What is it about?

Chronic ankle instability (CAI) affects neuromuscular control and functional performance. While ankle-focused rehabilitation is common, this study examines the impact of thoracic (upper back) mobility and lumbopelvic (lower back and pelvic) stabilization exercises on CAI. Study Design Participants: 30 adults (average age: 31.93 years, 21 women, 9 men) with CAI. Method: Participants were randomly divided into two groups: Group 1: Thoracic mobility exercises. Group 2: Lumbopelvic stabilization exercises. Duration: Both groups performed supervised exercises twice a week for eight weeks and followed a home program of ankle-strengthening exercises three times a week. Assessments: Pre- and post-treatment assessments included: Ankle and hip joint range of motion. Dynamic balance (Y balance test). Ankle proprioception (joint position sense). Flexibility (active straight leg raise test). Key Findings Thoracic Mobility Group: Significant improvements in balance, flexibility, and ankle instability scores. Lumbopelvic Stabilization Group: Significant improvements in flexibility and ankle instability scores. Comparative Results: The thoracic mobility group had superior results in joint position sense for the right hip and ankle plantarflexion (downward movement).

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Why is it important?

Understanding the broader impact of thoracic and lumbopelvic exercises is crucial because CAI is often treated with ankle-focused exercises alone. This study reveals that incorporating thoracic mobility exercises can provide additional benefits, particularly in joint position sense, which is essential for preventing recurrent ankle injuries and enhancing overall stability. These findings offer a more holistic approach to CAI rehabilitation, potentially leading to more effective treatment protocols and better patient outcomes.

Perspectives

Both exercise interventions are effective for improving aspects of CAI, but thoracic mobility exercises offer additional benefits in enhancing joint position sense. This study provides valuable insights for optimizing rehabilitation protocols for individuals with chronic ankle instability.

ELIF TUGCE CIL
Yeditepe Universitesi

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This page is a summary of: The effects of thoracic mobility versus lumbopelvic stabilization exercises on lower extremity flexibility, dynamic balance and proprioception in patients with chronic ankle instability, Isokinetics and Exercise Science, June 2024, IOS Press,
DOI: 10.3233/ies-230093.
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