Effects of exercise therapy on dynamic posture control and self-report function in individuals with chronic ankle instability: a systematic review with pairwise and network meta-analysis.

IF 4.6 2区医学 Q1 ORTHOPEDICS

Efort Open Reviews Pub Date : 2026-06-01 DOI:10.1530/EOR-2025-0024

Peng Chen, Huiwu Zuo, Yixue Gong, Lulu Yin, Lin Wang

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引用次数: 0

Abstract

Purpose: This study aimed to compare the effects of different exercise therapies on dynamic postural control and self-reported function in individuals with chronic ankle instability (CAI) and provide an evidence-based medical basis for selecting the optimal exercise therapy.

Methods: A systematic search for randomized controlled trials (RCTs) involving exercise interventions in CAI individuals was conducted across five electronic databases, encompassing data from their inception up to December 2024. This review process was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and registered in PROSPERO (registration number: CRD42024620821).

Results: A total of 48 RCTs including 1,630 individuals with CAI were included. Seven exercise therapies were involved: balance training, strength training, comprehensive training, plyometric training, whole-body vibration training, blood flow restriction training, and visual occlusion balance training. All exercise therapies significantly improved dynamic posture control. Visual occlusion balance training was superior to plyometric training (SMD = 0.72, 95% CI: 0.01-1.43). Six exercise therapies significantly improved self-reported function, except for whole-body vibration training, for which evidence was lacking. Blood flow restriction training (SMD = 1.49, 95% CI: 0.59-2.40) and visual occlusion balance training (SMD = 0.90, 95% CI: 0.06-1.75) were superior to strength training.

Conclusions: Visual occlusion balance training may be the most effective exercise therapy for improving dynamic postural control in CAI individuals. Blood flow restriction training and visual occlusion training may be the most effective exercise therapies in improving self-reported function. However, interventions should be chosen with caution because the certainty of evidence is very low.

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运动疗法对慢性踝关节不稳定患者动态姿态控制和自我报告功能的影响：一项采用配对和网络荟萃分析的系统综述。

目的：比较不同运动疗法对慢性踝关节不稳定（chronic ankle instability， CAI）患者动态姿势控制和自我报告功能的影响，为选择最佳运动疗法提供循证医学依据。方法：在五个电子数据库中对涉及CAI个体运动干预的随机对照试验（rct）进行系统搜索，包括从开始到2024年12月的数据。该审查过程根据系统审查和荟萃分析指南的首选报告项目进行，并在PROSPERO注册（注册号：CRD42024620821）。结果：共纳入48项随机对照试验，包括1630例CAI患者。涉及七种运动疗法：平衡训练、力量训练、综合训练、增强训练、全身振动训练、血流限制训练和视觉遮挡平衡训练。所有运动疗法都能显著改善动态姿势控制。视觉遮挡平衡训练优于增强训练（SMD = 0.72, 95% CI: 0.01-1.43）。除了缺乏证据的全身振动训练外，六种运动疗法显著改善了自我报告的功能。血流限制训练（SMD = 1.49, 95% CI: 0.59-2.40）和视觉遮挡平衡训练（SMD = 0.90, 95% CI: 0.06-1.75）优于力量训练。结论：视觉遮挡平衡训练可能是改善CAI患者动态姿势控制最有效的运动疗法。血流限制训练和视觉遮挡训练可能是改善自我报告功能最有效的运动疗法。然而，干预措施的选择应谨慎，因为证据的确定性非常低。

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

Efort Open Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

6.60

自引率

2.90%

发文量

101

审稿时长

13 weeks

期刊介绍： EFORT Open Reviews publishes high-quality instructional review articles across the whole field of orthopaedics and traumatology. Commissioned, peer-reviewed articles from international experts summarize current knowledge and practice in orthopaedics, with the aim of providing systematic coverage of the field. All articles undergo rigorous scientific editing to ensure the highest standards of accuracy and clarity. This continuously published online journal is fully open access and will provide integrated CME. It is an authoritative resource for educating trainees and supports practising orthopaedic surgeons in keeping informed about the latest clinical and scientific advances. One print issue containing a selection of papers from the journal will be published each year to coincide with the EFORT Annual Congress. EFORT Open Reviews is the official journal of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and is published in partnership with The British Editorial Society of Bone & Joint Surgery.