Home-based exercise for chronic ankle instability: A systematic review and meta-analysis of effectiveness and program characteristics

IF 2.3 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI:10.1016/j.ptsp.2026.101890

Yanhao Liu , Qipeng Song , Qi Wang , Xinmeng Zhang , Peixin Shen , Deepashini Harithasan , Devinder Kaur Ajit Singh

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引用次数: 0

Abstract

This meta-analysis aimed to evaluate the effects of home-based exercise on patient-oriented function and balance control among individuals with chronic ankle instability (CAI). Literature searches were conducted in seven Databases from inception to June 9, 2025. The Risk of Bias 2.0 tool was used to assess the risk of bias, while meta-analyses and sensitivity analyses were performed using RevMan 5.3.0 and Stata 14.0 software. The GRADE approach was applied to evaluate the quality of evidence. Main outcomes included the patient-oriented function and balance control. Nine studies involving 333 participants were included. The results indicated that home-based exercise significantly improves patient-oriented function (SMD = 0.73, p < 0.001) and balance control (SMD = 0.52, p < 0.001) among individuals with CAI. No significant differences were found between home-based and supervised groups in improving patient-oriented function (SMD = −0.08, p = 0.57) or balance control (SMD = −0.11, p = 0.35). These findings provide preliminary evidence that home-based exercise may improve patient-oriented function and balance control among individuals with CAI, with effects appearing comparable to supervised exercise. However, findings are based on limited studies with low-certainty evidence and substantial heterogeneity. Well-designed randomized controlled trials are warranted to confirm these findings and establish optimal implementation.

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慢性踝关节不稳定的家庭运动：有效性和项目特征的系统回顾和荟萃分析

本荟萃分析旨在评估家庭运动对慢性踝关节不稳定（CAI）患者以患者为导向的功能和平衡控制的影响。在7个数据库中进行了文献检索，从项目成立到2025年6月9日。使用Risk of Bias 2.0工具评估偏倚风险，使用RevMan 5.3.0和Stata 14.0软件进行meta分析和敏感性分析。GRADE方法用于评价证据的质量。主要结果包括以患者为中心的功能和平衡控制。其中包括9项涉及333名参与者的研究。结果表明，家庭运动显著改善CAI患者的患者导向功能（SMD = 0.73, p < 0.001）和平衡控制（SMD = 0.52, p < 0.001）。在改善病人导向功能（SMD = - 0.08, p = 0.57）或平衡控制（SMD = - 0.11, p = 0.35）方面，家庭治疗组与监督治疗组之间无显著差异。这些发现提供了初步证据，证明家庭运动可以改善CAI患者的患者导向功能和平衡控制，其效果与监督运动相当。然而，这些发现是基于有限的、低确定性证据和大量异质性的研究。有必要进行精心设计的随机对照试验来证实这些发现并建立最佳实施方案。

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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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.