The effectiveness of strain counterstrain in the treatment of patients with chronic ankle instability: A randomized clinical trial

作者: Cristiana Kahl Collins , Michael Masaracchio , Joshua A. Cleland

DOI: 10.1179/2042618614Y.0000000069

关键词:

摘要: Study Design: Randomized clinical trial. Objective: To determine the effect of strain counterstrain (SCS) on dynamic balance and subjective sense instability in individuals with chronic ankle (CAI). Although many studies have been published CAI, cause for this common dysfunction remains inconclusive. No assessed effectiveness SCS CAI. Methods: At baseline all participants completed a demographic questionnaire, star excursion test (SEBT), foot ability measure (FAAM). Following evaluation, were randomized into experimental group (EG) (n513) or sham (SG) (n514). All received assigned treatment once week 4 weeks participated prescribed exercise program. 4, repeated outcome measures global rating change (GROC) form. The primary aim was examined two-way analysis variance (ANOVA). Results: A significant group-by-time interaction found seven directions SEBT (P,0.031). For measures, no FAAM (P.0.548), but GROC revealed difference (P50.014) mean score EG (3.92i1.66) when compared to SG (2.43i1.66). Discussion: may not an function preliminary evidence suggests that lead improvement stability instability. Level Evidence: Therapy, 1b.

参考文章(70)
Jay Hertel, Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. Journal of Athletic Training. ,vol. 37, pp. 364- 375 ,(2002)
Christopher R Carcia, Lauren C Olmsted, Sandra J Shultz, Jay Hertel, Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Journal of Athletic Training. ,vol. 37, pp. 501- 506 ,(2002)
Thomas W Kaminski, Heather D Hartsell, Factors Contributing to Chronic Ankle Instability: A Strength Perspective. Journal of Athletic Training. ,vol. 37, pp. 394- 405 ,(2002)
Jeffrey R Tuling, Positional Release Therapy: Assessment and Treatment of Musculoskeletal Dysfunction Journal of the Canadian Chiropractic Association. ,vol. 42, pp. 188- 189 ,(1998)
Carl G. Mattacola, Maureen K. Dwyer, Rehabilitation of the Ankle After Acute Sprain or Chronic Instability. Journal of Athletic Training. ,vol. 37, pp. 413- 429 ,(2002)
Roman Jaeschke, Joel Singer, Gordon H. Guyatt, Measurement of health status: Ascertaining the minimal clinically important difference Controlled Clinical Trials. ,vol. 10, pp. 407- 415 ,(1989) , 10.1016/0197-2456(89)90005-6
Sayers John Miller, Craig R. Denegar, Can Chronic Ankle Instability Be Prevented? Rethinking Management of Lateral Ankle Sprains. Journal of Athletic Training. ,vol. 37, pp. 430- 435 ,(2002)
I M Korr, Proprioceptors and somatic dysfunction. The Journal of the American Osteopathic Association. ,vol. 74, pp. 638- 638 ,(1975)
Joseph B. Myers, Bryan L. Riemann, Ji-Hye Hwang, Freddie H. Fu, Scott M. Lephart, Effect of Peripheral Afferent Alteration of the Lateral Ankle Ligaments on Dynamic Stability American Journal of Sports Medicine. ,vol. 31, pp. 498- 506 ,(2003) , 10.1177/03635465030310040401
RobRoy L. Martin, James J. Irrgang, Ray G. Burdett, Stephen F. Conti, Jessie M. Van Swearingen, Evidence of Validity for the Foot and Ankle Ability Measure (FAAM) Foot & Ankle International. ,vol. 26, pp. 968- 983 ,(2005) , 10.1177/107110070502601113