EPIDEMIOLOGY, RISK FACTORS AND CONSERVATIVE TREATMENT OF CHRONIC ANKLE INSTABILITY: A REVIEW OF SYSTEMATIC REVIEWS

IF 0.2 Q4 SPORT SCIENCES

Kinesiologia Slovenica Pub Date : 2023-12-29 DOI:10.52165/kinsi.29.3.101-118

Sanja Ferjančič, Ž. Kozinc

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Abstract

Chronic ankle instability is a condition that often occurs after a lateral ankle sprain. It affects daily activities, quality of life and can cause further ankle injuries. The purpose of this article is to systematically review and compare the effectiveness of physiotherapy methods and techniques, epidemiology, and risk factors of chronic ankle instability. A literature search was performed using the PubMed database for existing systematic reviews and meta-analyses. The results show that the prevalence of chronic ankle instability is 46% in people with a history of ankle sprains and is highest in adolescents. In addition, risk factors are poorly understood. Balance training has been shown to be the most effective among standalone treatments. It improves functionality, instability, dynamic balance, and health-related quality of life. Furthermore, a multimodal program is effective in improving self-reported ankle function. Vibration is a useful adjunct to exercise because it improves sensorimotor deficits. Joint mobilization is effective in increasing ankle dorsiflexion and improving balance. Despite the frequent use of external support, it has not been supported as a sole intervention.

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慢性踝关节不稳的流行病学、风险因素和保守治疗：系统综述回顾

慢性踝关节不稳定是外侧踝关节扭伤后经常出现的一种情况。它影响日常活动和生活质量，并可能导致进一步的踝关节损伤。本文旨在系统回顾和比较物理治疗方法和技术的有效性、流行病学以及慢性踝关节不稳的风险因素。我们使用 PubMed 数据库对现有的系统综述和荟萃分析进行了文献检索。结果显示，在有踝关节扭伤史的人群中，慢性踝关节不稳的发病率为 46%，在青少年中发病率最高。此外，人们对风险因素也知之甚少。平衡训练已被证明是最有效的独立疗法。它能改善功能、不稳定性、动态平衡以及与健康相关的生活质量。此外，多模式计划对改善自我报告的踝关节功能也很有效。振动是运动的有效辅助手段，因为它能改善感知运动障碍。关节活动能有效增加踝关节外展并改善平衡。尽管经常使用外部支持，但它作为唯一的干预措施并未得到支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Kinesiologia Slovenica SPORT SCIENCES-

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