{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T06:09:20Z","timestamp":1794377360488,"version":"4.9.0"},"reference-count":47,"publisher":"National Athletic Trainers' Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To answer the following clinical questions: (1) Is poor postural control associated with increased risk of a lateral ankle sprain? (2) Is postural control adversely affected after acute lateral ankle sprain? (3) Is postural control adversely affected in those with chronic ankle instability?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources:<\/jats:title>\n                    <jats:p>\n                      PubMed and CINAHL entries from 1966 through October 2006 were searched using the terms\n                      <jats:italic>ankle sprain, ankle instability, balance, chronic ankle instability, functional ankle instability, postural control,<\/jats:italic>\n                      and\n                      <jats:italic>postural sway<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Selection:<\/jats:title>\n                    <jats:p>Only studies assessing postural control measures in participants on a stable force plate performing the modified Romberg test were included. To be included, a study had to address at least 1 of the 3 clinical questions stated above and provide adequate results for calculation of effect sizes or odds ratios where applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Extraction:<\/jats:title>\n                    <jats:p>We calculated odds ratios with 95% confidence intervals for studies assessing postural control as a risk factor for lateral ankle sprains. Effect sizes were estimated with the Cohen d and associated 95% confidence intervals for comparisons of postural control performance between healthy and injured groups, or healthy and injured limbs, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Synthesis:<\/jats:title>\n                    <jats:p>Poor postural control is most likely associated with an increased risk of sustaining an acute ankle sprain. Postural control is impaired after acute lateral ankle sprain, with deficits identified in both the injured and uninjured sides compared with controls. Although chronic ankle instability has been purported to be associated with altered postural control, these impairments have not been detected consistently with the use of traditional instrumented measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Instrumented postural control testing on stable force plates is better at identifying deficits that are associated with an increased risk of ankle sprain and that occur after acute ankle sprains than at detecting deficits related to chronic ankle instability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4085\/1062-6050-43.3.293","type":"journal-article","created":{"date-parts":[[2009,12,30]],"date-time":"2009-12-30T10:37:40Z","timestamp":1262169460000},"page":"293-304","source":"Crossref","is-referenced-by-count":306,"title":["Systematic Review of Postural Control and Lateral Ankle Instability, Part I: Can Deficits Be Detected With Instrumented Testing?"],"prefix":"10.4085","volume":"43","author":[{"given":"Patrick O.","family":"McKeon","sequence":"first","affiliation":[{"name":"University of Kentucky, Lexington, KY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Hertel","sequence":"additional","affiliation":[{"name":"University of Virginia, Charlottesville, VA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"4","key":"i1062-6050-43-3-293-Freeman1","series-title":"J Bone Joint Surg Br","first-page":"669","article-title":"Instability of the foot after injuries to the lateral ligament of the ankle.","volume":"47","author":"Freeman, M. A.","year":"1965","unstructured":"Freeman, M. A.\n          \n          Instability of the foot after injuries to the lateral ligament of the ankle.\n          J Bone Joint Surg Br\n          1965. 474:669\u2013677."},{"issue":"4","key":"i1062-6050-43-3-293-Freeman2","series-title":"J Bone Joint Surg Br","first-page":"678","article-title":"The etiology and prevention of functional instability of the foot.","volume":"47","author":"Freeman, M. A.","year":"1965","unstructured":"Freeman, M. A., M. R.Dean, and I. W.Hanham. The etiology and prevention of functional instability of the foot.J Bone Joint Surg Br1965. 474:678\u2013685."},{"issue":"1","key":"i1062-6050-43-3-293-Tropp1","series-title":"Med Sci Sports Exerc","first-page":"64","article-title":"Stabilometry in functional instability of the ankle and its value in predicting injury.","volume":"16","author":"Tropp, H.","year":"1984","unstructured":"Tropp, H., J.Ekstrand, and J.Gillquist. 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Postural control deficits in participants with functional ankle instability as measured by the Balance Error Scoring System.Clin J Sport Med2006. 163:203\u2013208."},{"issue":"1","key":"i1062-6050-43-3-293-Hertel4","series-title":"J Appl Biomech","first-page":"67","article-title":"Time-to-boundary measures of postural control during quiet single leg standing.","volume":"22","author":"Hertel, J.","year":"2006","unstructured":"Hertel, J., L.Olmsted-Kramer, and J.Challis. Time-to-boundary measures of postural control during quiet single leg standing.J Appl Biomech2006. 221:67\u201373."},{"issue":"4","key":"i1062-6050-43-3-293-vanEmmerik1","series-title":"Exerc Sport Sci Rev","first-page":"177","article-title":"On the functional aspects of variability in postural control.","volume":"30","author":"van Emmerik, R.","year":"2002","unstructured":"van Emmerik, R. and E.van Wegen. On the functional aspects of variability in postural control.Exerc Sport Sci Rev2002. 304:177\u2013183."},{"issue":"1","key":"i1062-6050-43-3-293-vanWegen1","series-title":"Hum Mov Sci","first-page":"61","article-title":"Postural orientation: age-related changes in variability and time-to-boundary.","volume":"21","author":"van Wegen, E. E.","year":"2002","unstructured":"van Wegen, E. E., R. E.van Emmerik, and G. E.Riccio. Postural orientation: age-related changes in variability and time-to-boundary.Hum Mov Sci2002. 211:61\u201384."},{"issue":"3","key":"i1062-6050-43-3-293-vanWegen2","series-title":"Motor Control","first-page":"254","article-title":"Stability boundaries and lateral postural control in Parkinson's disease.","volume":"5","author":"van Wegen, E. E.","year":"2001","unstructured":"van Wegen, E. E., R. E.van Emmerik, R. C.Wagenaar, and T.Ellis. Stability boundaries and lateral postural control in Parkinson's disease.Motor Control2001. 53:254\u2013269."},{"issue":"4","key":"i1062-6050-43-3-293-Ross1","series-title":"J Athl Train","first-page":"298","article-title":"Single-leg jump-landing stabilization times in subjects with functionally unstable ankles.","volume":"40","author":"Ross, S. E.","year":"2005","unstructured":"Ross, S. E., K. M.Guskiewicz, and B.Yu. Single-leg jump-landing stabilization times in subjects with functionally unstable ankles.J Athl Train2005. 404:298\u2013304."},{"issue":"3","key":"i1062-6050-43-3-293-Hertel5","series-title":"J Orthop Sport Phys Ther","first-page":"131","article-title":"Simplifying the Star Excursion Balance Test: analyses of subjects with and without chronic ankle instability.","volume":"36","author":"Hertel, J.","year":"2006","unstructured":"Hertel, J., R.Braham, S.Hale, and L.Olmsted-Kramer. Simplifying the Star Excursion Balance Test: analyses of subjects with and without chronic ankle instability.J Orthop Sport Phys Ther2006. 363:131\u2013137."},{"issue":"4","key":"i1062-6050-43-3-293-Olmsted1","series-title":"J Athl Train","first-page":"501","article-title":"Efficacy of the Star Excursion Balance Tests in detecting reach deficits in subjects with chronic ankle instability.","volume":"37","author":"Olmsted, L. C.","year":"2002","unstructured":"Olmsted, L. C., C. R.Carcia, J.Hertel, and S. J.Shultz. Efficacy of the Star Excursion Balance Tests in detecting reach deficits in subjects with chronic ankle instability.J Athl Train2002. 374:501\u2013506."}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/43\/3\/article-p293.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/43\/3\/293\/1454163\/1062-6050-43_3_293.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/43\/3\/article-p293.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/43\/3\/article-p293.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T20:36:43Z","timestamp":1749674203000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/43\/3\/article-p293.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,5]]},"references-count":47,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-43.3.293","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2008,5]]}}}