{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:28:27Z","timestamp":1787030907915,"version":"build-2736575974"},"reference-count":44,"publisher":"National Athletic Trainers' Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,6]]},"abstract":"\n Context:<\/jats:bold>\n Rehabilitation programs for patients with chronic ankle instability (CAI) generally involve balance-perturbation training (BPT). Anticipatory postural adjustments (APAs) and compensatory postural adjustments (CPAs) are the primary strategies used to maintain equilibrium during body perturbations. Little is known, however, about how APAs and CPAs are modified to promote better postural control for individuals with CAI after BPT.\n <\/jats:p>\n \n Objective:<\/jats:bold>\n To investigate the effect of BPT that involves kicking a ball on postural-control strategies in individuals with CAI.\n <\/jats:p>\n \n Design:<\/jats:bold>\n Randomized controlled clinical trial.\n <\/jats:p>\n \n Setting:<\/jats:bold>\n Laboratory.\n <\/jats:p>\n \n Patients or Other Participants:<\/jats:bold>\n We randomly assigned 44 volunteers with CAI to either a training group (TG; 11 women, 11 men; age = 24 \u00b1 4 years, height = 173.0 \u00b1 9.8 cm, mass = 72.64 \u00b1 11.98 kg) or control group (CG; 11 women, 11 men; age = 22 \u00b1 3 years, height = 171.0 \u00b1 9.7 cm, mass = 70.00 \u00b1 11.03 kg).\n <\/jats:p>\n \n Intervention(s):<\/jats:bold>\n The TG performed a single 30-minute training session that involved kicking a ball while standing on 1 foot. The CG received no intervention.\n <\/jats:p>\n \n Main Outcome Measure(s):<\/jats:bold>\n The primary outcome was the sum of the integrated electromyographic activity (\u2211\u222bEMG) of the lower extremity muscles in the supporting limb that were calculated during typical intervals for APAs and CPAs. A secondary outcome was center-of-pressure displacement during similar intervals.\n <\/jats:p>\n \n Results:<\/jats:bold>\n In the TG after training, the \u2211\u222bEMG decreased in both dorsal and ventral muscles during compensatory adjustment (ie, the time interval that followed lower limb movement). During this interval, muscle activity (\u2211\u222bEMG) was less in the TG than in the CG. Consequently, center-of-pressure displacement increased during the task after training.\n <\/jats:p>\n \n Conclusions:<\/jats:bold>\n A single session of ball-kicking BPT promoted changes in postural-control strategies in individuals with CAI. These results should stimulate new and more comprehensive studies to investigate the effect of this and other BPT techniques on postural control in patients with CAI.\n <\/jats:p>","DOI":"10.4085\/1062-6050-51.8.02","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T13:41:56Z","timestamp":1474292516000},"page":"480-490","source":"Crossref","is-referenced-by-count":19,"title":["Changes in Postural Control After a Ball-Kicking Balance Exercise in Individuals With Chronic Ankle Instability"],"prefix":"10.4085","volume":"51","author":[{"given":"Josilene Souza","family":"Concei\u00e7\u00e3o","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Santa Catarina State University, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Gustavo","family":"Schaefer de Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Santa Catarina State University, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilmar Moraes","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Santa Catarina State University, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Keighley","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, University of Kansas Medical Center, Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcio Jose","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"13","key":"i1062-6050-51-6-480-b01","series-title":"J Bone Joint Surg Am","first-page":"2279","article-title":"The epidemiology of ankle sprains in the United States","volume":"92","author":"Waterman \n BR,","year":"2010","unstructured":"Waterman \n BR, \n \n \n Owens \n BD, \n \n \n Davey \n S, \n \n \n Zacchilli \n MA, \n \n \n Belmont \n PJ. \n \n \n The epidemiology of ankle sprains in the United States. 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J Orthop Sports Phys Ther. 2011;41(2):81\u201389."},{"issue":"10","key":"i1062-6050-51-6-480-b11","series-title":"Med Sci Sports Exerc","first-page":"1810","article-title":"Balance training improves function and postural control in those with chronic ankle instability","volume":"40","author":"McKeon \n PO,","year":"2008","unstructured":"McKeon \n PO, \n \n \n Ingersoll \n CD, \n \n \n Kerrigan \n DC, \n \n \n Saliba \n E, \n \n \n Bennett \n BC, \n \n \n Hertel \n J. \n \n \n Balance training improves function and postural control in those with chronic ankle instability. 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Med Sci Sports Exerc. 2001;33(12):1991\u20131998."},{"issue":"8","key":"i1062-6050-51-6-480-b18","series-title":"J Biomech","first-page":"735","article-title":"Biomechanical study of the programming of anticipatory postural adjustments associated with voluntary movement","volume":"20","author":"Bouisset \n S,","year":"1987","unstructured":"Bouisset \n S, \n \n \n Zattara \n M. \n \n \n Biomechanical study of the programming of anticipatory postural adjustments associated with voluntary movement. J Biomech. 1987;20(8):735\u2013742."},{"issue":"5","key":"i1062-6050-51-6-480-b19","series-title":"Biol Cybern","first-page":"309","article-title":"Feedback equilibrium control during human standing","volume":"93","author":"Alexandrov \n AV,","year":"2005","unstructured":"Alexandrov \n AV, \n \n \n Frolov \n AA, \n \n \n Horak \n FB, \n \n \n Carlson-Kuhta \n P, \n \n \n Park \n S. \n \n \n Feedback equilibrium control during human standing. 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Biomechanical analysis","volume":"20","author":"Santos \n MJ,","year":"2010","unstructured":"Santos \n MJ, \n \n \n Kanekar \n N, \n \n \n Aruin \n AS. \n \n \n The role of anticipatory postural adjustments in compensatory control of posture: 2. Biomechanical analysis. J Electromyogr Kinesiol. 2010;20(3):398\u2013405."},{"key":"i1062-6050-51-6-480-b22","series-title":"Biomed Sci Instrum","first-page":"65","article-title":"Anticipatory postural adjustment and T'ai Chi Ch'uan","volume":"33","author":"Forrest \n WR.","year":"1997","unstructured":"Forrest \n WR. \n \n \n Anticipatory postural adjustment and T'ai Chi Ch'uan. 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