Introduction
Methodology
Literature Search
Article Inclusion and Exclusion Criteria
Risk of Bias Assessment
Data Extraction
Data Analysis
Results
Literature Search
Assessment of Bias
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | ||
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1. |
Bernier & Perrin, 1998 [20] | ? | ? | - | ? | ? | + | ? | + | ? | ? | + |
2. |
Docherty et al, 1998 [29] | ? | ? | - | ? | ? | - | ? | + | + | ? | ? |
3. |
Rozzi et al, 1999 [21] | - | - | - | ? | ? | ? | ? | + | ? | ? | ? |
4. |
Matsusaka et al, 2001 [6] | ? | ? | - | - | ? | ? | ? | + | ? | ? | + |
5. |
Eils & Rosenbaum, 2001 [22] | ? | ? | - | ? | ? | ? | ? | + | ? | ? | + |
6. |
Kaminski et al, 2003 [32] | ? | ? | - | ? | ? | - | ? | + | ? | ? | ? |
7. |
Powers et al, 2004 [23] | ? | ? | - | - | + | - | ? | ? | ? | ? | + |
8. |
Clark & Burden, 2005 [31] | ? | ? | - | - | ? | - | ? | + | ? | ? | + |
9. |
Kynsburg et al, 2006 [30] | - | ? | - | ? | ? | - | ? | + | ? | ? | + |
10. |
Ross et al, 2007 [10] | ? | ? | - | ? | ? | - | ? | + | ? | ? | ? |
11. |
Hale et al, 2007 [7] | ? | ? | - | - | ? | + | ? | + | ? | ? | + |
12. |
McKeon et al, 2008 [8] | + | + | - | ? | ? | - | ? | + | ? | ? | + |
13. |
McKeon et al, 2009 [35] | + | + | - | - | - | + | + | + | + | ? | + |
14. |
Han et al, 2009 [24] | ? | ? | - | - | ? | + | + | + | ? | ? | + |
Description of Included Studies
Author | Study Population | Presence of MI | Groupings/Intervention | Outcome Measures | Significant Findings | Within Group Effect Sizes | Between Group Effect Sizes |
---|---|---|---|---|---|---|---|
Bernier & Perrin, 1998 [20] | 48 males & females with FAI | Not specified | Control group (n = 14) - no intervention Sham electrical stimulation group (n = 14) Training group (n = 17) - static & dynamic balance training 3 times a week × 6 weeks | SI & MES in SLS for 4 conditions: stable platform with eyes open and eyes closed, and dynamic platform with eyes open and eyes closed Active and passive JPS data for 7 positions: 15° inversion, 0° degrees neutral, and 10° of eversion, performed at 0° and 25° of plantarflexion. Maximum inversion in 25° plantarflexion was also assessed | Training group showed significant MES improvements over the other 2 groups in AP & ML directions for the stable platform and dynamic platform conditions respectively with eyes closed Significant within training group improvements were also noted in the A/P and M/L directions for both conditions with eyes closed | MES - stable platform, eyes closed: A/P direction: 1.08; 95% CI (10.52-30.48) M/L direction: 1.09; 95% CI (5.28-25.72) MES - dynamic platform, eyes closed: A/P direction: 0.71; 95% CI (68.27-78.73) M/L direction: 0.958; 95% CI (65.25-74.75) | MES - stable platform, eyes closed: A/P direction: 0.99 95% CI (12.13-31.87) M/L direction: 0.92; 95% CI (12.63-33.37) MES - dynamic platform, eyes closed: A/P direction: 0.52; 95% CI (63.9-81.10) M/L direction: 0.55; 95% CI (60.9-78.1) |
Docherty et al, 1998 [29] | 20 healthy college students (10 males, 10 females) with FAI | Not specified | Training group (n = 10) -T-band strengthening 3 times a week × 6 weeks Control group (n = 10) - no intervention | Dorsiflexor and evertor isometric muscle strengths Active JPS data collected at 20° for inversion & plantarflexion, & at 10° for eversion and dorsiflexion | Significant beween group interactions for dorisflexion and eversion strength, and inversion, and plantarflexion JPS Significant improvements in all strength and JPS measures post-test within the training group | Dorsiflexion strength: 2.99; 95% CI (38.51-45.39) Eversion strength: 0.83; 95% CI (34.42-41.48) Inversion JPS: 0.98; 95% CI (2.38-7.22) Eversion JPS: 0.77; 95% CI (1.55-5.15) Dorsiflexion JPS: 0.85; 95% CI (1.56-4.54) Plantarflexion JPS: 1.51; 95% CI (2.51-6.79) | Dorsiflexion strength: 2.93; 95% CI (39.31-45.19) Eversion strength: 1.94; 95% CI (27.77-44.93) Inversion JPS: 1.32; 95% CI (2.92-6.28) Plantarflexion JPS: 1.56; 95% CI (2.06-4.84) |
Author | Study Population | Presence of MI | Groupings/Intervention | Outcome Measures | Significant Findings | Within Group Effect Sizes | Between Group Effect Sizes |
---|---|---|---|---|---|---|---|
Rozzi et al, 1999 [21] | 26 active university students (15 male, 11 female) with and without FAI | Not specified | Training group (n = 13) - unilateral static and dynamic Biodex stability training 3 times a week × 4 weeks Healthy control group (n = 13) - identical training to the FAI group | Biodex generated SIs, recorded for 4 conditions: involved limb at levels 2 and 6, and uninvolved limb at levels 2 and 6 AJFAT scores. | Subjects in both groups demonstrated significant post-training improvements in balance ability at stability levels 2 and 6 Post-training AJFAT scores were significantly better for both groups | SI at level 2: 1.13; 95% CI (2.25-6.31) SI at level 6: 0.73; 95% CI (1.09-2.47) AJFAT Scores: 2.39; 95% CI (19.47-23.41) | No significant between group effect for SI at level 2 or 6 & AJFAT |
Matsusaka et al, 2001 [6] | 22 university students (10 women, 12 men) with unilateral FAI | Present in 73% of subjects, as evidenced by a +ve anterior drawer sign | Tape and exercise group (n = 11, 7 with MI) - ankle disc training 5 times per week × 10 weeks with ankle tape in situ Exercise only group (n = 11, 9 with MI) - identical programme without ankle tape in situ Healthy adult group (n = 21) -tested once to determine normal range of rectangular area values | Postural sway was quantified using rectangular area values taken pretest and at 2,3,4,5,6,8, and 10 weeks of training | In the exercise only group postural sway values improved significantly after 6 weeks and were within the normal range after 8 weeks | Exercise only group: Rectangular area values at 6 weeks: 1.501 12.2-15.5 Rectangular area values at 8 weeks: 1.921 11.6-14 | No significant between group effect at 6 & 8 weeks |
Author | Study Population | Presence of MI | Groupings/Intervention | Outcome Measures | Significant Findings | Within Group Effect Sizes | Between Group Effect Sizes |
---|---|---|---|---|---|---|---|
Eils & Rosenbaum, 2001 [22] | 30 subjects (18 male, 12 female) with 48 unstable ankles | Not specified | Training group (n = 20, 31 unstable ankles) - multi-station proprioceptive exercises once per week × 6 weeks Control group (n = 10, 17 unstable ankles) - no intervention | Passive JPS was assessed for 10° and 20° of dorsiflexion, and 15° and 30° of plantarflexion Postural Sway in M/L and A/P directions as well as sway distance was assessed in SLS MRTs of TA, PL, and PB following a sudden inversion perturbation Frequency of recurrence at one year follow up | In the exercise group the results showed significant improvements in JPS (except for 10° of DF), postural sway measures, as well as a significant increase in MRTs for PL and PB A significant reduction in frequency of ankle sprains at one year follow up was also noted within the exercise group | JPS at 20° DF: 0.71; 95% CI (1.22-1.68) JPS at 15° PF: 0.90; 95% CI (1.6-2.2) JPS at 30° PF: 0.86; 95% CI (1.87-2.43) Mean Error: 0.98; 95% CI (1.57-1.93) Postural Sway, std dev M/L: 0.26; 95% CI (4.14-4.66) Postural Sway, max sway M/L: 0.48; 95% CI (20.01-22.69) Postural Sway, total sway distance: 0.41; 95% CI (423.66-498.64) MRT of PL: 0.50; 95% CI (60.96-65.44) MRT of PB: 0.54; 95% CI (66.4-70.9) | No significant between group difference was observed |
Kaminski et al, 2003 [32] | 38 (22 men, 16 women) subjects with FAI | Not specified | Strength training group - T-band strengthening of invertors & evertors 3 times per week × 6 weeks Proprioception training group - "T-band kicks" 3 times per week × 6 weeks Coupled strength & proprioception group - both exercise protocols combined Control group no intervention | Isokinetic strength measures of average torque and peak torque eversion to inversion (E/I) ratios, calculated at 30°/sec and 120°/sec | No significant differences in average torque or peak torque E/I ratios for any of the groups | No significant within group effect was observed | No significant between group difference was observed |
Author | Study Population | Presence of MI | Groupings/Intervention | Outcome Measures | Significant Findings | Within Group Effect Sizes | Between Group Effect Sizes |
---|---|---|---|---|---|---|---|
Powers et al, 2004 [23] | 38 subjects (22 males, 16 females) with unilateral FAI | Absent on examination | Strength training group - theraband strength training 3 times a week × 6 weeks Proprioceptive training group -proprioceptive training involving "T-band kicks" 3 times a week × 6 weeks Combination training group -performed a combination of both training protocols 3 times a week × 6 weeks Control group - no intervention | Muscle fatigue was determined using the median power frequency (fmed) from an EMG signal for TA and PL COP values for A/P and M/L directions, and the mean overall deviations from COP were obtained | No significant effects of any intervention on measures of muscle fatigue and static balance | No significant within group effect was observed | No significant effect between group effect was observed |
Clarke and Burden, 2005 [31] | 19 male subjects with FAI | Absent on examination | Control group (n = 9) - no intervention Exercise group (n = 10) - wobble board training 3 times a week × 4 weeks | MRTs were measured for TA, and PL in response to sudden inversion AJFAT scores | The exercise group showed a significant decrease in muscle onset latency for both TA and PL, and a significant improvement in AJFAT scores | TA = 1.29 PL = 1.20 Both effect sizes were reported in the paper without presentation of mean ± SD values | Data was presented in graphical format without the reporting of mean ± SD values |
Author | Study Population | Presence of MI | Groupings/Intervention | Outcome Measures | Significant Findings | Within Group Effect Sizes | Between Group Effect Sizes |
---|---|---|---|---|---|---|---|
Kynsburg et al, 2006 [30] | 20 subjects (10 males, 10 females):10 with unilateral FAI, 10 healthy matched controls | Not specified | FAI training group (n = 10) -single leg proprioceptive training 3 times per week × 6 weeks Healthy control group (n = 10) - no intervention | Active JPS was measured using the slope-box test for 11 different slope amplitudes in 4 directions (anterior, posterior, lateral, and medial). | Within the training group there was a significant improvement in JPS error in the posterior direction, as well as an overall improvement of the mean absolute estimate error | Posterior JPS: 0.47; 95% CI (1.76-5.0) Cumulative JPS: 0.40; 95% CI (1.99-5.43) | Insufficient data Control group mean ± SD values are not reported in the paper |
Ross et al, 2007 [10] | 30 subjects (16 females, 14 males) with FAI | Majority of subjects had MI (67% with a positive anterior drawer, 76% with talar tilt laxity) | Coordination training group (n = 10) - single leg coordination training 3 times a week × 6 weeks SR coordination training group (n = 10) - identical exercises but received SR stimulation during training Control group (n = 10) - no intervention | COP measures: A/P sway velocity, M/L sway velocity, M/L standard deviation, M/L maximum excursion, and area | The control and coordination group posttest outcomes were not significantly different for any of the measures recorded | No significant within group effect was observed | No significant effect between group effect was observed |
Author | Study Population | Presence of MI | Groupings/Intervention | Outcome Measures | Significant Findings | Within Group Effect Sizes | Between Group Effect Sizes |
---|---|---|---|---|---|---|---|
Hale et al, 2007 [7] | 48 subjects (28 females, 20 males), 29 with CAI and 19 healthy controls | Not specified | FAI training group (n = 16) - 4 weeks of training which addressed ROM, strength, neuromuscular control, and functional tasks. Subjects visited the lab on 6 occasions over the 4 weeks, and exercised 5 times per week at home FAI control group (n = 13) - no intervention Healthy control group (n = 19) - no intervention | COP velocity in SLS with eyes open and closed SEBT measures taken in all 8 directions FADI and FADI-Sport scores | Following rehabilitation, the FAI group had significantly greater SEBT reach improvements on the involved limb than the other two groups in the posteromedial, posterolateral, and lateral directions as well as the mean of all 8 reach directions. Similarly, the CAI-rehab group showed showed significant improvements over the CAI-control group, and the healthy group, for FADI and FADI-Sport scores | Pre to post-test scores are presented in the paper for the CAI group as follows (values are presented as % change): P/M: 0.07; 95% CI (0.02-0.12) L: 0.09; 95% CI (0.04-0.08) P/L: 0.12; 95% CI (0.06-0.18) FADI: 7.30; 95% CI (2.47-12.13) FADI Sport: 11.10; 95% CI (6.35-15.86) | Insufficient data was presented for the calculation of between group effect sizes |
Author | Study Population | Presence of MI | Groupings/Intervention | Outcome Measures | Significant Findings | Within Group Effect Sizes | Between Group Effect Sizes |
---|---|---|---|---|---|---|---|
McKeon et al, 2008 [8] | 31 physically active individuals (12 males, 19 females) with a history of FAI | Not specified | CAI balance training group (n = 16) - balance training that emphasised dynamic stabilisation in SLS 3 times per week × 4 weeks CAI control group (n = 15) - no intervention | FADI and FADI-Sport scores COP excursion measures including a 95% confidence ellipse, velocity, range and SD TTB measures including the absolute minimum TTB, mean of TTB minima, and SD of TTB minima in the A/P and M/L directions with eyes open and closed SEBT measures in the A/P, P/M, and P/L directions | The balance training group had significant improvements in the FADI and the FADI-Sport scores, in the magnitude and variability of TTB measures with eyes closed, and in reach distances in the posteromedial and posterolateral directions of the SEBT. Only one of the summary COP-based measures (velocity of COPML, eyes closed) significantly changed after balance training | FADI Scores: 0.98; 95% CI (86.35-92.85) FADI-Sport Scores: 1.25; 95% CI (72.0-82.9) Absolute Min TTB M/L eyes closed: 0.8; 95% CI (0.48-0.56) Mean Min TTB M/L eyes closed: 0.6; 95% CI (1.77-2.23) Mean min TTB A/P eyes closed: 0.41; 95% CI (4.93-6.43) SD Min TTB A/P eyes closed: 0.75; 95% CI (3.05-3.97) Velocity of COP A/P eyes open: 0.07; 95% CI (0.64-0.84) Velocity of COP M/L eyes closed: 0.52; 95% CI (1.85-2.27) SEBT P/M reach: 0.64; 95% CI (0.81-0.93) SEBT P/L reach: 0.67; 95% CI (0.76-0.88) | FADI Scores: 0.68; 95% CI (82.13-92.97) FADI-Sport Scores: 1.63; 95% CI (70.09-81.21) Absolute Min TTB M/L eyes closed: 0.60; 95% CI (0.49-0.57) Mean Min TTB M/L eyes closed: 0.54; 95% CI (1.79-2.25) MeanMinTTB A/P eyes closed: 0.32; 95% CI (4.76-6.09) SD Min TTB A/P eyes closed: 1.18; 95% CI (3.02-3.86) Velocity of COP A/P eyes open: 0.38; 95% CI (0.66-0.8) Velocity of COP M/L eyes closed: 0.42; 95% CI (1.81-2.23) SEBT P/M reach: 1.83; 95% CI (0.82-0.9) SEBT P/L reach: 1.0; 95% CI (0.77-0.88) |
Author | Study Population | Presence of MI | Groupings/Intervention | Outcome Measures | Significant Findings | Within Group Effect Sizes | Between Group Effect Sizes |
---|---|---|---|---|---|---|---|
McKeon et al, 2009 [35] | 31 physically active individuals (12 males, 19 females) | Not specified | CAI balance group (n = 17) - training designed to challenge recovery of single limb balance 3 times per week × 4 weeks CAI control group (n = 15) - no intervention | Kinematic measures of rearfoot inversion/eversion, shank rotation, and the coupling relationship of these two segments throughout the gait cycle were taken whilst walking and running | A significant decrease was noted in the shank/rearfoot coupling variabilty during walking as measured by the deviation phase within the balance training group, and between the balance training group and the control group at post-test | Shank/rearfoot coupling: 0.62; 95% CI (11.71-17.59) | Shank/rearfoot coupling: 0.59; 95% CI (11.42-17.89) |
Han et al, 2009 [24] | 40 subjects (20 males, 20 females) | Not specified | CAI exercise group (n = 10) - resisted "T-band kicks" 3 times per week × 4 weeks CAI control group (n = 10) - no intervention Healthy normals exercise group (n = 10) - exercise programme as per CAI exercise group Healthy normals control group (n = 10) - no intervention | TDT of the COP in SLS at 4 and 8 weeks | Balance training significantly improved in subjects with and without a history of FAI. Furthermore, the exercise programme caused a significant improvement in balance for the FAI exercise group when compared to the FAI control group and the healthy normal group | Insufficient data No mean ± SD data presented for calculation | Insufficient data No mean ± SD data presented for calculation |
OUTCOME | DESCRIPTION | STUDIES | TIME EFFECT | GROUP EFFECT | BEST EVIDENCE SYNTHESIS (TIME) | BEST EVIDENCE SYNTHESIS (GROUP) |
---|---|---|---|---|---|---|
Static Postural Stability | S.I. for 8 conditions | |||||
Stable platform (E.O) AP | 1 HR RCT | NO | NO | LENE | LENE | |
Stable platform (E.O) ML | 1 HR RCT | NO | NO | LENE | LENE | |
Stable platform (E.C) AP | 1 HR RCT | NO | NO | LENE | LENE | |
Stable platform (E.C) ML | 1 HR RCT | NO | NO | LENE | LENE | |
Dynamic platform (E.O) AP | 1 HR RCT | NO | NO | LENE | LENE | |
Dynamic platform (E.O) ML | 1 HR RCT | NO | NO | LENE | LENE | |
Dynamic platform (E.C) AP | 1 HR RCT | NO | NO | LENE | LENE | |
Dynamic platform (E.C) ML | 1 HR RCT | NO | NO | LENE | LENE | |
MES for 8 conditions
| ||||||
Stable platform (E.O) AP | 1 HR RCT | NO | NO | LENE | LENE | |
Stable platform (E.O) ML | 1 HR RCT | NO | NO | LENE | LENE | |
Stable platform (E.C) AP | 1 HR RCT | YES | YES | LEOE | LEOE | |
Stable platform (E.C) ML | 1 HR RCT | YES | NO | LEOE | LENE | |
Dynamic platform (E.O) AP | 1 HR RCT | NO | NO | LENE | LENE | |
Dynamic platform (E.O) ML | 1 HR RCT | NO | NO | LENE | LENE | |
Dynamic platform (E.C) AP | 1 HR RCT | YES | NO | LEOE | LENE | |
Dynamic platform (E.C) ML | 1 HR RCT | YES | YES | LEOE | LEOE | |
Biodex Generated Stability Indices
| ||||||
Involved limb at level 2 | 1 HR RCT | YES | YES | LEOE | LEOE | |
Involved limb at level 6 | 1 HR RCT | YES | YES | LEOE | LEOE | |
COP Values
| ||||||
COP Area (E.O) | 3 HR RCTS | YES, NO, NO | YES, NO, NO | CE | CE | |
COP M/L (E.O) | 2 HR RCTS | NO, NO | NO, NO | MENE | MENE | |
COP A/P (E.O) | 2 HR RCTS | NO, NO | NO, NO | MENE | MENE | |
COP Total (E.O) | 1 HR RCT | YES | N/A | LEOE | LEOE | |
A/P COP vel (E.O) | 2 HR RCTS | NO, YES | NO, NO | CE | MENE | |
A/P COP vel (E.C) | 1 HR RCT | NO | NO | LENE | LENE | |
M/L COP vel (E.O) | 2 HR RCTS | NO, NO | NO, NO | MENE | MENE | |
M/L COP vel (E.C) | 1 HR RCT | YES | YES | LEOE | LEOE | |
A/P COP sd (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
A/P COP sd (E.C) | 1 HR RCT | NO | NO | LENE | LENE | |
M/L COP sd (E.O) | 2 HR RCTS | NO, NO | NO, NO | MENE | MENE | |
M/L COP sd (E.C) | 1 HR RCT | NO | NO | LENE | LENE | |
M/L COP Max (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
COP Area (E.C) | 1 HR RCT | NO | NO | LENE | LENE | |
Range of COP AP (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
Range of COP AP (E.C) | 1 HR RCT | NO | NO | LENE | LENE | |
Range of COP ML (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
Range of COP ML (E.C) | 1 HR RCT | NO | NO | LENE | LENE | |
COP vel (E.O) | 1 HR RCT | N/A | NO | NAE | LENE | |
COP vel (E.C) | 1 HR RCT | N/A | NO | NAE | LENE |
OUTCOME | DESCRIPTION | STUDIES | TIME EFFECT | GROUP EFFECT | BEST EVIDENCE SYNTHESIS (TIME) | BEST EVIDENCE SYNTHESIS (GROUP) |
---|---|---|---|---|---|---|
Static Postural Stability (cont.) | Time to Boundary (TTB) Measures: | |||||
Abs. Min TTBML (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
Abs. Min TTBML (E.C) | 1 HR RCT | YES | YES | LEOE | LENE | |
Abs. Min TTBAP (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
Abs. Min TTBAP (E.C) | 1 HR RCT | NO | NO | LENE | LENE | |
Mean Min TTBML (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
Mean Min TTBML (E.C) | 1 HR RCT | YES | YES | LEOE | LENE | |
Mean Min TTBAP (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
Mean Min TTBAP (E.C) | 1 HR RCT | YES | YES | LEOE | LENE | |
SD Min TTBML (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
SD Min TTBML (E.C) | 1 HR RCT | NO | NO | LENE | LENE | |
SD Min TTBAP (E.O) | 1 HR RCT | NO | NO | LENE | LENE | |
SD Min TTBAP (E.C) | 1 HR RCT | YES | YES | LEOE | LENE | |
Total Distance Travelled Measure
| ||||||
Involved limb | 1 HR RCT | NO | NO | LENE | LENE | |
Dynamic Postural Stability
|
SEBT Measures
| |||||
Anterior | 2 HR RCTS | N/A, NO | NO, NO | LENE | MENE | |
Posterior | 1 HR RCT | N/A | NO | N/A | LENE | |
Lateral | 1 HR RCT | N/A | YES | N/A | LEOE | |
Medial | 1 HR RCT | N/A | NO | N/A | LENE | |
Anteromedial | 1 HR RCT | N/A | NO | N/A | LENE | |
Anterolateral | 1 HR RCT | N/A | NO | N/A | LENE | |
Posteromedial | 2 HR RCTS | N/A, YES | YES, YES | LEOE | MENE | |
Posterolateral | 2 HR RCTS | N/A, YES | YES, YES | LEOE | MENE | |
Mean of all 8 directions | 1 HR RCT | N/A | YES | N/A | LEOE |
OUTCOME | DESCRIPTION | STUDIES | TIME EFFECT | GROUP EFFECT | BEST EVIDENCE SYNTHESIS (TIME) | BEST EVIDENCE SYNTHESIS (GROUP) |
---|---|---|---|---|---|---|
Joint Position Sense (JPS) | Active JPS (NWB) | |||||
15° Inversion | 1 HR RCT | NO | NO | LENE | LENE | |
20° Inversion | 1 HR RCT | YES | YES | LEOE | LEOE | |
15° Inversion at 25°plantarflexion | 1 HR RCT | NO | NO | LENE | LENE | |
Maximal Inversion | 1 HR RCT | NO | NO | LENE | LENE | |
10° Eversion | 2 HR RCTS | NO, YES | NO, NO | CE | MENE | |
10° Eversion at 25°plantarflexion | 1 HR RCT | NO | NO | LENE | LENE | |
0° Neutral | 1 HR RCT | NO | NO | LENE | LENE | |
0° Neutral at 25°plantarflexion | 1 HR RCT | NO | NO | LENE | LENE | |
10° Dorsiflexion | 1 HR RCT | YES | YES | LEOE | LEOE | |
20° Plantarflexion | 1 HR RCT | YES | YES | LEOE | LEOE | |
Active JPS (WB)
| ||||||
Anterior | 1 HR RCT | NO | N/A | LENE | NAE | |
Posterior | 1 HR RCT | YES | N/A | LEOE | NAE | |
Lateral | 1 HR RCT | NO | N/A | LENE | NAE | |
Medial | 1 HR RCT | NO | N/A | LENE | NAE | |
Overall | 1 HR RCT | YES | N/A | LEOE | NAE | |
Passive JPS (NWB)
| ||||||
15° Inversion | 1 HR RCT | NO | NO | LENE | LENE | |
15° Inversion at 25°plantarflexion | 1 HR RCT | NO | NO | LENE | LENE | |
Maximal Inversion | 1 HR RCT | NO | NO | LENE | LENE | |
10° Eversion | 1 HR RCT | NO | NO | LENE | LENE | |
10° Eversion at 25°plantarflexion | 1 HR RCT | NO | NO | LENE | LENE | |
0° Neutral | 1 HR RCT | NO | NO | LENE | LENE | |
0° Neutral at 25°plantarflexion | 1 HR RCT | NO | NO | LENE | LENE | |
10° Dorsiflexion | 1 HR RCT | YES | N/A | LEOE | NAE | |
20° Dorsiflexion | 1 HR RCT | YES | N/A | LEOE | NAE | |
15° Plantarflexion | 1 HR RCT | YES | N/A | LEOE | NAE | |
30° Plantarflexion | 1 HR RCT | YES | N/A | LEOE | NAE |
OUTCOME | DESCRIPTION | STUDIES | TIME EFFECT | GROUP EFFECT | BEST EVIDENCE SYNTHESIS (TIME) | BEST EVIDENCE SYNTHESIS (GROUP) |
---|---|---|---|---|---|---|
Muscle Onset Latencies | Muscle Reaction Times | |||||
30° Tilt TA | 1 HR RCT | NO | N/A | LENE | NAE | |
20° Inversion TA | 1 HR RCT | YES | N/A | LEOE | NAE | |
30° Tilt PL | 1 HR RCT | YES | N/A | LEAE | NAE | |
20° Inversion PL | 1 HR RCT | YES | N/A | LEOE | NAE | |
30° Tilt PB | 1 HR RCT | YES | N/A | LEAE | NAE | |
Strength
|
Isometric Strength
| |||||
Isometric Dorsiflexion | 1 HR RCT | YES | YES | LEOE | LEOE | |
Isometric Eversion | 1 HR RCT | YES | YES | LEOE | LEOE | |
Isokinetic E/I Ratios
| ||||||
Average Torque at 30°/sec | 1 HR RCT | NO | NO | LENE | LENE | |
Peak Torque at 30°/sec | 1 HR RCT | NO | NO | LENE | LENE | |
Average Torque at 120°/sec | 1 HR RCT | NO | NO | LENE | LENE | |
Peak Torque at 120°/sec | 1 HR RCT | NO | NO | LENE | LENE | |
Muscle Fatigue
| ||||||
Median Power Frequency TA | 1 HR RCT | NO | NO | LENE | LENE | |
Joint Kinematics
| ||||||
Rearfoot Position | 1 LR RCT | NO | NO | LENE | LENE | |
Shank Rotation | 1 LR RCT | NO | NO | LENE | LENE | |
Shank/Rearfoot Coupling | 1 LR RCT | YES | YES | LEOE | LEOE | |
Frequency of Injury Recurrence
| ||||||
Incidence at 1 year follow up | 1 HR RCT | YES | N/A | LEOE | NAE | |
Patient Perceived Functional Stability
| ||||||
AJFAT | 2 HR RCTS | YES, YES | YES, N/A | MEOE | LEOE | |
FADI | 2 HR RCTS | N/A, YES | YES, YES | LEOE | MEOE | |
FADI-Sport | 2 HR RCTS | N/A, YES | YES, YES | LEOE | MEOE |