CORE Physical Therapy In Omaha Explains…
By Dr. Mark Rathjen PT DPT CSCS
CORE Physical Therapy & Sports Performance PC
Owner
17660 Wright St. 9/10/11
Omaha NE
402-933-4027
CORE Physical Therapy in Omaha was founded in 2015 by Drs. Mark and Claire Rathjen.
Together, they have built the premier sports physical therapy location in Omaha.
What does that study say?
“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 < .05). However, no intervention group was superior.”
Whats does that mean to you?
It means in short, that balance work, is multifactorial and that with this limited groups size, the participants improved at a similar rate. All balance testing is helpful to improve scores on testing, this is not shocking. But what is important is that a variety if interventions are effective overall, even in the short 4 week time frame.
How can CORE help?
CORE specializes in Physical Therapy for athletes and active individuals, and ankle sprains are very coming in Basket ball, soccer, football etc. We see an increase of re injury for at least 6 months following an acute ankle sprain. Overall, its importance for prevention for balance and stability training overall. Its imperative to work on sports specific work, balance and proprioception building with our Omaha patients. Taping and bracing are also important for prevention in the sub acute phase and can be utilized strategically to aid in recovery without affecting long term stability.
Four-Week Ankle-Rehabilitation Programs in Adolescent Athletes With Chronic Ankle Instability
Abstract
Context: 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.
Objective: To determine the effectiveness of 3 rehabilitation programs on clinical measures of balance and self-reported function in adolescent patients with CAI.
Design: Randomized controlled clinical trial (Trail Registration Number: ClinicalTrails.gov: NCT03447652).
Setting: High school athletic training facilities.
Patients or other participants: Forty-three patients with CAI (age = 16.37 ± 1.00 years, height = 171.75 ± 12.05 cm, mass = 69.38 ± 18.36 kg) were block randomized into 4 rehabilitation groups.
Intervention(s): 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.
Main outcome measure(s): 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.
Results: 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 < .05). However, no intervention group was superior.
Conclusions: 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.
Keywords: dynamic balance; functional performance; patient-reported outcomes; static balance.