{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T07:21:25Z","timestamp":1793085685660,"version":"4.5.0"},"reference-count":30,"publisher":"National Athletic Trainers' Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI). However, whether combining the 2 exercises increases improvement is unknown.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>High school athletic training facilities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients or Other Participants<\/jats:title>\n                  <jats:p>Forty-three patients with CAI (age = 16.37 \u00b1 1.00 years, height = 171.75 \u00b1 12.05 cm, mass = 69.38 \u00b1 18.36 kg) were block randomized into 4 rehabilitation groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Intervention(s)<\/jats:title>\n                  <jats:p>Protocols were completed 3 times per week for 4 weeks. The resistance-band group performed 3 sets of 10 repetitions of ankle plantar flexion, dorsiflexion, inversion, and eversion with a resistance band. The Biomechanical Ankle Platform System group performed 5 trials of clockwise and counterclockwise rotations, changing direction every 10 seconds during each 40-second trial. The combination group completed resistance-band and Biomechanical Ankle Platform System programs during each session. The control group did not perform any exercises.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s)<\/jats:title>\n                  <jats:p>Variables were assessed before and after the intervention: time-in-balance test, foot-lift test, Star Excursion Balance Test, side-hop test, figure-8 hop test, Foot and Ankle Ability Measure, and Cumberland Ankle Instability Tool. We conducted 4 separate multivariate repeated-measures analyses of variance, followed by univariate analyses for any findings that were different.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Using the time-in-balance test, foot-lift test, Star Excursion Balance Test (medial, posteromedial, and posterolateral directions), and figure-8 hop test, we detected improvement for each rehabilitation group compared with the control group (P &amp;lt; .05). However, no intervention group was superior.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>All 3 rehabilitation groups demonstrated improvement compared with the control group, yet the evidence was too limited to support a superior intervention. Over a 4-week period, either of the single-task interventions or the combination intervention can be used to combat the residual deficits associated with CAI in an adolescent patient population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-41-19","type":"journal-article","created":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T01:46:42Z","timestamp":1592963202000},"page":"801-810","source":"Crossref","is-referenced-by-count":99,"title":["Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability"],"prefix":"10.4085","volume":"55","author":[{"given":"M. Spencer","family":"Cain","sequence":"first","affiliation":[{"name":"MOTION Science Institute, University of North Carolina at Chapel Hill"},{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca J.","family":"Ban","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health, Georgia State University, Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Ping","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Georgia State University, Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Geil","sequence":"additional","affiliation":[{"name":"Department of Exercise Science and Sports Management, Kennesaw State University, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin M.","family":"Goerger","sequence":"additional","affiliation":[{"name":"MOTION Science Institute, University of North Carolina at Chapel Hill"},{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley W.","family":"Linens","sequence":"additional","affiliation":[{"name":"Department of Human Physiology, University of Oregon, Eugene. Dr Linens is now with the Department of Kinesiology, University of North Carolina at Charlotte."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","published-online":{"date-parts":[[2020,6,23]]},"reference":[{"key":"2020082414042516300_i1062-6050-55-8-801-b01","doi-asserted-by":"crossref","unstructured":"Mandarakas\n              M,\n            \n            \n              Pourkazemi\n              F,\n            \n            \n              Sman\n              A,\n            \n            \n              Burns\n              J,\n            \n            \n              Hiller\n              CE.\n            \n          \n          Systematic review of chronic ankle instability in children.\n\t\t\t\t\tJ Foot Ankle Res.\n\t\t\t\t\t2014;\n\t\t\t\t\t7(1):\n\t\t\t\t\t21.","DOI":"10.1186\/1757-1146-7-21"},{"key":"2020082414042516300_i1062-6050-55-8-801-b02","unstructured":"Hertel\n              J.\n            \n          \n          Functional anatomy, 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