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Int J Sports Med 2010; 31(12): 894-900
DOI: 10.1055/s-0030-1265151
Training & Testing

© Georg Thieme Verlag KG Stuttgart · New York

Vibration Training Improves Balance in Unstable Ankles

R. Cloak1 , A. M. Nevill1 , F. Clarke1 , S. Day2 , M. A. Wyon1
  • 1The University of Wolverhampton, School of Sport, Performing Arts and Leisure, Walsall, United Kingdom
  • 2Manchester Metropolitan University, Department of Exercise and Sport Science, Cheshire, United Kingdom
Further Information

Publication History

accepted after revision August 05, 2010

Publication Date:
11 November 2010 (online)

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Abstract

Functional ankle instability (FAI) is a common condition following ankle injury characterised by increased risk of injury. Ankle sprains are a common acute form of injury suffered in dancing and loss of balance can affect not only risk of injury risk but also performance aesthetics. Whole body vibration training (WBVT) is a new rehabilitation method that has been linked with improving balance and muscle function. 38 female dancers with self reported unilateral FAI were randomly assigned in 2 groups; WBVT and Control. Absolute centre of mass (COM) distribution during single leg stance, SEBT normalised research distances and Peroneus longus mean power frequency (f med) where measured pre and post 6-week intervention. There was a significant improvement in COM distribution over the 6 weeks from 1.05±0.57 to 0.33±0.42 cm2 (P<0.05), and 4 of the 8 planes of direction in the SEBT Ant, Antlat, Med and Antmed from 77.5±7.1 to 84.1±5.8% (P<0.05) compared to control groups during the course of the 6 week training intervention. There was no evidence of improvement in peroneus longus (f med) over time (P=0.915) in either group. WBVT improved static balance and SEBT scores amongst dancers exhibiting ankle instability but did not affect peroneus longus muscle fatigue.

Key words

ankle - vibration - balance - injury

References

  • 1 Adamo DE, Martin BJ, Johnson PW. Vibration-induced muscle fatigue, a possible contribution to musculoskeletal injury.  Eur J Appl Physiol. 2002;  88 134-140
    CrossrefPubMedGoogle Scholar
  • 2 Arnold BL, De La Motte S, Linens S, Ross SE. Ankle instability is associated with balance impairments: a meta-analysis.  Med Sci Sports Exerc. 2009;  41 1048-1062
    CrossrefPubMedGoogle Scholar
  • 3 Aydin T, Yildiz Y, Yildiz C, Kalyon TA. Effects of extensive training on female teenage gymnasts' active and passive ankle-joint position sense.  J Sport Rehab. 2002;  11 1-11
    PubMedGoogle Scholar
  • 4 Bernier JN, Perrin DH. Effect of coordination training on proprioception of the functionally unstable ankle.  J Orthop Sports Phys Ther. 1998;  27 264-275
    CrossrefPubMedGoogle Scholar
  • 5 Bogaerts A, Verschueren S, Delecluse C, Claessens AL, Boonen S. Effects of whole body vibration training on postural control in older individuals: A 1 year randomized controlled trial.  Gait Posture. 2007;  26 309-316
    CrossrefPubMedGoogle Scholar
  • 6 Bruyere O, Wuidart M-A, Di Palma E, Gourlay M, Ethgen O, Richy F, Reginster J-Y. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents.  Arch Phys Med Rehabil. 2005;  86 303-307
    CrossrefPubMedGoogle Scholar
  • 7 Chaiwanichsiri D, Lorprayoon E, Noomanoch L. Star Excursion Balance Training: Effects on ankle functional stability after ankle sprain.  J Med Assoc Thai. 2005;  88 S90-S94
    PubMedGoogle Scholar
  • 8 Cochrane DJ, Stannard SR. Acute whole body vibration training increases vertical jump and flexibility performance in elite female field hockey players.  Br J Sports Med. 2005;  39 860-865
    CrossrefPubMedGoogle Scholar
  • 9 Corbeil P, Blouin J-S, Bégin F, Nougier V, Teasdale N. Perturbation of the postural control system induced by muscular fatigue.  Gait Posture. 2003;  18 92-100
    CrossrefPubMedGoogle Scholar
  • 10 Delahunt E. Peroneal reflex contribution to the development of functional instability of the ankle joint.  Physical Therapy in Sport. 2007;  8 98-104
    CrossrefPubMedGoogle Scholar
  • 11 Delecluse C, Roelants M, Verschueren S. Strength increase after whole-body vibration compared with resistance training.  Med Sci Sports Exerc. 2003;  35 1033-1041
    CrossrefPubMedGoogle Scholar
  • 12 Dimitrova NA, Dimitrov GV. Interpretation of EMG changes with fatigue: facts, pitfalls, and fallacies.  J Electromyogr Kinesiol. 2003;  13 13-36
    CrossrefPubMedGoogle Scholar
  • 13 Eechaute C, Vaes P, Duquet W. The dynamic postural control is impaired in patients with chronic ankle instability: Reliability and validity of the Multiple Hop Test.  Clin J Sport Med. 2009;  19 107-114
    CrossrefPubMedGoogle Scholar
  • 14 Fitzgerald D, Trakarnratanakul N, Smyth B, Caulfield B. Effects of a wobble board-based therapeutic exergaming system for balance training on dynamic postural stability and intrinsic motivation levels.  J Orthop Sports Phys Ther. 2010;  40 11-19
    CrossrefPubMedGoogle Scholar
  • 15 Fong DTP, Hong Y, Chan LK, Yung PSH, Chan KM. A systematic review on ankle injury and ankle sprain in sports.  Sports Med. 2007;  37 73-94
    CrossrefPubMedGoogle Scholar
  • 16 Forestier N, Toschi P. The effects of an ankle destabilization device on muscular activity while walking.  Int J Sports Med. 2005;  26 464-470
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Gribble PA, Hertel J. Effect of lower-extremity muscle fatigue on postural control.  Arch Phys Med Rehabil. 2004;  85 589-592
    CrossrefPubMedGoogle Scholar
  • 18 Gribble PA, Hertel J. Considerations for normalizing measures of the Star Excursion Balance Test.  Meas Phys Educ Exerc Sci. 2003;  7 89-100
    PubMedGoogle Scholar
  • 19 Gribble PA, Hertel J, Denegar CR, Buckley WE. The effects of fatigue and chronic ankle instability on dynamic postural control.  J Athl Train. 2004;  39 321-329
    PubMedGoogle Scholar
  • 20 Gruneberg C, Nieuwenhuijzen PHJA, Duysens J. Reflex responses in the lower leg following landing impact on an inverting and non-inverting platform.  J Physiol (Lond). 2003;  550 985-993
    CrossrefPubMedGoogle Scholar
  • 21 Hardy L, Huxel K, Brucker J, Nesser T. Prophylactic ankle braces and star excursion balance measures in healthy volunteers.  J Athl Train. 2008;  43 347-351
    CrossrefPubMedGoogle Scholar
  • 22 Harriss DJ, Atkinson G. International Journal of Sports Medicine – Ethical Standards in Sport and Exercise Science Research.  Int J Sports Med. 2009;  30 701-702
    Google Scholar
  • 23 Hertel J. Functional instability following lateral ankle sprain.  Sports Med. 2000;  29 361-371
    CrossrefPubMedGoogle Scholar
  • 24 Hertel J, Braham RA, Hale SA, Olmsted-Kramer LC. Simplifying the Star Excursion Balance Test: Analyses of subjects with and without chronic ankle instability.  J Orthop Sports Phys Ther. 2006;  36 131-137
    CrossrefPubMedGoogle Scholar
  • 25 Hertel J, Miller SJ, Denegar CA. Intratester and intertester reliability during the Star Excursion Balance Tests.  J Sport Rehab. 2000;  9 104-116
    PubMedGoogle Scholar
  • 26 Hiller CE, Refshauge KM, Beard DJ. Sensorimotor control is impaired in dancers with functional ankle instability.  Am J Sports Med. 2004;  32 216-223
    CrossrefPubMedGoogle Scholar
  • 27 Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing.  Arch Phys Med Rehabil. 2006;  87 1235-1241
    CrossrefPubMedGoogle Scholar
  • 28 Kinzey SJ, Armstrong CW. The reliability of the Star-Excursion Test in assessing dynamic balance.  J Orthop Sports Phys Ther. 1998;  27 356-360
    CrossrefPubMedGoogle Scholar
  • 29 Konradsen L. Factors Contributing to Chronic Ankle Instability: Kinesthesia and Joint Position Sense.  J Athl Train. 2002;  37 381-385
    PubMedGoogle Scholar
  • 30 Konradsen L, Bech L, Ehrenbjerg M, Nickelsen T. Seven years follow-up after ankle inversion trauma.  Scand J Med Sci Sports. 2002;  12 129-135
    CrossrefPubMedGoogle Scholar
  • 31 Konradsen L, Voigt M, Hojsgaard C. Ankle inversion injuries. The role of the dynamic defense mechanism.  Am J Sports Med. 1997;  25 54-58
    CrossrefPubMedGoogle Scholar
  • 32 Le Clair K, Riach C. Postural stability measures: what to measure and for how long.  Clin Biomech. 1996;  11 176-178
    CrossrefPubMedGoogle Scholar
  • 33 McKay GD, Goldie PA, Payne WR, Oakes BW. Ankle injuries in basketball: injury rate and risk factors.  Br J Sports Med. 2001;  35 103-108
    CrossrefPubMedGoogle Scholar
  • 34 McKeon PO, Ingersoll CD, Kerrigan DC, Saliba E, Bennett BC, Hertel J. Balance training improves function and postural control in those with chronic ankle instability.  Med Sci Sports Exerc. 2008;  40 1810-1819
    CrossrefPubMedGoogle Scholar
  • 35 Melnyk M, Kofler B, Faist M, Hodapp M, Gollhofer A. Effect of a whole-body vibration session on knee stability.  Int J Sports Med. 2008;  29 839-844
    Article in Thieme ConnectPubMedGoogle Scholar
  • 36 Mitchell A, Dyson R, Hale T, Abraham C. Biomechanics of ankle instability. Part 1: Reaction time to simulated ankle sprain.  Med Sci Sports Exerc. 2008;  40 1515-1521
    CrossrefPubMedGoogle Scholar
  • 37 Moezy A, Olyaei G, Hadian M, Razi M, Faghihzadeh S. A comparative study of whole body vibration training and conventional training on knee proprioception and postural stability after anterior cruciate ligament reconstruction.  Br J Sports Med. 2008;  42 373-385
    CrossrefPubMedGoogle Scholar
  • 38 O'Loughlin PF, Hodgkins CW, Kennedy JG. Ankle sprains and instability in dancers.  Clin Sports Med. 2008;  27 247-262
    CrossrefPubMedGoogle Scholar
  • 39 Olmsted LC, Carcia CR, Hertel J, Shultz SJ. Efficacy of the Star Excursion Balance Tests in detecting reach deficits in subjects with chronic ankle instability.  J Athl Train. 2002;  37 501-506
    PubMedGoogle Scholar
  • 40 Palmieri-Smith RM, Hopkins JT, Brown TN. Peroneal activation deficits in persons with functional ankle instability.  Am J Sports Med. 2009;  37 982-988
    CrossrefPubMedGoogle Scholar
  • 41 Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players.  J Orthop Sports Phys Ther. 2006;  36 911-919
    CrossrefPubMedGoogle Scholar
  • 42 Powers ME, Buckley BD, Kaminski TW, Hubbard TJ, Ortiz C. Six weeks of strength and proprioception training does not affect muscle fatigue and static balance in functional ankle instability.  J Sport Rehab. 2004;  13 201-227
    PubMedGoogle Scholar
  • 43 Rees SS, Murphy AJ, Watsford ML. Effects of whole body vibration on postural steadiness in an older population.  J Sci Med Sport. 2009;  12 440-444
    CrossrefPubMedGoogle Scholar
  • 44 Rose A, Lee RJ, Williams RM, Thomson LC, Forsyth A. Functional instability in non-contact ankle ligament injuries.  Br J Sports Med. 2000;  34 352-358
    CrossrefPubMedGoogle Scholar
  • 45 Ross SE, Guskiewicz KM, Gross MT, Yu B. Balance measures for discriminating between functionally unstable and stable ankles.  Med Sci Sports Exerc. 2009;  41 399-407
    PubMedGoogle Scholar
  • 46 Ross SE, Guskiewicz KM, Gross MT, Yu B. Balance measures for discriminating between functionally unstable and stable ankles.  Med Sci Sports Exerc. 2009;  41 399-407
    PubMedGoogle Scholar
  • 47 Runge M, Rehfeld G, Resnicek E. Balance training and exercise in geriatric patients.  J Musculoskelet Neuron Interact. 2000;  1 61-65
    PubMedGoogle Scholar
  • 48 Salavati M, Hadian MR, Mazaheri M, Negahban H, Ebrahimi I, Talebian S, Jafari AH, Sanjari MA, Sohani SM, Parnianpour M. Test-retest reliability of center of pressure measures of postural stability during quiet standing in a group with musculoskeletal disorders consisting of low back pain, anterior cruciate ligament injury and functional ankle instability.  Gait Posture. 2009;  29 460-464
    CrossrefPubMedGoogle Scholar
  • 49 Sefton JM, Hicks-Little CA, Hubbard TJ, Clemens MG, Yengo CM, Koceja DM, Cordova ML. Sensorimotor function as a predictor of chronic ankle instability.  Clin Biomech. 2009;  24 451-458
    CrossrefPubMedGoogle Scholar
  • 50 Sesma AR, Mattacola CG, Uhl TL, Nitz AJ, McKeon PO. Effect of foot orthotics on single- and double-limb synamic balance tasks in patients with chronic ankle instability.  Foot Ankle Spec. 2008;  1 330-337
    CrossrefPubMedGoogle Scholar
  • 51 Shima N, Maeda A, Hirohashi K. Delayed latency of peroneal reflex to sudden inversion with ankle taping or bracing.  Int J Sports Med. 2005;  26 476-480
    Article in Thieme ConnectPubMedGoogle Scholar
  • 52 South M, George KP. The effect of peroneal muscle fatigue on ankle joint position sense.  Physical Therapy in Sport. 2007;  8 82-87
    CrossrefPubMedGoogle Scholar
  • 53 Suda EY, Amorim CF, Sacco Ide C. Influence of ankle functional instability on the ankle electromyography during landing after volleyball blocking.  J Electromyogr Kinesiol. 2009;  19 e84-e93
    CrossrefPubMedGoogle Scholar
  • 54 Thacker SB, Stroup DF, Branche CM, Gilchrist J, Goodman RA, Weitman EA. The prevention of ankle sprains in sports. A systematic review of the literature.  Am J Sports Med. 1999;  27 753-760
    CrossrefPubMedGoogle Scholar
  • 55 Torvinen S, Kannus P, Sievänen H. Effect of four-month vertical whole body vibration on performance and balance.  Med Sci Sports Exerc. 2002;  34 1523-1528
    CrossrefPubMedGoogle Scholar
  • 56 Torvinen S, Kannus P, Sievänen H, Järvinen TAH, Pasanen M, Kontulainen S, Nenonen A, Järvinen TLN, Paakkala T, Järvinen M. Effect of 8-month vertical whole body vibration on bone, muscle performance, and body balance: a randomized controlled study.  J Bone Miner Res. 2003;  18 876-884
    CrossrefPubMedGoogle Scholar
  • 57 Trans T, Aaboe J, Henriksen M, Christensen R, Bliddal H, Lund H. Effect of whole body vibration exercise on muscle strength and proprioception in females with knee osteoarthritis.  Knee. 2009;  16 256-261
    CrossrefPubMedGoogle Scholar
  • 58 Tropp H. Commentary: Functional ankle instability revisited.  J Athl Train. 2002;  37 512-515
    PubMedGoogle Scholar
  • 59 Tropp H. Pronator muscle weakness in functional instability of the ankle joint.  Int J Sports Med. 1986;  7 291-294
    Article in Thieme ConnectPubMedGoogle Scholar
  • 60 Vaes P, Duquet W, Van Gheluwe B. Peroneal reaction times and eversion motor response in healthy and unstable ankles.  J Athl Train. 2002;  37 475-480
    PubMedGoogle Scholar
  • 61 Vickers AJ, Altman DG. Statistics notes: analysing controlled trials with baseline and follow-up measurements.  Br Med J. 2001;  323 1123-1124
    CrossrefPubMedGoogle Scholar
  • 62 Vøllestad NK. Measurement of human muscle fatigue.  J Neurosci Methods. 1997;  74 219-227
    CrossrefPubMedGoogle Scholar
  • 63 Wikstrom EA, Tillman MD, Chmielewski TL, Cauraugh JH, Borsa PA. Dynamic postural stability deficits in subjects with self-reported ankle instability.  Med Sci Sports Exerc. 2007;  39 397-402
    CrossrefPubMedGoogle Scholar

Correspondence

Ross Cloak

The University of Wolverhampton

School of Sport

Performing Arts and Leisure

Walsall Campus

ws1 3bd Walsall

United Kingdom

Phone: +1/902/323 248

Fax: +1/902/323 244

Email: r.cloak@wlv.ac.uk