats:italic>P<\/jats:italic> &lt; .001) whereas the RT group remained the same (<jats:italic>P<\/jats:italic> = .29). There were no other significant interactions or significant differences between groups (all <jats:italic>P<\/jats:italic> &gt; .05). There were significant improvements postintervention for the CAIT, FAAM-Sport, GRF, SF-36, and all 5 clinician-oriented tests (all <jats:italic>P<\/jats:italic> &lt; .001).<\/jats:p><\/jats:sec><jats:sec sec-type=\"conclusions\"><jats:title>Conclusions:<\/jats:title><jats:p>A single-exercise 4-wk intervention can improve patient- and clinician-oriented outcomes in individuals with CAI. Limited evidence indicates that WB training was more effective than RT.<\/jats:p><\/jats:sec><jats:sec sec-type=\"level of evidence\"><jats:title>Level of Evidence:<\/jats:title><jats:p>Therapy, level 1b.<\/jats:p><\/jats:sec>","DOI":"10.1123\/jsr.2015-0189","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T18:18:18Z","timestamp":1456510698000},"page":"238-249","source":"Crossref","is-referenced-by-count":94,"title":["A Randomized Controlled Trial Comparing Rehabilitation Efficacy in Chronic Ankle Instability"],"prefix":"10.1123","volume":"26","author":[{"given":"Cynthia J.","family":"Wright","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley W.","family":"Linens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary S.","family":"Cain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","container-title":["Journal of Sport Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jsr\/26\/4\/article-p238.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jsr\/26\/4\/article-p238.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T23:02:46Z","timestamp":1653001366000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jsr\/26\/4\/article-p238.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":0,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1123\/jsr.2015-0189","relation":{},"ISSN":["1056-6716","1543-3072"],"issn-type":[{"value":"1056-6716","type":"print"},{"value":"1543-3072","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7]]}}}