{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T04:17:13Z","timestamp":1780546633212,"version":"3.54.1"},"reference-count":10,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2007,8,1]],"date-time":"2007-08-01T00:00:00Z","timestamp":1185926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2007,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A high body mass index and previous ankle sprains have been shown to increase the risk of sustaining noncontact inversion ankle sprains in high school football players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>Stability pad balance training reduces the incidence of noncontact inversion ankle sprains in football players with increased risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Height, body mass, history of previous ankle sprains, and current ankle brace\/tape use were documented at the beginning of preseason training in 2 high school varsity football teams for 3 consecutive years (175 player-seasons). Players were categorized as minimal risk, low risk, moderate risk, and high risk based on the history of previous ankle sprain and body mass index. Players in the low-, moderate-, and high-risk groups (ie, any player with a high body mass index and\/or a previous ankle sprain) were placed on a balance training intervention on a foam stability pad. Players balanced for 5 minutes on each leg, 5 days per week, for 4 weeks in preseason and twice per week during the season. Postintervention injury incidence was compared with preintervention incidence (107 players-seasons) for players with increased risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Injury incidence for players with increased risk was 2.2 injuries per 1000 exposures (95% confidence interval, 1.1-3.8) before the intervention and 0.5 (95% confidence interval, 0.2-1.3) after the intervention (P &lt; .01). This represents a 77% reduction in injury incidence (95% confidence interval, 31%-92%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The increased risk of a noncontact inversion ankle sprain associated with a high body mass index and a previous ankle sprain was eliminated by the balance training intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546507300059","type":"journal-article","created":{"date-parts":[[2007,3,29]],"date-time":"2007-03-29T21:23:17Z","timestamp":1175203397000},"page":"1289-1294","source":"Crossref","is-referenced-by-count":86,"title":["The Effectiveness of a Balance Training Intervention in Reducing the Incidence of Noncontact Ankle Sprains in High School Football Players"],"prefix":"10.1177","volume":"35","author":[{"given":"Malachy P.","family":"McHugh","sequence":"first","affiliation":[{"name":"Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy F.","family":"Tyler","sequence":"additional","affiliation":[{"name":"Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, New York"},{"name":"Pro Sports Physical Therapy of Westchester, Scarsdale, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Mirabella","sequence":"additional","affiliation":[{"name":"Pro Sports Physical Therapy of Westchester, Scarsdale, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Mullaney","sequence":"additional","affiliation":[{"name":"Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Nicholas","sequence":"additional","affiliation":[{"name":"Nicholas Institute of Sports Medicine and Athletic Trauma, Lenox Hill Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,8,1]]},"reference":[{"key":"bibr1-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.1997.tb00135.x"},{"key":"bibr2-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300508"},{"key":"bibr3-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199804000-00010"},{"key":"bibr4-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1177\/107110079101200105"},{"key":"bibr5-0363546507300059","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199520010-00005"},{"key":"bibr6-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200506"},{"key":"bibr7-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300408"},{"key":"bibr8-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505280429"},{"key":"bibr9-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2003.005785"},{"key":"bibr10-0363546507300059","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.1999.tb00205.x"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546507300059","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546507300059","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546507300059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:41:54Z","timestamp":1777369314000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546507300059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,8]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2007,8]]}},"alternative-id":["10.1177\/0363546507300059"],"URL":"https:\/\/doi.org\/10.1177\/0363546507300059","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,8]]}}}